Abstract
Objective
To present a phase-oriented, relational approach to working with voices and dissociative parts in complex trauma that prioritizes safety, curiosity and internal cooperation over symptom suppression.
Method
A single-case vignette (Fenix) illustrates early therapeutic tasks focused on stabilization and fear reduction towards internal experiences. Sessions 1–17 are summarized to show how a consistent, non-judgmental stance fostered time orientation, internal dialogue and emergent leadership of the Adult Self.
Results
Across treatment, aggressive commands softened, dissociative phobias decreased and internal communication increased, allowing the client to pause, reflect and respond intentionally. Crisis events (e.g. ER visits, hospitalization, suicidal/homicidal urges) were reframed as communications from the internal system rather than regressions, which reduced shame, promoted engagement and allowed adaptation to the pacing of the work.
Conclusions
Within phase-oriented models such as structural dissociation, the work presented corresponds to Phase 1 (stabilization) and prepares the ground for later trauma memory processing and reconnection. The case illustrates how listening to voices—rather than silencing them—can reorganize internal relationships and reduce risk, aligning with existing literature on trauma-related dissociation and voice-hearing.