This work proposes that much of human life is lived as “unformulated experience”—felt but not yet symbolized—and that dissociation, more than repression, organizes these unarticulated states. Within a relational-constructivist perspective, meaning emerges in dialogue, as clinician and patient co-create language and images that give shape to previously unspeakable experience. The clinical task is to cultivate curiosity, play, and imagination so that split-off self-states can be recognized and integrated, opening new possibilities for living. Through theory and case material, it shows how uncertainty, mutual influence, and emergent meaning drive therapeutic change.

A collection of clinical journeys illustrating how dissociation and multiple self-states shape psychic life and the therapeutic relationship. Through vivid case narratives, it shows how the capacity to dream experience—while awake and within the analytic dyad—emerges in a relational field, transforming enactments and trauma into meaning. Emphasizing intersubjectivity and the therapist’s participation, it invites living in the spaces between selves rather than pursuing a single, unified identity.

A concise exploration of psychological trauma that links private experiences of abuse with public forms of violence, showing how trauma fractures trust, identity, and relationships while also being shaped by social context and power. It distinguishes single-incident trauma from the cumulative harms of prolonged coercive control, often described as complex trauma, and examines memory, dissociation, and shame as core features. Recovery is framed as a phased process—establishing safety, remembrance and mourning, and reconnection—grounded in empowerment, survivor choice, and community support, and dependent on broader cultural acknowledgment and justice.