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.

    This volume is the authoritative presentation of dialectical behavior therapy (DBT), Marsha M. Linehan's comprehensive, integrated approach to treating individuals with BPD. DBT was the first psychotherapy shown in controlled trials to be effective with BPD. It has since been adapted and tested for a wide range of other difficult-to-treat disorders involving emotion dysregulation. While focusing on BPD, this book is essential reading for clinicians delivering DBT to any clients with complex, multiple problems. Companion volumes: The latest developments in DBT skills training, together with essential materials for teaching the full range of mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance skills, are presented in Linehan's DBT Skills Training Manual, Second Edition, and DBT Skills Training Handouts and Worksheets, Second Edition. 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.

    This book has been replaced by Internal Family Systems Therapy, Second Edition, ISBN 978-1-4625-4146-1.

    Updated information is included about the associated features, culture, age & gender features, prevalence, course & familial pattern of mental disorders. The DSM-IV-TR(R) brings this essential diagnostic tool to-date, to promote effective diagnosis, treatment & quality of care. One can get all the essential diagnostic information from the DSM-IV(R) along with important updates not in the '94 edition. Benefit from new research into Schizophrenia, Asperger's Disorder & other conditions. Utilize additional information about the epidemiology & other facets of DSM conditions. Update ICD-9-CM codes implemented since 1994 including Conduct Disorder, Dementia, Somatoform Disorders.Use of the manual DSM-IV-TR classification Multiaxial assessment Disorders usually 1st diagnosed in infancy, childhood or adolescenceDelirium, dementia & amnestic & other cognitive disordersMental disorders due to a general medical condition Substance-related disorders Schizophrenia & other psychotic disordersMood disorders Anxiety disordersSomatoform disordersFactitious disordersDissociative disordersSexual & gender identity disordersEating disorders Sleep disorders Impulse-control disorders not elsewhere classifiedAdjustment disordersPersonality disordersOther conditions that may be a focus of clinical attentionAdditional codes Appendix A: Decision trees for differential diagnosis Appendix B: Criteria sets & axes provided for further study Appendix C: Glossary of technical terms Appendix D: Highlights of changes in DSM-IV text revisionAppendix E: Alphabetical listing of DSM-IV-TR diagnoses & codesAppendix F: Numerical listing of DSM-IV-TR diagnoses & codesAppendix G: ICD-9-CM codes for selected general medical conditions & medication-induced disordersAppendix H: DSM-IV classification with ICD-10 codesAppendix I: Outline for cultural formulation & glossary of culture-bound syndromesAppendix J: DSM-IV contributorsAppendix K: DSM-IV text revision advisers

    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.

    Each chapter summarizes the clinical presentation, etiology, and diagnosis of the each of the most commonly enountered disorders; reviews the models or theories that guide intervention; and delineates step-by-step protocols for assessment and treatment, illustrated with transcripts and vignettes.

    Filled with vivid examples, sample dialogues, and "dos and don'ts," the book shows how conducting MI from a developmentally informed standpoint can help practitioners quickly build rapport with young patients, enhance their motivation to make healthy changes, and overcome ambivalence. Experts on specific adolescent problems describe MI applications in such key areas as substance abuse, smoking, sexual risk taking, eating disorders and obesity, chronic illness management, and externalizing and internalizing behavior problems.

    I simply meant all of us who have survived an abusive childhood thanks to an ability to adapt even to unspeakable cruelty by becoming numb.... Without this 'gift' offered us by nature, we would not have survived." But merely surviving is not enough. The Drama of the Gifted Child helps us to reclaim our life by discovering our own crucial needs and our own truth.

    We go to address past traumas, to break patterns of behaviour, to confront eating disorders or addiction, to talk about relationships, or simply because we want to find out more about ourselves.Susie Orbach has been a psychotherapist for over forty years. Also a million-copy bestselling author, The New York Times called her the 'most famous psychotherapist to have set up couch in Britain since Sigmund Freud'. Here, she explores what goes on in the process of therapy through a series of dramatized case studies.Insightful and honest about a process often necessarily shrouded in secrecy, In Therapy: The Unfolding Story is an essential read for those curious about, or considering entering, therapy. This complete edition takes us deeper into the world of therapy, with 13 further sessions and a new introduction.

