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Neurobiological research helps explain the experience of motherhood. This book, the exciting collaboration of a developmental psychoanalyst at the forefront of functional magnetic resonance attachment research and a leading neurobiological researcher on mirror neurons, presents a fresh and innovative look at intersubjectivity from a neurobiological and developmental perspective. Grounding their analysis of intersubjectivity in the newest advances from developmental neuroscience, modern attachment theory, and relational psychoanalysis, Massimo Ammaniti and Vittorio Gallese illustrate how brain development changes simultaneously with relationally induced alterations in the subjectivities of both mother and infant. Ammaniti and Gallese combine extensive current interdisciplinary research with in-depth clinical interviews that highlight the expectant mother’s changing subjective states and the various typologies of maternal representations. Building on Gallese’s seminal work with mirror neurons and embodied simulation theory, the authors construct a model of intersubjectivity that stresses not symbolic representations but intercorporeality from a second-person perspective. Charting the prenatal and perinatal events that serve as the neurobiological foundation for postnatal reciprocal affective communications, they conclude with direct clinical applications of early assessments and interventions, including interventions with pregnant mothers. This volume is essential for clinicians specializing in attachment disorders and relational trauma, child psychotherapists, infant mental health workers, pediatricians, psychoanalysts, and developmental researchers. It combines fascinating new information and illustrative clinical experience to illustrate the early intersubjective origins of our own and our patients’ internal worlds.
Presenting a neuroscientifically aware approach to art therapy. Art Therapy and the Neuroscience of Relationships, Creativity, and Resiliency offers a comprehensive integration of art therapy and interpersonal neurobiology. It showcases the Art Therapy Relational Neuroscience (ATR-N) theoretical and clinical approach, and demonstrates how it can be used to help clients with autobiographical memory, reflecting and creating, touch and space, meaning-making, emotions, and dealing with long-term stress and trauma. The ATR-N approach, first developed by Noah Hass-Cohen, is comprised of six principles: Creative Embodiment, Relational Resonating, Expressive Communicating, Adaptive Responding, Transformative Integrating, and Empathizing and Compassion (CREATE). The chapters in this book are organized around these CREATE principles, demonstrating the dynamic interplay of brain and bodily systems during art therapy. Each chapter begins with an overview of one CREATE principle, which is then richly illustrated with therapeutic artwork and intrapersonal reflections. The subsequent discussion of the related relational neuroscience elucidates how the ATR-N work is grounded in research and evidence-based theory. The last section of each chapter, which is devoted to clinical skills and applications, integrates practices and approaches across all six of the CREATE principles, demonstrating how therapeutic art making can help people decipher the functional mystery of their relational nervous system, enhance their emotive and cognitive abilities, and increase the motivation to learn novel concepts and participate in a meaningful social discourse.
The rich, complex theory of affect regulation boiled down into a clinically useful guide. Affect regulation theory—the science of how humans regulate their emotions—is at the root of all psychotherapies. Drawing on attachment, developmental trauma, implicit processes, and neurobiology, major theorists from Allan Schore to Daniel Stern have argued how and why regulated affect is key to our optimal functioning. This book translates the intricacies of the theory into a cogent clinical synthesis. With clarity and practicality, Hill decodes the massive body of contemporary research on affect regulation, offering a comprehensible and ready-to-implement model for conducting affect regulation therapy. The book is organized around the four domains of a clinical model: (1) a theory of bodymind; (2) a theory of optimal development of affect regulation in secure attachment relationships; (3) a theory of pathogenesis, in which disordered affect regulation originates in relational trauma and insecure attachment relationships; and (4) a theory of therapeutic actions targeted to repair the affect regulating systems. The key themes of Hill’s affect-focused approach include: how and why different patterns of affect regulation develop; how regulatory patterns are transmitted from caretakers to the infants; what adaptive and maladaptive regulatory patterns look like neurobiologically, psychologically, and relationally; how deficits in affect regulation manifest as psychiatric symptoms and personality disorders; and ultimately, the means by which regulatory deficits can be repaired. Specific chapters explore such subjects as self states, mentalization, classical and modern attachment theory, relational trauma (and its manifestations in chronic dissociation, personality disorders, and pervasive dissociated shame), supporting self-development in therapy, patient–therapist attunement, implicit and explicit therapeutic actions, and many more.
