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.

This book provides psychotherapists with a multidimensional view of childhood neglect and a practical roadmap for facilitating survivors' healing. Working from a strong base in attachment theory, esteemed clinician Ruth Cohn explores ways therapists can recognize the signs of childhood neglect, provides recommendations for understanding lasting effects that can persist into adulthood, and lays out strategies for helping clients maximize therapeutic outcomes. Along with extensive clinical material, chapters introduce skills that therapists can develop and hone, such as the ability to recognize and discern non-verbal attempts at communication. They also provide an array of resources and evidence-based treatment modalities that therapists can use in session. Working with the Developmental Trauma of Childhood Neglect is an essential book for any mental health professional working with survivors of childhood trauma.

From Trauma to Harming Others shows the approach of professionals from the world-renowned Portman Clinic, which specializes in work with violence, delinquency and sexual acting out. This book focuses on the intricacies of working with young people who display such worrying behaviours. Written by experienced and eminent authors, the chapters unpack central theories and open up original ideas describing a range of work with sexual offenders, compulsive pornography users and violent young people. The central theme of the book is trauma and how acting out can be understood as a way of managing the psychic pain of such trauma. The chapters are ingrained with understandings from the classical psychoanalytic traditions of the Portman and Tavistock Clinics, together with more recent thinking about trauma, rooted in neurobiological, developmentally and trauma informed theories. They emphasize the need for awareness of both the victim of trauma and the perpetrator within the same person presenting for help, while panning treatment. With insights and examples from experienced clinicians, this book will be of value to all those working with traumatized, acting out young people.

Trauma and Memory will assist mental health experts and professionals, as well as the interested public, in understanding the scientific issues around trauma memory, and how this differs from other areas of memory. This book provides accounts of the damage caused to psychology and survivors internationally by false memory groups and ideas. It is unequivocally passionate about the truth of trauma memory and exposing the damaging disinformation that can seep into the field. Contributors to this book include leading professionals from the field of criminology, law, psychology and psychotherapy in the UK and USA, along with survivor-professionals who understand only too well the damage such disinformation can cause. This book is a valuable resource for mental health professionals of all disciplines including those involved with relevant law and public health policy. It will also help survivors and survivor-professionals in gaining insight into the forces resisting disclosure.

A seasoned writer and teacher of memoir explores both the difficulties inherent in writing about personal trauma and the techniques for doing so in a compelling way. Since 2013, David Chrisinger has taught military veterans, their families, and other trauma survivors how to make sense of and recount their stories of loss and transformation. The lessons he imparts can be used by anyone who has ever experienced trauma, particularly people with a deep need to share that experience in a way that leads to connection and understanding. In Stories Are What Save Us, Chrisinger shows-through writing exercises, memoir excerpts, and lessons he's learned from his students-the most efficient ways to uncover and effectively communicate what you've learned while fighting your life's battles, whatever they may be. Chrisinger explores both the difficulties inherent in writing about personal trauma and the techniques for doing so in a compelling way. Weaving together his journey as a writer, editor, and teacher, he reveals his own deeply personal story of family trauma and abuse and explains how his life has informed his writing. Part craft guide, part memoir, and part teacher's handbook, Stories Are What Save Us presents readers with a wide range of craft tools and storytelling structures that Chrisinger and his students have used to process conflict in their own lives, creating beautiful stories of growth and transformation. Throughout, this profoundly moving, laser-focused book exemplifies the very lessons it strives to teach. A foreword by former soldier and memoirist Brian Turner, author of My Life as a Foreign Country, and an afterword by military wife and memoirist Angela Ricketts, author of No Man's War: Irreverent Confessions of an Infantry Wife, bookend the volume.

Perspectives on a Young Woman's Suicide is a unique and updated analysis of a diary left behind by "Katie," a young woman who took her own life. By drawing on clinicians, researchers, survivors of suicide loss, and those closest to Katie, this book delves into common beliefs about why people die by suicide and into the internal worlds of those who do, as well as ethical and moral questions surrounding those deaths. Several contributors discuss Katie's suicide from the perspective of recent theories of suicide, including Joiner's interpersonal theory and Klonsky's three-step theory. Two contributors who have lost a child to suicide look at Katie's diary from their perspective, one of whom discusses whether it is truly possible to prevent suicide. Finally, Katie's sister reveals her reactions to this project and her ex-boyfriend shares his account of her death. This book is a vital addition to the library of any researcher, academic, or professional interested in suicide and suicide prevention.

