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Neurobiology And Treatment Of Traumatic Dissociation

Author: Ulrich F. Lanius, PhD
Publisher: Springer Publishing Company
ISBN: 0826106323
Size: 15.55 MB
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Encompassing the contributions of expert clinicians and researchers in the area of traumatic stress and dissociation, this volume is the first to integrate current neuroscience research regarding traumatic dissociation with several cutting-edge approaches to treatment, providing a comprehensive, neurobiologically based treatment approach. The text discusses current neuroscientific research regarding traumatic stress and dissociation that includes attachment, affective neuroscience, polyvagal theory, structural dissociation, and information processing theory, yielding a comprehensive model that guides treatment and clinical interventions for traumatic dissociation. It then integrates this model with stage-oriented treatment and current therapeutic interventions, including EMDR, somatic and body psychotherapy approaches, Ego State Therapy, and adjunctive pharmacological interventions. Readers are given hands-on practical guidance regarding clinical decision making, enabling them to make sound choices about interventions that will facilitate optimal treatment outcomes. Key Features: Provides a broad-based treatment approach to traumatic stress syndromes and dissociation Offers accessible current research in the basic neurosciences relevant to our understanding of attachment, traumatic stress, and dissociation Includes practical suggestions for integrating EMDR, somatic, and body psychotherapy approaches with Ego State Therapy and adjunctive pharmacological interventions Integrates concepts from the affective and cognitive neurosciences and the study of consciousness Presents a comprehensive neurobiological model that accounts for the therapeutic effects of both somatic therapies and EMDR, as well as adjunctive pharmacological interventions

Dissociation And The Dissociative Disorders

Author: Paul F. Dell
Publisher: Routledge
ISBN: 1135906033
Size: 45.96 MB
Format: PDF, Mobi
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Winner of ISSTD's 2009 Pierre Janet Writing Award for the best publication on dissociation in 2009! Dissociation and the Dissociative Disorders is a book that has no real predecessor in the dissociative disorders field. It reports the most recent scientific findings and conceptualizations about dissociation; defines and establishes the boundaries of current knowledge in the dissociative disorders field; identifies and carefully articulates the field’s current points of confusion, gaps in knowledge, and conjectures; clarifies the different aspects and implications of dissociation; and sets forth a research agenda for the next decade. In many respects, Dissociation and the Dissociative Disorders both defines and redefines the field.

Traumatic Dissociation

Author: Eric Vermetten
Publisher: American Psychiatric Pub
ISBN: 9781585627141
Size: 45.32 MB
Format: PDF, Kindle
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Traumatic Dissociation: Neurobiology and Treatment offers an advanced introduction to this symptom, process, and pattern of personality organization seen in several trauma-related disorders, including acute stress disorder, posttraumatic stress disorder (PTSD), and the dissociative disorders. Our understanding of traumatic dissociation has recently been advanced by neuroimaging technology, empirically-based investigation, and an acknowledgment of its importance in psychopathology. The authors of this volume tie these findings together, tracking the condition from its earliest historical conceptualization to its most recent neurobiological understanding to provide even greater insight into traumatic dissociation and its treatment. Bringing together for the first time theoretical, cognitive, and neurobiological perspectives on traumatic dissociation, this volume is designed to provide both empirical and therapeutic insights by drawing on the work of many of the main contributors to the field. Opening chapters examine historical, conceptual, and theoretical issues and how other fields, such as cognitive psychology, have been applied to the study of traumatic dissociation. The following section focuses specifically on how neurobiological investigations have deepened our understanding of dissociation and concluding chapters explore issues pertinent to the assessment and treatment of traumatic dissociation. The interacting effects of traumatic experience, developmental history, neurobiological function, and specific vulnerabilities to dissociative processes that underlie the occurrence of traumatic dissociation are among some of the key issues covered. The book's significant contributions include A review of cognitive experimental findings on attention and memory functioning in dissociative identity disorder An appreciation of how the literature on hypnosis provides a greater understanding of perceptual processing and traumatic stress Ascertaining symptoms of dissociation in a military setting and in other situations of extreme stress An outline of key issues for planning assessment of traumatic dissociation, including a critique of its primary empirically supported standardized measures An examination of the association between child abuse or neglect and the development of eating disorders, suggesting ways to therapeutically deal with negative body experience to reduce events that trigger dissociation A description of neuroendocrine alterations associated with stress, pointing toward a better understanding of the developmental effects of deprivation and trauma on PTSD and dissociation A review of the relation of attachment and dissociation A discussion of new research findings in the neuroimaging of dissociation and a link between cerebellar functioning and specific peritraumatic experiences Useful as a clinical reference or as ancillary textbook, Traumatic Dissociation reorganizes phenomenological observations that have been overlooked, misunderstood, or neglected in traditional training. The research and clinical experience described here will provide the basis for further clinical and theoretical formulations of traumatic dissociation and will advance empirical examination and treatment of the phenomenon.

