Hours of her life simply disappeared. She'd hear voices shouting at her, telling her she was useless. And the nightmares that had haunted her since early childhood, scenes of men abusing her, became more detailed . . . more real. Staring at herself in the mirror she'd catch her face changing, as if someone else was looking out through her eyes.In this work she describes her journey from a teenage girl battling anorexia and OCD, drowning the voices with alcohol, to a young woman slipping further and further into mental illness. It was only after years lost in institutions that she was correctly diagnosed with multiple personality disorder. When her alternative personalities were revealed in therapy she discovered how each one had their own memories of abuse and a full picture of her childhood finally emerged. As she learned to live with her many 'alters', she set out to confront the man who had caused her unbearable pain.Moving and ultimately inspiring, this is a gripping account of a rare condition, and the remarkable story of a courageous woman.

    These are quotes from actual people, experiencing something they don't understand. What they are saying is being heard by friends, families, and physicians today more than ever before. They do not simply suffer from anxiety, or depression, and they are not schizophrenic. They have found themselves trapped in a very real and singular disorder, yet few even know its name. Their enigmatic state of mind has been studied for more than 100 years, but only recently has it become clear how prevalent and how distinctive it really is. The condition is called Depersonalization Disorder, and Feeling Unreal is the first book to reveal what it's all about.This important volume explores not only Depersonalization, but the philosophical and literary implications of selflessness as well, while providing the latest research, possible treatments, and ways to live and thrive when life seems unreal. For those who still believe that such experiences are merely part of something else, that depersonalization is just a symptom and not a disorder in its own right, Feeling Unreal presents compelling evidence to the contrary. This book provides long-awaited answers for people suffering from Depersonalization Disorder and their loved ones, for mental health professionals, and for all students of the condition, while serving as a wake up call to the medical community at large.

    Cameron West... First of all, for those of you who have read First Person Plural, thank you. Rikki, Kyle, and I have been very moved by the kind words many of you have sent, and for the stories some of you have shared about overcoming your own challenges.I'd like to share something with you that Leonardo da Vinci wrote, which I think of as "Leonardo's Rule." He said, "Every object yields to effort." I remind myself of that every day, and when I'm having a difficult time, Rikki reminds me that this rule applies not only to the obstacles "out there," but to the more important ones-the ones we face in our own minds. Rikki lives by Leonardo's Rule; it comes to her naturally. Even though they are Leonardo's words, it is Rikki's actions that guide me and inspire me to work toward becoming a healthier and better person.

    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.

    Odder still, she reveals that she’s suffering from a persistent memory problem. Routinely, she “loses” parts of her day, finding herself in places she doesn’t remember going to or being told about conversations she doesn’t remember having. Her problems are so pervasive that she often feels like an impersonator in her own life; she doesn’t recognize the people who call themselves her friends, and she can’t even remember being intimate with her own husband. Baer recognizes that Karen is on the verge of suicide and, while trying various medications to keep her alive, attempts to discover the root cause of her strange complaints. It’s the work of months, and then years, to gain Karen’s trust and learn the true extent of the trauma buried in her past. What she eventually reveals is nearly beyond belief, a narrative of a childhood spent grappling with unimaginable horror. How has Karen survived with even a tenuous grasp on sanity?Then Baer receives an envelope in the mail. It’s marked with Karen’s return address but contains a letter from a little girl who writes that she’s seven years old and lives inside of Karen. Soon Baer receives letters from others claiming to be parts of Karen. Under hypnosis, these alternate Karen personalities reveal themselves in shocking variety and with undeniable traits—both physical and psychological. One “alter” is a young boy filled with frightening aggression; another an adult male who considers himself Karen’s protector; and a third a sassy flirt who seeks dominance over the others. It’s only by compartmentalizing her pain, guilt, and fear in this fashion—by “switching time” with alternate selves as the situation warrants—that Karen has been able to function since childhood.Realizing that his patient represents an extreme case of multiple personality disorder, Baer faces the daunting task of creating a therapy that will make Karen whole again. Somehow, in fact, he must gain the trust of each of Karen’s seventeen “alters” and convince them of the necessity of their own annihilation.As powerful as Sybil or The Three Faces of Eve, Switching Time is the first complete account of such therapy to be told from the perspective of the treating physician, a stunningly devoted healer who worked selflessly for decades so that Karen could one day live as a single human being.From the Hardcover edition.