This book looks at the trauma suffered by those in relationships with narcissists, covering topics such as surviving a cult, dysfunctional families, political dysfunction, and imbalances of power in places of work and education. This new volume by author and psychoanalyst Daniel Shaw revisits themes from his first book, Traumatic Narcissism: Relational Systems of Subjugation. Shaw offers further reflections on the character and behavior of the traumatizing narcissist, the impact such persons have on those they abuse and exploit and the specific ways in which they instill shame and fear in those they seek to control. In addition, this volume explores, with detailed clinical material, many of the challenges mental health professionals face in finding effective ways of helping those who have suffered narcissistic abuse. From within a trauma informed, relational psychoanalytic perspective, Shaw explores themes of attachment to internalized perpetrators, self-alienation, internalized aggression, and loss of faith in the value and meaning of being alive. This book will be especially illuminating and rewarding for mental health professionals engaged in helping patients heal and recover from complex relational trauma, and equally valuable to those individuals who have struggled with the tenacious, often crippling shame and fear that can be the result of relational trauma.

This forward-thinking volume outlines several approaches to therapeutic treatment for individuals who have experienced complex childhood and adult trauma, providing a novel framework for helping patients with a number of challenging symptoms, with clinical hypothesis testing and solid therapeutic relationships as a vital foundation. Responding to the intense disagreement and competition among clinicians championing their own approaches, the book identifies the strengths and limitations of multiple therapeutic approaches, addressing the need for qualified clinicians to be versed in multiple theories and techniques in order to alleviate suffering in their clients. Among the topics discussed: How to choose specific therapeutic methods and when to shift techniques The neurobiology of trauma and management of fear Cultural and ethnic considerations in trauma treatment Addressing avoidance and creating a safe therapeutic environment Management of dissociation, substance abuse, and anger Treating Complex Trauma: Combined Theories and Methods serves as a practical guide for clinicians looking to expand their knowledge of approaches for treating complex trauma. It aims to provide clinicians with options for different therapeutic methods, along with the necessary context for them to select the most effective approach in their treatments. "For the first time in the professional literature we are finally afforded a clear, cogent, and detailed explication of complex trauma and the multifaceted parameters of treatment. Dr. Tamara McClintock Greenberg provides perspicacious insight and clinical wisdom only a seasoned career therapist can yield. Offering sophisticated and nuanced distinctions between complex trauma and PTSD, she shows how treatment is necessarily contextual and tailored to the unique clinical and personality dynamics of the sufferer that is thoroughly client specific within the therapeutic dyad. She dispenses with simplistic and supercilious attitudes that embarrassingly boast a uniform or manualized treatment to trauma, instead carefully taking into consideration polysymptomatic, neurobiological, and socialcultural differences that inform the interpersonal, emotional, and safety milieu from the beginning of treatment to stabilization, the working-through process, and then onto successful recovery. This is a must-read book for those in training and senior clinicians alike." --Jon Mills, PsyD, PhD, ABPP, Faculty, Postgraduate Programs in Psychoanalysis & Psychotherapy, Adelphi University, NY; author of Treating Attachment Pathology "Dr. Greenberg has written an invaluable book on treating complex trauma. She delves into multiple approaches, assessing what techniques the client can tolerate at a given therapeutic stage. She covers how to maintain consistency and connection through a flexible approach and avoid pitfalls. This is a must read for clinicians wishing to treat clients with complex PTSD." --Louann Brizendine, MD, Clinical Professor UCSF; author of The Female Brain

