This volume examines the common factors underlying effective psychotherapy and brings the psychotherapist and the client-therapist relationship back into focus as key determinants of psychotherapy outcome. The second edition of The Heart and Soul of Change also demonstrates the power of systematic client feedback to improve effectiveness and efficiency and legitimize psychotherapy services to third party payers. In this way, psychotherapy is implemented one person at a time, based on that unique individual's perceptions of the progress and fit of the therapy and therapist. Readers familiar with the first edition will encounter the same pragmatic focus but with a larger breadth of coverage - this edition adds chapters on both youth psychotherapy and substance abuse treatment.

    Beginning with a classification of the spectrum of personality patterns and disorders found in individuals and then describing a profile of mental functioning that permits a clinician to look in detail at each of the patient's capacities, the entries include a description of the patient's symptoms with a focus on the patient's internal experiences as well as surface behaviors. Intended to expand on the DSM (Diagnostic and Statistical Manual of Mental Disorders)and ICD (International Statistical Classification of Diseases and Related Health Problems) efforts in cataloging the symptoms and behaviors of mental health patients, this manual opens the door to a fuller understanding of the functioning of the mind, brain, and their development.

    They found it too difficult or too frightening or just decided that for them it was too late. But as a therapist and trauma survivor herself, Dr. Schmelzer wants us to know that it is never too late to heal from trauma, whether it is the suffering caused within an abusive relationship or PTSD resulting from combat. Sometimes what feels like a big setback is actually an unexpected difficult step forward. So she wrote Journey Through Trauma specifically for survivors--to help them understand the terrain of the healing process and stay on the path. There are three basic principles that every trauma survivor should know: Healing is possible. It requires courage. And it cannot be done alone. Traumas that happen more than once--child abuse, sexual abuse, domestic violence, gang violence, even war--are all relational traumas. They happened inside a relationship and therefore must be healed inside a relationship, whether that relationship is with a therapist or within a group. Journey Through Trauma gives us a map to help guide us through that healing process, see where the hard parts show up, and persevere in the process of getting well. We learn the five phases that every survivor must negotiate along the way and come to understand that since the cycle of healing is not linear, circling back around to a previous stage does not mean defeat - it actually means progress as well as facing new challenges. Authoritative and accessible, Journey Through Trauma provides support for survivors and their loved ones through one of the most challenging but necessary processes of healing that anyone can face.

    Each generation of therapists can boast of only a few writers like Deborah Luepnitz, whose sympathy and wit shine in her fine, luminous prose. In Schopenhauer's Porcupines, she recounts five true stories from her practice, stories of patients who range from the super-rich to the destitute, who grapple with panic attacks, psychosomatic illness, marital despair, and sexual recklessness. Intimate, original, and triumphantly funny, Schopenhauer's Porcupines goes further than any other book in illuminating "how talking helps."

    Veterans and their families deal with the painful aftermath of combat; one in five Americans has been molested; one in four grew up with alcoholics; one in three couples have engaged in physical violence. Such experiences inevitably leave traces on minds, emotions, and even on biology. Sadly, trauma sufferers frequently pass on their stress to their partners and children. Renowned trauma expert Bessel van der Kolk has spent over three decades working with survivors. In The Body Keeps the Score, he transforms our understanding of traumatic stress, revealing how it literally rearranges the brain’s wiring—specifically areas dedicated to pleasure, engagement, control, and trust. He shows how these areas can be reactivated through innovative treatments including neurofeedback, mindfulness techniques, play, yoga, and other therapies. Based on Dr. van der Kolk’s own research and that of other leading specialists, The Body Keeps the Score offers proven alternatives to drugs and talk therapy—and a way to reclaim lives.

    That language is a voice within us. Sometimes it is as soft as a whisper; sometimes it is as loud as a roar. It is an important voice, which, when fully understood, gives you a kind of guidance that no other voice can. The information in The Secret Language of Feelings was revealed during thousands of hours of working with hypnotherapy clients at the Banyan Hypnosis Center for Training & Services. It came from clients who spoke to us both in the normal waking state and in the state of hypnosis. You do not need to undergo hypnotherapy in order to benefit from this book; however, it would make a perfect companion book for anyone involved in any therapy process or working on self-improvement. The Secret Language of Feelings gives you a rational and reliable approach to understanding and responding to your feelings and emotions. It shows you how to create a more satisfying life right now! You will learn how to overcome anger, guilt, frustration, sadness, loneliness and even "everyday" depression. You will better understand yourself, your family and the people you interact with on a daily basis. In short, The Secret Language of Feelings offers the key to emotional rescue and beyond to happiness and success in life.

    The ways in which we understand and share the stories of our lives therefore make all the difference. If we tell stories that emphasize only desolation, then we become weaker. If we tell our stories in ways that make us stronger, we can soothe our losses and ease our sorrows. Learning how to re-envision the stories we tell about ourselves can make an enormous difference in the ways we live our lives. Drawing on wisdoms from the field of narrative therapy, this book is designed to help people rewrite and retell the stories of their lives.The book invites readers to take a new look at their own stories and to find significance in events often neglected, to find sparkling actions that are often discounted, and to find solutions to problems and predicaments in unexpected places. Readers are introduced to key ideas of narrative practice like the externalizing problems - 'the person is not the problem, the problem is the problem' -and the concept of "re-membering" one's life. Easy-to-understand examples and exercises demonstrate how these ideas have helped many people overcome intense hardship and will help readers make these techniques their own. The book also outlines practical strategies for reclaiming and celebrating one's experience in the face of specific challenges such as trauma, abuse, personal failure, grief, and aging. Filled with relatable examples, useful exercises, and informative illustrations, Retelling the Stories of Our Lives leads readers on a path to reclaim their past and re-envision their future.

