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Competent dominatrices are trained to lower the risk of triggering such an abreaction, but are prepared to deal with it should it occur.
Currently, less emphasis is given to abreaction of trauma and more to the pacing of treatment to avoid crises.
In this paper I discuss the evolution of using hypnosis with children, and the hypnotic techniques and methods that tap into their imaginations which can heal abreactions to negative situations or habits.