But little has been written or researched about the potential to heal these attachment wounds and address the damage sustained from neglect or poor parenting in early childhood. This book presents a therapy that focuses on precisely these areas. Laurel Parnell, leader and innovator in the field of eye-movement desensitization and reprocessing (EMDR), offers us a way to embrace two often separate worlds of knowing: the science of early attachment relationships and the practice of healing within an EMDR framework. This beautifully written and clinically practical book combines attachment theory, one of the most dynamic theoretical areas in psychotherapy today, with EMDR to teach therapists a new way of healing clients with relational trauma and attachment deficits.Readers will find science-based ideas about how our early relationships shape the way the mind and brain develop from our young years into our adult lives. Our connections with caregivers induce neural circuit firings that persist throughout our lives, shaping how we think, feel, remember, and behave. When we are lucky enough to have secure attachment experiences in which we feel seen, safe, soothed, and secure—the “four S’s of attachment” that serve as the foundation for a healthy mind—these relational experiences stimulate the neuronal activation and growth of the integrative fibers of the brain.EMDR is a powerful tool for catalyzing integration in an individual across several domains, including memory, narrative, state, and vertical and bilateral integration. In Laurel Parnell’s attachment-based modifications of the EMDR approach, the structural foundations of this integrative framework are adapted to further catalyze integration for individuals who have experienced non-secure attachment and developmental trauma.The book is divided into four parts. Part I lays the groundwork and outlines the five basic principles that guide and define the work. Part II provides information about attachment-repair resources available to clinicians. This section can be used by therapists who are not trained in EMDR. Part III teaches therapists how to use EMDR specifically with an attachment-repair orientation, including client preparation, target development, modifications of the standard EMDR protocol, desensitization, and using interweaves. Case material is used throughout. Part IV includes the presentation of three cases from different EMDR therapists who used attachment-focused EMDR with their clients. These cases illustrate what was discussed in the previous chapters and allow the reader to observe the theoretical concepts put into clinical practice—giving the history and background of the clients, actual EMDR sessions, attachment-repair interventions within these sessions and the rationale for them, and information about the effects of the interventions and the course of treatment.

    Contributors review the research that supports the conceptualization of complex traumatic stress as distinct from PTSD. They explore the pathways by which chronic trauma can affect psychological development, attachment security, and adult relationships. Chapters describe evidence-based assessment tools and an array of treatment models for individuals, couples, families, and groups.See also Drs. Courtois and Ford's authored book, Treatment of Complex Trauma, which presents their own therapeutic approach for adult clients in depth, and their edited volume Treating Complex Traumatic Stress Disorders in Children and Adolescents.

    They track the clients' associations, fantasies, and signs of psychic conflict, distress, and defenses. Yet while the majority of therapists are trained to notice the appearance and even the movements of the client's body, thoughtful engagement with the client's embodied experience has remained peripheral to traditional therapeutic interventions. Trauma and the Body is a detailed review of research in neuroscience, trauma, dissociation, and attachment theory that points to the need for an integrative mind-body approach to trauma. The premise of this book is that, by adding body-oriented interventions to their repertoire, traditionally trained therapists can increase the depth and efficacy of their clinical work. Sensorimotor psychotherapy is an approach that builds on traditional psychotherapeutic understanding but includes the body as central in the therapeutic field of awareness, using observational skills, theories, and interventions not usually practiced in psychodynamic psychotherapy. By synthesizing bottom-up and top down interventions, the authors combine the best of both worlds to help chronically traumatized clients find resolution and meaning in their lives and develop a new, somatically integrated sense of self.Topics addressed include: Cognitive, emotional, and sensorimotor dimensions of information processing • modulating arousal • dyadic regulation and the body • the orienting response • defensive subsystems • adaptation and action systems • treatment principles • skills for working with the body in present time • developing somatic resources for stabilization • processing

    These five core capacities are associated with biologically based core needs that are essential to our physical and emotional well-being: the needs for connection, attunement, trust, autonomy, and love-sexuality. Recognizing these needs as well as five Adaptive Survival Styles set in motion when the core needs are not met early in life, authors Laurence Heller and Aline LaPierre cut through the seeming complexity of life’s problems.   Explaining that an impaired capacity for connection to self and to others and the ensuing diminished aliveness are the hidden dimensions that underlie most psychological and many physiological problems, they introduce the NeuroAffective Relational Model® (NARM), a resource-oriented, psychodynamically informed approach that, while not ignoring a person’s past, emphasizes working in the present moment. NARM uses somatic mindfulness to re-regulate the nervous system and to resolve identity distortions—such as low self-esteem, shame, and chronic self-judgment—caused by developmental and relational trauma. Heller and LaPierre demonstrate how this therapy helps clients establish connection to the parts of self that are organized, coherent and functional, integrating the role of connection on all levels of experience as it affects a person's physiology, psychology, and capacity for relationship.From the Trade Paperback edition.