    Christine Courtois has simplified her extensive and, until now, quite scholarly work geared toward understanding and developing the concept of "complex trauma," and the assessment and treatment thereof. A universally acknowledged leader in this emerging psychotherapeutic field, Dr. Courtois provides here an abbreviated and easy-to-read explanation of what complex trauma is, how it develops, the ways in which it manifests, and how it can effectively be dealt with. The book opens with an explanation of trauma in general-providing historical perspective, examining the various types of traumatic experience, and looking in-depth at the chronic, repetitive, and layered forms of trauma that often build upon and reinforce one another to create complex trauma. Next Dr. Courtois discusses trauma-driven emotional turmoil, and trauma's effects on memory, self-image, relationships, and even physical wellbeing. She then provides readers with a basic understanding of the ways in which complex trauma is diagnosed and assessed, with an explanation of all common trauma-related diagnoses-including stress disorders (such as PTSD), dissociative reactions and disorders, and frequently co-occurring issues (addictions, self-injury, sleep disorders, etc.) In the book's final section, Dr. Courtois presents rudimentary information about the ways in which complex trauma and related issues can effectively be treated, including brief explanations of all psychotherapeutic methods that might be used. Importantly, she discusses in detail the sequenced, three-stage treatment model she has developed for work with addicted survivors of complex trauma, recognizing that complex trauma and addictions are often interrelated in powerful ways, and unless both issues are addressed simultaneously, the client may not heal from either. Though It's Not You, It's What Happened to You is written for people new to the concept of complex trauma and how it may be affecting them or a loved one, clinicians will also find the work useful, relying on it as a way to bolster their own knowledge and, perhaps more importantly, as a tool for informing their traumatized clients about the degree and nature of the psychotherapeutic work to come.

    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.

    (The somewhat confusing title is from a line in Zorba the Greek in which the title character refers to the ups and downs of family life as "the full catastrophe.") But this book is also a terrific introduction for anyone who has considered meditating but was afraid it would be too difficult or would include religious practices they found foreign. Kabat-Zinn focuses on "mindfulness," a concept that involves living in the moment, paying attention, and simply "being" rather than "doing." While you can practice anything "mindfully," from taking a walk to cleaning your house, Kabat-Zinn presents several meditation techniques that focus the attention most clearly, whether it's on a simple phrase, your breathing, or various parts of your body. The book goes into detail about how hospital patients have either improved their health or simply come to feel better despite their illness by using these techniques, but these meditations can help anyone deal with stress and gain a calmer outlook on life. "When we use the word healing to describe the experiences of people in the stress clinic, what we mean above all is that they are undergoing a profound transformation of view," Kabat-Zinn writes. "Out of this shift in perspective comes an ability to act with greater balance and inner security in the world." --Ben Kallenreissue 2005

    Written by a celebrated professor of psychiatry, this reader-friendly book uses evidence-based critiques and new research to point out where DSM-5 is right, where it is wrong, and where the jury's still out. Along the way, The Intelligent Clinician's Guide to the DSM-5(R) sifts through the many public controversies and clinical debates surrounding the drafting of the manual and shows how they inform a modern understanding of psychiatric illness, diagnosis and treatment. This book is necessary reading for all mental health professionals as they grapple with the first major revision of the DSM to appear in over 30 years.

    With a muckraker's passion, Whitaker argues that modern treatments for the severely mentally ill are just old medicine in new bottles, and that we as a society are deeply deluded about their efficacy. Tracing over three centuries of "cures" for madness, Whitaker shows how medical therapies have been used to silence patients and dull their minds. He tells of the eighteenth- and nineteenth-century practices of "spinning" the insane, extracting their teeth, ovaries, and intestines, and submerging patients in freezing water. The "cures" in the 1920s and 1930s were no less barbaric as eugenic attitudes toward the mentally ill led to brain-damaging lobotomies and electroshock therapy. Perhaps Whitaker's most damning revelation, however, is his report of how drug companies in the 1980s and 1990s skewed their studies in an effort to prove the effectiveness of their products. Based on exhaustive research culled from old patient medical records, historical accounts, numerous interviews, and hundreds of government documents, Mad in America raises important questions about our obligations to the mad, what it means to be "insane," and what we value most about the human mind.

    In Between Two Worlds, she weaves the findings of that study together with powerful, unsentimental stories of the childhoods of young people from divorced families. The hard truth, she says, is that while divorce is sometimes necessary, even amicable divorces sow lasting inner conflict in the lives of children. When a family breaks in two, children who stay in touch with both parents must travel between two worlds, trying alone to reconcile their parents’ often strikingly different beliefs, values, and ways of living. Authoritative, beautifully written, and alive with the voices of men and women whose lives were changed by divorce, Marquardt’s book is essential reading for anyone who grew up “between two worlds.”“Makes a persuasive case against the culture of casual divorce.” —Washington Post “A poignant narrative of her own experience . . . Marquardt says she and other young adults who grew up in the divorce explosion of the 1970s and 1980s are still dealing with wounds that they could never talk about with their parents.”—Chicago Tribune

    A mother, wife, and working professional, Reiland was diagnosed with borderline personality disorder at the age of 29—a diagnosis that finally explained her explosive anger, manipulative behaviors, and self-destructive episodes including bouts of anorexia, substance abuse, and promiscuity. A truly riveting read with a hopeful message.

    Originally published: Lafayette, CA: Real People Press, 1969.