    Christine Pattillo was one of those people—except instead of just one secret, she had many. As long as Christine could remember, she lived with Multiple Personality Disorder (MPD) or Dissociative Identity Disorder (DID). At times she shared her life with up to six alternate personalities, yet she masqueraded as an active and happy high school student, a successful career woman, and a wife of fifteen years. But she kept her secret hidden from everyone around her, including her own husband. It wasn’t until the age of forty-one and after ten years of counseling that she finally managed to utter the seven most difficult words of her life: “There is more than one of me.” Coming out about MPD was terrifying. Was her husband going to leave her? How was she going to tell her mother, siblings, and friends? How would people judge her? And how would she and the alters live day to day out in the open, each carving out their own quality time? How would they all integrate in society? What happens when one of the alters wants to have a baby of her own? And a suicidal one wants to destroy them all? In this fascinating memoir, Christine shares her incredible journey of life with MPD. Readers come to know all of the alters (Hope, SHE, Rim, Tristan, Q, Chrissy, and Cyndi) as the unique and extraordinary individuals they are. We also hear from Christine’s husband, family, friends, and therapist, who relate firsthand the joys and challenges of living with MPD. I Am WE dispels many common, often misguided conceptions about MPD. While theories about the condition abound, none are more qualified to discuss it than those living it. Join Christine and her family as they share their highs and lows, triumphs and losses, and above all the love they have for one other.

    Abuse too painful to put into words does have a language, though, a language of coded signs and symptoms that conventional therapy fails to understand. In this luminous, deeply moving book, Rogers reveals how she has helped many girls find expression and healing for the sexual trauma that has shattered their childhoods. Rogers opens with a harrowing account of her own emotional collapse in childhood and goes on to illustrate its significance to how she hears and understands trauma in her clinical work. Years after her breakdown, when she discovered the brilliant work of French psychoanalyst Jacques Lacan, Rogers at last had the key she needed to unlock the secrets of the unsayable. With Lacan’s theory of language and its layered associations as her guide, Rogers was able to make startling connections with seemingly unreachable girls who had lost years of childhood, who had endured the unspeakable in silence.At the heart of the book is the searing portrait of the girl Rogers calls Ellen, brutally abused for three years by her teenage male babysitter. Over the course of seven years of therapy, Rogers helped Ellen find words for the terrible things that had happened to her, face up to the unconscious patterns through which she replayed the trauma, and learn to live beyond the shadows of the past. Through Ellen’s story, Rogers illuminates the complex, intimate unraveling of trauma between therapist and child, as painful truths and their consequences come to light in unexpected ways.Like Judith Herman’s Trauma and Recovery and Kay Redfield Jamison’s An Unquiet Mind, The Unsayable is a book with the power to change the way we think about suffering and self-expression. For those who have experienced psychological trauma, and for those who yearn to help, this brave, compelling book will be a touchstone of lucid understanding and true healing.

    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.

    She was diagnosed with Dissociative Identity Disorder (DID), which causes unbearable pain.Now her body plays host to more than 20 different personalities, or 'alters'. There are women and men, adults and children; there is a scared little boy who speaks only Latin, an elective mute, a gay man and an anorexic teenager.All Of Me tells of Kim’s terrifying battles to understand her own mind, of her desperate struggle against all odds to win back her 13-year-old daughter, and of her courage in trying to make sense of her life. It is by turns shocking, inspiring, sometimes funny, and deeply moving.

    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.

    When we are stuck, talk therapy often fails to produce the needed connections between the old emotional memory and a more grounded view of reality, and medications can have dire side effects and limited effectiveness.   In Getting Past Your Past, Francine Shapiro, who created EMDR (the “eye movement” therapy), opens the door to a scientifically proven mode of treatment used by thousands of clinicians worldwide. The book offers practical procedures that demystify the process and empower readers looking to break free from emotional roadblocks. Shapiro explains the brain science in layman’s terms and provides simple exercises that readers can do at home to achieve real change.   “I always came out of my EMDR therapist’s office reeling (in a good way); and the things I learnedhave stayed with me and enriched my conscious mind. It’s a powerful process. I recommend it.”—from The Noonday Demon by Andrew Solomon

    Traditional techniques of play therapy are reviewed for their application to this population. Throughout, numerous therapeutic aids are described to enhance the child's capacity to communicate verbally or symbolically. To help clinicians translate theory into daily practice, the book presents six detailed clinical vignettes that offer step-by-step guidelines for assessment and intervention in different situations of abuse or neglect.

    The Three Faces of Eve was the first popular account of a case of multiple personalities (now called Dissociative Identity Disorder). The authors had previously published a research article on their patient 'Eve' in 1954, documenting the psychiatric sessions and how they came to view it as a case of 'multiple personality'.

    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.

    What surfaced was terrifying: she was inhabited by 'the Troops'-92 individual personalities. This groundbreaking true story is made all the more extraordinary in that it was written by the Troops themselves. What they reveal is a spellbinding descent into a personal hell-and an ultimate deliverance for the woman they became.