TREATING SELF DESTRUCTIVE BEHAVIORS IN TRAUMA SURVIVORS A CLINICIANS GUIDE

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Treating Self Destructive Behaviors In Trauma Survivors

Author : Lisa Ferentz
ISBN : 9781317626671
Genre : Psychology
File Size : 59.66 MB
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Treating Self-Destructive Behaviors in Trauma Survivors, 2nd ed, is a book for clinicians who specialize in helping trauma survivors and, during the course of treatment, find themselves unexpectedly confronted with client disclosures of self-destructive behaviors, including self-mutilation and other manifestations of deliberately "hurting the body" such as bingeing, purging, starving, substance abuse and other addictive behaviors. Arguing that standard safety contracts are not effective, renowned clinician Lisa Ferentz introduces viable treatment alternatives, assessment tools, and new ways of understanding self-destructive behavior using a strengths-based approach that distinguishes between the "experimental" non-suicidal self-injury (NSSI) that some teenagers occasionally engage in and the self-destructive behaviors that are repetitive and chronic. In the new edition, many of the treatment strategies are cross referenced to a useful workbook, giving therapists and clients concrete ways to integrate theory into practice. In addition, Ferentz emphasizes the importance of assessing for and strengthening clients' self-compassion, and explains how nurturing this idea cognitively, emotionally, and somatically can become the catalyst for motivation and change. The book also explores a cycle of behavior that clinicians can personalize and use as a template for treatment. In its final sections, the book focuses on counter-transferential responses and the different ways in which therapists can work with self-destructive behaviors and avoid vicarious traumatization by adopting tools and strategies for self-care. Treating Self-Destructive Behaviors in Trauma Survivors, 2nd ed, can be used on its own or in conjunction with the accompanying client-focused workbook, Letting Go of Self-Destructive Behaviors: A Workbook of Hope and Healing.
Category: Psychology

Treating Trauma Related Dissociation A Practical Integrative Approach Norton Series On Interpersonal Neurobiology

Author : Kathy Steele
ISBN : 9780393712636
Genre : Psychology
File Size : 50.34 MB
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Winner of the 2017 International Society for the Study of Trauma and Dissociation (ISSTD) Pierre Janet Writing Award. Establishing safety and working with dissociative parts in complex trauma therapy. 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-realization, 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 disorganized 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 focused 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 emphasized. 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 practicing skills, and suggestions for peer discussions based on topics in a particular chapter, meant to inspire further curiosity, discovery, and growth.
Category: Psychology

When Ancestors Weep

Author : James A. Houck Jr. Ph.D.
ISBN : 9781458222121
Genre : Family & Relationships
File Size : 62.74 MB
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We are all beautiful souls made in the image of God, full of inherent value, dignity, and worth. Yet we may struggle to accept this truth because our attention is often diverted to focus solely on outward appearances and behaviors. In other words, we all live with some degree of ignorance of our soul consciousness. We may get glimpses of it, but we never attain the full extent because physical, emotional, and psychological issues cloud our vision of who we truly are. For example, diseases and illnesses do afflict us in the body. We do feel physical and emotional pain with so much intensity at times that we believe it is going to break us in two. At times, our lungs may struggle to take a breath, or hunger and diseases cause our stomach, intestines, bones, muscles, and blood to scream in agony. These experiences might make us question whether or not we are the soul whom God has created. However, this illusion lies not in the suffering, pain, and agony we experience, but rather, it is in the perception that there is nothing more to us than an emotional, intellectual, and physical body. Indeed, physical and emotional pain and suffering can temporarily drown out the cry of our soul, but our soul is never silenced. Furthermore, the truth is that the greatest strength of who we are as souls lies in our ability to transform and transcend physical, emotional, and psychological limitations. The greatest effect hearing the cries of our ancestors has on us not only comes from getting in touch with our own soul’s voice but also awakens us to hear the cries of those who have no voice today. There has always existed in society a pattern of disenfranchising the weak and wounded—people who have been labeled as unlovable, untouchable, and therefore, unreachable. For some, disenfranchisement was due to their disease or illness. For others, it was due to their poverty. Still for others, it was due to their gender, race, religion, politics, or social class. Many in society preferred such people not to be seen, let alone heard from. However, just as the cries of our ancestors and those who have been the victims of crimes against humanity can never be silenced, and so, too, are the cries of the disenfranchised heard above the din of everyday life. Their cries are not only heard deep within the soul but their pain is also given a voice through those who speak for them.
Category: Family & Relationships

