A fresh look at the importance of dissociation in understanding trauma. A new model of therapeutic action, one that heals trauma and dissociation, is overtaking the mental health field. It is not just trauma, but the dissociation of the self, that causes emotional pain and difficulties in functioning. This book discusses how people are universally subject to trauma, what trauma is, and how to understand and work with normative as well as extreme dissociation. In this new model, the client and the practitioner are both traumatized and flawed human beings who affect each other in the mutual process that promotes the healing of the client—psychotherapy. Elizabeth Howell explains the dissociative, relational, and attachment reasons that people blame and punish themselves. She covers the difference between repression and dissociation, and how Freud’s exclusive focus on repression and the one-person fantasy Oedipal model impeded recognition of the serious consequences of external trauma, including child abuse. The book synthesizes trauma/dissociation perspectives and addresses new structural models.

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.

This book examines how drama therapists conceptualize and respond to relational and systemic trauma across systems of care including mental health clinics, schools, and communities burdened by historical and current wounds. This second edition of Trauma-Informed Drama Therapy: Transforming Clinics, Classrooms, and Communities offers a broad range of explorations in engaging with traumatic experience, across settings (clinical, educational, performance) and geographies (North America, Germany, Sri Lanka, South Africa, India, Belgium), and methodologies (Sesame, DvT, ethnography, performance, CANY, Self Rev). Each effort runs into obstacles, resistances, biases, and random events that highlight the authors’ passion and courage. No solutions are to be found. No grand schemes are proposed. Just hard work in the face of impenetrable truth: we are still at the beginning of understanding how to achieve an equitable, moral, accountable, healthy collective being-with. Confronting trauma, listening to victim testimonies, sitting with unsettling uncertainty, understanding the enormity of the problem, are difficult tasks, and over time wear people down. The chapters in this book belie this trend as they illustrate how the passion, creativity, faith, and perseverance of drama therapists the world over, each in their own limited way, can help. In each of these chapters you will read about people who have been pushed to the margins of existence, and then, how drama therapists have worked to remind them of their immutable, unique value that can transcend and transform those margins into spaces of care, power, and possibility. It will be useful for creative arts therapists, mental health professionals, educators, students and many others interested in the role of the drama and performance in the treatment of trauma.

Winner of the 2022 Gradiva® Award for Best Edited Book! Understanding shame as a relational problem, Shame Matters explores how people, with support, can gradually move away from the relentless cycle of shame and find new and more satisfying ways of relating. Orit Badouk Epstein brings together experts from across the world to explore different aspects of shame from an attachment perspective. The impact of racism and socio-economic factors on the development and experience of shame are discussed and illustrated with clinical narratives. Drawing upon the experience of infant researchers, trauma experts and therapists using somatic interventions, Shame Matters explores and develops understanding of the shameful deflations encountered in the consulting room and describes how new and empowered ways of relating can be nurtured. The book also details attachment-informed research into the experience of shame and outlines how it can be applied to clinical practice. Shame Matters will be an invaluable companion for psychotherapists, clinical psychologists, counsellors, social workers, nurses, and others in the helping professions.

Shame, Pride, and Relational Trauma is a guide to recognizing the many ways shame and pride lie at the heart of psychotherapy with survivors of relational trauma. In these pages, readers learn how to differentiate shame and pride as emotional processes and traumatic mind/body states. They will also discover how understanding the psychodynamic and phenomenological relationships between shame, pride, and dissociation benefit psychotherapy with relational trauma. Next, readers are introduced to fifteen attitudes, principles, and concepts that guide this work from a transtheoretical perspective. Therapists will learn about ways to conceptualize and successfully navigate complex, patient-therapist shame dynamics, and apply neuroscientific findings to this challenging work. Finally, readers will discover how the concept and phenomena of pro-being pride, that is delighting in one's own and others' unique aliveness, helps patients transcend maladaptive shame and pride and experience greater unity within, with others, and with the world beyond.

Dissociation 101: The go-to guide for understanding your dissociative disorder, breaking the stigma, and healing from trauma-related dissociation. "Just as important as The Body Keeps the Score (but an easier read for me)." —5-star reader review Guided by clinical counselor Jamie Marich—a trauma-informed clinician living with a dissociative disorder herself—this book tells you everything you need to know about dissociation...but were too afraid to ask. Here, you’ll learn: What dissociation is—and why it’s a natural response to trauma How to understand and work with your “parts”—the unique emotional and behavioral profiles that can develop from personality fragmentation There’s nothing shameful about dissociating—that, in fact, we can all dissociate Skills and strategies for living your best, authentic, and most fulfilled life What to look for in a therapist: choosing a healer who sees you and gets it Foundational elements of healing from trauma, including PTSD and C-PTSD With practical guided exercises like “The Dissociative Profile” and “Parts Mapping,” this book is written for those diagnosed with dissociative disorders, clinicians and therapists who treat trauma and dissociation, and readers who are exploring whether they may have dissociative symptoms or a condition like dissociative identity disorder (DID). Dissociation Made Simple breaks it all down accessibly and comprehensively, with empowerment and support—and without stigma, judgment, or shame.

Provides an in-depth analysis of what happens in therapy according to three different orientations: cognitive, emotion-focused, and psychodynamic.

The definitive Handbook of Trauma-Transformative Practice brings together the work of leading international trauma experts to provide a detailed overview of trauma-informed practice and intervention: its history, the latest frameworks for practice and an inspiring vision for future trauma-transformative practice. The Handbook is interdisciplinary, incorporating trauma research, interpersonal neuroscience, the historical and continuing experiences of victims and survivors, and insights from practitioners. It addresses a range of current issues spanning polyvagal theory, the social brain, oxytocin and the healing power of love, and the neuropsychological roots of shame. It also considers trauma through the lens of communities, with chapters on healing inter/transgenerational trauma and building communities' capacity to end interpersonal violence. Furthermore the Handbook makes the case for a new way of thinking about trauma - trauma transformative practice. One which is founded on the principle of working with the whole person and as part of a network of relationships, rather than focusing on symptoms to improve practice, healing and recovery.

Foundations of the Mind, Brain, and Behavioral Relationships: Understanding Physiological Psychology is an engaging introduction into neuroscience, and the portions of the nervous system, perception, and the clinical considerations in physiological psychology. "Clinical Applications" appear throughout the chapters and provide real-world examples of brain–behavior relationships, and how the nervous system interacts with other body systems to create a specific behavior. Creating an interactive experience for learners, this volume connects the study of neuroanatomy and neurophysiology with clinically relevant topics, ranging from stress and eating disorders to substance abuse, major affective disorders, and schizophrenia. Integrating the foundations of neuroscience with disorders encountered in clinical practice serves as a foundation to better understand the clinical bases of these conditions. Coauthored by clinical neuropsychologists, this book is for those interested in learning about the underpinnings of the mind, brain, and human behaviors in normal and divergent functioning. - Neuroanatomy and neurophysiology are interconnected with disorders and clinically relevant practice - "Clinical Application" sections throughout the chapters provide real-world examples of brain–behavior relationships - Discussion of how the nervous system interacts with behaviors, consciousness, movements, and the five senses - Chapters on cognitive disorders and clinical considerations of physiological psychology cover a variety of neurological disorders