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This book takes a painstaking look at developmental trauma as it manifests in group, individual, and combined psychotherapies, tracking the growth of non-abused individuals who have courageously addressed overwhelming childhood experiences to make sense of the chaos in their lives. The cumulative impact of repetitive stress, fear, and shame in childhood wreaks havoc on the developing brain, resulting in a life-long vulnerability to anxiety, despair, and dissociative moments that are often described as developmental trauma. Adverse childhood experiences are often overlooked by therapists. This book focuses specifically on the profound suffering of high-functioning private-practice patients who manifest developmental trauma from chronic shock, shame, and neglect. Adams offers a synthesis of diverse theoretical worlds in her study of adaptations to cumulative trauma, namely, relational psychoanalysis, the British school of object relations, trauma theory, neuroscience and interpersonal neurobiology, developmental psychopathology, and attachment theory. Using richly detailed clinical material, this book provides invaluably clear examples to illustrate the effects of disorganized states in infancy, making it essential reading for psychoanalysts, psychotherapists and clinical psychologists working with traumatized patients.
A practical step-by-step guide and follow-up companion to Healing Developmental Trauma--presenting one of the first comprehensive models for addressing complex post-traumatic stress disorder (C-PTSD) The NeuroAffective Relational Model (NARM) is an integrated mind-body framework that focuses on relational, attachment, developmental, cultural, and intergenerational trauma. NARM helps clients resolve C-PTSD, recover from adverse childhood experiences (ACEs), and facilitate post-traumatic growth. Inspired by cutting-edge trauma-informed research on attachment, developmental psychology, and interpersonal neurobiology, The Practical Guide for Healing Developmental Trauma provides counselors, psychotherapists, psychologists, social workers, and trauma-sensitive helping professionals with the theoretical background and practical skills they need to help clients transform complex trauma. It explains: The four pillars of the NARM therapeutic model Cultural and transgenerational trauma Shock vs. developmental trauma How to effectively address ACEs and support relational health How to differentiate NARM from other approaches to trauma treatment NARM's organizing principles and how to integrate the program into your clinical practice
Winner of the NAAP 2019 Gradiva® Award! Winner of the IAJS Book Award for Best Book published in 2019! Marian Dunlea’s BodyDreaming in the Treatment of Developmental Trauma: An Embodied Therapeutic Approach provides a theoretical and practical guide for working with early developmental trauma. This interdisciplinary approach explores the interconnection of body, mind and psyche, offering a masterful tool for restoring balance and healing developmental trauma. BodyDreaming is a somatically focused therapeutic method, drawing on the findings of neuroscience, analytical psychology, attachment theory and trauma therapy. In Part I, Dunlea defines BodyDreaming and its origins, placing it in the context of a dysregulated contemporary world. Part II explains how the brain works in relation to the BodyDreaming approach: providing an accessible outline of neuroscientific theory, structures and neuroanatomy in attunement, affect regulation, attachment patterns, transference and countertransference, and the resolution of trauma throughout the body. In Part III, through detailed transcripts from sessions with clients, Dunlea demonstrates the positive impact of BodyDreaming on attachment patterns and developmental trauma. This somatic approach complements and enhances psychobiological, developmental and psychoanalytic interventions. BodyDreaming restores balance to a dysregulated psyche and nervous system that activates our innate capacity for healing, changing our default response of "fight, flight or freeze" and creating new neural pathways. Dunlea’s emphasis on attunement to build a restorative relationship with the sensing body creates a core sense of self, providing a secure base for healing developmental trauma. Innovative and practical, and with a foreword by Donald E. Kalsched, BodyDreaming in the Treatment of Developmental Trauma: An Embodied Therapeutic Approach will be essential reading for psychotherapists, analytical psychologists and therapists with a Jungian background, arts therapists, dance and movement therapists, and body workers interested in learning how to work with both body and psyche in their practices.
An innovative somatic and attachment-based treatment for working with children and adolescents who suffer from complex trauma and neglect "[This] is a ground-breaking new approach to treating traumatized children, based on the combination of keen clinical observation, sensory integration, and a deep understanding of the latest advances in the neuroscience of trauma."—Bessel van der Kolk, MD, best-selling author of The Body Keeps the Score The SMART (Sensory Motor Arousal Regulation Treatment) program addresses three key processes that can be derailed by developmental trauma--somatic regulation, trauma processing, and attachment-building--and uses movement and sensation to target the neurological structures that support emotional and behavioral regulation. Transforming Trauma in Children and Adolescents teaches therapists the eight key skills required for SMART mastery and provides seven regulation tools for clients, helping children and adolescents manage their feelings and attend to developmental tasks like making friends, participating at school, learning to play with others, and developing a sense of self that includes--but isn't defined by--the trauma they've experienced. Enriched with case studies and recommended adaptations, the book includes resources for parents and other caregivers who want to provide ongoing supportive care outside the clinical setting.