    The book reflects an openness to new influences on dynamic technique, such as cognitive-behavioral therapy and positive psychology. It offers a fresh understanding of the most common problems for which patients seek help--depression, obsessionality, low self-esteem, fear of abandonment, panic, and trauma--and shows how to organize and deliver effective psychodynamic interventions. Extensive case material illustrates each stage of therapy, from engagement to termination. Special topics include ways to integrate individual treatment with psychopharmacology and with couple or family work. See also Practicing Psychodynamic Therapy: A Casebook, edited by Summers and Barber, which features 12 in-depth cases that explicitly illustrate the approach in this book.

    Exploring how individuals come to have this shortcoming, why you get drawn into their perilous orbit, and what you can do to break free, Hotchkiss describes the "Seven Deadly Sins of Narcissism" and their origins. You will learn to recognize these hallmarks of unhealthy narcissism -- Shamelessness, Magical Thinking, Arrogance, Envy, Entitlement, Exploitation, Bad Boundaries -- and to understand the roles that parenting and culture play in their creation. Whether the narcissist in question is a coworker, spouse, parent, or child, Why Is It Always About You? provides abundant practical advice for anyone struggling to break narcissism's insidious spread to the next generation, and for anyone who encounters narcissists in everyday life.

    They have been doing couples work for decades and still find it challenging. This book gathers together what they have learned over the years of their practice and touches on issues at the core of couples work. Topics addressed include:• You know that you need to “treat the relationship,” but how are you supposed to get at something as elusive as “a relationship”?• Compared to an individual client, a relationship is an entirely different animal. What should you do first? What should you look for? What questions should you ask? If clients give different answers, who should you believe?• Which client is right if they argue in front of you? Which one is the culprit, and which one is innocent? Who should you empathize with?• How do you empathize with both clients if they have opposite points of view? Later on, if they end up separating does that mean you’ve failed? Are you only successful if you keep couples together?• What are you supposed to do with all the emotional and personal history that your clients stir up in you?• How to make your work research-basedNo-one who works with couples will want to be without the insight, guidance, and strategies offered in this book.

    A breath of fresh air in the competitive 'mine is best' atmosphere currently so divisive in the field of trauma therapy, each varied and complex case (presented in a variety of writing styles: case reports, session-by-session narratives, single session transcripts) is approached with a combination of methods ranging from traditional psychodynamic and cognitive approaches and applications of attachment theory to innovative trauma methods including EMDR and Levine's SIBAM model.Read on its own on or in conjunction with The Body Remembers, clinicians from all disciplines will discover new strategies and gain insight into how to combine various treatment models for increased success with traumatized clients.

    To order MyCounselingLab(r) packaged with the bound book, use ISBN 0134391071. This best-selling resource is a great refresher and hands-on resource for counselors new to their professions. It s packed with step-by-step guidance for developing the skills and techniques they need to effectively help their clients. It covers not just the basic building blocks in the profession, but also what the author calls the megaskills and common curative factors that lie behind the methods. The tone is conversational and the references are very useful. Also available with MyCounselingLab(r) This title is also available with MyCounselingLab an online homework, tutorial, and assessment program designed to work with the text to engage students and improve results. Within its structured environment, students see key concepts demonstrated through video clips, practice what they learn, test their understanding, and receive feedback to guide their learning and ensure they master key learning outcomes. "

    Suzanne Bender, at the time a junior clinician, and Edward Messner, a seasoned practitioner and supervisor, provide a unique, combined perspective on how therapy is conducted, what works and what doesn't work in treatment, and how to take care of oneself as a clinician. Organized around the treatment of one fictitious patient, with other case examples brought in as needed, the book speaks directly to the questions, concerns, and insecurities that beginning therapists typically face. Written with candor and empathy, it offers authoritative guidance for understanding and resolving common clinical dilemmas.