This chapter describes an approach to fractionation and titration of traumatic material, specifically the use of the time domain. The approach is informed by our understanding of neural development and the integration of mental experience using developmental time sequence. The chapter explains the early trauma (ET) approach of complex cases, specifically dissociative disorders. Maladaptive lessons learned at very early ages will effect decisions for a lifetime and form the basis for certain Axis I and Axis II symptom configurations. Temporal integrationism is the term established by Paulsen to describe the approach to resolving very ET and attachment injury, including neglect in the absence of declarative or explicit memories. For eye movement desensitization and reprocessing (EMDR) practitioners, it is challenging to obtain subjective units of disturbance (SUD) levels and usually impossible to derive cognitions or narratives for very ET and neglect.