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Trauma, Dissociation and Multiplicity

Trauma, Dissociation and Multiplicity
Author: Valerie Sinason
Publisher: Routledge
Total Pages: 222
Release: 2013-03-01
Genre: Psychology
ISBN: 1136584978

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Trauma, Dissociation and Multiplicity provides psychoanalytic insights into dissociation, in particular Dissociative Identity Disorder (DID), and offers a variety of responses to the questions of self, identity and dissociation. With contributions from a range of clinicians from both America and Europe, areas of discussion include: the concept of dissociation and the current lack of understanding on this topic the verbal language of trauma and dissociation the meaning of children’s art the dissociative defence from the average to the extreme pioneering new theoretical concepts on multiple bodies. This book brings together latest findings from research and neuroscience as well as examples from clinical practice and includes work from survivor-writers. As such, this book will be of interest to specialists in the field of dissociation as well as psychoanalysts, both experienced and in training. This book follows on from Valerie Sinason’s Attachment, Trauma and Multiplicity, Second Edition and represents a confident theoretical step forward.


Attachment, Trauma and Multiplicity, Second Edition

Attachment, Trauma and Multiplicity, Second Edition
Author: Valerie Sinason
Publisher: Routledge
Total Pages: 241
Release: 2010-12-09
Genre: Psychology
ISBN: 1136827277

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This Revised Edition of Attachment, Trauma and Multiplicity investigates the subject of Dissociative Identity Disorder. With brand new chapters on police work and attachment theory it has been fully updated to include new research and the latest understanding of patterns of attachment theory that lead to dissociation. With contributions from psychotherapists, psychiatrists, psychoanalysts and service users this book covers the background history and a description of the condition along with the issues of diagnoses and treatment. It also looks at: the phenomenon of DID the conflicting models of the human mind that have been found to try and understand DID the political conflict over the subject including problems for the police clinical accounts and personal writing of people with DID. Attachment, Trauma and Multiplicity, Second Edition will prove essential reading for therapists and mental health workers as well as being a valuable resource for graduates and researchers.


Dissociation and the Dissociative Disorders

Dissociation and the Dissociative Disorders
Author: Paul F. Dell
Publisher: Routledge
Total Pages: 899
Release: 2010-11
Genre: Psychology
ISBN: 1135906033

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Winner of ISSTD's 2009 Pierre Janet Writing Award for the best publication on dissociation in 2009! Dissociation and the Dissociative Disorders is a book that has no real predecessor in the dissociative disorders field. It reports the most recent scientific findings and conceptualizations about dissociation; defines and establishes the boundaries of current knowledge in the dissociative disorders field; identifies and carefully articulates the field’s current points of confusion, gaps in knowledge, and conjectures; clarifies the different aspects and implications of dissociation; and sets forth a research agenda for the next decade. In many respects, Dissociation and the Dissociative Disorders both defines and redefines the field.


Trauma and Dissociation Informed Psychotherapy: Relational Healing and the Therapeutic Connection

Trauma and Dissociation Informed Psychotherapy: Relational Healing and the Therapeutic Connection
Author: Elizabeth Howell
Publisher: W. W. Norton & Company
Total Pages: 195
Release: 2020-04-28
Genre: Psychology
ISBN: 0393713741

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A fresh look at the importance of dissociation in understanding trauma. A new model of therapeutic action, one that heals trauma and dissociation, is overtaking the mental health field. It is not just trauma, but the dissociation of the self, that causes emotional pain and difficulties in functioning. This book discusses how people are universally subject to trauma, what trauma is, and how to understand and work with normative as well as extreme dissociation. In this new model, the client and the practitioner are both traumatized and flawed human beings who affect each other in the mutual process that promotes the healing of the client—psychotherapy. Elizabeth Howell explains the dissociative, relational, and attachment reasons that people blame and punish themselves. She covers the difference between repression and dissociation, and how Freud’s exclusive focus on repression and the one-person fantasy Oedipal model impeded recognition of the serious consequences of external trauma, including child abuse. The book synthesizes trauma/dissociation perspectives and addresses new structural models.