    Line drawings.

    This book has been replaced by Internal Family Systems Therapy, Second Edition, ISBN 978-1-4625-4146-1.

    In Hold Me Tight, Dr. Sue Johnson presents Emotionally Focused Therapy to the general public for the first time. Johnson teaches that the way to save and enrich a relationship is to reestablish safe emotional connection and preserve the attachment bond. With this in mind, she focuses on key moments in a relationship-from "Recognizing the Demon Dialogue" to "Revisiting a Rocky Moment" -- and uses them as touch points for seven healing conversations.Through case studies from her practice, illuminating advice, and practical exercises, couples will learn how to nurture their relationships and ensure a lifetime of love.

    Levine draws on his broad experience as a clinician, a student of comparative brain research, a stress scientist and a keen observer of the naturalistic animal world to explain the nature and transformation of trauma in the body, brain and psyche. In an Unspoken Voice is based on the idea that trauma is neither a disease nor a disorder, but rather an injury caused by fright, helplessness and loss that can be healed by engaging our innate capacity to self-regulate high states of arousal and intense emotions. Enriched with a coherent theoretical framework and compelling case examples, the book elegantly blends the latest findings in biology, neuroscience and body-oriented psychotherapy to show that when we bring together animal instinct and reason, we can become more whole human beings.

    This book has been replaced by Treating Traumatic Stress in Children and Adolescents, Second Edition, ISBN 978-1-4625-3704-4.

     Carolyn Spring, author of ‘Recovery is my best revenge: my experience of trauma, abuse and dissociative identity disorder’, documents in this, her second book, her journey through psychotherapy to heal and resolve trauma-based shame, which had resulted in a catastrophic mental breakdown in her early thirties and an eventual diagnosis of dissociative identity disorder (DID). She then embarked on a nearly ten year journey of psychotherapy through which she came to realise that shame had actually saved her life. However, the cost to this protective function is a life lived dissociated from feelings of joy, connection, love and belonging. This book explores Carolyn’s pathway towards ‘Unshame’. Suitable for both professionals and survivors alike, it is a fascinating insight into that most private and mysterious of places - the therapy room, and the mind.

    This is perhaps the strongest aspect of van Deurzen s approach - an ability to understand social development and its often profoundly disturbing effects on the psychology of the individual and to remind us of what is really important in living' - "Counsellingbooks.com "There is a lot to be said for the existential approach in counselling and therapy, and the honesty, intelligence and experience that Emmy van Deurzen brings to her account say it very persuasively. This, thankfully, is not a book setting out a system or founding a school of therapy, but one the reader can engage with constructively to elaborate his or her own position on some very fundamental issues' "- David Smail"Existential Counselling in Practice was without doubt one of the classic texts in this field, and of considerable significance for the wider landscape of therapy too. Existential Counselling & Psychotherapy in Practice is bound to ensure that van Deurzen's practical wisdom continues to influence the future development of existential psychotherapy and counselling for many more years to come' "- Simon du Plock, Journal of the Society for Existential Analysis"'Van Deurzen's introduction to existential counselling is "outstanding" and almost entirely devoid of the linguistic contortions which characterize some of the philosophical literature underpinning the field. For those with an interest in the practical side of existential approaches to counselling and psychotherapy - emphasising the challenges of living in the world rather than focusing on personal psychopathology - I can recommend none better' -" CounsellingResource.com"Existential Counselling & Psychotherapy in Practice is the Second Edition of the bestselling text, which offers a concrete framework and practical methods for working from an existential perspective. Central to the book is the belief that many of our problems and concerns arise out of the essential paradoxes of human existence, rather than from personal pathology. From this perspective, the purpose of counselling and psychotherapy is not viewed as problem-solving or skill-building, but as a means of enabling people to come to terms with living life as it is, with all its inherent contradictions.Emmy van Deurzen, a leading existential philosopher and therapist, presents a practical method of working, using systematic observation, clarification and reflection to help clients rediscover their inner strengths. She shows how personal assumptions, values and talents, once acknowledged, can be turned to constructive use. Using wide-ranging case examples the author also demonstrates the effectiveness of the existential approach in many different situations - from crisis work to dealing with chronic unhappiness.The existential approach is a well-respected form of psychotherapy, but most writing on the subject tends to be heavily theoretical. This book offers a practical and accessible alternative, which will be invaluable to those in training as well as to more experienced practitioners.

