Just as the prevalence of incest and child sexual abuse was a well-kept secret until recently, the phenomenon of multiple personality disorder (MPD) - recently re-labelled dissociative identity disorder DID - has been minimized. In her practice as a psychologist, Margo Rivera has found this to be no coincidence.

Confirming that the root of most severe dissociative conditions lies in severe trauma, most commonly child abuse, Rivera first discusses the general historical and social contexts of dissociation and proceeds through clinical theory, case vignettes, and recorded personal experience to provide practical guidance to assessment and treatment. Rivera covers such topics as 'therapeutic frame, ' 'transference and countertransference, ' and how to understand and make use of these concepts. She discusses the controversies around 'False Memory Syndrome' and ritual abuse, issues which currently divide professionals treating trauma survivors.

Rivera makes a unique contribution to the treatment of lesbian and gay abuse survivors. She theorizes that all sexuality is a social construct, subject to change over an individual's lifetime, a reality that is nowhere more clear than in those with MPD who may experience themselves as alternately heterosexual female, homosexual male, lesbian, and heterosexual male.

Insightful and provocative, this important therapeutic guide will be of interest to professionals who treat trauma survivors as well as to their clients.

Adult and adolescent survivors of childhood abuse and other traumas often struggle with addictive disorders, yet most helping professionals are ill equipped to deal with dual problems. Providing the tools professionals need to help this population, this book systematically integrates mental health paradigms with disease models of addiction and combines psychotherapeutic techniques with 12-step recovery practices. The result is an easy-to-replicate model for the effective assessment and treatment of this often difficult-to-treat population.

An exhilarating journey into the unfathomable depths of the human mind, from the acclaimed author of Let Me Not Be Mad. What does it take to care for a stranger? Really care. The Case for Love is a reflection on a career treating patients with brain trauma - people whose thoughts and feelings are largely unknowable - and how and why those treatments failed. It is a reconstruction of three haunting cases in which the patients were tragically misunderstood - and an attempt through the power of the imagination to understand and make amends. It then describes the author's abandonment of his career and his tumultuous quest for healing and redemption. It is also a story of intimate relationships, pets, fatherhood and heartbreak, culminating in a moment of psychedelic transcendence and rebirth. It is about the overpowering need for connection - and how, increasingly, we are trapped in ourselves. It is a meditation on empathy and an act of atonement. It is a unique, hybrid work of clinical case study and pure invention that destroys the boundary between fact and fiction in order to bring us face-to-face with the shocking, liberating truth. __________ Praise for Let Me Not Be Mad 'Imagine a gonzo Oliver Sacks communing with Edward St Aubyn's Patrick Melrose, R.D. Laing and the spirit of Kafka's 'The Country Doctor', and you still won't quite have the flavour of this wild and strikingly original book' William Fiennes 'Stunning: clever, troubling, restless, honest, dishonest; one of the best portraits of madness and clinical practice I've read' Olivia Laing 'A perfectly extraordinary - not to mention extraordinarily perfect - tense Hitchcockian psychodrama. I have rarely read a more haunting and enthralling account of a descent into madness. An important, profound and fascinating book' Stephen Fry 'Blackly comic, warmly compassionate, a unique take on the human mind offering uncomfortable universal truths' Stewart Lee 'A slow-burn belter of a book ... terrific ... so finely described, the result has the terse force of a classic short story' Roddy Doyle 'Exhilarating ... dazzling ... a miraculous feat' Guardian

Illustrating the power of play for helping children overcome a wide variety of worries, fears, and phobias, this book provides a toolkit of play therapy approaches and techniques. Coverage encompasses everyday fears and worries in 3- to 12-year-olds as well as anxiety disorders and posttraumatic problems. Leading practitioners describe their approaches step by step and share vivid illustrative case material. Each chapter also summarizes the research base for the interventions discussed. Key topics include adapting therapy to each child's developmental level, engaging reluctant or less communicative clients, and involving parents in treatment.

