Bearing Witness to the Witness examines the different methods of testimony given by trauma victims and the ways in which these can enrich or undermine the ability of the reader to witness them. Years of listening to both direct and indirect testimonies on trauma has lead Dana Amir to identify four modes of witnessing trauma: the "metaphoric mode", the "metonymic mode," the "excessive mode" and the "Muselmann mode." In doing so, the author demonstrates the importance of testimony in understanding the nature of trauma, and therefore how to respond to trauma more adequately in a clinical psychoanalytic setting. To follow these four modes of interaction with the traumatic memory, the various chapters of the book present a close reading of three genres of traumatic witnessing: literary accounts by Holocaust survivors, memoirs (located between autobiographic recollection and fiction) and "raw" testimonies taken from Holocaust survivors. Since every traumatic testimonial narrative contains a combination of all four modes with various shifts between them, it is of crucial importance to identify the singular combination of modes that characterizes each traumatic narrative, focusing on the specific areas within which a shift occurs from one mode to another. Such a focus is extremely important, as illustrated and analyzed throughout this book, to the rehabilitation of the psychic metabolic system which conditions the digestion of traumatic materials, allowing a metaphoric working through of traumatic zones that were so far only accessible to repetition and evacuation. Bearing Witness to the Witness will appeal to trauma researchers of all research areas, including psychologists, psychoanalysts, literary scholars as well as philosophers of language and philosophers of the mind. The book will also be of interest and relevance to clinical psychologists, psychoanalytic candidates and graduate students in literary theory and criticism.

"A Stranger in My Bed" takes you inside Debbie Sprague's life for an intimate view of a love story disrupted by the invasion of PTSD--thirty years after the Vietnam War. The cycle moves from love to fear, anger, and despair. Stories unfold of her husband's battle with PTSD, displaying typical behaviors, triggers, and moods. Those familiar with this world will be comforted: "That sounds just like my life, and I thought I was the only one." Others will find a new awareness: "I had no idea it was like that."
You will watch a family and marriage almost be destroyed by the contagious effects of PTSD. Yes, PTSD is "contagious"--the family can take on the symptoms, even to the point of full-blown PTSD. Debbie was one of those people.
When she finally sought help, two different therapists advised her to get a divorce. Walk away from her husband? He was only nineteen when he fought for his country. What if we all walked away?
She chose to stay and stand by her values, next to the man that she vowed to love, honor, and care for in sickness and in health. And it almost destroyed her.
With God's help, she received strength to overcome her fear and anger. She became compassionate and forgiving to her husband. But most of all she learned to cherish the life God had given her by regaining her health and happiness, realizing it was necessary to have the physical and emotional strength to care for her husband.
As Debbie began to discover resources and find solutions for her problems, she found that many other people were suffering as well. She realized sharing those solutions was her life purpose--what she had been preparing for her entire life. Debbie's gift to you is "A Stranger in My Bed: 8 Steps to Taking Your Life Back From The Contagious Effects Of Your Veteran's Post-Traumatic Stress Disorder."

This is the first book to offer comprehensive, evidence-based information on how to overcome the physical and emotional traumas sustained in auto accidents. An insightful guide for both survivors and their caregivers to successfully navigate through injury recovery and rebuild their lives.

Wisdom, Attachment, and Love in Trauma Therapy focuses on the creation of the therapist as healing presence rather than technique administrator-in other words, how to be rather than what to do. Trauma survivors need wise therapists who practice with the union of intellect, knowledge, and intuition. Through self-work, therapists can learn to embody healing qualities that foster an appropriate, corrective, and loving experience in treatment that transcends any technique. This book shows how Eastern wisdom teachings and Western psychotherapeutic modalities combine with modern theory to support a knowledgeable, compassionate, and wise therapist who is equipped to help even the most traumatized person heal.

