“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.

    In a new introduction, Shapiro presents the new applications of this remarkable therapy and the latest scientific research that demonstrates its efficacy.

    With clear explanations of the organizing principles of Polyvagal Theory, this complex theory is translated into clinician and client-friendly language. Using a unique autonomic mapping process along with worksheets designed to effectively track autonomic response patterns, this book presents practical ways to work with clients' experiences of connection. Through exercises that have been specifically created to engage the regulating capacities of the ventral vagal system, therapists are given tools to help clients reshape their autonomic nervous systems.Adding a polyvagal perspective to clinical practice draws the autonomic nervous system directly into the work of therapy, helping clients re-pattern their nervous systems, build capacities for regulation, and create autonomic pathways of safety and connection. With chapters that build confidence in understanding Polyvagal Theory, chapters that introduce worksheets for mapping, tracking, and practices for re-patterning, as well as a series of autonomic meditations, this book offers therapists a guide to practicing polyvagal-informed therapy. The Polyvagal Theory in Therapy is essential reading for therapists who work with trauma and those who seek an easy and accessible way of understanding the significance that Polyvagal Theory has to clinical work.

    Their suffering essentially relates to a terrifying and painful past that haunts them. Even when survivors attempt to hide their distress beneath a facade of normality—a common strategy—therapists often feel besieged by their many symptoms and serious pain. Small wonder that many survivors of chronic traumatization have seen several therapists with little if any gains, and that quite a few have been labeled as untreatable or resistant.In this book, three leading researchers and clinicians share what they have learned from treating and studying chronically traumatized individuals across more than 65 years of collective experience. Based on the theory of structural dissociation of the personality in combination with a Janetian psychology of action, the authors have developed a model of phase-oriented treatment that focuses on the identification and treatment of structural dissociation and related maladaptive mental and behavioral actions. The foundation of this approach is to support patients in learning more effective mental and behavioral actions that will enable them to become more adaptive in life and to resolve their structural dissociation. This principle implies an overall therapeutic goal of raising the integrative capacity, in order to cope with the demands of daily life and deal with the haunting remnants of the past, with the “unfinished business” of traumatic memories.Of interest to clinicians, students of clinical psychology and psychiatry, as well as to researchers, all those interested in adult survivors of chronic child abuse and neglect will find helpful insights and tools that may make the treatment more effective and efficient, and more tolerable for the suffering patient.

    This book, designed for therapists and clients to explore together, is both psychoeducational and practical. It will help therapists and clients alike use their own somatic intelligence to reclaim the body and engage it in the therapy process.A companion to the bestselling Trauma and the Body: A Sensorimotor Approach to Psychotherapy, the book is not intended to teach the practice of Sensorimotor Psychotherapy. Rather, it is meant to act as a guide for helping clients draw on the wisdom of their bodies. Following an initial introductory section, the book consists of relatively short chapters designed to educate therapists and clients about a particular topic. Worksheets are provided for each chapter designed to be used either in therapy or between sessions to help clients integrate the material.

    These include: case conceptualization; preparation for EMDR trauma processing, including resource development and installation; target development; methods for unblocking blocked processing, including the creative use of interweaves; and session closure. Case examples are used throughout to illustrate concepts. The emphasis in this book is on clinical usefulness, not research. This book goes into the therapy room with clinicians who actually use EMDR, and shows readers how to do it in practice, not just in theory. In short, this is the new, practical book on EMDR.

    Here, drawing on attachment-based research, the author provides clinical techniques, specific intervention strategies, and practical advice for successfully addressing the often intractable issues of trauma.Trauma and the Avoidant Client will enhance the skills of all mental health practitioners and trauma workers, and will serve as a valuable, useful resource to facilitate change and progress in psychotherapy.

    Miller was sixteen when the private plane piloted by her father crashed, pinning her in the wreckage, critically injuring her parents and killing her twelve-year-old sister. Compounding this traumatic event, her father told her he wished she had died instead of her sister. For the next twenty years, she labored under feelings of guilt and lack of self-worth. When another in a long line of personal crises landed her in therapy with an EMDR (Eye Movement Desensitization and Reprocessing) practitioner, she began at last to investigate the crippling effects of the plane crash. Using bi-lateral stimulation to access her fiercely guarded memories, she learned to challenge the belief that the crash was all her fault, and that she didn't deserve to be alive.  This is a brave and revealing memoir of recovery from tragedy, and a fascinating, vividly narrated exploration of the increasingly popular eye-movement therapy developed to heal the wounds trauma leaves in its wake.

