Combining attachment theory, trauma research, and emotionally focused therapeutic techniques, Susan M. Johnson guides the clinician in modifying the interactional patterns that maintain traumatic stress and fostering positive, healing relationships among survivors and their partners. In-depth case material brings to life the process of assessment and treatment with couples coping with the impact of different kinds of trauma, including childhood abuse, serious illness, and combat experiences. The concluding chapter features valuable advice on therapist self-care.

    Jeffrey Kottler provides a candid account of the profound ways in which therapists influence clients and, in turn, are impacted personally and professionally by these encounters. He shows how therapists can learn, develop, and grow during the process of therapy and explains how practitioners can use the professional skills and insights gained from their sessions to address their own personal issues, realize positive change in themselves, and so become better helpers for others. This thoroughly revised edition includes discussion about how the business and practice of therapy has changed in recent years, the effects of technology and managed care, the breakdown of theoretical orientation, and the greater client diversity represented in contemporary practice.

    In addition, there are dozens of questionnaires and interview protocols to be used in both assessment and intervention.In prospective, long-term research with over 700 couples, Gottman has discovered certain factors that distinguish happy, stable couples from both unstable, ultimately divorcing couples and stable but unhappy couples. These findings, which are explained here in understandable, nontechnical language, form the basis of his Sound Marital House theory of marriage, which guides the new therapy. This therapy has two goals: changing the marital friendship and teaching couples to regulate conflict.Despite the high aims of much marital therapy, Gottman found that most marital conflicts involve fundamentally unresolvable relationship issues called "perpetual problems." He shows how therapists can help spouses move from gridlock to dialogue on these issues. Solvable problems can be resolved more easily when the couple has a strong marital friendship. He gives therapists the tools to teach spouses five fundamental skills to develop and strengthen their friendship: softened start-up, accepting influence, repair and de-escalation, compromise, and physiological soothing.Gottman compares his clinic to a restaurant, where clients are offered a menu of treatment formats, from psychoeducation for specific issues to extended therapy to repair a badly damaged marital friendship. Therapists, too, can choose among the questionnaires and strategies for those that fit the needs of particular couples. Whatever their choice, they will find that their practice is greatly enriched by the scientifically-based offerings of The Marriage Clinic.

    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.

    Noted contributors, many of whom developed the approaches they describe, combine clear conceptual and historical exposition with hands-on presentations of therapeutic strategies and techniques. Chapters in the new edition adhere even more closely to a uniform structure, facilitating easy comparison of different therapeutic models, and have been extensively rewritten to reflect the latest conceptual, clinical, and empirical advances. Entirely new chapters cover structural¿strategic, transgenerational, narrative, solution-focused, brief integrative, and affective¿reconstructive approaches; prevention and psychoeducation; interventions with families during and after divorce; multicultural couple therapy; and treatment of clients with bipolar disorder as well as other psychiatric and medical problems.

    Editor Monica McGoldrick¿whose earlier Ethnicity and Family Therapy provides in-depth portraits of the family systems of more than 40 ethnic groups¿here takes up vital cultural issues that cut across all ethnicities. Renowned contributors offer concrete suggestions for improving family therapy training and developing services that minority families may experience as more relevant to their lives.

    . . no better guide for learning about and clinically assessing the phenomenology of suicidal states. Penned with a compelling elegance and charm, The Practical Art of Suicide Assessment is brimming with clinical wisdom, enlightening case illustrations, and a vibrant sense of compassion."-David A. Jobes, PhD, past president, American Association of Suicidology "If I were asked to recommend only one book to equip clinicians to conduct the best possible suicide risk assessments, The Practical Art of Suicide Assessment would be it."-Thomas E. Ellis, PsyD, ABPP, past director, Clinical Division of the American Association of Suicidology "A concise, carefully conceptualized, well-written book . . . highly recommended for all psychiatric residents and all other mental health students."-Journal of Clinical Psychiatry "This outstanding book is informative, interesting, and clinically useful."-American Journal of Psychiatry The Practical Art of Suicide Assessment covers all the critical elements of suicide assessment-from risk factor analysis to evaluating clients with borderline personality disorders or psychotic process. This highly acclaimed text provides mental health professionals with the tools they need to assess a client's suicide risk and assign appropriate levels of care using the highly acclaimed interview strategy for eliciting suicidal ideation-the Chronological Assessment of Suicide Events (the CASE Approach). Now available in paperback, the leading book on suicide assessment also contains three important new appendices: * How to Document a Suicide Assessment * Safety Contracting Revisited: Pros, Cons, and Documentation * A Quick Guide to Suicide Prevention Web Sites