Healing The Heart Of Trauma And Dissociation With Emdr And Ego State Therapy

Author: Carol Forgash, LCSW, BCD
Publisher: Springer Publishing Company
ISBN: 9780826146977
Size: 61.84 MB
Format: PDF, ePub
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"This read truly does have something for everyone who works with trauma and dissociative processes." --American Journal of Clinical Hypnosis "This volume, which takes a multi-perspective approach to the practice of EMDR and Ego State Therapy, presents a wide variety of ways to integrate these two therapies, both with each other and with other complementary methods in the treatment of trauma and dissociation." --European Association for Body Psychotherapy EMDRIA has approved this book for a Distance Learning Book Course for 8 EMDRIA credits. "This book pioneers the integration of EMDR with ego state techniques. and opens new and exciting vistas for the practitioners of each." --From the foreword by John G. Watkins, PhD, founder of ego state therapy "This read truly does have something for everyone who works with trauma and dissociative processes." --American Journal of Clinical Hypnosis "The editors have gathered many experts in the field who explain in clear informative ways how to expand the clinician's abilities to work with this terribly injured population. This book blends concepts from neurobiology, hypnosis, family systems theory and cognitive therapy to enhance treating this population. It is a well written book that the novice as well as the seasoned clinician can benefit from." --Mark Dworkin, author of EMDR and the Relational Imperative "[This book] conveys complex concepts that will be of interest to seasoned therapists... with a clarity that will appeal to the novice as well. This is really a wonderful text with many excellent ideas and I highly recommend it to anyone who treats trauma." --Sarah Chana Radcliffe, M.Ed.,C.Psych.Assoc. Author, Raise Your Kids without Raising Your Voice "I believe that this book is a significant contribution to the fields of psychology and EMDR. It is the first of its kind... anyone who reads this will gain greater confidence in using EMDR and ego state therapy witih highly dissociative and complicated clients." --Sara G. Gilman, in Journal of EMDR Practice and Research, Volume 3, 2009 "This is a book about polypsychism and trauma. It offers a number of creative syntheses of EMDR with several models of polypsychism. It also surveys and includes many other models of contemporary trauma theory and treatment techniques. The reader will appreciate its enrichment with case examples and very generous bibliographic material. If you are a therapist who works with patients who have been traumatized, you will want this book in your library." --Claire Frederick, MD, Distinguished Consulting Faculty, Saybrook Graduate School and Research Center "Training in EMDR seems to have spread rapidly among therapists in recent years. In the process, awareness is growing that basic EMDR training may not be adequate to prepare clinicians to effectively treat the many cases of complex trauma and dissociation that are likely to be encountered in general practice. By integrating it with ego state therapy, this book may just serve as a crucial turning point in the development of EMDR by providing a model for productively applying it to the treatment of this important and sizeable clinical population." --Steven N. Gold, PhD, President Elect, APA Division of Trauma The powerful benefits of EMDR in treating PTSD have been solidly validated. In this groundbreaking new work nine master clinicians show how complex PTSD involving dissociation and other challenging diagnoses can be treated safely and effectively. They stress the careful preparation of clients for EMDR and the inclusion of ego state therapy to target the dissociated ego states that arise in response to severe and prolonged trauma.

Looking Through The Eyes Of Trauma And Dissociation

Author: Sandra Paulsen
Publisher: Booksurge Publishing
ISBN: 9781439213216
Size: 18.35 MB
Format: PDF
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Dr Paulsen's narrative and 100 cartoons assist therapists and clients to understand trauma and dissociation, from giving a voice to disowned parts of self, to stabilizing and detoxifying memories.

Becoming Safely Embodied Skills Manual

Author: Deirdre Fay
Publisher: Lulu.com
ISBN: 9780615159157
Size: 46.26 MB
Format: PDF
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For most clients with a trauma history, especially those grappling with dissociation, living inside their own skin is challenging. Most clients struggle between sessions, needing the connection to the therapist in order to feel contained. Our trauma clients tread water between therapy sessions, often feeling incapacitated and lost in figuring out a way to help themselves. The results of therapy once or twice a week can fade quickly when faced with the rest of the hours of a week besieged with overwhelming anxiety or despair. The skills in this manual are the foundation of the Becoming Safely Embodied experiential skill set developed to help clients learn step by step ways of being with themselves, especially when they are on their own, between therapy sessions. Nine easy to learn skills are presented and can easily be taught in a group format or to individual clients. Described for groups, the skills can be used individually. In addition there is curriculum for how to open and close the group.

