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They typically have a wide array of symptoms, often classified
under different combinations of comorbidity, which can make
assessment and treatment complicated and confusing for the
therapist. Many patients have substantial problems with daily
living and relationships, including serious intrapsychic conflicts
and maladaptive coping strategies. Their suffering essentially
relates to a terrifying and painful past that haunts them. Even
when survivors attempt to hide their distress beneath a facade of
normality-a common strategy-therapists often feel besieged by their
many symptoms and serious pain. Small wonder that many survivors of
chronic traumatization have seen several therapists with little if
any gains, and that quite a few have been labeled as untreatable or
resistant. In this book, three leading researchers and clinicians
share what they have learned from treating and studying chronically
traumatized individuals across more than 65 years of collective
experience. Based on the theory of structural dissociation of the
personality in combination with a Janetian psychology of action,
the authors have developed a model of phase-oriented treatment that
focuses on the identification and treatment of structural
dissociation and related maladaptive mental and behavioral actions.
The foundation of this approach is to support patients in learning
more effective mental and behavioral actions that will enable them
to become more adaptive in life and to resolve their structural
dissociation. This principle implies an overall therapeutic goal of
raising the integrative capacity, in order to cope with the demands
of daily life and deal with the haunting remnants of the past, with
the "unfinished business" of traumatic memories. Of interest to
clinicians, students of clinical psychology and psychiatry, as well
as to researchers, all those interested in adult survivors of
chronic child abuse and neglect will find helpful insights and
tools that may make the treatment more effective and efficient, and
more tolerable for the suffering patient.
Therapists around the world ask similar questions and struggle with
similar challenges treating highly dissociative patients. This book
arose not only out of countless hours of treating patients with
dissociative disorders, but also out of the crucible of supervision
and consultation, where therapists bring their most urgent
questions, needs and vulnerabilities. The book offers an overview
of the neuropsychology of dissociation as a disorder of
non-realisation, as well as chapters on assessment, prognosis, case
formulation, treatment planning, and treatment phases and goals,
based on best practices. The authors describe what to focus on
first in a complex therapy and how to do it; how to help patients
establish both internal and external safety without rescuing; how
to work systematically with dissociative parts of a patient in ways
that facilitate integration rather than further dissociation; how
to set and maintain helpful boundaries; specific ways to stay
focused on process instead of content; how to deal compassionately
and effectively with disorganised attachment and dependency on the
therapist; how to help patients integrate traumatic memories; what
to do when the patient is enraged, chronically ashamed, avoidant or
unable to trust the therapist; and how to compassionately
understand and work with resistances as a co-creation of both
patient and therapist. Relational ways of being with the patient
are the backbone of treatment and are themselves essential
therapeutic interventions. As such, the book also focuses not only
on highly practical and theoretically sound interventions, not only
on what to do and say, but places strong emphasis on how to be with
patients, describing innovative, compassionately collaborative
approaches based on the latest research on attachment and
evolutionary psychology. Throughout the book, core
concepts-fundamental ideas that are highlighted in the text in bold
so they can be seen at a glance-are emphasised. These serve as
guiding principles in treatment as well as a summing-up of many of
the most important notions in each chapter. Each chapter concludes
with a section for further examination. These sections include
additional ideas and questions, exercises for practising skills and
suggestions for peer discussions based on topics in a particular
chapter, meant to inspire further curiosity, discovery and growth.
This training manual for patients who have a trauma-related
dissociative disorder includes short educational pieces, homework
sheets, and exercises that address ways in which dissociation
interferes with essential emotional and life skills, and support
inner communication and collaboration with dissociative parts of
the personality. Topics include understanding dissociation and
PTSD, using inner reflection, emotion regulation, coping with
dissociative problems related to triggers and traumatic memories,
resolving sleep problems related to dissociation, coping with
relational difficulties, and help with many other difficulties with
daily life. The manual can be used in individual therapy or
structured groups.
In her first book Sally the Sea Star has, at last, realized she is
a sea star, not a starfish She is so excited to find out that she
is unique and special just like our oceans. Come with Sally and her
new friend, Alby the Albatross, and discover what is happening to
our oceans and how we CAN 'Save Our Seas'. Learn how we can help
especially if we Recycle, Reduce and Reuse
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