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The Trinity of Trauma: Ignorance, Fragility, and Control is structured as a trilogy. This book includes the first two parts: Volume I, The Evolving Concept of Trauma, and Volume II, The Concept and Facts of Dissociation in Trauma, which are predominantly conceptual, theoretical, and empirical in nature.Volume I aims to overcome conceptual flaws that have plagued the trauma field to date. It proposes new definitions of trauma and derivative concepts as well as a dimension of trauma-related disorders. It suggests that individuals and their environment constitute, depend on, and are relative to each other. Volume I unites two groups of trauma-related disorders that were previously contrasted in psychiatric history under various names such as "melancholia" versus "hysteria", "traumatic neurosis" versus "traumatic hysteria", and "posttraumatic stress disorder" versus "dissociative disorders". It also mends the "dissociation" of dissociative and conversion disorders.Volume II analyzes and defines the concepts of "personality", "self", "dissociation in trauma", and "dissociative parts". It explores and documents the biopsychosocial features of different prototypical dissociative parts in traumatized individuals. Important features of these parts also characterize other players in traumatization, stretching from perpetrators to society at large.
Enactive trauma therapy is grounded in so-called enactivism, which holds that, like anyone else, traumatized individuals are (1) embrained, embodied, and environmentally embedded; (2) constitute biopsychological organism-environment systems that are essentially interested in preserving their existence; (3) are primarily affective and oriented toward making sense of things. Individuals exhibit a phenomenal self, world, and self-of-the-world through self- and world-oriented actions. They do not act on the basis of knowledge, but possess knowledge on the basis of world-engaged sensorimotor, affect-laden, and goal-oriented actions. Whenever interpersonal traumatization by significant others occurs, individuals may get caught up in affective and relational conflicts they cannot resolve on their own. Their generation and maintenance of a trauma-related dissociation of the personality involves a kind of sense-making that supports their continued existence when their capacity to integrate traumatic experiences is still too low. However, what starts as a courageous effort to navigate a traumatizing life may at some point in time become a serious problem. Enactive trauma therapy comprises the collaboration of two organism-environment systems: the patient and the therapist. Together they spawn new meaning and adequate actions – an interaction that resembles dancing: It takes pacing, mutual attunement, good timing, a sensitivity to balance, movement and rhythm, courage, as well as the ability and willingness to follow and lead.
This second edition of the award-winning original text brings together in one volume the current thinking and conceptualizations on dissociation and the dissociative disorders. Comprised of ten parts, starting with historical and conceptual issues, and ending with considerations for the present and future, internationally renowned authors in the trauma and dissociation fields explore different facets of dissociation in pathological and non-clinical guises. This book is designed to be the most comprehensive reference book in the dissociation field and aims to provide a scholarly foundation for understanding dissociation, dissociative disorders, current issues and perspectives within the field, theoretical formulations, and empirical findings. Chapters have been thoroughly updated to include recent developments in the field, including: the complex nature of conceptualization, etiology, and neurobiology; the various manifestations of dissociation in clinical and non-clinical forms; and different perspectives on how dissociation should be understood. This book is essential for clinicians, researchers, theoreticians, students of clinical psychology psychiatry, and psychotherapy, and those with an interest or curiosity in dissociation in the various ways it can be conceived and studied.
The Trinity of Trauma: Ignorance, Fragility, and Control is structured as a trilogy. This book includes the first two parts: Volume I, The Evolving Concept of Trauma, and Volume II, The Concept and Facts of Dissociation in Trauma, which are predominantly conceptual, theoretical, and empirical in nature. Volume I aims to overcome conceptual flaws that have plagued the trauma field to date. It proposes new definitions of trauma and derivative concepts as well as a dimension of trauma-related disorders. It suggests that individuals and their environment constitute, depend on, and are relative to each other. Volume I unites two groups of trauma-related disorders that were previously contrasted in psychiatric history under various names such as "melancholia" versus "hysteria", "traumatic neurosis" versus "traumatic hysteria", and "posttraumatic stress disorder" versus "dissociative disorders". It also mends the "dissociation" of dissociative and conversion disorders. Volume II analyzes and defines the concepts of "personality", "self", "dissociation in trauma", and "dissociative parts". It explores and documents the biopsychosocial features of different prototypical dissociative parts in traumatized individuals. Important features of these parts also characterize other players in traumatization, stretching from perpetrators to society at large.
