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Knowing Not Knowing And Sort Of Knowing

Author: Jean Petrucelli
Publisher: Routledge
ISBN: 0429915454
Size: 23.82 MB
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A contemporary, wide-ranging exploration of one of the most provocative topics currently under psychoanalytic investigation: the relationship of dissociation to varieties of knowing and unknowing. The twenty-eight essays collected here invite readers to reflect upon the ways the mind is structured around and through knowing, not-knowing, and sort-of-knowing or uncertainty.The authors explore the ramifications of being up against the limits of what they can know as through their clinical practice, and theoretical considerations, they simultaneously attempt to open up psychic and physical experience. How, they ask, do we tolerate ambiguity and blind spots as we try to know? And how do we make all of this useful to our patients and ourselves?The authors approach these and similar epistemological questions through an impressively wide variety of clinical dilemmas (e.g., the impact of new technologies upon the analytic dyad) and theoretical specialties (e.g., neurobiology). Some of the numerous issues under examination here include important and, in some instances, under-theorized topics in psychoanalysis such as uncanny communication as the next frontier of intersubjectivity, secrets, criminal violence, the relationship of the body to knowing, disclosure of the analyst's joy, dissociative identity disorder, pornography and sex workers.

The Shadow Of The Tsunami

Author: Philip M. Bromberg
Publisher: Routledge
ISBN: 1136853073
Size: 16.70 MB
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During early development, every human being is exposed to the relative impact of relational trauma – disconfirmation of aspects of oneself as having legitimate existence in the world of others – in shaping both the capacity for spontaneous human relatedness and the relative vulnerability to "adult-onset trauma." To one degree or another, a wave of dysregulated affect – a dissociated "tsunami" – hits the immature mind, and if left relationally unprocessed leaves a fearful shadow that weakens future ability to regulate affect in an interpersonal context and reduces the capacity to trust, sometimes even experience, authentic human discourse. In his fascinating third book, Philip Bromberg deepens his inquiry into the nature of what is therapeutic about the therapeutic relationship: its capacity to move the psychoanalytic process along a path that, bit by bit, shrinks a patient's vulnerability to the pursuing shadow of affective destabilization while simultaneously increasing intersubjectivity. What takes places along this path does not happen because "this" led to "that," but because the path is its own destination – a joint achievement that underlies what is termed in the subtitle "the growth of the relational mind." Expanding the self-state perspective of Standing in the Spaces (1998) and Awakening the Dreamer (2006), Bromberg explores what he holds to be the two nonlinear but interlocking rewards of successful treatment – healing and growth. The psychoanalytic relationship is illuminated not as a medium for treating an illness but as an opportunity for two human beings to live together in the affectively enacted shadow of the past, allowing it to be cognitively symbolized by new cocreated experience that is processed by thought and language – freeing the patient's natural capacity to feel trust and joy as part of an enduring regulatory stability that permits life to be lived with creativity, love, interpersonal spontaneity, and a greater sense of meaning.

Neurobiology And Mental Health Clinical Practice

Author: Dennis Miehls
Publisher: Routledge
ISBN: 1317505360
Size: 69.22 MB
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This book illustrates the current findings of interpersonal neurobiology that inform knowledge building and clinical practice. Contributions cover an impressive range of material including how neurobiology interfaces with clinical work with children, individuals with substance abuse issues, couples and clients with trauma histories. Leading mental health clinician-scholars describe path-breaking explorations at the neurobiological frontiers of 21st century clinical theory and practice. Representing the fields of social work, psychology and psychiatry, these authors creatively apply research findings from the ongoing revolution in social and behaviour neuroscience to a diverse array of clinical issues. Contributions include elaborations of theory (the evolving social brain; new directions in attachment, affect regulation and trauma studies); practice (neurobiologically informed work with children, adults, couples and in the conduct of supervision); and emerging neuroscientific perspectives on broader mental health issues and concerns (substance abuse; psychotropic medications; secondary traumatic stress in clinicians; the neurodynamics of racial prejudice; the dangers of forfeiting humanism to our current romance with the biological). Together, these chapters equip readers with state-of-the-art knowledge of the manner in which new understandings of the brain inform and shape today’s professional efforts to heal the troubled mind. This book was originally published as a special issue of Smith College Studies in Social Work.

Longing

Author: Jean Petrucelli
Publisher: Karnac Books
ISBN: 9781855754355
Size: 40.87 MB
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Throughout this thoughtful collection. the reader ponders a series of questions about desire and longing. How, in the complex and sophisticated world of abundance, can one simply know what one wants and then hold on to it? Once known, the ability to fulfill desire remains problematic, as psychological impediments prevents us from living as fully as we might. If we overcome these, can longing even be satisfied? On making a choice, do we mourn the not chosen? Can a desire be fully actualized or does it change its shape and meaning in the process of desiring itself? This book is designed to highlight various aspects of desire, the light and the dark, the igniting and the extinguishing. The contributors explore the scope of desire as it is discovered, relished, quashed, inhibited, or realized. Throughout there is a dialogue between interpersonal psychoanalytic theory and aspects of culture that are, or have been, taboo, cutting edge, or mundane. Also presented are fresh clinical perspectives on a diverse range of daily problems in living and struggles with desire. This book will appeal to psychoanalysts, academics, students, and a general readership.