Demystifying neurobiology and presenting it anew for the social-work audience. The art and science of relationship are at the core of clinical social work. Research in neurobiology adds a new layer to our understanding of the protective benefits of relationship and specifically, to our understanding of the neurobiology of attachment and early brain development. This second edition of Neurobiology for Clinical Social Work explores the application of recent research in neuroscience to prevention and intervention in multiple systems, settings, and areas such as the neurobiology of stress and the stress response system, the impact of early adversity and toxic stress on brain development, early childhood and adolescent brain development, and the application of this science to prevention and intervention in areas such as child welfare and juvenile justice. Social workers collaborate with individuals, families, communities, and groups that experience adversity, and at times, traumatic stressors. Research in neuroscience adds to our models of risk and resilience; informing our understanding of the processes by which adversity and trauma impact multiple indicators of wellbeing across time. Social workers can use this knowledge to inform their work and to support the neuroprotective benefit of relationship in the lives of individuals, families, and communities. This text provides essential information for cutting-edge social work practice.
In Beyond Doer and Done To, Jessica Benjamin, author of the path-breaking Bonds of Love, expands her theory of mutual recognition and its breakdown into the complementarity of "doer and done to." Her innovative theory charts the growth of the Third in early development through the movement between recognition and breakdown, and shows how it parallels the enactments in the psychoanalytic relationship. Benjamin’s recognition theory illuminates the radical potential of acknowledgment in healing both individual and social trauma, in creating relational repair in the transformational space of thirdness. Benjamin’s unique formulations of intersubjectivity make essential reading for both psychoanalytic therapists and theorists in the humanities and social sciences.
In this book, Rebekka Hufendiek explores emotions as embodied, action-oriented representations, providing a non-cognitivist theory of emotions that accounts for their normative dimensions. Embodied Emotions focuses not only on the bodily reactions involved in emotions, but also on the environment within which emotions are embedded and on the social character of this environment, its ontological constitution, and the way it scaffolds both the development of particular emotion types and the unfolding of individual emotional episodes. In addition, it provides a critical review and appraisal of current empirical studies, mainly in psychophysiology and developmental psychology, which are relevant to discussions about whether emotions are embodied as well as socially embedded. The theory that Hufendiek puts forward denies the distinction between basic and higher cognitive emotions: all emotions are embodied, action-oriented representations. This approach can account for the complex normative structure of emotions, and shares the advantages of cognitivist accounts of emotions without sharing their problems. Embodied Emotions makes an original contribution to ongoing debates on the normative aspects of emotions and will be of interest to philosophers working on emotions, embodied cognition and situated cognition, as well as neuroscientists or psychologists who study emotions and are interested in placing their own work within a broader theoretical framework.
This book examines family interactions and relationships during the transition to parenthood. It offers a unique integration of different lines of research on prenatal family dynamics contributed by leading family researchers in North America and Europe who use observational approaches to study emergent family processes. The book explores prenatal dynamics in diverse families, including adolescent couples, same-sex couples, couples experiencing infertility, and couples expecting their second child. The introduction, anchored in family systems and structural theories, provides an overview of challenges couples commonly experience during the transition to parenthood and details prenatal family processes that predict postpartum adjustment in families. This sets the stage for subsequent chapters by emphasizing unparalleled windows into prenatal family dynamics provided by direct observation. Initial chapters focus on predictors of prenatal interactions and partners’ representations of parenthood. Subsequent chapters describe original research on prebirth couple interactions and the coparenting relationship emerging during pregnancy. The volume includes several studies that rely on innovative research designs using observations of simulated couple encounters with their newborn, represented by a life-sized infant doll. The book concludes with a review of recent prenatal intervention programs designed to improve interpersonal and coparenting relationships of married and unmarried couples. The volume offers recommendations for future research on prenatal family dynamics, including suggestions for methodological advances, exploration of prenatal risk factors, expansion of conceptual models to incorporate culturally-meaningful coparents besides mothers and fathers, and further focus on prenatal intervention programs. This book is an essential resource for researchers, clinicians and professionals, and graduate students in the fields of infant mental health/early child development, family studies, pediatrics, developmental psychology, public health, social work, and early childhood education.