    Straight-forward explanations and useful worksheets make the skills accessible to clients. Practical guidance on clinical policies with program forms help therapists create save and structured treatment environments. Easy to read and highly practical, this definitive manual is an invaluable resource for clients and therapists across theoretical orientations.

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

    The Body Bears the Burden: Trauma, Dissociation, and Disease presents evidence of the resulting and relatively permanent alteration in neurophysiology, neurochemistry, and neuronal organization. This book convincingly demonstrates that these changes create lasting effects on the emotional and physical well-being of the victim--changes correlated with many of the most common, yet poorly understood, physical complaints and diseases, including whiplash, migraines, fibromyalgia, irritable bowel syndrome, and other painful, difficult-to-treat conditions. Further, the causes and effects of retraumatization are explored, clarifying the reasons some patients suffer fresh trauma over relatively minor incidents while others handle major traumas more easily. This groundbreaking volume backs up its new theory of PTSD neurophysiology with cogent theory and persuasive evidence, including:case studies correlating clinical features of trauma and dissociation with compelling physiological rationales for the symptomssolid documentation drawing from the medical and psychiatric literature of PTSD, whiplash, brain injury, epidemiology of trauma, and a variety of disease processes linked to traumain-depth discussions of medical traumatization of patients, including the results of pediatric procedures and ineffective anesthesiademonstrations that somatization and conversion are not imagined symptoms but result from measurable autonomic physiological alteration of the affected organa well-documented exploration of the effect of prenatal and neonatal trauma on later emotional development, response to traumatic life events, and disease and mortalityThis impressive empirical evidence that body, brain, and mind are a continuum offers a powerful new paradigm to medical and mental health professionals, as well as new hope to sufferers from trauma. With a foreword by Bessel van der Kolk and helpful figures, The Body Bears the Burden: Trauma, Dissociation, and Disease is an essential resource for the in-the-trenches professionals who confront the effects of trauma and resulting somatic consequences. It will be of compelling interest and usefulness to family practice physicians, nurses and nurse practitioners, speech and physical therapists, counselors and psychotherapists, and any medical or mental health professional who treats physical or emotional trauma.

    An integrated state of mindful awareness is crucial to achieving mental health. Daniel J. Siegel, an internationally recognized expert on mindfulness and therapy, reveals practical techniques that enable readers to harness their energies to promote healthy minds within themselves and their clients. He charts the nine integrative functions that emerge from the profoundly interconnecting circuits of the brain, including bodily regulation, attunement, emotional balance, response flexibility, fear extinction, insight, empathy, morality, and intuition. A practical, direct-immersion, high-emotion, low-techno-speak book, The Mindful Therapist engages readers in a personal and professional journey into the ideas and process of mindful integration that lie at the heart of health and nurturing relationships. .

    Authors John Briere and Catherine Scott articulate a nonpathologizing, phenomenological perspective on trauma and recovery--one that emphasizes both specific therapeutic techniques and the general but critical role of the therapeutic relationship.

    "Rebuilding Shattered Lives" presents valuable insights into the rebuilding of adult psyches shattered in childhood, drawing on the author's extensive research and clinical experience specializing in treating survivors of severe abuse.The new edition includes:- Developments in the treatment of complex PTSD- More on neurobiology, crisis management, and psychopharmacology for trauma-related disorders- Examination of early attachment relationships and their impact on overall development- The impact of disorganized attachment on a child's vulnerability to various forms of victimization- An update on the management of special issuesThis is an essential guide for every therapist working with clients who have suffered severe trauma.

    This book gives self help readers, therapy clients, and therapists alike the skills to understand and implement eight keys to successful trauma healing: mindful identification of what is helpful, recognizing survival, having the option to not remember, creating a supportive inner dialogue, forgiving not being able to stop the trauma, understanding and sharing shame, finding your own recovery pace; mobilizing your body, and helping others.This is not another book promoting a new method or type of treatment; rather, it is a necessary adjunct to self-help and professional recovery programs. After reading this book, readers will be able to recognize their own individual needs and evaluate whether those needs are being met. They will have the tools necessary to put themselves in the drivers seat, navigating their own safe road to recovery.