Standing in the Spaces

Standing in the Spaces
Author: Philip M. Bromberg
Publisher: Routledge
Total Pages: 376
Release: 2014-03-05
Genre: Psychology
ISBN: 1317714539

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Early in these essays, Bromberg contemplates how one might engage schizoid detachment within an interpersonal perspective. To his surprise, he finds that the road to the patient's disavowed experiences most frequently passes through the analyst's internal conversation, as multiple configurations of self-other interaction, previously dissociated, are set loose first in the analyst and then played out in the interpersonal field. This insight leads to other discoveries. Beneath the dissociative structures seen in schizoid patients, and also in other personality disorders, Bromberg regularly finds traumatic experience -- even in patients not otherwise viewed as traumatized. This discovery allows interpersonal notions of psychic structure to emerge in a new light, as Bromberg arrives at the view that all severe character pathology masks dissociative defenses erected to ward off the internal experience of trauma and to keep the external world at bay to avoid retraumatization. These insights, in turn, open to a new understanding of dissociative processes as intrinsic to the therapeutic process per se. For Bromberg, it is the unanticipated eruption of the patient's relational world, with its push-pull impact on the analyst's effort to maintain a therapeutic stance, that makes possible the deepest and most therapeutically fruitful type of analytic experience. Bromberg's essays are delightfully unpredictable, as they strive to keep the reader continually abreast of how words can and cannot capture the subtle shifts in relatedness that characterize the clinical process. Indeed, at times Bromberg's writing seems vividly to recreate the alternating states of mind of the relational analyst at work. Stirringly evocative in character and radiating clinical wisdom infused with compassion and wit, Standing in the Spaces is a classic destined to be read and reread by analysts and therapists for decades to come.


Understanding and Treating Dissociative Identity Disorder

Understanding and Treating Dissociative Identity Disorder
Author: Elizabeth F. Howell
Publisher: Routledge
Total Pages: 316
Release: 2011-06
Genre: Psychology
ISBN: 1135845832

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Building on the comprehensive theoretical model of dissociation elegantly developed in The Dissociative Mind, Elizabeth Howell makes another invaluable contribution to the clinical understanding of dissociative states with Understanding and Treating Dissociative Identity Disorder. Howell, working within the realm of relational psychoanalysis, explicates a multifaceted approach to the treatment of this fascinating yet often misunderstood condition, which involves the partitioning of the personality into part-selves that remain unaware of one another, usually the result of severely traumatic experiences. Howell begins with an explication of dissociation theory and research that includes the dynamic unconscious, trauma theory, attachment, and neuroscience. She then discusses the identification and diagnosis of Dissociative Identity Disorder (DID) before moving on to outline a phase-oriented treatment plan, which includes facilitating a multileveled co-constructed therapeutic relationship, emphasizing the multiplicity of transferences, countertransferences, and kinds of potential enactments. She then expands the treatment possibilities to include dreamwork, before moving on to discuss the risks involved in the treatment of DID and how to mitigate them. All concepts and technical approaches are permeated with rich clinical examples.


Unformulated Experience

Unformulated Experience
Author: Donnel B. Stern
Publisher: Routledge
Total Pages: 269
Release: 2013-06-17
Genre: Psychology
ISBN: 1135060681

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In this powerful and wonderfully accessible meditation on psychoanalysis, hermeneutics, and social constructivism, Donnel Stern explores the relationship between two fundamental kinds of experience: explicit verbal reflection and "unformulated experience," or experience we have not yet reflected on and put into words. Stern is especially concerned with the process by which we come to formulate the unformulated. It is not an instrumental task, he holds, but one that requires openness and curiosity; the result of the process is not accuracy alone, but experience that is deeply felt and fully imagined. Stern's sense of explicit verbal experience as continuously constructed and emergent leads to a central dialectic at the heart of his work: that between curiosity and imagination, on one hand, and dissociation and unthinking acceptance of the familiar on the other. The goal of psychoanalytic work, he holds, is the freedom to be curious, whereas defense signifies the denial of this freedom. We defend against our fear of what we would think, that is, if we allowed ourselves the freedom to think it. Stern also shows how the unconscious itself can be reconceptualized hermeneutically, and he goes on to explore the implications of this viewpoint on interpretation and countertransference. He is especially persuasive in showing how the interpersonal field, which is continuously in flux, limits the experience that it is possible for participants to reflect on. Thus it is that analyst and patient are together "caught in the grip of the field," often unable to see the kind of relatedness in which they are mutually involved. A brilliant demonstration of the clinical consequentiality of hermeneutic thinking, Unformulated Experience bears out Stern's belief that psychoanalysis is as much about the revelation of the new in experience as it is about the discovery of the old


