The Fourth “F” of Trauma
By Ron Huxley, LMFT

When I work with traumatized people, I always keep in mind that they have one of three reactions: Fight, Flight and Freeze. These are primal brain mechanisms that manage threats to the self. Each type of reaction has its intervention but at the core of these interventions is the fourth “F”: Fusion.

Trauma disrupts relationships and self/other organization. At extreme levels it can cause dissociative disorders (what we used to call Multiple Personality Disorders) splitting off internal parts of the self in an effort to survive and function. At milder levels it can cause us to build defenses or social masks that allow us to get through our days despite feelings of pain or loss. Either we are not acting out of our true self. We also have difficulties with others manifesting by poor intimacy, commitment fears, unmanageable anger, feelings of anxiety and depression.

What we want to achieve is fusion. A fusion of self and personality and a fusion of relationships (self with other). This is easy said than done but it is possible. It is not hopeless as we once thought. The real challenge is trying to help others who are in a state of fight, flight or freeze without ourselves going into a similar state. Staying “fused” in our emotions, in the face trauma, is hard!

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