Exploring The Essentials Of Healthy Personality What Is Normal

Author : Camay Woodall
ISBN : 9781440831959
Genre : Psychology
File Size : 44.42 MB
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What are the elements upon which a healthy personality is built? This fascinating book identifies the key components and shares vivid case studies that demonstrate what happens when those elements are missing. • Underscores the universal and key importance of healthy relationships in achieving emotional health and happiness • Provides clear, accessible, and educational text that includes vignettes in each chapter to illustrate key points • Identifies parallels between emotional health and subjective feelings of "happiness" and well-being • Examines the root causes for common personality traits and behaviors such as aggression, eating disorders, guilt, intolerance, narcissism, and shame
Category: Psychology

Treating Trauma Survivors With Ptsd

Author : Rachel Yehuda
ISBN : 1585627844
Genre : Medical
File Size : 38.87 MB
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In recent years, considerable research, as well as clinical guidelines based on study findings, has been published on the treatment of posttraumatic stress disorder (PTSD). A gap remains, however, between the controlled environments and protocols used in intervention research and the more complex and often imperfect settings and situations that clinicians must navigate in daily practice. Moreover, clinicians routinely see patients whose comorbid substance abuse, self-destructive behavior, or medical illness would likely exclude them from research studies. In short, although the extensive literature is certainly helpful in articulating the various treatment modalities available to clinicians, the strength of the evidence for the efficacy of the treatments, and the recommendations and personal preferences of experts, the literature does not address the real-life dilemmas that clinicians face in attempting to treat trauma survivors. What is needed is a way to bridge the gap between research and practice -- to "translate" study findings into everyday clinical realities. Treating Trauma Survivors With PTSD answers that need. Its authors, experienced researchers and clinicians who are at the forefront of conceptual discourse on trauma and PTSD, are uniquely qualified to offer guidance on these issues. Among the specific topics covered are the following: Diagnosis and assessment of and treatment planning for trauma survivors with PTSD, including clinical presentations related to trauma exposure and PTSD and the implications of comorbid symptoms and disorders Treatment matching in clinical practice -- how treatment outcome findings can be used to develop profiles for predicting which patients are most likely to respond to which treatments Medications useful in the treatment of PTSD and the strength of the empirical evidence for their efficacy Trauma in children and the efficacy of various treatments, including a discussion of how treatment for children differs from that for adults Assessment and treatment of multiply traumatized patients -- those with both recent trauma and a history of childhood trauma or abuse Treatment of trauma survivors in the acute aftermath of traumatic events, including a review of some of the exciting developments in the field regarding risk factors (e.g., normal vs. pathological coping responses) that influence which individuals are most likely to develop PTSD after such events. These topics have never been more relevant than now, in the wake of the attacks that shook our country on September 11, 2001. It is the authors' hope that by reading this book, mental health practitioners will gain more confidence in applying the specialized techniques described in empirical studies to their own practices and clinical realities.
Category: Medical

Die Narben Der Gewalt

Author : Judith Herman
ISBN : 9783955717636
Genre : Psychology
File Size : 80.26 MB
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Dieses Buch ist das Ergebnis jahrzehntelanger Forschung und praktischer Arbeit mit Opfern sexueller und häuslicher Gewalt. Es spiegelt zudem die vielfältigen Erfahrungen der Autorin mit zahlreichen anderen traumatisierten Patienten wider, vor allem mit Kriegsveteranen und Terroropfern. 2015 fasste Judith Herman die neuesten Forschungen und Entwicklungen zusammen und ergänzte somit ihren Klassiker, der nie an Aktualität verloren hat. "Das Buch von Judith Herman ist eines der wichtigsten und gleichzeitig lesbarsten Bücher der modernen Traumaforschung. Es sollte in allen universitären Seminaren zum Thema psychische Traumatisierungen zur Pflichtlektüre gehören." - Dr. Arne Hofmann
Category: Psychology