When There Are No Words

Author:
Publisher: Createspace Independent Publishing Platform
ISBN: 9781507507193
Size: 58.32 MB
Format: PDF, Docs
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This book, intended for clinicians treating very early trauma and neglect in the attachment period, integrates several treatment strategies in a comprehensive and resonant approach that is attuned to the client's unspoken early experience. Although the book presumes EMDR training, it has considerable application for other clinicians who deal with the pernicious effects of early trauma and neglect in the attachment period. The book is based on the seminal contributions of Katie O'Shea, and integrates the author's understanding of complex trauma, dissociative disorders, and the neurobiology of traumatic dissociation, including Panksepp, Porges, Schore, and others. It draws upon the somatic therapy traditions of Peter Levine and others for accessing the somatically held unprocessed trauma responses. Although primarily for clinicians, the cartoons are also suitable for use with clients. Like the author's first book on dissociation, the lay public will be interested in the book because its cartoons make the information comprehensible. The early trauma approach in its basic form consists of 1) containment, 2) safe state, 3) resetting hardwired subcortical affective circuits and 4) clearing trauma by time frame for temporal integration. For complex cases, each step has ego state variations and there are more preparatory steps to ensure the self system is aligned with treatment goals. It integrates ego state work to reduce loyalty to the aggressor and the problem of perpetrator introjects. The author was a collaborator of the late father of ego state therapy, John G. Watkins, Ph.D. Sandra Paulsen offers a third integration approach, "temporal integration," to supplement the "tactical integration" and "strategic integration" approaches of Catherine Fine, Ph.D. and Richard Kluft, M.D., respectively. The book has over a hundred original drawings by the author, which telegraph complex psychological and neurobiological concepts quickly, making the book a quicker read than would otherwise be possible. The format, with its generous use of bullets, white space and cartoons, mean that a range of readers can scan the chapters for the information relevant to their own needs. Appendices provide detailed information on the mechanics of the work, how to ethically work in the intensive format, containment procedures for complex cases, working with perpetrator introjects. Although the book is informal with its use of cartoons, the book includes relevant scholarly citations and references. Because it is both metaphoric and scholarly, it speaks to both the right and left hemisphere's of the reader's brain. Many concepts will slip in unawares through the compelling use of metaphor. The book includes case examples to illustrate the suggested scripting for accomplishing each of the relevant steps. Narrative discussion describes the most likely problems for each step and what to do about them. Katie O'Shea, M.S., is acknowledged as contributing author because of her development of the original approach and some of the ideas contained in the book. Ulrich Lanius, Ph.D. contributed to the neurobiological understandings in the book. Above all, the author's goal is to help others understand how the story tells itself non-verbally, when trauma occurs in the attachment period and is held in implicit memory. When we hear of the story in the non-verbals, clinicians can "catch and release" the traumatic sequelae of very early trauma and neglect. The book includes worksheets for clinicians use. It supplements the online workshops that Dr Paulsen presents on this same topic, and others, see www.bainbridgepsychology.com.

The Comprehensive Resource Model

Author: Lisa Schwarz
Publisher: Taylor & Francis
ISBN: 1317425545
Size: 40.35 MB
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Traditional methods employed in psychotherapy have limited effectiveness when it comes to healing the psychological effects of trauma, in particular, complex trauma. While a client may seem to make significant breakthroughs in understanding their feelings and experiences on a rational level by talking with a therapist, this will make no difference to their post-traumatic symptoms if the midbrain is unable to modulate its activity in response. The Comprehensive Resource Model argues for a novel therapeutic approach, which uniquely bridges neuroscience and spirituality through a combination of somatic therapy, traditional psychotherapy, and indigenous healing concepts to provide effective relief to survivors of trauma. The Comprehensive Resource Model was developed in response to the need for a streamlined, integrative therapeutic model; one which engages a scaffolding of neurobiological resources in many brain structures simultaneously in order for clients to be fully embodied and conscious in the present moment while processing their traumatic material. All three phases of trauma therapy: resourcing, processing, and integration are done simultaneously. Demonstrating a nested model and employing brain and body-based physiological safety as the foundation of healing, chapters describe three primary categories of targeted processing: implicit and explicit survival terror, ‘Little T Truths’, and ‘Big T Truths’, all of which contribute to thorough healing of complex trauma and an expansion into higher states of consciousness and embodiment of the essential core self. This book describes the development and benefits of this pioneering new approach to trauma therapy. As such, it will be of key interest to academics, researchers and postgraduate students in the fields of psychiatry, psychotherapy, psychology and trauma studies. It will also appeal to practising therapists, psychiatrists, psychologists, psychiatric nurses, and to others involved in the treatment or management of patients with complex trauma disorders.