Sensorimotor Psychotherapy: Interventions for Trauma and Attachment

Author: Pat Ogden,Janina Fisher

Publisher: W. W. Norton & Company

ISBN: 0393708500

Category: Psychology

Page: 768

View: 2262

A book for clinicians and clients to use together that explains key concepts of body psychotherapy. The body’s intelligence is largely an untapped resource in psychotherapy, yet the story told by the “somatic narrative”-- gesture, posture, prosody, facial expressions, eye gaze, and movement -- is arguably more significant than the story told by the words. The language of the body communicates implicit meanings and reveals the legacy of trauma and of early or forgotten dynamics with attachment figures. To omit the body as a target of therapeutic action is an unfortunate oversight that deprives clients of a vital avenue of self-knowledge and change. Written for therapists and clients to explore together in therapy, this book is a practical guide to the language of the body. It begins with a section that orients therapists and clients to the volume and how to use it, followed by an overview of the role of the brain and the use of mindfulness. The last three sections are organized according to a phase approach to therapy, focusing first on developing personal resources, particularly somatic ones; second on utilizing a bottom-up, somatic approach to memory; and third on exploring the impact of attachment on procedural learning, emotional biases, and cognitive distortions. Each chapter is accompanied by a guide to help therapists apply the chapter’s teachings in clinical practice and by worksheets to help clients integrate the material on a personal level. The concepts, interventions, and worksheets introduced in this book are designed as an adjunct to, and in support of, other methods of treatment rather than as a stand-alone treatment or manualized approach. By drawing on the therapeutic relationship and adjusting interventions to the particular needs of each client, thoughtful attention to what is being spoken beneath the words through the body can heighten the intimacy of the therapist/client journey and help change take place more easily in the hidden recesses of the self.

The Body as Resource

A Therapist's Manual for Sensorimotor Psychotherapy

Author: Pat Ogden,Janina Fisher

Publisher: W. W. Norton

ISBN: 9780393706130

Category: Psychology

Page: 304

View: 1176

Instructions for using sensorimotor psychotherapy in your own practice. This practical manual will help therapists integrate sensorimotor psychotherapy—a technique that promotes safe and gradual reconnection with the body—into their work with individuals, groups, families, and couples suffering from complex trauma.

Trauma and the Body: A Sensorimotor Approach to Psychotherapy (Norton Series on Interpersonal Neurobiology)

Author: Kekuni Minton,Pat Ogden,Clare Pain

Publisher: W. W. Norton & Company

ISBN: 0393075850

Category: Psychology

Page: 320

View: 7315

The body, for a host of reasons, has been left out of the "talking cure." Psychotherapists who have been trained in models of psychodynamic, psychoanalytic, or cognitive therapeutic approaches are skilled at listening to the language and affect of the client. They track the clients' associations, fantasies, and signs of psychic conflict, distress, and defenses. Yet while the majority of therapists are trained to notice the appearance and even the movements of the client's body, thoughtful engagement with the client's embodied experience has remained peripheral to traditional therapeutic interventions. Trauma and the Body is a detailed review of research in neuroscience, trauma, dissociation, and attachment theory that points to the need for an integrative mind-body approach to trauma. The premise of this book is that, by adding body-oriented interventions to their repertoire, traditionally trained therapists can increase the depth and efficacy of their clinical work. Sensorimotor psychotherapy is an approach that builds on traditional psychotherapeutic understanding but includes the body as central in the therapeutic field of awareness, using observational skills, theories, and interventions not usually practiced in psychodynamic psychotherapy. By synthesizing bottom-up and top down interventions, the authors combine the best of both worlds to help chronically traumatized clients find resolution and meaning in their lives and develop a new, somatically integrated sense of self. Topics addressed include: Cognitive, emotional, and sensorimotor dimensions of information processing • modulating arousal • dyadic regulation and the body • the orienting response • defensive subsystems • adaptation and action systems • treatment principles • skills for working with the body in present time • developing somatic resources for stabilization • processing

Body Sense: The Science and Practice of Embodied Self-Awareness (Norton Series on Interpersonal Neurobiology)