Die Stellung

Author : Meg Wolitzer
ISBN : 9783832188740
Genre : Fiction
File Size : 36.57 MB
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Mitte der Siebzigerjahre erschüttert ein Buch die amerikanische Öffentlichkeit: Der Sex-Ratgeber ›Pleasuring. Die Reise eines Paares zur Erfüllung‹ ist in aller Munde. Ungünstig nur, dass die Autoren, das Ehepaar Mellow, vier minderjährige Kinder haben. Die müssen sich nun damit auseinandersetzen, dass Vater und Mutter in aller Öffentlichkeit ihr tabuloses Liebesleben beschreiben. Und das Schlimmste: Das Buch zeigt sie in sehr detailreichen Zeichnungen – in jeder nur denkbaren Stellung. Während die Ehe der Eltern den Bach runtergeht, versuchen die Kinder, irgendwie mit diesem Gipfel der Peinlichkeit klar¬zukommen. Denn ›Pleasuring‹ wird zu einem Buch, das jeder, wirklich jeder kennt und das die Mellow-Geschwister ihr Leben lang begleiten wird ... ›Die Stellung‹ ist ein tragikomisches Familienporträt, das davon erzählt, wie vier Geschwister, denen wenig Illusionen über Liebe und Sex geblieben sind, sich in der Welt behaupten. Gleichzeitig führt uns Meg Wolitzer gnadenlos vor Augen, dass wir einer Sache nicht entfliehen können: Wir sind die Kinder unserer Eltern.
Category: Fiction

Coping With Trauma

Author : Jon G. Allen
ISBN : 1585626821
Genre : Medical
File Size : 85.74 MB
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Combining years of research, teaching, and experience treating trauma survivors, Dr. Jon G. Allen offers compassionate and practical guidance to understanding trauma and its effects on the self and relationships. Coping With Trauma is based on more than a decade of Dr. Allen's experience conducting educational groups for persons struggling with psychiatric disorders stemming from trauma. Written for a general audience, this book does not require a background in psychology. Readers will gain essential knowledge to embark on the process of healing from the complex wounds of trauma, along with a guide to current treatment approaches. In this supportive and informative work, readers will be introduced to and encouraged in the process of healing by an author who is both witness and guide. This clearly written, insightful book not only teaches clinicians about trauma but also, equally important, teaches clinicians how to educate their patients about trauma. Reshaped by recent developments in attachment theory, including the importance of cumulative stress over a lifetime, this compelling work retains the author's initial focus on attachment as he looks at trauma from two perspectives. From the psychological perspective, the author discusses the impact of trauma on emotion, memory, the self, and relationships, incorporating research from neuroscience to argue that trauma is a physical illness. From the psychiatric perspective, the author discusses various trauma-related disorders and symptoms: depression, posttraumatic stress disorder, and dissociative disorders, along with a range of self-destructive behaviors to which trauma can make a contribution. Important updates include substantive and practical information on Emotion and emotion regulation, prompted by extensive contemporary research on emotion -- which is becoming a science unto itself. Illness, based on current developments in the neurobiological understanding of trauma. Depression, a pervasive trauma-related problem that poses a number of catch-22s for recovery. Various forms of self-destructiveness -- substance abuse, eating disorders, and deliberate self-harm -- all construed as coping strategies that backfire. Suicidal states and self-defeating aspects of personality disorders. The author addresses the challenges of healing by reviewing strategies of emotion regulation as well as a wide range of sound treatment approaches. He concludes with a new chapter on the foundation of all healing: maintaining hope. This exceptionally comprehensive overview of a wide range of traumatic experiences, written in nontechnical language with extensive references to both classic and contemporary theoretical, clinical, and research literature, offers a uniquely useful guide for victims of trauma, their family members, and mental health care professionals alike.
Category: Medical