Rich in clinical examples, this book offers a fresh perspective on the roles of shame and guilt in psychological distress and presents a step-by-step framework for treatment. Martha Sweezy explains how the principles of Internal Family Systems (IFS) therapy are ideally suited to helping trauma survivors and other clients who struggle with debilitating shame to understand and heal psychic parts wounded in childhood. Annotated case illustrations show and explain IFS techniques in action. Other useful features include boxed therapeutic exercises, decision trees, and pointers to help therapists avoid or overcome common pitfalls.

*The gold-standard trauma treatment, now available directly to consumers. *A self-help version of the approach in the bestselling professional manual, Cognitive Processing Therapy for PSTD (9781462528646; over 50,000 in print). *This straightforward, encouraging, self-paced program brings science-based relief to those “stuck” in painful emotions and memories. *Worksheets (also available to download), progress-monitoring tools, and additional resources make this a comprehensive, valuable package. *From renowned, award-winning clinician-researchers.

*Authoritative work on helping adults heal, edited by a renowned expert. *Research is growing for the use of expressive arts to access and regulate powerful emotions and support recovery. *Practical features include case examples and suggestions for tailoring therapies to individual needs. *Covers a broad range of approaches--art, music, movement, writing, play, and more.

Raw and radical, strange and beguiling - a love letter to Britain's breathtaking flatlands, from Orford Ness to Orkney, and a reckoning with the painful, hidden histories they contain 'Noreen Masud fathoms the depths of flat landscapes - sharp, subtle and very moving' Robert Macfarlane 'Haunting and generous, beautifully written - this book is a gift' Preti Taneja 'A Flat Place reminds us that there is hope in the smallest of gestures' Sara Ahmed Noreen Masud has always loved flatlands. Her earliest memory is of a wide, flat field glimpsed from the back seat of her father's car in Lahore. As an adult in Britain she has discovered many more flat landscapes to love: Orford Ness, the Cambridgeshire Fens, Morecambe Bay, Orkney. These bare, haunted expanses remind her of the flat place inside herself: the place created by trauma. Noreen suffers from complex post-traumatic stress disorder: the product of a profoundly disrupted and unstable childhood. It flattens her emotions, blanks out parts of her memory, and colours her world with anxiety. Undertaking a pilgrimage around Britain's flatlands, seeking solace and belonging, she weaves her impressions of the natural world with poetry, folklore and history, and with recollections of her own early life. Noreen's British-Pakistani heritage makes her a partial outsider in these landscapes: both coloniser and colonised, inheritor and dispossessed. Here violence lies beneath the fantasy of pastoral innocence, and histories of harm are interwoven with nature's power to heal. Here, as in her own family history, are many stories that resist the telling. She pursues these paradoxes fearlessly across the flat, haunted spaces she loves, offering a startlingly strange, vivid and intimate account of the land beneath her feet.

*Essential, expert guidance for parents of kids of all ages who have been through traumatic events. *Skills and strategies for coping with trauma no matter what the source, including accidents, grief, witnessing violence, or others. *Dr. Goldberg Mintz puts clear, concise explanations; numerous examples; and age-appropriate solutions at parents' fingertips. *Strong, warm parenting is the key to healing, but Dr. Goldberg Mintz also covers indicators of prolonged PTSD and when to seek professional help.

Many DBT clients suffer from posttraumatic stress disorder (PTSD), but until now the field has lacked a formal, tested protocol for exactly when and how to treat trauma within DBT. Combining the power of two leading evidence-based therapies--and designed to meet the needs of high-risk, severely impaired clients--this groundbreaking manual integrates DBT with an adapted version of prolonged exposure (PE) therapy for PTSD. Melanie S. Harned shows how to implement the DBT PE protocol with DBT clients who have achieved the safety and stability needed to engage in trauma-focused treatment. In a convenient large-size format, the book includes session-by-session guidelines, rich case examples, clinical tips, and 35 reproducible handouts and forms that can be downloaded and printed for repeated use.

*An innovative, research-based group treatment for a pervasive clinical problem. *The highly regarded developer of IR provides an accessible guide to the 9-session program. *Stands out by incorporating mantra meditations as well as mindfulness practices. *Complete; includes downloadable client handouts and audio recordings of guided practices.

