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The Dissociative Mind

Author: Elizabeth F. Howell
Publisher: Routledge
ISBN: 1135469717
Size: 25.84 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: 75.50 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: 24.55 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: 58.42 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: 21.66 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

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: 75.84 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.

Forensic Aspects Of Dissociative Identity Disorder

Author: Adah Sachs
Publisher: Karnac Books
ISBN: 9781855755963
Size: 30.36 MB
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Personality Disorder is a baffling, confusing and rather bizarre condition. Although Dissociative Identity Disorder (DID) is a formal DSM-IV diagnosis, it is still very controversial, and many professionals claim that it is extremely rare, does not exist or is fictitious. There are many reasons why professionals may be reluctant to acknowledge DID: it is, indeed, baffling, confusing and bizarre. However, there are, perhaps, other reasons for the "low popularity" of this condition. DID, like Post Traumatic Stress Disorder (PTSD), appears to be caused by trauma. But unlike PTSD, it appears to be caused by prolonged trauma, trauma which started in early childhood or infancy. Listening to accounts of people with DID is confusing due to the multiplicity of speaker(s)--it is also upsetting. The traumatic content of the stories is upsetting. The un-proved claims about terrible crimes are unsettling. We are faced with very difficult legal, ethical, moral and clinical questions, not knowing how to respond, what to believe, how to think. This book focuses on the most unsavory aspects of DID, namely, the forensic. It explores the role of crime in the lives of people with DID: crimes committed against them, by them and crimes that they have witnessed. The various papers reflect the experiences and thoughts of a range of professionals who have worked with this group: a GP, a psychiatrist, a police officer, a lawyer, psychotherapists and counselors and, most generously, a person who has DID.

The Wandering Mind

Author: M. A. D. Biever
Publisher: Rowman & Littlefield Publishers
ISBN: 1442216174
Size: 63.82 MB
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Have you ever had a daydream? If so, you’ve had a dissociative experience. The same is true if you’ve had an out-of-body moment or thought you were somewhere else as you drifted off to sleep. These are seemingly harmless and temporary dissociations. But further down the spectrum of such experiences, you find people actually traveling to a strange city and suddenly not remembering how they got there. You also find people with multiple personalities and other disordered thinking. In The Wandering Mind, Dr. John Biever and co-author Maryann Karinch use the stories of people all along the spectrum of dissociative conditions—from those who are “perfectly normal” to those diagnosed with Dissociative Identity Disorder—to expose the natures and functions of dissociation. Their lives and stories serve as a way of exploring chronic dissociation and the trek back to good mental health. The authors look closely at what signs and symptoms indicate normal, everyday dissociation, and those that indicate a more serious problem. While daydreamers may not meet the criteria for diagnosis, trauma victims who relive their nightmares in real time may require both diagnosis and treatment. The authors also delve into the phenomenon of deliberate dissociation, such as Buddhist monks in meditation. And they take a close look at the process of diagnosing a dissociative disorder as well as factors that put patients on the road to reintegration and recovery.

The Mind Has Mountains

Author: Paul R. McHugh
Publisher: JHU Press
ISBN: 9780801882494
Size: 15.51 MB
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"Wise words from a wise man." -- Wall Street Journal "McHugh is one of the best and most original writers in psychiatry or psychology. He is iconoclastic, idealistic, deeply informed, and is one of the most important influences on generations of psychiatric researchers and clinicians. No one will agree with everything he writes -- I don't -- but no one who reads this book will remain unaffected by the clarity and importance of his thinking." -- Kay Redfield Jamison, Ph.D, author of An Unquiet Mind

The Wiley Blackwell Handbook Of Mindfulness

Author: Amanda Ie
Publisher: John Wiley & Sons
ISBN: 1118294912
Size: 77.59 MB
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The Wiley Blackwell Handbook of Mindfulness brings together the latest multi-disciplinary research on mindfulness from a group of international scholars: Examines the origins and key theories of the two dominant Western approaches to mindfulness Compares, contrasts, and integrates insights from the social psychological and Eastern-derived perspectives Discusses the implications for mindfulness across a range of fields, including consciousness and cognition, education, creativity, leadership and organizational behavior, law, medical practice and therapy, well-being, and sports 2 Volumes