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The greatest single error or oversight made by clinicians hoping to conduct trauma-centered psychotherapy is not establishing a trauma-centered frame for the work. If a client enters treatment believing that he or she is going to a general therapist for help with current problems, and then at some point in the treatment, the therapist gingerly suggests that perhaps some of the person’s childhood events are important and deserve exploring, or that a rape the client briefly mentioned should be gone over in detail, the client is much more likely to express hesitation, concern, and even outright resistance.
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