Yoga and Resilience is part of a larger series put out by the Yoga Service Council in collaboration with the Omega Institute. To date, there have been three texts published: Best Practices for Yoga in Schools, Best Practices for Yoga with Veterans, and Best Practices for Yoga in the Criminal Justice System. This body of work takes a unique and groundbreaking approach of co-creation, calling on a diverse array of leading experts in the fields of trauma and yoga, to collaborate and distill best practices that will inform the fields of mental health, trauma-informed yoga, yoga service, and yoga more generally. Contributors and authors met during two symposia and engaged in an ongoing collaborative process resulting in the current text. Yoga and Resilience: Empowering Practices for Survivors of Sexual Trauma: Supports a holistic approach to ameliorating the impacts of traumatic stress, and specifically the impacts of sexual trauma. Serves as a resource to survivors, yoga teachers and practitioners, yoga service providers, trauma practitioners, and agency administrators among others. Presents a foundational understanding of sexual trauma and illuminates current best practices for integrating trauma-informed yoga and mindfulness practices into work with persons and systems impacted by sexual trauma. Explores an approach that moves beyond trauma-informed practice to a focus on resilience and universal inclusivity. Provides concrete tools to serve survivors better and to ensure that teachers and administrators not only seek to minimize harm but also combat sexual violence and its perpetration within yoga contexts. Contributors to the book: Keyona Aviles, Jacoby Ballard, Lisa Boldin, Maya Breuer, Regine Clermont, Colleen DeVirgiliis, Alexis Donahue, Pamela Stokes Eggleston, Jennifer Cohen Harper, Dani Harris, Nan Herron, Daniel Hickman, Diana Hoscheit, Beth Jones, Sue Jones, James Jurgensen, Mark A. Lilly, Jana Long, Anneke Lucas, Amanda J.G. Napior, Amina Naru, Emanuel "Manny" Salazar, Austin K. Sanderson, Lidia Snyder, Nicole Steward, Rosa Vissers, Kimberleigh Weiss-Lewit, Ann Wilkinson

This volume focuses on the role that religion and spirituality can play in recovery from post-traumatic stress disorder (PTSD) and other forms of trauma, including moral injury. Religious texts, from the Bible to Buddhist scriptures, have always contained passages that focus on helping those who have experienced the trauma of war. Many religions have developed psychological, social, behavioral, and spiritual ways of coping and healing that can work in tandem with clinical treatments today in assisting recovery from PTSD and moral injury. In this book the authors review and discuss systematic research into how religion helps people cope with severe trauma, including trauma caused by natural disasters, intentional interpersonal violence, or combat experiences during war. They delve into the impact that spirituality has in both the development of and recovery from PTSD. Beyond reviewing research, they also use case vignettes throughout to illustrate the very human story of recovery from PTSD, and how religious or spiritual beliefs can both help or hinder depending on circumstance. A vital work for any mental health or religious professionals who seek to help people dealing with severe trauma and loss.

Addiction and trauma are two of the most common and difficult issues that people face. In this motivating book, leading expert Lisa Najavits explains the link between addiction and trauma and presents science-based self-help strategies that you can use no matter where you are in your recovery. Every chapter features inspiring words from people who have "been there," plus carefully designed reflection questions, exercises, and other practical tools. Learn how you can: *Build coping skills so that the future is better than the past. *Keep yourself safe and find support. *Set your own goals and make a plan to achieve them at your own pace. *Choose compassion over self-blame and shame. *Move toward your best self--the person you want to be. If you are a family member or friend seeking to support a loved one--or a helping professional--this book is also for you. Now in a convenient large-size format, the revised edition features added materials for professional and peer counselors. First edition title: Recovery from Trauma, Addiction, or Both. Mental health professionals, see also the author's Seeking Safety: A Treatment Manual for PTSD and Substance Abuse, which presents an evidence-based treatment approach developed specifically for PTSD and substance abuse.

Illustrating the power of play for helping children overcome a wide variety of worries, fears, and phobias, this book provides a toolkit of play therapy approaches and techniques. Coverage encompasses everyday fears and worries in 3- to 12-year-olds as well as anxiety disorders and posttraumatic problems. Leading practitioners describe their approaches step by step and share vivid illustrative case material. Each chapter also summarizes the research base for the interventions discussed. Key topics include adapting therapy to each child's developmental level, engaging reluctant or less communicative clients, and involving parents in treatment.