    Too good. Clearly, the title struck a chord, because children often seem to dislike family therapy. And who could fault them for it? The fact is that many family therapists either exclude young children or do not know how to involve them actively in family sessions.... "This is where Dr. Gil's new book succeeds so wonderfully. By drawing on her extensive training and experience as both a child therapist and a family therapist, she shows us how to use all family members' capacities for expressive play simultaneously. Never before have we been treated to such a variety of family play techniques that are presented in such vivid clinical detail....Her methods are captivating to read about and described with sufficient depth so that the reader can visualize their application in everyday clinical situations." --From the Foreword by Robert-Jay Green, Ph.D.In Play in Family Therapy, Dr. Eliana Gil provides a hands-on guide to a wealth of play therapy techniques for working with children ages 3 to 12, and shows how to adapt these techniques to conjoint family therapy. Illustrating the inexhaustible potential that play techniques hold for enhancing relatedness, communication, and understanding among families, this essential new volume represents a major step toward merging child and family therapy.Chapters in Part One cover the history of play therapy and the integration of play into family therapy. In Part Two, clinical vignettes illustrate in user-friendly detail the application of such techniques as puppet interviews, art therapy, and story-telling. Dr. Gil covers the presenting problems and family configurations clinicians are likely to encounter when working with children. Throughout, the text describes the problems that may arise--such as family members' reluctance to use play--and shows how to overcome them by setting a positive tone and conveying the expectation that families will find play enjoyable and rewarding.Providing clinicians with useful play techniques with which to expand their repertoire of family interventions, this work will be invaluable to all therapists and students who work with children and their families.

    Kain and Stephen J. Terrell draw on fifty years of their combined clinical and teaching experience to provide this clear road map for understanding the complexities of early trauma and its related symptoms. Experts in the physiology of trauma, the authors present an introduction to their innovative somatic approach that has evolved to help thousands improve their lives. Synthesizing across disciplines–Attachment, Polyvagal, Neuroscience, Child Development Theory, Trauma, and Somatics–this book provides a new lens through which to understand safety and regulation. It includes the survey used in the groundbreaking ACE Study, which discovered a clear connection between early childhood trauma and chronic health problems. For therapists working with both adults and children and anyone dealing with symptoms that typically arise from early childhood trauma–anxiety, behavioral issues, depression, metabolic disorders, migraine, sleep problems, and more–this book offers fresh hope.

    That’s almost 30 percent; other statistics show 35 percent. Nor, of course, is PTSD limited to the military. In twenty years as a therapist, Susan Pease Banitt has treated trauma in patients ranging from autistic children to women with breast cancer; from underage sex slaves to adults incapacitated by early childhood abuse. Doctors she interviewed in New York report that, even before 9/11, most of their patients had experienced such extreme stress that they had suffered physical and mental breakdowns. Those doctors agree with Pease Banitt that stress is the disease of our times. At the 2009 Evolution of Psychotherapy conference Jack Kornfield noted, “We need a trauma tool kit.” Here it is.Most people, Pease Banitt says, experience trauma as a terminal blow to their deepest sense of self. Her techniques restore a sense of wholeness at the core level from which all healing springs. The uniqueness of her book lies in its diversity and accessibility. She assesses the values and limitations of traditional and alternative therapies and suggests methods that are universally available. Almost anybody can

    Perry and award-winning science journalist Maia Szalavitz interweave research and stories from Perry's practice with cutting-edge scientific studies and historical examples to explain how empathy develops, why it is essential for our development into healthy adults, and how it is threatened in the modern world.Perry and Szalavitz show that compassion underlies the qualities that make society work—trust, altruism, collaboration, love, charity—and how difficulties related to empathy are key factors in social problems such as war, crime, racism, and mental illness. Even physical health, from infectious diseases to heart attacks, is deeply affected by our human connections to one another.As Born for Love reveals, recent changes in technology, child-rearing practices, education, and lifestyles are starting to rob children of necessary human contact and deep relationships—the essential foundation for empathy and a caring, healthy society. Sounding an important warning bell, Born for Love offers practical ideas for combating the negative influences of modern life and fostering positive social change to benefit us all.

    William R. Miller and Stephen Rollnick explain current thinking on the process of behavior change, present the principles of MI, and provide detailed guidelines for putting it into practice. Case examples illustrate key points and demonstrate the benefits of MI in addictions treatment and other clinical contexts. The authors also discuss the process of learning MI. The volume’s final section brings together an array of leading MI practitioners to present their work in diverse settings.

    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.

    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.

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