The first book of its kind to explore this timely topic in depth, Otologic and Lateral Skull Base Trauma addresses the many facets of temporal bone trauma, including its epidemiology, diagnosis, and medical and surgical management, and contemporary research. Ideal for both trainees and more advanced general practitioners and specialists, this text is a valuable resource for otolaryngologists and pediatric otolaryngologists, otologists and neurotologists, and audiologists, as well as neurosurgeons, neurologists, physical medicine and rehabilitation providers, and occupational and physical therapists. Covers the epidemiology, basic pathophysiology, diagnostic evaluation, and treatment of temporal bone trauma, including complex injuries of the lateral skull base.  Contains multiple chapters co-written by leading speciality experts: imaging of the temporal bone and brain following head injury (co-written by leading neuroradiologists); facial nerve injury management (co-written by leading facial nerve specialists); vascular injury management (co-written by leading neurosurgeons); soft tissue repair of auricular trauma (co-written by leading facial plastic surgeons); acoustic overexposure and blast injury management (co-written by leading experts in noise-induced hearing loss); rehabilitation following head trauma (co-written by leading physical medicine and rehabilitation providers, occupational therapists, and physical therapists) and more.  Includes detailed coverage of labyrinthine concussion diagnosis and management, medical and surgical management of temporal bone fractures, conductive and sensorineural hearing loss and rehabilitation after head injury, balance disturbance after head injury, and much more.  Discusses animal models of head injury and current research, with a focus on the auditory system.  Consolidates today's available information on this timely topic into a single, convenient resource. 

The Oxford Desk Reference: Major Trauma is the missing link between basic trauma management and advanced specialist care. Advanced Trauma Life Support courses have revolutionised trauma care in the last 3 decades, but there is little advice for the key decision makers in trauma care once the primary and secondary surveys are complete. This volume is a practical and evidence-based desk reference, giving a comprehensive walk-through from the initial phases of injury, through key decision-making in the resuscitation room, to surgical principles and rehabilitation. Including chapters on damage control, ballistic and blast injuries, and bariatric trauma, this text covers all the main areas of trauma care necessary for the trauma specialist in the 21st Century.
The Oxford Desk Reference emphasises practical help but also covers the evidence and science behind trauma management. It includes the most up-to-date guidance from national bodies making recommendations for trauma care, using an international team of contributing authors. This book will become an essential tool for everyday use in the management of trauma.

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.

In this seminal work on the clinical, archetypal and spiritual dimension of trauma, the author offers a compelling vision of the transformative potential of suffering and the dialectic of Dying and Becoming. Wirtz outlines a healing path from fragmentation to integration and illuminates the resilience of the human spirit in the face of severe trauma. Trauma and Beyond will be essential reading and a valuable resource for counsellors, therapists and Jungian analysts who are challenged in their practice with individual and collective traumata.

The Body Remembers, Volume 2: Revolutionizing Trauma Treatment continues the discussion begun more than fifteen years ago with the publication of the best-selling and beloved The Body Remembers: The Psychophysiology of Trauma and Trauma Treatment. This new book is grounded in the belief that the most important goal for any trauma treatment is to improve the quality of life of the client. Therefore, the first prerequisite is that the client be reliably stable and feel safe in his or her daily life as well as the therapy situation. To accomplish this, Babette Rothschild empowers both therapists and clients by expanding trauma treatment options. For clients who prefer not to review memories, or are unable to do so safely, new and expanded strategies and principles for trauma recovery are presented. And for those who wish to avail themselves of more typical trauma memory work, tools to make trauma memory resolution even safer are included. Being able to monitor and modulate a trauma client's dysregulated nervous system is one of the practitioner's best lines of defence against traumatic hyperarousal going amok-risking such consequences as dissociation and decompensation. Rothschild clarifies and simplifies autonomic nervous system (ANS) understanding and observation with her creation of an original full colour table that distinguishes six levels of arousal. Included in this table (and the discussion that accompanies it) is a new and essential distinction between trauma-induced hypoarousal and the low arousal that is caused by lethargy or depression. Combining an authoritative yet personal voice, Rothschild gives clinicians the space to recognise where they may have made mistakes-by sharing her own!-as well as a road map towards more effective practice in the future. This book is absolutely essential reading for anyone working with those who have experienced trauma. The full colour ANS table is also available from W.W. Norton as a laminated desk reference and a wall poster suitable for framing so this valuable therapeutic tool will always be at hand.

Presents complex material and practical applications about the neuroscience of resiliency and trauma with innovation, clarity, simplicity, and accessibility to the reader. Presents easy-to-use applications based on cutting edge neuroscience to mobilize individuals and communities from a resiliency-focused and trauma-informed perspective, simply, creatively and with innovation. Demonstrates how the simple, clear and innovative methods based on cutting edge neuroscience and somatic approaches have been integrated into projects around the world from Dalai Lama's vision of creating a curriculum for children to civil rights leaders wanting to change systemic racism. This book gives readers tools and ideas to not only help themselves but also to transform their communities.

