When I trained as a psychoanalyst, this book had already been published and yet I got next to no training on trauma. Reading it also made it clear to me that I had been a trauma victim myself and that in many respects, my view of the world wasn't so idiosyncratic as typical of trauma survivors. I only denied it its 5th star because it is now a bit dated with its ties to the medical model (though she does criticize it as well.)