Bringing together the latest research and theory about a child's inner world and the impact of the world around them, this is a guide to understanding and responding to the emotional needs of traumatised children. Founded on the principle that traumatised children do not have a secure sense of self and therefore cannot relate to the outside world without becoming overwhelmed, this book brings psychoanalytic and psychodynamic understandings of child psychology together with current neuroscience and trauma theory. At the heart of the book is an attachment-informed assessment model and guidance for treatment. Professionals working therapeutically with traumatised children, including therapists, psychologists, psychiatrists, mental health workers, social workers and residential care workers, will benefit from the wealth of knowledge and valuable practice guidance presented in this book.

Traumatic events are more than a narrative or singular event in a person's life; the body remembers traumatic events and can experience them over and over, even after many years have passed. This book shows how trauma-sensitive yoga can be used in individual therapy and in groups to overcome trauma, by calming the nervous system and helping people to come out of dissociative states. The book also shows teachers how to detect when certain postures trigger anxiety, and offers ways to support healing in general yoga classes. Drawing on her experience as both trauma therapist and yoga teacher, the author focuses on the body-mind connection and presents asanas and breathing exercises that can help traumatised patients re-engage and take control of their bodies.

Children with a history of significant neglect and/or physical, sexual, and/or emotional abuse are at higher risk for developing long-term emotional, behavioral, and mental health concerns, which have implications past childhood and into adulthood. Early trauma impacts individuals' health in ways that reach far past the obvious and immediate damage. It correlates with higher incidences of various mental health disorders, it can alter brain structures, and it can make individuals more susceptible to a variety of diseases, including cancer, cardiovascular disorders, fibromyalgia, and diabetes, among others. The research collected in this compendium offers vital guideposts to professionals across a wide spectrum of disciplines. It provides a foundation for ongoing research into this area of study, which is so vital for the well-being of our children and their futures. Understanding the long-term effects of childhood trauma is now integral to the daily clinical practice of professionals from many fields, including educators, social workers, mental health professionals, family and substance abuse counselors, police, caregivers, and criminal justice service providers. The boundaries between social workers and other professionals are blurred or nonexistent. This insightful book provides a nuanced look at the outcomes of childhood trauma and provides a greater understanding to help build more effective cross-disciplinary intervention strategies.

This book explores the impact of trauma and dissociation on physical health throughout the lifespan. Important chronic conditions, such as cardiovascular disease and chronic pain, are examined. In addition, trauma in childbearing women is considering, specifically examining the short- and long-term effects of the birth experience itself. Dissociationa (TM)s effect on long-term health is also described, and how it might manifest in patients in health care settings.

This book was based on a special issue of Journal of Trauma & Dissociation.

This volume presents an innovative psychobiological framework for understanding and treating PTSD. A major emphasis is the need to reformulate diagnostic criteria and treatment goals to reflect emerging knowledge about the complex pathways by which trauma disrupts people's lives. Within a holistic, organismic framework, the editors identify 65 PTSD symptoms contained within five (rather than the traditional three) symptom clusters, and spell out 80 target objectives for treatment. Expert contributors then provide detailed presentations of core therapeutic approaches, including acute posttraumatic interventions, cognitive-behavioral approaches, pharmacotherapy, group psychotherapy, and psychodynamic techniques, as well as approaches to working with specific populations, including children, refugees, and the dually diagnosed. The concluding section reviews and synthesizes all case material presented, examining which symptoms are addressed by each of the core approaches, which treatment goals are met, and which clients can most effectively be helped. Combining cutting-edge theoretical exposition with clear-cut recommendations for practice, this is an ideal resource for clinicians, students, and researchers.

The results of aggression against humans can be hideously obvious, but may also be entirely concealed from casual inspection. Often, only exploration of the hidden recesses of the mind via psychiatric evaluation, or radiologic exploration of the inner recesses of the body can reveal the evidence of such violence. This book focuses on the latter.

A Radiologic Atlas of Abuse, Torture, Terrorism, and Inflicted Trauma combines the lifetime experience of two distinguished radiologists and a renowned odontologist to provide an unprecedented collection of radiographs depicting the results of violence on the human body.

