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The Dissociative Mind

Author: Elizabeth F. Howell
Publisher: Routledge
ISBN: 1135469717
Size: 38.49 MB
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Drawing on the pioneering work of Janet, Freud, Sullivan, and Fairbairn and making extensive use of recent literature, Elizabeth Howell develops a comprehensive model of the dissociative mind. Dissociation, for her, suffuses everyday life; it is a relationally structured survival strategy that arises out of the mind’s need to allow interaction with frightening but still urgently needed others. For therapists dissociated self-states are among the everyday fare of clinical work and gain expression in dreams, projective identifications, and enactments. Pathological dissociation, on the other hand, results when the psyche is overwhelmed by trauma and signals the collapse of relationality and an addictive clinging to dissociative solutions. Howell examines the relationship of segregated models of attachment, disorganized attachment, mentalization, and defensive exclusion to dissociative processes in general and to particular kinds of dissociative solutions. Enactments are reframed as unconscious procedural ways of being with others that often result in segregated systems of attachment. Clinical phenomena associated with splitting are assigned to a model of “attachment-based dissociation” in which alternating dissociated self-states develop along an axis of relational trauma. Later chapters of the book examine dissociation in relation to pathological narcissism; the creation and reproduction of gender; and psychopathy. Elegant in conception, thoughtful in tone, broad and deep in clinical applications, Howell takes the reader from neurophysiology to attachment theory to the clinical remediation of trauma states to the reality of evil. It provides a masterful overview of a literature that extends forward to the writings of Bromberg, Stern, Ryle, and others. The capstone of contemporary understandings of dissociation in relation to development and psychopathology, The Dissociative Mind will be an adventure and an education for its many clinical readers.

The Dissociative Mind In Psychoanalysis

Author: Elizabeth Howell
Publisher: Routledge
ISBN: 1317393503
Size: 44.86 MB
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The Dissociative Mind in Psychoanalysis: Understanding and Working With Trauma is an invaluable and cutting edge resource providing the current theory, practice, and research on trauma and dissociation within psychoanalysis. Elizabeth Howell and Sheldon Itzkowitz bring together experts in the field of dissociation and psychoanalysis, providing a comprehensive and forward-looking overview of the current thinking on trauma and dissociation. The volume contains articles on the history of concepts of trauma and dissociation, the linkage of complex trauma and dissociative problems in living, different modalities of treatment and theoretical approaches based on a new understanding of this linkage, as well as reviews of important new research. Overarching all of these is a clear explanation of how pathological dissociation is caused by trauma, and how this affects psychological organization -- concepts which have often been largely misunderstood. The Dissociative Mind in Psychoanalysis will be essential reading for psychoanalysts, psychoanalytically oriented psychotherapists, trauma therapists, and students.

Understanding And Treating Dissociative Identity Disorder

Author: Elizabeth F. Howell
Publisher: Routledge
ISBN: 1135845832
Size: 70.16 MB
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Building on the comprehensive theoretical model of dissociation elegantly developed in The Dissociative Mind, Elizabeth Howell makes another invaluable contribution to the clinical understanding of dissociative states with Understanding and Treating Dissociative Identity Disorder. Howell, working within the realm of relational psychoanalysis, explicates a multifaceted approach to the treatment of this fascinating yet often misunderstood condition, which involves the partitioning of the personality into part-selves that remain unaware of one another, usually the result of severely traumatic experiences. Howell begins with an explication of dissociation theory and research that includes the dynamic unconscious, trauma theory, attachment, and neuroscience. She then discusses the identification and diagnosis of Dissociative Identity Disorder (DID) before moving on to outline a phase-oriented treatment plan, which includes facilitating a multileveled co-constructed therapeutic relationship, emphasizing the multiplicity of transferences, countertransferences, and kinds of potential enactments. She then expands the treatment possibilities to include dreamwork, before moving on to discuss the risks involved in the treatment of DID and how to mitigate them. All concepts and technical approaches are permeated with rich clinical examples.

Mind Over Mind

Author: Morton Klass
Publisher: Rowman & Littlefield Publishers
ISBN: 0585466785
Size: 73.87 MB
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Mind Over Mind explores the phenomenon of spirit possession from both anthropological and psychological perspectives. Spirit possession is ritually important in many cultures from India to Brazil to Madagascar, but has tended to be narrowly regarded from modern American and European perspectives as a psychopathological problem of multiple personality disorder. This book proposes an integration of anthropological and psychological approaches, concluding with a new analytical framework for understanding spirit possession and resolving the controversy surrounding the "reality" of possession. The issues raised are thus essential to both the anthropology of religion and the psychology of altered states of consciousness. At the same time, Mind over Mind confronts the most challenging philosophical issues of human consciousness and human identity, which can not be properly formulated without the insights of social and cultural anthropology. At the most general level, this study argues for the unequivocal importance of an interdisciplinary approach to spirit possession and for the integral significance of anthropology for the other human sciences.