Introduces the principles and applications of cognitive analytic therapy (CAT) Cognitive Analytic Therapy (CAT) is an increasingly popular approach to therapy that is now widely recognised as a genuinely integrative and fundamentally relational model of psychotherapy. This new edition of the definitive text to CAT offers a systematic and comprehensive introduction to its origins, development, and practice. It also provides a fully updated overview of developments in the theory, research, and applications of CAT, including clarification and re-statement of basic concepts, such as reciprocal roles and reciprocal role procedures, as well as extensions into new areas of expertise. Introducing Cognitive Analytic Therapy: Principles and Practice of a Relational Approach to Mental Health, 2nd Edition starts with a brief account of the scope and focus of CAT and how it evolved and explains the main features of its practice. It next offers a brief account of a relatively straightforward therapy to give readers a sense of the unfolding structure and style of a time-limited CAT. Following that are chapters that consider the normal and abnormal development of the Self and that introduce influential concepts from Vygotskian, Bakhtinian and developmental psychology. Subsequent chapters describe selection and assessment; reformulation; the course of therapy; the ‘ideal model’ of therapist activity and its relation to the supervision of therapists; applications of CAT in various patient groups and settings and in treating personality type disorders; use in ‘reflective practice'; a CAT perspective on the ‘difficult’ patient; and systemic and ‘contextual’ approaches. Presents an updated introduction and overview of the principles and practice of cognitive analytic therapy (CAT) Updates the first edition with developments from the last decade, in which CAT theory has deepened and the approach has been applied to new patient groups and extended far beyond its roots Includes detailed, applicable ‘how to’ descriptions of CAT in practice Includes references to CAT published works and suggestions for further reading within each chapter Includes a glossary of terms and several appendices containing the CAT Psychotherapy File; a summary of CAT competences extracted from Roth and Pilling; the Personality Structure Questionnaire; and a description of repertory grid basics and their use in CAT Co-written by the creator of the CAT model, Anthony Ryle, in collaboration with leading CAT practitioner, trainer, and researcher, Ian B. Kerr Introducing Cognitive Analytic Therapy is the definitive book for CAT practitioners and CAT trainees at skills, practitioner, and psychotherapy levels. It should also be of considerable interest and relevance to mental health professionals of all orientations, including clinical psychologists, psychiatrists, counselors, mental health nurses, to those working in forensic and various institutional settings, and to a range of other health care and social work professionals.
The leading textbook on psychotherapy for advanced practice psychiatric nurses and students Award-winning and highly lauded, Psychotherapy for the Advanced Practice Psychiatric Nurse is a how-to compendium of evidence-based approaches for both new and experienced advanced practice psychiatric nurses and students. This expanded third edition includes a revised framework for practice based on new theory and research on attachment and neurophysiology. It advises the reader on when and how to use techniques germane to various evidence-based psychotherapy approaches for the specific client problems encountered in clinical practice. This textbook guides the reader in accurate assessment through a comprehensive understanding of development and the application of neuroscience to make sense of what is happening for the patient in treatment. Contributed by leaders in the field, chapters integrate the best evidence-based approaches into a relationship-based framework and provides helpful patient-management strategies, from the first contact through termination. This gold-standard textbook and reference honors the heritage of psychiatric nursing, reaffirms the centrality of relationship for psychiatric advanced practice, and celebrates the excellence, vitality, depth, and breadth of knowledge of the specialty. New to This Edition: Revised framework for practice based on new theory and research on attachment and neurophysiology New chapters: Trauma Resiliency Model Therapy Psychotherapeutics: Re-uniting Psychotherapy and Psychopharmacotherapy Trauma-Informed Medication Management Integrative Medicine and Psychotherapy Psychotherapeutic Approaches with Children and Adolescents Robust instructor resources Key Features: Offers a "how to" of evidence-based psychotherapeutic approaches Highlights the most-useful principles and techniques of treatment for nurse psychotherapists and those with prescriptive authority Features guidelines, forms, and case studies to guide treatment decisions Includes new chapters and robust instructor resources—chapter PowerPoints, case studies, and learning activities
Art Therapy, Trauma, and Neuroscience combines theory, research, and practice with traumatized populations in a neuroscience framework. The classic edition includes a new preface from the author discussing advances in the field. Recognizing the importance of a neuroscience- and trauma-informed approach to art therapy practice, research, and education, some of the most renowned figures in art therapy and trauma use translational and integrative neuroscience to provide theoretical and applied techniques for use in clinical practice. Graduate students, therapists, and educators will come away from this book with a refined understanding of brain-based interventions in a dynamic yet accessible format.