Kinsler, Philip J.2005-10-142005-10-141992-090896-2863https://hdl.handle.net/1794/1668p. 166-170This paper presents the author's theoretical attempt to balance two important needs in the therapy of adult survivors of severe abuse: the need for clear structure and boundaries, and the need for deep therapeutic engagement. The author believes that it is the combination of safety with engagement which is crucial in modifying survivors' lack of trust in themselves and others. The author believes we are conducting "special relationships" in our work with severe abuse survivors, with goals different from those of traditional therapies. Therefore, we require a different way to understand how to conduct this work. Some productive questions for thinking about boundaries and structure are offered, as well as an outline of the characteristics of this type of therapy relationship.190978 bytesapplication/pdfen-USDissociation : Vol. 5, No. 3, p. 166-170 : The centrality of relationship: what’s not being saidThe centrality of relationship: what’s not being saidArticle