Dissociation

Author: David Spiegel
Publisher: American Psychiatric Pub
ISBN: 9780880485579
Size: 31.59 MB
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Dissociation challenges many comfortable assumptions. Dissociative phenomena are often stark, extreme, and vivid. The identities of individuals with dissociation disorders shift between apparent opposites. Their pain is ignored. Trauma victims report floating above their injured bodies. Are these arcane, dramatic, or staged events, or does dissociation underlie some fundamental aspect of mental organization? Is dissociation the product of a troubled mind or a key to understanding the structure of consciousness and the mind-body relationship? Dissociation: Culture, Mind, and Body is the first book to combine cultural anthropology, cognitive psychology, neurophysiology, and the study of psychosomatic illness to present the latest information on the dissociative process. A variety of leading experts in each of these fields bring their knowledge on the unique role that dissociation plays in moderating social and psychological effects on the body. Dissociation: Culture, Mind, and Body is an invaluable resource for every student of dissociation and is designed for professionals in cross-cultural psychiatry and the influence of the mind on the body. Dissociation: Culture, Mind, and Body includes New theories of dissociation New measures of dissociation New evidence of the physical effects of dissociative processes

The Sword Of Laban

Author: William D. Morain
Publisher: American Psychiatric Pub
ISBN: 9780880488648
Size: 72.70 MB
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Dr. Morain's remarkable psychological study of Joseph Smith, Jr. will be of interest to a wide spectrum of readers -- as a social history, religious biography, an account of the dissociative elements in poetic and spiritual genius, or simply a gripping portrait of an ill-fated and tragic man.

Intensive Psychotherapy For Persistent Dissociative Processes The Fear Of Feeling Real Norton Series On Interpersonal Neurobiology

Author: Richard A. Chefetz
Publisher: W. W. Norton & Company
ISBN: 0393710904
Size: 69.88 MB
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Winner of the International Society for the Study of Trauma and Dissociation's (ISSTD) Pierre Janet Writing Award, 2015. What really happens in dissociation. Winner of the International Society for the Study of Trauma and Dissociation's (ISSTD) Pierre Janet Writing Award, 2015. What really happens in dissociation. Winner of the International Society for the Study of Trauma and Dissociation's (ISSTD) Pierre Janet Writing Award, 2015. What really happens in dissociation. Winner of the International Society for the Study of Trauma and Dissociation's (ISSTD) Pierre Janet Writing Award, 2015. What really happens in dissociation. Dissociative processes have long burdened trauma survivors with the dilemma of longing to feel “real” at the same time as they desperately want to avoid the pain that comes with that healing—a dilemma that often presents particularly acute difficulties for healing professionals. Recent clinical and neurobiological research sheds some light into the dark corners of a mind undergoing persistent dissociation, but its integration into the practice of talking therapy has never, until now, been fully realized. Intensive Psychotherapy for Persistent Dissociative Processes brings readers into the consultation room, and into the minds of both patient and therapist, like no other work on the treatment of trauma and dissociation. Richard A. Chefetz marries neuroscientific sophistication with a wealth of extended case histories, following patients over several years and offering several verbatim session transcripts. His unpacking of the emotionally impactful experience of psychodynamic talking therapy is masterfully written, clearly accessible, and singularly thorough. From neurobiological foundations he builds a working understanding of dissociation and its clinical manifestations. Drawing on theories of self-states and their involvement in dissociative experiences, he demonstrates how to identify persistent dissociation and its related psychodynamic processes, including repetition compulsion and enactment. He then guides readers through the beginning stages of a treatment, with particular attention to the psychodynamics of emotion in both patient and therapist. The second half of the book immerses readers in emotionally challenging clinical processes, offering insight into the neurobiology of fear and depersonalization, as well as case examples detailing struggles with histories of incest, sexual addiction, severe negativity, negative therapeutic reactions, enactment, and object-coercive doubting. The narrative style of Chefetz’s casework is nearly novelistic, bringing to life the clinical setting and the struggles in both patient and therapist. The only mystery in this clinical exposition, as it explores several cases over a number of years, is what will happen next. In the depth of his examples and in continual, self-reflexive analysis of flaws in past treatments, Chefetz is both a generous guide and an expert storyteller. Intensive Psychotherapy for Persistent Dissociative Processes is unique in its ability to place readers in the consultation room of psychodynamic therapy. With an evidence-focused approach based in neurobiology and a bold clinical scope, it will be indispensible to new and experienced therapists alike as they grapple with the most intractable clinical obstacles.

The Wandering Mind

Author: John A. Biever
Publisher: Rowman & Littlefield
ISBN: 1442216158
Size: 59.65 MB
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The Wandering Mind introduces readers to dissociative states and helps them understand the nature of serious dissociative disorders, such as those involving multiple personalities. The authors pinpoint the differences between normal dissociation and disordered thinking that requires evaluation and treatment.

Fragmentation In Sleep And Mind Linking Dissociative Symptoms Sleep And Memory

Author: Sue Llewellyn
Publisher: Frontiers Media SA
ISBN: 2889454487
Size: 72.38 MB
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Fragmented, dissociated consciousness can characterize the mind in both wake and sleep states. Dissociative symptoms, during sleep, include vivid dreaming, nightmares, and alterations in objective sleep parameters (e.g., lengthening of REM sleep). During waking hours, dissociative symptoms exhibit disparate characteristics encompassing memory problems, excessive daydreaming, absentmindedness, and impairments and discontinuities in perceptions of the self, identity, and the environment. Llewellyn has theorized that a progressive and enduring de-differentiation of wake and dream states of consciousness eventually results in schizophrenia; a lesser degree of de-differentiation may have implications for dissociative symptoms. Against a background of de-differentiation between the dream and wake states, the papers in this volume link consciousness, memory, and mental illness with a special interest for dissociative symptoms.