Transgenerational Trauma and Therapy presents the transgenerational, psychological impacts of trauma, and the clinical work on it. The book's expansive insight explores the psychology of the massive, collective trauma, and provides new ways of understanding the serious after-effects of man-made suffering. In this book, Bako and Zana employ their original concept, "the transgenerational atmosphere", to fully comprehend many familiar phenomena in a new theoretical framework, exploring the psychological impact of trauma on the first generation, the mode of transmission, the effects on future generations, and therapeutic considerations. Crucially, Transgenerational Trauma and Therapy explores the psychological effects of collective, societal traumas on whole groups of individuals. Beginning with the direct, deep psychological effects of individual trauma, and then exploring the impact of collective trauma over generations , it deals particularly with the role of the social environment in the processing of trauma, as well as its hereditary transmission. Rich in clinical material and methodological suggestions, Transgenerational Trauma and Therapy will appeal to mental health professionals, including psychiatrists, psychologists, psychoanalysts, and social workers, in addition to professors in other academic disciplines, such as sociology, history, philosophy, and anthropology.

• Builds on the author’s own theoretical concept, ‘The Transgenerational Atmosphere’ from their first book. • Looks at the impact of collective trauma including pandemics, natural disasters, terrorism, war, and the potential long-term psychological effects. • Explores COVID-19 as an instance of Mass Trauma, and reflects on the crisis through a psychoanalytic lens, using clinical material from during the pandemic itself. • Offers a unique approach through the diarizing of the authors’ own clinical experiences and responses to the pandemic.

Understanding and Healing Emotional Trauma is an interdisciplinary book which explores our current understanding of the forces involved in both the creation and healing of emotional trauma. Through engaging conversations with pioneering clinicians and researchers, Daniela F. Sieff offers accessible yet substantial answers to questions such as: What is emotional trauma? What are the causes? What are its consequences? What does it mean to heal emotional trauma? and How can healing be achieved?

These questions are addressed through three interrelated perspectives: psychotherapy, neurobiology and evolution. " Psychotherapeutic perspectives" take us inside the world of the unconscious mind and body to illuminate how emotional trauma distorts our relationships with ourselves and with other people (Donald Kalsched, Bruce Lloyd, Tina Stromsted, Marion Woodman). "Neurobiological perspectives" explore how trauma impacts the systems that mediate our emotional lives and well-being (Ellert Nijenhuis, Allan Schore, Daniel Siegel). And e"volutionary perspectives" contextualise emotional trauma in terms of the legacy we have inherited from our distant ancestors (James Chisholm, Sarah Blaffer Hrdy, Randolph Nesse).

Transforming lives affected by emotional trauma is possible, but it can be a difficult process. The insights shared in these lively and informative" "conversations can support and facilitate that process.This book will therefore be a valuable resource for psychotherapists, psychologists, counsellors and other mental health professionals in practice and training, and also for members of the general public who are endeavouring to find ways through their own emotional trauma. In addition, because emotional trauma often has its roots in childhood, this book will also be of interest and value to parents, teachers and anyone concerned with the care of children."

This book is a dialectic and multi-perspective examination of classed traumas in late modernity. The primary anchoring question is whether and how class becomes a condition of possibility for coping with traumas. What does it mean to experience deindustrialization, crises, or domestic violence from a specific class position? Do the coping mechanisms differ along the lines of class, gender, race, age, or ethnicity? The text negotiates such questions, travelling back and forth from psychoanalysis to sociology and from the global to the local, while critically engaging with memories, narratives, and myths engraved into social and personal histories. Through a dialogic quest for what is silenced, and what is salient within oral, written, and visual testimonies, it foregrounds what the upper classes prefer to neglect: the traumatizing core of the new class divide. Rather than idealizing or vilifying the dominated, this study calls for an exploration of practices, narrations, and spaces whereby alienation and integration co-exist antagonistically, producing hybrid and fragmented, but also potentially transformative, subjectivities. This book will be of interest to scholars of humanities and social sciences, primarily for those studying social stratification and inequalities, sociology of emotions, identity theory, trauma and memory, political psychoanalysis, labour history, and ethnography.

