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The essence of "plain old therapy," according to Jon G. Allen, is a mindful relationship between the patient and a trusted clinician who recognizes and understands the patient's trauma and connects with the nature and magnitude of his or her suffering. In Restoring Mentalizing in Attachment Relationships: Treating Trauma With Plain Old Therapy, Allen, a clinical psychologist with widely respected expertise in trauma, makes a research-based case for the virtues of the healing relationship created and nurtured through traditional psychotherapy. Though in recent years therapy has become just one of many treatment options for posttraumatic stress disorder and other trauma-related illnesses, the author argues that it remains the best. The book provides a conceptual framework for treating trauma patients and illuminates relationship factors that are empirically associated with positive outcomes. Patients who have suffered broken and dysfunctional attachments will benefit from its emphasis on trust, compassion, and true connection. Mental health clinicians of diverse theoretical orientations -- be they psychiatrists, psychologists, or social workers, in training or practice -- will benefit from its emphasis on what works, as will their patients.
This book brings together the latest knowledge from attachment research and neuroscience to provide a new approach to treating trauma for therapists from different professional disciplines and diverse theoretical backgrounds. The field of trauma suffers from fragmentation as brands of therapy proliferate in relation to a multiplicity of psychiatric disorders. This fragmentation calls for a fresh clinical approach to treating trauma. Pinpointing at once the problem and potential solution, the author places the experience of being psychologically alone in unbearable emotional states at the heart of trauma in attachment relationships. This trauma results from a failure of mentalizing, that is, empathic attunement to emotional distress. Psychotherapy offers an opportunity for healing by restoring mentalizing, that is, fostering psychological attunement in the context of secure attachment relationships-in the psychotherapy relationship and in other attachment relationships. The book gives a unique overview of common attachment patterns in childhood and adulthood, setting the stage for understanding attachment trauma, which is most conspicuous in maltreatment but also more subtly evident in early and repeated failures of attunement in attachment relationships.
Mental, physical, or sexual abuse in close personal relationships commonly results in trauma that is very different from the trauma of accidents, illness, or war. Making creative use of attachment theory to explicate the multifaceted outcomes of trauma, this book provides a powerful conceptual framework and a concise, masterly review of a huge knowledge base. Encyclopedic in scope and scholarly in its up-to-the-minute survey of research findings.
Loss of mentalizing leads to interpersonal and social problems, emotional variability, impulsivity, self-destructive behaviours, and violence. This practical guide on MBT treatment of personality disorders outlines the mentalizing model of borderline and antisocial personality disorders and how it translates into an effective clinical treatment.
What is 'mentalization'? How can this concept be applied to clinical work with children, young people and families? What will help therapists working with children and families to 'keep the mind in mind'? Why does it matter if a parent can 'see themselves from the outside, and their child from the inside'? Minding the Child considers the implications of the concept of mentalization for a range of therapeutic interventions with children and families. Mentalization, and the empirical research which has supported it, now plays a significant role in a range of psychotherapies for adults. In this book we see how these rich ideas about the development of the self and interpersonal relatedness can help to foster the emotional well-being of children and young people in clinical practice and a range of other settings. With contributions from a range of international experts, the three main sections of the book explore: • the concept of mentalization from a theoretical and research perspective • the value of mentalization-based interventions within child mental health services • the application of mentalizing ideas to work in community settings. Minding the Child will be of particular interest to clinicians and those working therapeutically with children and families, but it will also be of interest to academics and students interested in child and adolescent mental health, developmental psychology and the study of social cognition.
'Mentalising and Epistemic Trust' offers a critical overview of MBT, exploring its roots in attachment theory, and more broadly. The main theories and concepts in the work of Fonagy and colleagues are placed in an historical and social context, and changes occurring in the present moment are thoroughly appraised.