Toward A Psychology Of Uncertainty

Author: Doris Brothers
Publisher: Taylor & Francis
ISBN: 1135469024
Size: 79.68 MB
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Since trauma is a thoroughly relational phenomenon, it is highly unpredictable, and cannot be made to fit within the scientific framework Freud so admired. In Toward a Psychology of Uncertainty: Trauma-Centered Psychoanalysis, Doris Brothers urges a return to a trauma-centered psychoanalysis. Making use of relational systems theory, she shows that experiences of uncertainty are continually transformed by the regulatory processes of everyday life such as feeling, knowing, forming categories, making decisions, using language, creating narratives, sensing time, remembering, forgetting, and fantasizing. Insofar as trauma destroys the certainties that organize psychological life, it plunges our relational systems into chaos and sets the stage for the emergence of rigid, life-constricting relational patterns. These trauma-generated patterns, which often involve denial of sameness and difference, the creation of complexity-reducing dualities, and the transformation of certainty into certitude, figure prominently in virtually all of the complaints for which patients seek analytic treatment. Analysts, she claims, are no more strangers to trauma than are their patients. Using in-depth clinical illustrations, Dr. Brothers demonstrates how a mutual desire to heal and to be healed from trauma draws patients and analysts into their analytic relationships. She recommends the reconceptualization of what has heretofore been considered transference and countertransference in terms of the transformation of experienced uncertainty. In her view the increased ability of both analytic partners to live with uncertainty is the mark of a successful treatment. Dr. Brothers’ perspective sheds fresh light on a variety of topics of great general interest to analysts as well as many of their patients, such as gender, the acceptance of death, faith, cult-like training programs, and burnout. Her discussions of these topics are enlivened by references to contemporary cinema and theatre.

Emdr Therapy And Adjunct Approaches With Children

Author: Ana M. Gomez, MC, LPC
Publisher: Springer Publishing Company
ISBN: 0826106986
Size: 58.81 MB
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"This volume is a welcome and excellent resource for all clinicians working with severely traumatized children." Francine Shapiro, PhD Founder, EMDR Humanitarian Assistance Programs "Over the past 15 years, Ms. Gomez has developed highly original and brilliant interventions for working with these very difficult to treat children. This book will be an enormous great gift to our field." Dr. Susan Coates Clinical Professor of Psychology in Psychiatry College of Physicians and Surgeons Columbia University This is the first book to provide a wide range of leading-edge, step-by-step strategies for clinicians using EMDR therapy and adjunct approaches with children with severe dysregulation of the affective system. Written by an author internationally known for her innovative work with children, the book offers developmentally appropriate and advanced tools for using EMDR therapy in treating children with complex trauma, attachment wounds, dissociative tendencies, and compromised social engagement. The book also presents the theoretical framework for case conceptualization in EMDR therapy and in the use of the Adaptive Information Processing model with children. Principles and concepts derived from the Polyvagal Theory, affective neuroscience, attachment theory, interpersonal neurobiology, developmental neuroscience and the neurosequential model of therapeutics, which can greatly support and expand our understanding of the AIP model and complex trauma, are presented. The text also offers an original and pioneering EMDR therapy-based model to working with parents with abdicated caregiving systems. The model is directed at assisting parents in developing the ability for mentalization, insightfulness, and reflective capacities linked to infantís development of attachment security. A unique and innovative feature of this book is the masterful integration of strategies from other therapeutic approaches, such as Play therapy, Sandtray therapy, Sensorimotor psychotherapy, Theraplay and Internal Family Systems (IFS), into a comprehensive EMDR treatment maintaining appropriate adherence to the AIP model and EMDR therapy methodology. Key Features: Provides creative, step-by-step, ìhow-toî information about the use of EMDR therapy with children with complex trauma from an internationally known and innovative leader in the field Explores thoroughly the eight phases of EMDR therapy in helping children with attachment wounds, dissociative tendencies and high dysregulation Incorporates adjunct approaches into a comprehensive EMDR therapy while maintaining fidelity to the AIP model and EMDR therapy methodology Contains an original EMDR therapy-based model for helping parents with abdicated caregiving systems to develop metalizing and reflective capacities

