Abstract
Clients who dissociate present a special challenge to themselves and to their therapists. Particular attention must be paid to the difficulties these clients experience with both intrapersonal and interpersonal contacting. Therapists can achieve significant success using knowledge and skills from a variety of sources. Multimodal attunement, careful inquiry, and involvement are the means by which therapists can approach the fear these clients feels about both confluence and isolation in the process of making contact.