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The psychotherapy often provided for complex PTSD includes no multi-modal approach and those who fail to benefit may then be considered to be treatment-resistant. For patients with complex PTSD the ineffectiveness of psychiatric treatment and subsequent labelling as treatment resistance can then be attributed to an underlying personality disorder, often without adequate assessment or corroboration. Patients who are told that their lack of response to treatment is due to long-standing differences in one or more of the following: their thinking, their emotional regulation, their behaviour, and/or their interpersonal relationships, will feel further invalidation that confirms their inseparable differences from the rest of humanity. If everyone else can learn top-down regulation of distress in response to triggers, the failure to acquire these skills is held to imply deep-seated personality pathology.
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Recognition of the neurobiological insults imposed by complex trauma and the implications for psychotherapeutic interventions | BJPsych Bulletin
Related article by some of the authors of the article above.
Conversations here about people considering themselves as "disordered" or "defective" or "too needy" or "too much" prompted me to post this. I don't like to think of anyone like that, and I've felt disconcerted after hearing others talk like this even though I've thought of myself like that at times, including recently.
It seems the more my therapist pathologizes my thinking or behaviors, the more my view of myself improves. Reverse psychology? Being a fighter; my survival nature coming back after all this time?
Ha!