“…Regrettably, the expansion of the problem list in this group of crisis-prone individuals did little to improve treatment outcome. Exposure therapy, established as the most effective treatment for prior trauma, was tried but sometimes led, in "complex trauma" (as we were now styling it), to the very symptoms we had intended to abate-self-harm, psychotic flashbacks, and frightening somatic symptoms (Dechant, Jellinek, Goodwin, & Prince, 2002).…”