Developmental Trauma offers a comprehensive introduction to the research findings that help us understand the effects on human development of early childhood trauma and adaptation to stress. It explains how DTD differs from PTSD and emerges from a toxic seed planted at the beginning of an individual's lifespan development. This important volume examines relational traumas and adverse childhood experiences, such as exposure to family and community violence, polyvictimization (multiple repeated childhood traumas), and disruptions to parent-child bonds, which lay the foundation for future relationships. The volume considers how DTD affects self-regulation capacities, identity development, self-esteem, and faith in oneself and others andincreases the likelihood of comorbidities including ADHD and autism spectrum disorders. Individuals with indications of developmental trauma face lifelong challenges in their ability to develop and maintain trusting relationships, to build and utilize healthy coping strategies, and to adjust to school and, eventually, the workplaceUniquely, Daniel Cruz goes beyond individual levels of analysis that focus almost exclusively on patients and explores toxic stress embedded in social systems and institutional policies and procedures that cause individuals to suffer, experience psychiatric and medical problems, and that lead to social and economic adversities such as poverty, homelessness, and involvement in criminal activity. Key topics explored include institutional betrayal, such as sexual assaults and workplace bullying, and judicial betrayal when failures from the legal system do not adequately protect victims of trauma, for example in cases of domestic violence. Developmental Trauma is for students of child and adolescent psychology, developmental psychology, clinical psychology, primary care and health psychology, education, social work, and urban studies. It is relevant for graduate students in applied fields such as clinical and counseling psychology, and those working with diverse children, and public health and policy.

Treating PTSD presents a comprehensive, compassion-focused cognitive behavioral therapy (CBT) approach that provides therapists with the evidence-based information they need to understand trauma's effects on the mind and body as well as the phases of healing. Chapters offer discussion, practical tools, and interventions that therapists can use with clients suffering from post-traumatic stress disorder (PTSD) to reduce feelings of distress and increase their sense of safety. Readers are introduced to the metaphor of "the valley of the shadow of death" to explain the experience of PTSD; they're also shown how to identify the work they'll need to do as therapists to accompany clients on their healing journey. Two new compassion-focused CBT interventions for trauma processing are also introduced.

This book has been written by established Orthopedic Surgeons who have become dedicated specialists within their particular subspecialty. They have contributed by writing highly detailed chapters that educate the reader with the basic science, accepted fundamentals and most recent trends within the full range of generalorthopedicdisorders. It is intended that this well illustrated and highly informative text book to provide orthopedic surgeons in training with comprehensive and relevant core knowledge on all aspects general orthopedics, and will become an essential guide for surgeons in training, providing step by step approaches to performing initial diagnosis, surgical procedures and post operative management. "

This book explores the psychological trauma affecting soldiers and civilians who have encountered the violence of war or terrorism, arguing that the enigmas surrounding war trauma are rooted in culture, collective memory and social norms. Focusing primarily on a large-scale sociological study in Israel, chapters detail the ideological, political, historical and economic factors that shape the multifaceted connection between individual and collective trauma, probing the exterior layers of Israeli society and exposing the complex relationship between society and emotionally scarred individuals everywhere. Divided into three main parts, particular attention is paid to the treatment of soldiers and civilians, and the tension between the medical and societal approaches to PTSD, shedding light on the intricate relationships between war trauma and society worldwide. Part 1 looks at traumatized soldiers and the changing attitudes towards CSR and PTSD; Part 2 explores civilian trauma and shock, including the first published research on the implications of war trauma in Israeli Arab society; and Part 3 analyses the deficiencies and contradictions in current international definitions and discourses of trauma, and the profound consequences of war trauma in society as a whole. Psychological War Trauma and Society will be of key value for academics and postgraduate students in the fields of psychology, sociology, history, Jewish studies, military studies, social work, terrorism studies and political science, as well as professionals who work with traumatised individuals, either directly or indirectly, including psychologists, psychotherapists and social workers. The Hebrew edition of the book was the winner of the 2012 AIS (Association for Israel Studies) Shapiro Award for Best Book in Israel Studies.