Working with the circuitry of the brain to restore emotional health and well-being. Neurofeedback, a type of "brain training" that allows us to see and change the patterns of our brain, has existed for over 40 years with applications as wide-ranging as the treatment of epilepsy, migraines, and chronic pain to performance enhancement in sports. Today, leading brain researchers and clinicians, interested in what the brain can tell us about mental health and well being, are also taking notice. Indeed, the brain's circuitry—its very frequencies and rhythmic oscillations—reveals much about its role in our emotional stability and resilience. Neurofeedback allows clinicians to guide their, clients as they learn to transform brain-wave patterns, providing a new window into how we view and treat mental illness. In this cutting-edge book, experienced clinician Sebern Fisher keenly demonstrates neurofeedback’s profound ability to help treat one of the most intractable mental health concerns of our time: severe childhood abuse, neglect, or abandonment, otherwise known as developmental trauma. When an attachment rupture occurs between a child and her or his primary caregiver, a tangle of complicated symptoms can set in: severe emotional dysregulation, chronic dissociation, self-destructive behaviors, social isolation, rage, and fear. Until now, few reliable therapies existed to combat developmental trauma. But as the author so eloquently presents in this book, by focusing on a client's brain-wave patterns and "training" them to operate at different frequencies, the rhythms of the brain, body, and mind are normalized, attention stabilizes, fear subsides, and, with persistent, dedicated training, regulation sets in. A mix of fundamental theory and nuts-and-bolts practice, the book delivers a carefully articulated and accessible look at the mind and brain in developmental trauma, what a “trauma identity” looks like, and how neurofeedback can be used to retrain the brain, thereby fostering a healthier, more stable state of mind. Essential clinical skills are also fully covered, including how to introduce the idea of neurofeedback to clients, how to combine it with traditional psychotherapy, and how to perform assessments. In his foreword to the book, internationally recognized trauma expert Bessel van der Kolk, MD, praises Fisher as “an immensely experienced neurofeedback practitioner [and] the right person to teach us how to integrate it into clinical practice.” Filled with illuminating client stories, powerful clinical insights, and plenty of clinical "how to," she accomplishes just that, offering readers a compelling look at exactly how this innovative model can be used to engage the brain to find peace and to heal.
This book presents an innovative relational and community based therapeutic model to ensure children's essential attachment needs are catered for in intensive mental health care. The text combines an overview of theory relating to attachment and trauma before laying out a model for working with children and adolescents in an attachment-informed way. The approach applies to a diverse range of settings - from in-patient psychiatric settings, through to schools-based programs, and provides the reader with the knowledge and guidance they need to introduce the approach in their own service. It also addresses the complexities of working with specific clinical populations, including children with ADHD, ASD, RAD and psychosis. Accessible for entry level clinical caretakers, yet sophisticated enough for clinical supervisors, this book is essential reading for professionals looking to improve the effectiveness of child and adolescent treatment programs.
Featuring a wealth of clinical examples, this book facilitates implementation of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) in a range of contexts. It demonstrates how assessment strategies and treatment components can be tailored to optimally serve clients' needs while maintaining overall fidelity to the TF-CBT model. Coverage includes ways to overcome barriers to implementation in residential settings, foster placements, and low-resource countries. Contributors also describe how to use play to creatively engage kids of different ages, and present TF-CBT applications for adolescents with complex trauma, children with developmental challenges, military families struggling with the stresses of deployment, and Latino and Native American children. See also Cohen et al.'s authoritative TF-CBT manual, Treating Trauma and Traumatic Grief in Children and Adolescents, Second Edition.
In this classic work of developmental psychology, renowned psychiatrist and the coauthor of the #1 New York Times bestseller What Happened to You? reveals how trauma affects children—and outlines the path to recovery "Fascinating and upbeat...Dr. Perry is both a world-class creative scientist and a compassionate therapist."—Mary Pipher, PhD, author of Reviving Ophelia How does trauma affect a child's mind—and how can that mind recover? Child psychiatrist Dr. Bruce D. Perry has helped children faced with unimaginable horror: genocide survivors, murder witnesses, kidnapped teenagers, and victims of family violence. In the classic The Boy Who Was Raised as a Dog, Dr. Perry tells their stories of trauma and transformation and shares their lessons of courage, humanity, and hope. Deftly combining unforgettable case histories with his own compassionate, insightful strategies for rehabilitation, Perry explains what happens to children’s brains when they are exposed to extreme stress—and reveals the unexpected measures that can be taken to ease such pain and help them grow into healthy adults. Only when we understand the science of the mind and the power of love and nurturing can we hope to heal the spirit of even the most wounded child.
This “well-organized, valuable” guide draws from somatic-based psychotherapy and neuroscience to offer “clear guidance” for coping with childhood trauma (Peter Levine, author of Waking the Tiger and In an Unspoken Voice). Although it may seem that people suffer from an endless number of emotional problems and challenges, Laurence Heller and Aline LaPierre maintain that most of these can be traced to five biologically based organizing principles: the need for connection, attunement, trust, autonomy, and love-sexuality. They describe how early trauma impairs the capacity for connection to self and others and how the ensuing diminished aliveness is the hidden dimension that underlies most psychological and many physiological problems. Heller and LaPierre introduce the NeuroAffective Relational Model® (NARM), a method that integrates bottom-up and top-down approaches to regulate the nervous system and resolve distortions of identity such as low self-esteem, shame, and chronic self-judgment that are the outcome of developmental and relational trauma. While not ignoring a person’s past, NARM emphasizes working in the present moment to focus on clients’ strengths, resources, and resiliency in order to integrate the experience of connection that sustains our physiology, psychology, and capacity for relationship.
This insightful guide provides a pragmatic roadmap for treating adult survivors of complex psychological trauma. Christine Courtois and Julian Ford present their effective, research-based approach for helping clients move through three clearly defined phases of posttraumatic recovery. Two detailed case examples run throughout the book, illustrating how to plan and implement strengths-based interventions that use a secure therapeutic alliance as a catalyst for change. Essential topics include managing crises, treating severe affect dysregulation and dissociation, and dealing with the emotional impact of this type of work. The companion Web page offers downloadable reflection questions for clinicians and extensive listings of professional and self-help resources. See also Drs. Courtois and Ford's edited volumes, Treating Complex Traumatic Stress Disorders (Adults) and Treating Complex Traumatic Stress Disorders in Children and Adolescents, which present research on the nature of complex trauma and review evidence-based treatment models.