Children are born into a social context that is not of their choosing. From early childhood, this context is made up of diverse group experiences that play a crucial role in shaping a person's social life and desire to learn. This makes the group context an ideal setting for therapeutic and educational work, especially with children and adolescents. This volume offers numerous practical suggestions for using the group as a helpful and supportive medium, e.g., in parent-infant/toddler groups, parent/caregiver groups, groups with children or adolescents, and in preventive group work in schools. The contributions provide insights into the diversity and complexity of conceptual, group analytic work with children's, youth and parents' groups, and show how this work can be successful in outpatient settings, clinics, youth services, counseling centers, or schools. The combination of basic and applied knowledge makes this anthology an indispensable reference for any practitioner. With contributions by Andreas Opitz, Anke Mühle, Birgitt Ballhausen-Scharf, Dietrich Winzer, Hans Georg Lehle, Christoph Müller, Beate Schnabel, Anja Khalil, Carla Weber, Christoph Radaj, Dietlind, Köhncke, Franziska Schöpfer, Furi Kharbirpour, Gerhild Ohrnberger, Harald Weilnböck, Horst Wenzel, Kadir Kaynak, Matthias Wenck, Thomas Schneider, Tilman Sprondel, Ursula Pröbsting.
This insightful book explores the impact of traumatic experiences on the constitution of narrative identity. Editors Edmundo Balsem‹o Pires, Cl‡udio Alexandre S. Carvalho, and Joana Ricarte bring together multidisciplinary experts to examine the epistemic and ethical-political value of narrative memory, demonstrating its significance in forming essential aspects of the self and collective identity.
An invaluable sourcebook on the complex relationship between psychosis, trauma, and dissociation, thoroughly revised and updated This revised and updated second edition of Psychosis, Trauma and Dissociation offers an important resource that takes a wide-ranging and in-depth look at the multifaceted relationship between trauma, dissociation and psychosis. The editors – leaders in their field – have drawn together more than fifty noted experts from around the world, to canvas the relevant literature from historical, conceptual, empirical and clinical perspectives. The result documents the impressive gains made over the past ten years in understanding multiple aspects of the interface between trauma, dissociation and psychosis. The historical/conceptual section clarifies the meaning of the terms dissociation, trauma and psychosis, proposes dissociation as central to the historical concepts of schizophrenia and borderline personality disorder, and considers unique development perspectives on delusions and the onset of schizophrenia. The empirical section of the text compares and contrasts psychotic and dissociative disorders from a wide range of perspectives, including phenomenology, childhood trauma, and memory and cognitive disturbances, whilst the clinical section focuses on the assessment, differential diagnosis and treatment of these disorders, along with proposals for new and novel hybrid disorders. This important resource: • Offers extensive updated coverage of the field, from all relevant perspectives • Brings together in one text contributions from scholars and clinicians working in diverse geographical and theoretical areas • Helps define and bring cohesion to this new and important field • Features nine new chapters on: conceptions of trauma, dissociation and psychosis, PTSD with psychotic features, delusions and memory, trauma treatment of psychotic symptoms, and differences between the diagnostic groups on hypnotizability, memory disturbances, brain imaging, auditory verbal hallucinations and psychological testing Written for clinicians, researchers and academics in the areas of trauma, child abuse, dissociation and psychosis, but relevant for psychiatrists, psychologists and psychotherapists working in any area, the revised second edition of Psychosis, Trauma and Dissociation makes an invaluable contribution to this important evolving field.
