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For both clinicians and their clients there is tremendous value in understanding the psychophysiology of trauma and knowing what to do about its manifestations. This book illuminates that physiology, shining a bright light on the impact of trauma on the body and the phenomenon of somatic memory. It is now thought that people who have been traumatized hold an implicit memory of traumatic events in their brains and bodies. That memory is often expressed in the symptomatology of posttraumatic stress disorder-nightmares, flashbacks, startle responses, and dissociative behaviors. In essence, the body of the traumatized individual refuses to be ignored. While reducing the chasm between scientific theory and clinical practice and bridging the gap between talk therapy and body therapy, Rothschild presents principles and non-touch techniques for giving the body its due. With an eye to its relevance for clinicians, she consolidates current knowledge about the psychobiology of the stress response both in normally challenging situations and during extreme and prolonged trauma. This gives clinicians from all disciplines a foundation for speculating about the origins of their clients' symptoms and incorporating regard for the body into their practice. The somatic techniques are chosen with an eye to making trauma therapy safer while increasing mind-body integration. Packed with engaging case studies, The Body Remembers integrates body and mind in the treatment of posttraumatic stress disorder. It will appeal to clinicians, researchers, students, and general readers.
Challenging the notion that clients with PTSD must revisit, review, and process their memories to recover from trauma. The Body Remembers, Volume 2: Revolutionizing Trauma Treatment continues the discussion begun more than fifteen years ago with the publication of the best-selling and beloved The Body Remembers: The Psychophysiology of Trauma and Trauma Treatment. This new book is grounded in the belief that the most important goal for any trauma treatment is to improve the quality of life of the client. Therefore, the first prerequisite is that the client be reliably stable and feel safe in his or her daily life as well as the therapy situation. To accomplish this, Babette Rothschild empowers both therapists and clients by expanding trauma treatment options. For clients who prefer not to review memories, or are unable to do so safely, new and expanded strategies and principles for trauma recovery are presented. And for those who wish to avail themselves of more typical trauma memory work, tools to make trauma memory resolution even safer are included. Being able to monitor and modulate a trauma client’s dysregulated nervous system is one of the practitioner’s best lines of defense against traumatic hyperarousal going amok—risking such consequences as dissociation and decompensation. Rothschild clarifies and simplifies autonomic nervous system (ANS) understanding and observation with her creation of an original full color table that distinguishes six levels of arousal. Included in this table (and the discussion that accompanies it) is a new and essential distinction between trauma-induced hypoarousal and the low arousal that is caused by lethargy or depression. The full color ANS table is also available from W.W. Norton as a laminated desk reference and a wall poster suitable for framing so this valuable therapeutic tool will always be at hand. Principles and theory come alive through multiple demonstration therapy transcripts that illustrate: Stabilizing a new client who consistently dissociates due to persistent trauma flashbacks Clarifying and keeping therapeutic contracts Identifying and implementing hidden somatic resources for stabilization Easing transition from Phase 1 to Phase 2 trauma treatment via trauma memory outlining Utilizing good memories and somatic markers as antidotes to traumatic memory Combining an authoritative yet personal voice, Rothschild gives clinicians the space to recognize where they may have made mistakes—by sharing her own!—as well as a road map toward more effective practice in the future. This book is absolutely essential reading for anyone working with those who have experienced trauma.
This is the first book of its kind to advocate utilizing and combining an assortment of trauma treatment models. Based on ideas put forward in the bestselling The Body Remembers, Babette Rothschild emphasizes the importance of tailoring every trauma therapy to the particular needs of each individual client. A breath of fresh air in the competitive 'mine is best' atmosphere currently so divisive in the field of trauma therapy, each varied and complex case (presented in a variety of writing styles: case reports, session-by-session narratives, single session transcripts) is approached with a combination of methods ranging from traditional psychodynamic and cognitive approaches and applications of attachment theory to innovative trauma methods including EMDR and Levine's SIBAM model. Read on its own on or in conjunction with The Body Remembers, clinicians from all disciplines will discover new strategies and gain insight into how to combine various treatment models for increased success with traumatized clients.
Challenges the notion that clients with PTSD must revisit, review, and process their memories to recover from trauma. Being able to monitor and modulate a trauma client’s dysregulated nervous system is one of the practitioner’s best lines of defense against traumatic hyperarousal going amok—risking consequences such as dissociation and decompensation. This paperback edition of Babette Rothschild’s The Body Remembers, Volume 2, clarifies and simplifies autonomic nervous system (ANS) understanding and observation. It includes a full-color table that distinguishes six levels of arousal, which has proven to be an essential clinical tool, presenting a new and useful distinction between trauma-induced hypoarousal and the low arousal that is caused by lethargy or depression. Multiple therapeutic transcripts illuminate key points in trauma treatment, including stabilizing clients who dissociate, identifying and implementing hidden somatic resources, and utilizing good memories and somatic markers. With an authoritative yet personal voice, Rothschild’s book is essential reading for anyone working with those who have experienced trauma. The full-color ANS table is also available separately as a laminated desk reference card.