Victims of aggression range from the tiniest infant to entire populations. Hopefully you will never encounter every situation covered in this book. However, should you come across any, you will want A Radiologic Atlas of Abuse, Torture, Terrorism, and Inflicted Trauma within reach.

The past decade has seen more and more clinicians involved in the assessment and treatment of abused and traumatized children. They have contributed to an impressively large body of literature on the impact of abuse and trauma at all ages, the focus of which has been the short and long-term sequelae apparent in the child's behavior, emotional experience, and social interaction. But there have been few efforts to investigate the ways in which abuse and trauma damage the intrapsychic systems and structures that often guide, direct, and inform the child's manifest adjustment and functioning. The need to redress the balance was the major impetus for this book.
Kelly offers a clinical paradigm for the personality assessment of abused or traumatized children via projective instruments--the TAT and Rorschach--and shows how various projective measures and indices can be utilized as sensitive barometers of changes in self, object, and ego functioning following therapeutic interventions and other corrective experiences. But further, integrating the tenets of trauma theory and those of psychoanalytic theory, he sets this clinical paradigm in a meaningful theoretical context, and draws on both theory and clinical experience to develop a comprehensive psychological composite of the child who has been maltreated.
Part I provides an overview of theoretical models relevant to the assessment and diagnosis of the maltreated child. Contemporary psychoanalytic theory serves as one frame and is discussed first, with particular emphasis on object relations and ego functions. Equal attention is devoted to developmental psychology as another frame.
Part II reviews relevant research. The Mutality of Autonomy Scale (MOA) and the Social Cognition and Object Relations Scale (SCORS) are introduced as examples of reliable and valid instruments readily employed to assess the impact of abuse or trauma on a child's object relations functioning. Additional Rorschach indices--boundary disturbance measures, thought disorder indices, trauma markers, and defensive functions measures--are discussed as measures of the impact on different facets of ego functioning. These various projective measures can be utilized as sensitive barometers of changes in self, object, and ego functioning following therapeutic interventions and other corrective experiences.
Part III includes a variety of extended clinical illustrations.
Seven cases of boys and girls subjected to varying degrees of abuse and trauma are presented to demonstrate the clinical utility of projective material for assessment, diagnosis, and treatment planning. For the clinician who takes the idiographical-phenomenological approach, appropriate given the uniqueness of each situation of abuse or trauma and the frequent brevity and barrenness of the protocol, such material can open a window onto a rich vista of the child's psychological terrain. The resulting map can point the way to wise decisions about type, timing, and level of therapeutic intervention, the resolution of such process issues as transference and countertransference, plus additional questions.
Two cases of adult women who were abused as children and find themselves continuing to struggle with enduring unresolved issues vis a vis their own children are also presented. These cases underscore the value of TAT and Rorschach material, and object relations measures, in assessing and understanding the abusive and potentially abusive parent.

Rich with expert, practical guidance for therapists, this book presents a time-limited group treatment approach for survivors of interpersonal trauma. The Trauma Recovery Group is a Stage 2 approach within Judith Herman's influential stage model of treatment. It is designed for clients who have achieved basic safety and stability in present-day life and who are ready to work on processing and integrating traumatic memories. Vivid case examples and transcripts illustrate the process of screening, selecting, and orienting group members and helping them craft and work toward individualized goals, while optimizing the healing power of group interactions. In a convenient large-size format, the book includes reproducible handouts, worksheets, and flyers. See also Group Trauma Treatment in Early Recovery, by Judith Lewis Herman and Diya Kallivayalil, which presents a Stage 1 approach that focuses on establishing safety, stability, and self-care.

Current research and clinical observations suggest pronounced gender-based differences in the ways people respond to traumatic events. Most notably, women evidence twice the rate of PTSD as men following traumatic exposure. This important volume brings together leading clinical scientists to analyze the current state of knowledge on gender and PTSD. Cogent findings are presented on gender-based differences and influences in such areas as trauma exposure, risk factors, cognitive and physiological processes, comorbidity, and treatment response. Going beyond simply cataloging gender-related data, the book explores how the research can guide us in developing more effective clinical services for both women and men. Incorporating cognitive, biological, physiological, and sociocultural perspectives, this is an essential sourcebook and text.