Project of a multidisciplinary range of clinicians. The interventions include group, individual and family modalities and the addition of creative arts combines verbal and nonverbal approaches. Provides a model for other clinicians and administrators and emphasizes the relational aspects of therapeutic practices, a team, and the importance of education and support in order to create an empowering and non-threatening environment.

• Interweaves a trauma-informed perspective throughout the text. • Equips clinicians with practical skills and helps them build their confidence with facilitating individual, dyadic sessions, and parent sessions. • Includes summary tables, worksheets, helpful tips, and eye-catching illustrations for both practical and academic use. • This book will be the first to apply Dr. Leslie Greenberg’s internationally-renowned clinical theory, research, and teaching of EFT to a new population: youth and their caregivers • Includes an impressive array of acclaimed contributors, including Dr Leslie S. Greenberg (a developer of EFT). • Moves from theory to practice, demonstrating how the approach can be used with specific client populations, such as anxiety, depression, and borderline personality disorder. • EFT institutes around the world and the Family Psychology Centre would be able to utilize this book as a training resource. In addition, the International Society for Emotion Focused Therapy (isEFT) would be able to list this book as a resource for further reading. • Contributing authors include psychologists, psychiatrists, and psychotherapists, offering an interdisciplinary perspective with useful applications for primary care as well as more complex mental health difficulties.

Identity Transformation and Posttraumatic Growth Following Traumatic Brain Injury and Posttraumatic Stress Disorder provides an autoethnographic qualitative study that portrays the author's recovery from a devastating life changing event - a car crash resulting in the hybrid diagnosis of TBI and PTSD, leading to PTG and identity transformation over a ten-year recovery period. In so doing, the text offers a comprehensive literature review on TBI, PTSD, PTG, and disability culture. Throughout, the author explores whether growth (PTG) and distress (PTSD), and whether TBI and PTSD can co-exist. Having lost her ability to read and write, the author had to learn how to learn, to heal and to have faith again. As a licensed trauma therapist and researcher, she collected self-observational data by writing her actual behaviors, thoughts and emotions in real time, both in a field and a process journal, even before she could write in full sentences. The many symptoms and co-morbidities of TBI, PTSD and the tenets of PTG are portrayed as they evolved in recovery showing the behavior and characteristics of each. The text refers to actual journal entries, medical records, and clinical notes from rehabilitation specialists, alternating between her clinical analysis and interpretation. The findings show that tragedy and suffering can lead to growth and positive change (PTG) after TBI, even though the precipitating trauma and psychological distress (PTSD) may persist for years. Changes are seen in self-perception, interpersonal relationships, and philosophies of life. This chronicled account of the author's emergent recovery from patient to doctor is intended to benefit neuro-rehabilitation service providers (neuropsychologists, primary care physicians, speech-language pathologists) and also mental health clinicians who can see the evolution of Posttraumatic Growth for what is now the new next step for many in PTSD recovery.

The Adult Attachment Project Picture System (AAP) has served as a prominent assessment tool for adults and adolescents internationally for over 20 years. This book introduces the AAP and illustrates the powerful potential for implementing the AAP in clinical practice for assessment, client conceptualization, treatment planning, analysis, and as a therapeutic guide. Chapters discuss the full scope of incomplete pathological mourning for attachment trauma, including for the first time in the field Failure to Mourn and Preoccupation with Personal Suffering. Seasoned clinical researchers and psychotherapists provide a snapshot of their clients' unique attachment characteristics and defensive exclusion strategies as assessed by the AAP, and discuss how to use this information in treatment, as well as how to present the AAP results to their clients. This book introduces readers to how the AAP can be used with adolescents, adults, and couples, and in custody evaluation and foster care.

This fascinating book explores how traumatic experience interacts with unconscious phantasy based in folklore, the supernatural and the occult. Drawing upon trauma research, case study vignettes, and psychoanalytic theory, it explains how therapists can use literature, the arts, and philosophy to work with clients who feel cursed and manifest self-sabotaging states. The book examines the challenges that can arise when working with this client population and illustrates how to work through them while navigating potent transferences and projective identifications. It's an important read for students, psychotherapists, and counselors in the mental health field.