    “Ego state therapy” refers to a powerful, flexible therapy that helps clients integrate and reconcile these distinct aspects of themselves.This book offers a grab bag of ego state interventions—simple, practical techniques for a range of client issues—that any therapist can incorporate in his or her practice. In her characteristic wise, compassionate, and user-friendly writing style, Robin Shapiro explains what ego states are, how to access them in clients, and how to use them for a variety of treatment issues. After covering foundational interventions for accessing positive adult states, creating internal caregivers, and working with infant and child states in Part I: Getting Started With Ego State Work, Shapiro walks readers step-by-step through a variety of specific interventions for specific problems, each ready for immediate application with clients. Part II: Problem-Specific Interventions includes chapters devoted to working with trauma, relationship challenges, personality disorders, suicidal ideation, and more.Ego state work blends easily, and often seamlessly, with most other modalities. The powerful techniques and interventions in this book can be used alone or combined with other therapies. They are suitable for garden-variety clients with normal developmental issues like self-care challenges, depression, grief, anxiety, and differentiation from families and peer groups. Many of the interventions included in this book are also effective with clients across the dissociation spectrum—dissociation is a condition particularly well suited to ego state work—including clients who suffer trauma and complex trauma. Rich with case examples, this book is both a pragmatic introduction for clinicians who have never before utilized parts work and a trove of proven interventions for experienced hands to add to their therapeutic toolbox. Welcome to a powerful, flexible resource to help even the most difficult clients build a sense of themselves as adult, loveable, worthwhile, and competent.

    Advancing a model of treatment as transformation through relationship, the author integrates attachment theory with neuroscience, trauma studies, relational psychotherapy, and the psychology of mindfulness. Vivid case material illustrates how therapists can tailor interventions to fit the attachment needs of their patients, thus helping them to generate the internalized secure base for which their early relationships provided no foundation. Demonstrating the clinical uses of a focus on nonverbal interaction, the book describes powerful techniques for working with the emotional responses and bodily experiences of patient and therapist alike.

    Linehan--the developer of dialectical behavior therapy (DBT)--this comprehensive resource provides vital tools for implementing DBT skills training. The reproducible teaching notes, handouts, and worksheets used for over two decades by hundreds of thousands of practitioners have been significantly revised and expanded to reflect important research and clinical advances. The book gives complete instructions for orienting clients to DBT, plus teaching notes for the full range of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills. Handouts and worksheets are not included in the book; purchasers get access to a Web page where they can download and print all the handouts and worksheets discussed, as well as the teaching notes. The companion volume is available separately: DBT Skills Training Handouts and Worksheets, Second Edition. New to This Edition *Handouts and worksheets (available online and in the companion volume) have been completely revised and dozens more added--more than 225 in all. *Each module has been expanded with additional skills. *Multiple alternative worksheets to tailor treatment to each client. *More extensive reproducible teaching notes (provided in the book and online), with numerous clinical examples. *Curricula for running skills training groups of different durations and with specific populations, such as adolescents and clients with substance use problems. *Linehan provides a concise overview of "How to Use This Book." See also DBT Skills Training Handouts and Worksheets, Second Edition, a spiral-bound 8 1/2" x 11" volume containing all of the handouts and worksheets and featuring brief introductions to each module written expressly for clients. Plus, Cognitive-Behavioral Treatment of Borderline Personality Disorder, the authoritative presentation of DBT. Also available: Linehan's instructive skills training videos for clients--Crisis Survival Skills: Part One, Crisis Survival Skills: Part Two, From Suffering to Freedom, This One Moment, and Opposite Action.