The paper indicates how the notion of disconnection may be used to synthesise knowledge concerning the pathogenic effects of exposure to trauma. This notion is offered as a complement to that of overwhelment, which is currently a dominant explanatory concept regarding the effects of trauma [Van der Kolk (1996) Trauma and memory, in Van der Kolk et al . (Eds) Traumatic stress , New York: Guilford Press]. Conceptualising trauma as disconnection, at various levels of functioning, has implications for effective treatment. These implications are explored with reference to case material.
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Straker et al. (2002) studied this question.
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