In Restoring Mentalizing in Attachment Relationships: Treating Trauma With Plain Old Therapy, Jon G. Allen, Ph.D., argues that the incorporation of mentalizing into attachment theory and research provides a solid foundation for trauma treatment, and offers therapists and patients a pathway to recovery. In plain language accessible to clinicians and laypeople alike, Allen describes trauma in attachment relationships, reviews the literature, and makes a compelling, evidence-based argument for the efficacy of psychotherapy. Specifically, the book: Presents a comprehensive view of attachment trauma across diverse diagnostic conditions, directly linking these to the psychotherapeutic interventions that work best. Allows therapists from different theoretical frameworks, by using these best practices, to treat patients with a wide range of problems and disorders. Situates mindfulness and mentalizing as central to secure attachment, focusing clinicians' attention on these most critical dimensions of healing relationships. Provides a thorough review of the research on attachment, mindfulness, and mentalizing, and evaluates the effectiveness of the most popular trauma treatments, thereby equipping clinicians to treat patients across the spectrum of trauma-related psychiatric disorders. Employs a down-to-earth, conversational writing style that makes the book accessible to patients and family members as well as to professionals. Trauma can be the result of blatant events, such as violence, abuse, and neglect, or the subtle yet pervasive failure to connect. Both contribute to developmental psychopathology and cause lasting emotional pain. "Plain old therapy," according to Allen, is a valuable and proven resource for addressing trauma and treating patients with complex psychiatric disorders. This fascinating and eminently useful book should help to restore psychotherapy to its well-deserved stature.
Winner of the 2018 International Society for the Study of Trauma and Dissociation (ISSTD) Pierre Janet Writing Award. A comprehensive treatment approach for the repair and resolution of attachment disturbances in adults, for use in clinical settings. With contributions by Paula Morgan-Johnson, Paula Sacks, Caroline R. Baltzer, James Hickey, Andrea Cole, Jan Bloom, and Deirdre Fay. Attachment Disturbances in Adults is a landmark resource for (1) understanding attachment, its development, and the most clinically relevant findings from attachment research, and (2) using this understanding to inform systematic, comprehensive, and clinically effective and efficient treatment of attachment disturbances in adults. It offers an innovative therapeutic model and set of methods for treating adult patients with dismissing, anxious-preoccupied, or disorganized attachment. In rich detail, it integrates historical and leading-edge attachment research into practical, effective treatment protocols for each type of insecure attachment. Case transcripts and many sample therapist phrasings illustrate how to apply the methods in practice. Part I, "Foundational Concepts," features a comprehensive overview of the field of attachment, including its history, seminal ideas, and existing knowledge about the development of attachment bonds and behaviors. Part II, "Assessment," addresses the assessment of attachment disturbances. It includes an overview of attachment assessment for the clinician and a trove of practical recommendations for assessing patients' attachment behavior and status both outside of and within the therapeutic relationship. In Part III, "Treatment," the authors not only review existing treatment approaches for attachment disorders in adults, but also introduce an unprecedented, powerful new treatment method. This method, the "Three Pillars" model, is built on three essential clinical ingredients: Systematically utilizing ideal parent figure imagery to develop a new positive, stable internal working model of secure attachment Fostering a range of metacognitive skills Fostering nonverbal and verbal collaborative behavior in treatment Used together, these interdependent pillars form a unified and profoundly effective method of treatment for attachment disturbances in adults—a must for any clinician. In Part IV, "Type-Specific Treatment," readers will learn specific variations of the three treatment pillars to maximize efficacy with each type of insecure attachment. Finally, Part V, "A Treatment Guide and Expected Outcomes," describes treatment in a step-by-step format and provides a success-assessment guide for the Three Pillars approach. This book is a comprehensive educational resource and a deeply practical clinical guide. It offers clinicians a complete set of tools for effective and efficient treatment of adult patients with attachment disturbances.
This important new book explores how to support refugee family relationships in promoting post-trauma recovery and adaptation in exile.
Parenting and Substance Abuse is the first book to report on pioneering efforts to move the treatment of substance-abusing parents forward by embracing their roles and experiences as mothers and fathers directly and continually across the course of treatment.