Truth in Love TIL 519: Complex Trauma (feat. Francine Tan)
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Jun 2, 2025 This discussion features Francine Tan, a Malaysian biblical counselor and PhD in Applied Theology, who sheds light on Complex Post-Traumatic Stress Disorder (CPTSD). She explores its historical recognition and the influences of key figures like Judith Herman. The conversation dives into the nuances of recovery, including Herman's three-stage model and the impact of Adverse Childhood Experiences (ACEs). Tan emphasizes the need to bridge secular trauma insights with biblical perspectives, highlighting the importance of safety, remembrance, and empowerment in healing.
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Understanding Complex PTSD
- Complex PTSD (CPTSD) was proposed by Judith Herman to describe trauma caused by prolonged, repeated interpersonal abuse, differing from standard PTSD. - It includes core PTSD symptoms plus affect regulation problems, self-identity issues, and difficulties sustaining relationships.
Why CPTSD Excluded from DSM
- CPTSD was excluded from DSM-IV and DSM-5 due to lack of empirical support and symptom overlap with other disorders. - Herman's original proposal lacked standardized data and patient case descriptions, limiting its clinical acceptance.
Freud's Influence on Herman
- Judith Herman's theory on trauma is influenced by Freud's early concepts of repression and seduction theory. - She maintains that repression protects from abuse memories, affirming Freud's original view despite his later retraction.