The Dissociative Mind

The Dissociative Mind
Author: Elizabeth F. Howell
Publisher: Routledge
Total Pages: 324
Release: 2013-05-13
Genre: Psychology
ISBN: 1135469717

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Drawing on the pioneering work of Janet, Freud, Sullivan, and Fairbairn and making extensive use of recent literature, Elizabeth Howell develops a comprehensive model of the dissociative mind. Dissociation, for her, suffuses everyday life; it is a relationally structured survival strategy that arises out of the mind’s need to allow interaction with frightening but still urgently needed others. For therapists dissociated self-states are among the everyday fare of clinical work and gain expression in dreams, projective identifications, and enactments. Pathological dissociation, on the other hand, results when the psyche is overwhelmed by trauma and signals the collapse of relationality and an addictive clinging to dissociative solutions. Howell examines the relationship of segregated models of attachment, disorganized attachment, mentalization, and defensive exclusion to dissociative processes in general and to particular kinds of dissociative solutions. Enactments are reframed as unconscious procedural ways of being with others that often result in segregated systems of attachment. Clinical phenomena associated with splitting are assigned to a model of “attachment-based dissociation” in which alternating dissociated self-states develop along an axis of relational trauma. Later chapters of the book examine dissociation in relation to pathological narcissism; the creation and reproduction of gender; and psychopathy. Elegant in conception, thoughtful in tone, broad and deep in clinical applications, Howell takes the reader from neurophysiology to attachment theory to the clinical remediation of trauma states to the reality of evil. It provides a masterful overview of a literature that extends forward to the writings of Bromberg, Stern, Ryle, and others. The capstone of contemporary understandings of dissociation in relation to development and psychopathology, The Dissociative Mind will be an adventure and an education for its many clinical readers.


EMDR Toolbox

EMDR Toolbox
Author: James Knipe, PhD
Publisher: Springer Publishing Company
Total Pages: 271
Release: 2014-08-05
Genre: Psychology
ISBN: 0826171273

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"[R]eading this book has given me a whole host of new ideas about working with complex and dissociative clients... Clear and engaging, peppered with relevant case histories, this book would make an important addition to anyone's EMDR-related book collection." -- Dr. Robin Logie, EMDR UK & Ireland This book is the first to bring together in one volume an overview of the principal issues in treatment of dissociative disorders in complex PTSD, and a description of the integration of specific EMDR-related interventions or "tools" with other psychotherapeutic treatments. These tools can significantly extend the therapeutic power of EMDR-related methods. Each intervention is examined in detail with accompanying transcripts illustrating the nuances and variations in how the intervention is applied. It is written by a highly esteemed EMDR scholar, trainer, international speaker, and author who is an EMDRIA-designated "Master Clinician." The book discusses how the concepts and vocabulary of other models of dissociation (particularly the Theory of Structural Dissociation of the Personality, and the Internal Family Systems model) translate directly into EMDRís Adaptive Information Processing language. It presents detailed descriptions of specific EMDR-related tools that are useful in facilitating and safely accelerating therapeutic progress with clients suffering from Complex PTSD. These include such standard EMDR procedures as Trauma Processing and Resource Installation, several conceptual/cognitive/phenomenological models of dissociative personality structures and symptoms, and specific EMDR interventions for resolving dysfunctionally stored post-traumatic elements. The book will be of great value to therapists who wish to extend their use of basic EMDR with "easier" clients to using it effectively with more complex clients. Key Features: Provides a theoretical framework to guide assessment and treatment of clients with Complex PTSD Serves as a "hands-on" resource for using specific EMDR procedures Describes each intervention in detail, illustrating the nuances and variations in different applications Includes specific "AIP" tools, actual therapy scripts, and client drawings Covers DSM-V PSTD criteria


Diagnosis and Treatment of Multiple Personality Disorder

Diagnosis and Treatment of Multiple Personality Disorder
Author: Frank W. Putnam
Publisher: Guilford Press
Total Pages: 374
Release: 1989-02-03
Genre: Psychology
ISBN: 9780898621778

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Geared to the needs of mental health practitioners unfamiliar with dissociative disorders, this volume presents a comprehensive and integrated approach to diagnosis and treatment. Each step--from first interview to final post-integrative treatment--is systematically reviewed, with detailed instructions on specific diagnostic and therapeutic techniques and examples of their clinical applications. Concise yet thorough, the volume offers expert advice on such topics as how to foster a strong therapeutic alliance, how to manage crises, and what basic errors to avoid.