This book contains new evidence and more ideas for treatment and management of dissociative identity disorder (DID). It is written from the standpoint of an expert in the field for other professionals that deal with or are interested in DID. Chapters are divided into 4 parts. Part 1 acts as an introduction to understanding dissociative identity disorder, such its history, the different types of the disorder, and its portrayal in popular culture. The chapters in this part cover multiple personality disorder, theories, and epidemiology of the disease. Part 2 discusses the pathology and neuroscience of the disease. The comorbidities related to the disorder will be explained, such as PTSD, depression, anxiety, schizophrenia, and more. This part concludes with the potential causes of dissociative identity disorder, which ties into the previously mentioned comorbidities throughout this part. Supplementing the aforementioned topics, Part 3 discusses management of the disease. The chapters will cover modern psychiatry, diagnosis, and treatment options. Drug treatment and psychotherapy are some examples of the treatment options available. The authors share their experiences and perspectives of managing DID, including clinical trials and recovery. Finally, Part 4 discusses the sociology of DID, such as potential drug abuse, social media presence, and the difficulties that psychiatrists face in diagnosing the disease. This part provides advice for clinicians and healthcare providers by sharing different perspectives from psychiatrists that encounter the disease. Written by experts in the field, Dissociative Identity Disorder serves as a valuable resource for psychiatrists and clinicians seeking to understand, treat, and manage the disease.
This edited volume is the first to propose new readings of Italian and transnational female-authored texts through the lens of Trauma Studies. Illuminating a space that has so far been left in the shadows, Trauma Narratives in Italian and Transnational Women’s Writing provides new insights into how the trope of trauma shapes the narrative, temporal and linguistic dimension of these works. The various contributions delineate a landscape of female-authored Italian and transnational trauma narratives and their complex textual negotiation of suffering and pathos, from the twentieth century to the present day. These zones of trauma engender a new aesthetics and a new reading of history and cultural memory as an articulation of female creativity and resistance against a dominant cultural and social order.
Winner of the 2017 International Society for the Study of Trauma and Dissociation (ISSTD) Pierre Janet Writing Award. Establishing safety and working with dissociative parts in complex trauma therapy. Therapists around the world ask similar questions and struggle with similar challenges treating highly dissociative patients. This book arose not only out of countless hours of treating patients with dissociative disorders, but also out of the crucible of supervision and consultation, where therapists bring their most urgent questions, needs, and vulnerabilities. The book offers an overview of the neuropsychology of dissociation as a disorder of non-realization, as well as chapters on assessment, prognosis, case formulation, treatment planning, and treatment phases and goals, based on best practices. The authors describe what to focus on first in a complex therapy, and how to do it; how to help patients establish both internal and external safety without rescuing; how to work systematically with dissociative parts of a patient in ways that facilitate integration rather than further dissociation; how to set and maintain helpful boundaries; specific ways to stay focused on process instead of content; how to deal compassionately and effectively with disorganized attachment and dependency on the therapist; how to help patients integrate traumatic memories; what to do when the patient is enraged, chronically ashamed, avoidant, or unable to trust the therapist; and how to compassionately understand and work with resistances as a co-creation of both patient and therapist. Relational ways of being with the patient are the backbone of treatment, and are themselves essential therapeutic interventions. As such, the book also focused not only on highly practical and theoretically sound interventions, not only on what to do and say, but places strong emphasis on how to be with patients, describing innovative, compassionately collaborative approaches based on the latest research on attachment and evolutionary psychology. Throughout the book, core concepts—fundamental ideas that are highlighted in the text in bold so they can be seen at a glance—are emphasized. These serve as guiding principles in treatment as well as a summing-up of many of the most important notions in each chapter. Each chapter concludes with a section for further examination. These sections include additional ideas and questions, exercises for practicing skills, and suggestions for peer discussions based on topics in a particular chapter, meant to inspire further curiosity, discovery, and growth.