Haunted Self: Structural Dissociation And Treatment Of Chronic TraumatizationLife is an ongoing struggle for patients who have been chronically traumatized. They typically have a wide array of symptoms, often classified under different combinations of comorbidity, which can make assessment and treatment complicated and confusing for the therapist. Many patients have substantial problems with daily living and relationships, including serious intrapsychic conflicts and maladaptive coping strategies. Their suffering essentially relates to a terrifying and painful past that haunts them. Even when survivors attempt to hide their distress beneath a facade of normality—a common strategy—therapists often feel besieged by their many symptoms and serious pain. Small wonder that many survivors of chronic traumatization have seen several therapists with little if any gains, and that quite a few have been labeled as untreatable or resistant. In this book, three leading researchers and clinicians share what they have learned from treating and studying chronically traumatized individuals across more than 65 years of collective experience. Based on the theory of structural dissociation of the personality in combination with a Janetian psychology of action, the authors have developed a model of phase-oriented treatment that focuses on the identification and treatment of structural dissociation and related maladaptive mental and behavioral actions. The foundation of this approach is to support patients in learning more effective mental and behavioral actions that will enable them to become more adaptive in life and to resolve their structural dissociation. This principle implies an overall therapeutic goal of raising the integrative capacity, in order to cope with the demands of daily life and deal with the haunting remnants of the past, with the “unfinished business” of traumatic memories. Of interest to clinicians, students of clinical psychology and psychiatry, as well as to researchers, all those interested in adult survivors of chronic child abuse and neglect will find helpful insights and tools that may make the treatment more effective and efficient, and more tolerable for the suffering patient. |
Contents
IV | 19 |
Structural Dissociation of the Personality | 21 |
VI | 43 |
VII | 57 |
IX | 71 |
XI | 87 |
XII | 107 |
XIII | 127 |
XVIII | 211 |
Treatment of Chronically Traumatized Patients | 213 |
XX | 217 |
XXI | 237 |
XXIII | 261 |
XXIV | 279 |
XXV | 299 |
XXVI | 317 |
Chronic Traumatization and a Janetian Psychology of Action | 129 |
Introduction to Part II | 131 |
XIV | 149 |
XV | 167 |
XVI | 191 |
XXVIII | 335 |
XXIX | 353 |
XXX | 359 |
XXXI | 401 |
Other editions - View all
Haunted Self: Structural Dissociation And Treatment Of Chronic Traumatization Der Hart Van,Ellert R Nijenhuis,K Steele No preview available - 2006 |
Common terms and phrases
action systems action tendencies adaptive actions affect amnesia ANP and EP assessment attachment loss avoid aware become behavioral actions caretaking Chapter child childhood chronically traumatized classical conditioning clinical cognitive conditioned stimuli daily DDNOS degree depersonalization develop dissociative amnesia dissociative disorders dissociative identity disorder dissociative symptoms DSM-IV DSM-IV dissociative disorders empathic engage example fear feelings function goals guided synthesis Hart help the patient integration internal interoceptive interventions intrusions involves Janet Kluft Kolk level of action maladaptive ment mental and behavioral mental efficiency mental energy mental level Nijenhuis overcoming the phobia pain perceived personification Phase phobia of attachment physical Pierre Janet posttraumatic stress disorder present presentification PTSD reality realization relationships secondary structural dissociation shame skills social somatoform dissociative Steele substitute actions subsystems survivor as ANP tertiary structural therapeutic therapist therapy threat tion tive trauma-derived mental actions traumatic experiences traumatic memories traumatized individuals traumatizing event treatment Van der Hart
References to this book
Traumatic Dissociation: Neurobiology and Treatment Eric Vermetten,Martin J. Dorahy,David Spiegel Limited preview - 2007 |