This book provides a comprehensive insight into the multilayered effects experienced by directly affected victims and their indirectly affected family members following terrorist incidents and other world disasters. Chapters draw primarily on interviews with fifty victims of the Bali bombings, but also consider terrorist incidents including the London and Boston bombings, and disasters such as the Boxing Day tsunami and the Fukusima nuclear disaster. The book provides a detailed exploration of experiences and perceptions of those involved in the traumatic events, as well as their families, emergency response teams and community volunteers. Chapters discuss community responses to major incidents, appropriate non-medical models of intervention and vulnerable groups that may require special attention. The findings and analysis presented contribute to our understanding of the multilayered effects of terrorism on victims of all levels, and the importance of a planned and informed response, which includes the local community and its wealth of pre-existing resources. Terrorism, Trauma and Psychology: A multilevel victim perspective of the Bali bombing will be key reading for researchers and academics in the fields of social and clinical psychology, as well as scholars of victimology and terrorism studies.

This book, based upon a series of psychological research studies, examines Sierra Leone as a case study of a constructivist and narrative perspective on psychological responses to warfare, telling the stories of a range of survivors of the civil war. The authors explore previous research on psychological responses to warfare while providing background information on the Sierra Leone civil war and its context. Chapters consider particular groups of survivors, including former child soldiers, as well as amputee footballers, mental health service users and providers, and refugees. Implications of the themes emerging from this research are considered with respect to how new understandings can inform current models of trauma and work with its survivors. Amongst the issues concerned will be post-traumatic stress and post-traumatic growth; resilience; mental health service provision; perpetration of atrocities; and forgiveness. The book also provides a critical consideration of the appropriateness of the use of Western concepts and methods in an African context. Drawing upon psychological theory and rich narrative research, Trauma, Survival and Resilience in War Zones will appeal to researchers and academics in the field of clinical psychology, as well as those studying post-war conflict zones.

EMDR in Family Systems provides clinicians with a clear account of the EMDR process and a comprehensive, step-by-step approach to healing trauma through integrating EMDR with other therapeutic tools. The book provides a unique protocol utilizing numerous evidence-based diagnostic assessments; in-depth psychoeducation on attachment issues, Internal Family Systems therapy, and mindfulness; and Metaframeworks, a Family Systems modality, as a model to enhance EMDR. Filled with a wealth of information on the latest clinical studies on topics from the neurobiology of trauma to the effectiveness of mindfulness practices in EDMR, this book will open up a host of productive new avenues for EMDR therapists to pursue with their clients.

Advanced Perioperative Crisis Management is a high-yield, clinically-relevant resource for understanding the epidemiology, pathophysiology, assessment, and management of a wide variety of perioperative emergencies. Three introductory chapters review a critical thinking approach to the unstable or pulseless patient, crisis resource management principles to improve team performance and the importance of cognitive aids in adhering to guidelines during perioperative crises. The remaining sections cover six major areas of patient instability: cardiac, pulmonary, neurologic, metabolic/endocrine, and toxin-related disorders, and shock states, as well as specific emergencies for obstetrical and pediatric patients. Each chapter opens with a clinical case, followed by a discussion of the relevant evidence. Case-based learning discussion questions, which can be used for self-assessment or in the classroom, round out each chapter. Advanced Perioperative Crisis Management is an ideal resource for trainees, clinicians, and nurses who work in the perioperative arena, from the operating room to the postoperative surgical ward.

Who's to Blame? Collective Guilt on Trial presents a psychoanalytic exploration of blame and collective guilt in the aftermath of large-scale atrocities that cause widespread trauma and victimization. Coline Covington explores various aspects of social and collective guilt and considers how both perpetrators and victims make sense of their experiences, with particular reference to group behaviour and political morality. Covington challenges the concept of collective guilt associated with the aftermath of large-scale atrocities such as the Holocaust and examines the moral pressure placed on perpetrators to exhibit guilt as part of a realignment of political power and a process of restoring social morality. Who's to Blame? Collective Guilt on Trial concludes with a chapter-length case study examining Russia's war in Ukraine. Combining psychoanalytic ideas with political, philosophical, and social theory, Who's to Blame? Collective Guilt on Trial will be of great interest to readers interested in questions of collective guilt, blame and the possibilities of atonement. It will also appeal to psychoanalysts in practice and in training, and to academics of psychoanalytic studies, political philosophy, sociology and conflict resolution.