Safe and effective principles and strategies for recovery from trauma. Trauma recovery is tricky; however, there are several key principles that can help make the process safe and effective. 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.
How empathy can jeopardize a therapist's well-being. Therapist burnout is a pressing issue, and self-care is possible only when therapists actively help themselves. The authors examine the literature from neurobiology, social psychology, and folk psychology in order to explain how therapists suffer from an excess of empathy for their clients, and then they present strategies for dealing with burnout and stress.
Praise for Treatment of Traumatized Adults and Children "A major stumbling block to adoption of evidence-based practice in the real world of clinical practice has been the absence of clinician-friendly guides. Such guides need to be understandable, free of technical research jargon, infused with clinical expertise, and rich with real-life examples. Rubin and Springer have hit a home run with this series, which has all of these characteristics and more." —Edward J. Mullen, Willma & Albert Musher Chair and Professor, Columbia University "Rubin and Springer have assembled the wisdom of leading practitioners of evidence-based practice interventions, enhancing the likelihood that these practices will be adopted by helping professionals. Written in the language of practitioners, this book represents an exemplar for dissemination of evidence-based practice information." —Joanne Yaffe, Associate Professor, University of Utah College of Social Work Evidence-based interventions for treating traumatized adults and children Part of the Clinician's Guide to Evidence-Based Practice Series, Treatment of Traumatized Adults and Children provides busy mental health practitioners with detailed, step-by-step guidance for implementing clinical interventions that are supported by the latest scientific evidence. Edited by renowned educators Allen Rubin and David W. Springer, this thoroughly useful reference draws on a roster of experts and researchers in the field who have assembled state-of-the-art knowledge into this well-rounded guide, and covers the following interventions that have the best empirical support for treating posttraumatic stress disorder: Prolonged exposure therapy Trauma-focused cognitive behavior therapy Eye Movement Desensitization and Reprocessing (EMDR) Easy-to-use and accessible in tone, this indispensable resource is for practitioners who would like to implement evidence-based, compassionate, and effective interventions in their care of traumatized clients. Also in the Clinician's Guide to Evidence-Based Practice Series Substance Abuse Treatment for Youth and Adults
Relates the impact of trauma on the body to the phenomenon of somatic memory. The book illuminates the value of understanding the psychophysiology of trauma for both therapists and their traumatised clients. It progresses from relevant theory to applicable practice.
The 2004 World Health Day is dedicated to the theme of road safety by the World Health Organization (WHO) due mostly to the enormous socio economic costs attributed to trafik accidents. More than 140,000 people are injured, 3,000 killed, and 15,000 disabled for life everyday on the world's roads. The field of trauma biomechanics, or injury biomechanics, uses the principles of mechanics to study the response and tolerance level of biological tissues under extreme loading conditions. Through an understanding of mechanical factors that influence the function and structure of human tissues, countermeasures can be developed to alleviate or even eliminate such injuries. This book, Trauma-Biomechanics, surveys a wide variety of topics in injury biomechanics including anatomy, injury c1assification, injury mechanism, and injury criteria. It is the first collection I am aware of that lists regional injury reference values, or injury criterion, either currently in use or proposed by both U. S. and European communities. Although the book is meant to be an introduction for medical doctors and engineers who are beginners in the field of injury biomechanics, sufficient references are provided for those who wish to conduct further research, and even established researchers will find it useful as a reference for finding the biomechanical background of each proposed injury mechanism and injury criterion.
Explains trauma using a combination of the Five Elements (from Traditional Chinese Medicine) and a touch perspective; for practitioners of a variety of modalities, including acupuncturists, somatic therapists, massage therapists, and mental health providers. Combining Eastern and Western trauma physiology, clinician-educators Alaine Duncan and Kathy Kain introduce a new map for acupuncturists, medical practitioners, mental health providers, and body-oriented clinicians to help restore balance in their patients. Using concepts from Acupuncture and Asian Medicine (AAM), alongside descriptions of the threat response from Western bio-behavioral science, they describe common physical symptoms, emotional presentations, and paths for healing for five survivor "types" detailed by the authors and correlated to the Five Elements of AAM. This ancient/modern integrative lens illuminates the diverse manifestations of traumatic stress in its survivors--chronic pain, autoimmune illness, insomnia, metabolic problems, and mental health disorders--and brings new hope to survivors of trauma and those who treat them.