Unformulated Experience

Author: Donnel B. Stern
Publisher: Routledge
ISBN: 1135060681
Size: 12.87 MB
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In this powerful and wonderfully accessible meditation on psychoanalysis, hermeneutics, and social constructivism, Donnel Stern explores the relationship between two fundamental kinds of experience: explicit verbal reflection and "unformulated experience," or experience we have not yet reflected on and put into words. Stern is especially concerned with the process by which we come to formulate the unformulated. It is not an instrumental task, he holds, but one that requires openness and curiosity; the result of the process is not accuracy alone, but experience that is deeply felt and fully imagined. Stern's sense of explicit verbal experience as continuously constructed and emergent leads to a central dialectic at the heart of his work: that between curiosity and imagination, on one hand, and dissociation and unthinking acceptance of the familiar on the other. The goal of psychoanalytic work, he holds, is the freedom to be curious, whereas defense signifies the denial of this freedom. We defend against our fear of what we would think, that is, if we allowed ourselves the freedom to think it. Stern also shows how the unconscious itself can be reconceptualized hermeneutically, and he goes on to explore the implications of this viewpoint on interpretation and countertransference. He is especially persuasive in showing how the interpersonal field, which is continuously in flux, limits the experience that it is possible for participants to reflect on. Thus it is that analyst and patient are together "caught in the grip of the field," often unable to see the kind of relatedness in which they are mutually involved. A brilliant demonstration of the clinical consequentiality of hermeneutic thinking, Unformulated Experience bears out Stern's belief that psychoanalysis is as much about the revelation of the new in experience as it is about the discovery of the old

The Wisdom Of Not Knowing

Author: Estelle Frankel
Publisher: Shambhala Publications
ISBN: 1611802997
Size: 59.23 MB
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2017 NATIONAL JEWISH BOOK AWARD FINALIST - CONTEMPORARY JEWISH LIFE AND PRACTICE A deeply affirming exploration of the challenges and possibilities of the unknown--with meditations and exercises that can help transform the fear and uncertainty of "not knowing" into a sense of openness, curiosity, and bravery. For most of us the unknown is both friend and foe. At times it can be a source of paralyzing fear and uncertainty, and at other times it can be a starting point for transformation, creativity, and growth. The unknown is a deep current that runs throughout all religions and mystical traditions, and it is also the nexus of contemporary psychotherapeutic thought and practice and a key element in all personal growth and healing. In The Wisdom of Not Knowing, psychotherapist Estelle Frankel shows us that our psychological, emotional, and spiritual health is radically influenced by how comfortable we are at navigating the unknown and uncertain dimensions of our lives. Drawing on insights from Kabbalah, depth psychology, Buddhism, Christianity, Hinduism, and ancient myth, Frankel explores how we can grow our souls by tapping into the wisdom of not knowing. She also includes case studies of individuals who have grappled with their fears of the unknown and, as a result, have come out wiser, stronger, and more resilient. Each chapter includes experiential exercises and/or meditations for befriending the unknown. These exercises help convey how we must be willing to "not know" in order to gain knowledge and be able to bear uncertainty so we can be free to enjoy a healthy sense of adventure and curiosity.

Body States Interpersonal And Relational Perspectives On The Treatment Of Eating Disorders

Author: Jean Petrucelli
Publisher: Routledge
ISBN: 131763537X
Size: 79.14 MB
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In this edited volume, Jean Petrucelli brings together the work of talented clinicians and researchers steeped in working with eating disordered patients for the past 10 to 35 years. Eating disorders are about body-states and their relational meanings. The split of mindbody functioning is enacted in many arenas in the eating disordered patient’s life. Concretely, a patient believes that disciplining or controlling his or her body is a means to psychic equilibrium and interpersonal effectiveness. The collected papers in Body-States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders elaborates the essential role of linking symptoms with their emotional and interpersonal meanings in the context of the therapy relationship so that eating disordered patients can find their way out and survive the unbearable. The contributors bridge the gaps in varied protocols for recovery, illustrating that, at its core, trust in the reliability of the humanness of the other is necessary for patients to develop, regain, or have - for the first time - a stable body. They illustrate how embodied experience must be cultivated in the patient/therapist relationship as a felt experience so patients can experience their bodies as their own, to be lived in and enjoyed, rather than as an ‘other’ to be managed. In this collection Petrucelli convincingly demonstrates how interpersonal and relational treatments address eating problems, body image and "problems in living." Body States: Interpersonal and Relational Perspectives on the Treatment of Eating Disorders will be essential reading for psychoanalysts, psychotherapists, psychologists, psychiatrists, social workers, and a wide range of professionals and lay readers who are interested in the topic and treatment of eating disorders.

Hungers And Compulsions

Author: Jean Petrucelli
Publisher: Jason Aronson
ISBN: 9780765703187
Size: 12.11 MB
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This book will help therapists understand and treat patients suffering from mild to dangerous forms of eating disorders as well as other compulsions and addictions, such as alcoholism and erotic attachments. The chapters help therapists think creatively about these types of patients, and to see the effects of treatment. The problems that arise in therapy are explored in essays about dissociation, self-regulation, self-destructive behavior, enactment, and other clinical issues.