The baby boomer generation grew up in the 1950s when there existed the general belief that the Cold War was the greatest threat to the world order, and a frightening possibility. It was difficult to believe, then, that it could get worse, but the same threat of violence is now a daily occurrence around the globe. People are being shot, slaughtered, maimed, and disappear for a multitude of reasons, none having any connection, most of the time, with the victims. The scale of loss when these tragedies occur is devastating, leaving the public as well as policy makers and legislators scrambling for solutions, clarification, and understanding of how we have become a society where violence is so rampant, so frequent, and so senseless. This book includes contributions by leading experts on violence and its ramifications, who review the devastation, reasons, and consequences of violence which is senseless, cruel, and aims to hurt and destroy anyone in its path. This book was originally published as a special issue of The Journal of Psychology.

Shoma (Masatake) Morita, M.D. (1874-1938) was a Japanese psychiatrist-professor who developed a unique four stage therapy process. He challenged psychoanalysts who sanctioned an unconscious or unconsciousness (collective or otherwise) that resides inside the mind. Significantly, he advanced a phenomenal connection between existentialism, Zen, Nature and the therapeutic role of serendipity. Morita is a forerunner of eco-psychology and he equalised the strength between human-to-human attachment and human-to-Nature bonds. This book chronicles Morita's theory of "peripheral consciousness", his paradoxical method, his design of a natural therapeutic setting, and his progressive-four stage therapy. It explores how this therapy can be beneficial for clients outside of Japan using, for the first time, non-Japanese case studies. The author's personal material about training in Japan and subsequent practice of Morita's ecological and phenomenological therapy in Australia and the United States enhance this book. LeVine's coining of "cruelty-based trauma" generates a rich discussion on the need for therapy inclusive of ecological settings. As a medical anthropologist, clinical psychologist and genocide scholar, LeVine shows how the four progressive stages are essential to the classic method and the key importance of the first "rest" stage in outcomes for clients who have been embossed by trauma. Since cognitive science took hold in the 1970s, complex consciousness theories have lost footing in psychology and medical science. This book reinstates "consciousness" as the dynamic core of Morita therapy. The case material illustrates the use of Morita therapy for clients struggling with the aftermath of trauma and how to live creatively and responsively inside the uncertainty of existence. The never before published archival biographic notes and photos of psychoanalyst Karen Horney, Fritz Perls, Eric Fromm and other renowned scholars who took an interest in Morita in the 1950s and 60s provide a dense historical backdrop.

by CDs, but we continue to utilize the same general format of morning didactics and afternoon glass slide review and small group interactions. One of our biggest successes was in the ever-expanding set of didactic lecture notes and radiologic, gross, microscopic, ultrastructural, and other images that course participants received, so it wasn't much of a surprise when we were approached by the publisher to consider creating an updated compilation of some of the best talks and packaging them in a monograph available to a broader population of physicians and scientists. With the extraordinary attention to detail that he is known for, my co-editor David Chhieng has been both the brains and the brawn of this project, resulting in the bringing together of such a collection while trying to be sensitive and representative of the various branches of pathology reflected in the actual course. From surgical pathology, chapters cover select topics in endocrine, gynecologic, GU, and GI pathology with contributions from Walter Bell, Michael Conner, Katrin Klemm, and Audrey Lazenby, respectively. Tom Winokur has begun to prepare us for the near future with a treatise on molecular markers in breast cancer. The interactive nature of cytopathology and surgical pathology are brought together by Claudia Castro [now at the U. T. Medical Branch at Galveston] and David Chhieng in three chapters covering mediastinal, pleural, and pulmonary pathology.

When Therapists Cry addresses one of the most authentic and singularly human experiences a therapist can have in therapy: crying. While therapist crying in therapy is the explicit focus of this book, it is used as a springboard for understanding the various ways in which therapists' emotions come alive-and become visible-in the therapy room. In depth clinical examples and conceptualizations from expert contributors illustrate what the experience of therapist crying looks and feels like: why therapists cry, how crying impacts the therapist and the treatment, what therapists feel about their tears, and the many ways in which therapists may engage with their own tears in order to facilitate therapeutic progress, ensure appropriate professional conduct, and deepen their clinical work.

