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This book explores the role and experience of the therapist in the therapeutic relationship by examining countertransference (the therapist's response to the client) and vicarious traumatization (the therapist's response to the stories of abuse told by client after client). The authors address specific issues that arise in treatment of incest survivors.
To her surprise, dismay, and eventually relief, Mary Armstrong, a therapist with over thirty years of experience helping people heal from childhood trauma, uncovered her own history of child sexual abuse at the hands of her grandfather and father. As she tells her harrowing but heroic tale, she casts light as never before on the issue of repressed memories and the invisible wounds left by childhood trauma.
Examines several current clinical approaches to trauma focused treatment, integrating these interventions into a broader clinical context. Emphasizes basic therapeutic skills such as empathic listening, instilling resilience, and creating meaning, in the service of empirically-supported, highly efficacious trauma interventions.
The Presence of the Therapist explores the many dilemmas and difficulties of how to work with a person who has become highly defensive or fearful of having thoughts about what has happened to them.
Nonverbal interactions are applied to trauma treatment for more effective results. The model of treatment developed here is grounded in the physical, psychological, and cognitive reactions children have to traumatic experiences and the consequences of those experiences. The approach to treatment utilizes the integrative capacity of the brain to create a self, foster insight, and produce change. Treatment strategies are based on cutting-edge understanding of neurobiology, the development of the brain, and the storage and retrieval of traumatic memory. Case vignettes illustrate specific examples of the reactions of children, families, and teens to acute and repeated exposure to traumatic events. Also presented is the most recent knowledge of the role of the right hemisphere (RH) in development and therapy. Right brain communication, and how to recognize the non-verbal symbolic and unconscious, affective processes will be explained, along with examples of how the therapist can utilize art making, media, tools, and self to engage in a two-person biology.
This book provides a theoretical framework and a practical model of intervention for distressed couples whose relationships are affected by the echoes of trauma. Combining attachment theory, trauma research, and emotionally focused therapeutic techniques, Susan M. Johnson guides the clinician in modifying the interactional patterns that maintain traumatic stress and fostering positive, healing relationships among survivors and their partners. In-depth case material brings to life the process of assessment and treatment with couples coping with the impact of different kinds of trauma, including childhood abuse, serious illness, and combat experiences. The concluding chapter features valuable advice on therapist self-care.
Trauma and Play Therapy synthesizes new developments in the study of children’s trauma recovery to assist clinicians in combining play therapy with other powerful ways of addressing the needs of hurt children. The TraumaPlayTM model, formerly known as Flexibly Sequential Play Therapy, equips practitioners to manage and adapt aspects of the play therapy place and process in order to help children tell their stories while draining the emotional toxicity from traumatic experiences. Chapters explore the neurobiological and developmental foundations of play therapy as well as strategies for navigating children’s trauma in relation to specific aspects of play therapy such as sensory integration, metaphor, and humor. Enriched by a tapestry of illustrative case examples and tools for therapists, this is a vital new book for clinicians working at the intersection of play and children’s trauma.
Principles and Techniques of Trauma-Centered Psychotherapy integrates cognitive-behavioral, psychodynamic, and humanistic methods of trauma treatment into a psychotherapeutic context. Rather than presenting a unique form of intervention or technique, the authors present methods that have been used successfully, some of which are supported by evidence-based research and some by broad clinical experience. This is not a general text, then, but one focused on building competence and confidence in trauma-centered interventions, providing methods that should be readily and widely applicable to clinical practice. The authors recognize that asking a client about the details of a traumatic event is an intimate act that calls upon the therapist to be both compassionate and dispassionate in the service of the client's well-being. Accordingly, the book functions as a guide, instructing and supporting the clinician through this demanding and necessary work. The book has many useful features: The book stresses technique, not theory, and is appropriate for clinicians of any theoretical orientation, including cognitive-behavioral, psychodynamic, humanistic, and sociocultural. Similarly, the book will be useful to a range of clinicians, from psychiatrists and psychologists to social workers, marriage and family therapists, and professional counselors. Dozens of detailed clinical case examples are included that illustrate what to say and what not to say in the wide variety of situations that clinicians are likely to encounter. Down-to-earth strategies are included for setting up the proper trauma-centered frame for the therapeutic work, conducting a detailed trauma history, exploring the effects of the trauma on present-day behavior, and handling the inevitable disruptions in the therapeutic relationship. Valuable features include study questions, which conclude each chapter, and appendices, which provide a template for a consent-to-treatment form, a traumatic life events questionnaire, and a clinical assessment interview. In many long-term therapies, regardless of therapeutic orientation, a moment comes when the clinician or client realizes it is time to engage in a detailed exploration of traumatic events. Principles and Techniques of Trauma-Centered Psychotherapy is for that moment, and its rich clinical transcripts and vast detailed techniques will equip the therapist to embark on that process confidently, humanely, and effectively.
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Stephen K. Levine's new book explores the nature of traumatic experience and the therapeutic role of the arts and arts therapies in responding to it. It suggests that by re-imagining painful and tragic experiences through art-making, we may release their fixity and negative hold on our lives and resist the temptation to assume the role of the victim. Among the many concerns that the book addresses is the damage done by the tendency to adopt stock methods of understanding and superficial explanations for the depths, complexities, wonders, and exasperations of human experience. The book explores the chaos and fragmentation inherent in both art and human existence and the ways in which memory and imagination can find meaning by acknowledging this chaos and embodying it in appropriate forms. The book builds on the important theories of Stephen K. Levine's previous book, Poiesis: The Language of Psychology and the Speech of the Soul, also published by Jessica Kingsley Publishers. It challenges dominant psychological perspectives on trauma and provides a new framework for arts therapists, psychotherapists, psychologists and social scientists to understand the effectiveness of the arts therapies in responding to human suffering.