The best way to grasp the essence of death scene investigation (DSI) is to witness its application, called the psychological autopsy, by an expert forensic scientist/clinician. This remarkable book affords the opportunity to delve into the challenges that the forensic mental health specialist and public safety professional confront in DSI. Suicides, and often death, are complex, multidetermined events. People, whether police investigators or mental health professionals, are generally perplexed, and even confused, when they are confronted by the equivocal case. Was it a suicide? Homicide? Accident? These are critical questions. Dr. Leenaars shows that DSI is, however, not mysterious; the reader can learn the generally accepted, evidence-based protocols of the psychological autopsy. Illuminated by individual (idiographic) case studies and general (nomothetic) research, this definitive guide allows the investigator to uncover the bare bones of a suicide or death.

The best way to grasp the essence of death scene investigation (DSI) is to witness its application, called the psychological autopsy, by an expert forensic scientist/clinician. This remarkable book affords the opportunity to delve into the challenges that the forensic mental health specialist and public safety professional confront in DSI. Suicides, and often death, are complex, multidetermined events. People, whether police investigators or mental health professionals, are generally perplexed, and even confused, when they are confronted by the equivocal case. Was it a suicide? Homicide? Accident? These are critical questions. Dr. Leenaars shows that DSI is, however, not mysterious; the reader can learn the generally accepted, evidence-based protocols of the psychological autopsy. Illuminated by individual (idiographic) case studies and general (nomothetic) research, this definitive guide allows the investigator to uncover the bare bones of a suicide or death.

As the new UN IPCC climate report issued on August 9 states, humanity is in the midst of a civilization-changing event. The book will offer hope, inspiration, and a positive path forward to billions of people in North America, the EU, and worldwide who already are, or are certain in the near future, to experience severe mental health and psycho-social-spiritual problems due to being directly impacted by climate change-related disasters, emergencies, and toxic stresses. It will also offer hope, inspiration, and a positive path forward to the millions who are experiencing intersectional traumas, vicarious (or secondary) trauma, and eco-grief (or eco-anxiety) resulting from seeing climate impacts from afar or worrying about what the future holds for their children and them. The book will challenge the thinking and approaches that dominate the mental health, disaster management, and human services fields today by describing why individually-focused clinical treatment, disaster mental health, and direct service programs--which are crisis and illness, not wellness and resilience focused--are woefully incapable of preventing or healing climate change-generated individual and collective traumas. It will also describe a proven empowering and hopeful alternative: a public health and prevention science approach to organizing community-based, culturally-tailored, population-level wellness and resilience building initiatives for relentless adversities in every community and region of North America and worldwide. The book will offer a practical how-to guide that civic, community, and government leaders can use to organize, fund, facilitate, evaluate, and continually improve community-based mental wellness and resilience initiatives that prevent and heal individual and collective traumas and help people find meaning, purpose, and realistic hope even as the global climate emergency worsens.

While film and video has long been used within psychological practice, researchers and practitioners have only just begun to explore the benefits of film and video production as therapy. This volume describes a burgeoning area of psychotherapy which employs the art of filmmaking and digital storytelling as a means of healing victims of trauma and abuse. It explores the ethical considerations behind this process, as well as its cultural and developmental implications within clinical psychology. Grounded in clinical theory and methodology, this multidisciplinary volume draws on perspectives from anthropology, psychiatry, psychology, and art therapy which support the use and integration of film/video-based therapy in practice.

Demons in the Consulting Room: Echoes of Genocide, Slavery and Extreme Trauma in Psychoanalytic Practice isthe second of two volumes addressing the overwhelming, often unmetabolizable feelings related to mourning, both on an individual and mass scale. Authors in this volume explore the potency of ghosts, ghostliness and the darker, often grotesque aspects of these phenomena. While ghosts can be spectral presences that we feel protective of, demons haunt in a particularly virulent way, distorting experience, our sense of reality and our character. Bringing together a collection of clinical and theoretical papers, emons in the Consulting Room, reveals how the most extreme types of trauma can continue to have effects across generations, and how these effects manifest in the consulting room. Essays in this volume consider traumas that have affected multiple generations of people, such as the Holocaust, experiences in the gulags, and the experience of slavery. Authors here consider the clinical challenges of working with the demonic force in severe childhood abuse and the effects of serious and prolonged physical injury and illness. Inevitably, there is in such difficult clinical work, the combined effects of hauntings in the analysts and in patients and often in the surrounding culture. In this book, distinguished psychoanalysts explore the myriad forms of ghosts and the demonic, which interfere and disrupt the endlessly difficult psychic work of mourning. It will be of interest to psychotherapists and psychoanalysts, as well as social workers, family therapists, psychologists, and psychiatrists. emons in the Consulting Room ill appeal to those specializing in bereavement and trauma and, on a broader level, to sociologists and historians interested in understanding means of coping with loss and grief on both an individual and larger scale basis.

Demons in the Consulting Room: Echoes of Genocide, Slavery and Extreme Trauma in Psychoanalytic Practice isthe second of two volumes addressing the overwhelming, often unmetabolizable feelings related to mourning, both on an individual and mass scale. Authors in this volume explore the potency of ghosts, ghostliness and the darker, often grotesque aspects of these phenomena. While ghosts can be spectral presences that we feel protective of, demons haunt in a particularly virulent way, distorting experience, our sense of reality and our character. Bringing together a collection of clinical and theoretical papers, emons in the Consulting Room, reveals how the most extreme types of trauma can continue to have effects across generations, and how these effects manifest in the consulting room. Essays in this volume consider traumas that have affected multiple generations of people, such as the Holocaust, experiences in the gulags, and the experience of slavery. Authors here consider the clinical challenges of working with the demonic force in severe childhood abuse and the effects of serious and prolonged physical injury and illness. Inevitably, there is in such difficult clinical work, the combined effects of hauntings in the analysts and in patients and often in the surrounding culture. In this book, distinguished psychoanalysts explore the myriad forms of ghosts and the demonic, which interfere and disrupt the endlessly difficult psychic work of mourning. It will be of interest to psychotherapists and psychoanalysts, as well as social workers, family therapists, psychologists, and psychiatrists. emons in the Consulting Room ill appeal to those specializing in bereavement and trauma and, on a broader level, to sociologists and historians interested in understanding means of coping with loss and grief on both an individual and larger scale basis.

Using Neuroscience in Trauma Therapy provides a basic overview of structure and function of the brain and nervous system, with special emphasis on changes that occur when the brain is exposed to trauma. The book presents a unique and integrative approach that blends soma and psyche beyond the purview of traditional talk therapy and introduces a variety of trauma-informed approaches for promoting resilience. Each chapter includes case studies, examples, and practical and adaptable tools, making Using Neuroscience in Trauma Therapy a go-to guide for information on applying lessons from neuroscience to therapy.

For those offering trauma-informed care, it can be difficult to maintain wellbeing and a balanced, positive outlook when the nature of their job requires frequent engagement with traumatic disclosures. Self-help for Trauma Therapists: A Practitioner's Guide intends to assist human service workers- such as those working as therapists, social workers and counsellors- to maintain their self- care and professional effectiveness when working in fields where stress and trauma play a key factor in their everyday working lives. Adopting a comprehensive, multi-layered approach to self-care based, the book grounds its exploration of practice through researched accounts with experience professionals. Including accounts from clinical psychologists, therapists, counsellors, social workers and the friends and family of people in these professions, this book creates a narrative on stress and trauma from the human service worker perspective. Interwoven with these stories of practice, the author includes reflections on her own experiences in practice over the past 25 years with trauma survivors. With discussions on risk and resilience, compassion fatigue and vicarious traumatisation, readers are introduced to the theories and practical applications of developing a professional model for maintaining wellbeing and self-care in their work. Self-help for Trauma Therapists: A Practitioner's Guide is the first book of its kind to be written solely for human service workers. It is essential reading for beginning and more advanced practitioners who are involved in working with trauma and recovery and will also be of interest to supporters of those working in the helping professions.