Author: Alan Fogel

Publisher: W. W. Norton

ISBN: 0393708667

Category: Psychology

Page: 416

View: 7471

The science and practice of feeling our movements, sensations, and emotions. When we are first born, before we can speak or use language to express ourselves, we use our physical sensations, our “body sense,” to guide us toward what makes us feel safe and fulfilled and away from what makes us feel bad. As we develop into adults, it becomes easy to lose touch with these crucial mind-body communication channels, but they are essential to our ability to navigate social interactions and deal with psychological stress, physical injury, and trauma. Combining a ground-up explanation of the anatomical and neurological sources of embodied self-awareness with practical exercises in touch and movement, Body Sense provides therapists and their clients with the tools to attain mind-body equilibrium and cultivate healthy body sense throughout their lives.

The Polyvagal Theory: Neurophysiological Foundations of Emotions, Attachment, Communication, and Self-regulation (Norton Series on Interpersonal Neurobiology)

Author: Stephen W. Porges

Publisher: W. W. Norton & Company

ISBN: 0393707008

Category: Medical

Page: 347

View: 2561

A collection of groundbreaking research by a leading figure in neuroscience.

Healing the Fragmented Selves of Trauma Survivors

Overcoming Internal Self-Alienation

Author: Janina Fisher

Publisher: Taylor & Francis

ISBN: 1134613016

Category: Psychology

Page: 280

View: 1206

Healing the Fragmented Selves of Trauma Survivors integrates a neurobiologically informed understanding of trauma, dissociation, and attachment with a practical approach to treatment, all communicated in straightforward language accessible to both client and therapist. Readers will be exposed to a model that emphasizes "resolution"—a transformation in the relationship to one’s self, replacing shame, self-loathing, and assumptions of guilt with compassionate acceptance. Its unique interventions have been adapted from a number of cutting-edge therapeutic approaches, including Sensorimotor Psychotherapy, Internal Family Systems, mindfulness-based therapies, and clinical hypnosis. Readers will close the pages of Healing the Fragmented Selves of Trauma Survivors with a solid grasp of therapeutic approaches to traumatic attachment, working with undiagnosed dissociative symptoms and disorders, integrating "right brain-to-right brain" treatment methods, and much more. Most of all, they will come away with tools for helping clients create an internal sense of safety and compassionate connection to even their most dis-owned selves.

Coping with Trauma-Related Dissociation: Skills Training for Patients and Therapists (Norton Series on Interpersonal Neurobiology)

Author: Suzette Boon,Kathy Steele,Onno van der Hart

Publisher: W. W. Norton & Company

ISBN: 039370646X

Category: Psychology

Page: 470

View: 7251

This is the first book to offer structured skills training for those suffering from dissociative disorders as a result of trauma. Boone, Steele, and van der Hart draw upon a practical integration of current and important theories and therapies for trauma and dissociation. They offer a helpful combination of short educational pieces, homework sheets, and exercises that promote essential emotional and life skills in individuals who suffer from dissociation, and which can be used in either group or individual treatment.

Trauma Healing at the Clay Field

A Sensorimotor Art Therapy Approach

Author: Cornelia Elbrecht

Publisher: Jessica Kingsley Publishers

ISBN: 0857006878

Category: Psychology

Page: 336

View: 9344

Using clay in therapy taps into the most fundamental of human experiences - touch. This book is a comprehensive step-by-step training manual that covers all aspects of 'Work at the Clay Field', a sensorimotor-based art therapy technique. The book discusses the setting and processes of the approach, provides an overview of the core stages of Gestalt Formation and the Nine Situations model within this context, and demonstrates how this unique focus on the sense of touch and the movement of the hands is particularly effective for trauma healing in adults and children. The intense tactile experience of working with clay allows the therapist to work through early attachment issues, developmental setbacks and traumatic events with the client in a primarily nonverbal way using a body-focused approach. The kinaesthetic motor action of the hands combined with sensory perception can lead to a profound sense of resolution with lasting therapeutic benefits. With photographs and informative case studies throughout, this book will be a valuable resource for art therapists and mental health professionals, and will also be of interest to complementary therapists and bodyworkers.

Affect Regulation Theory: A Clinical Model

Author: Daniel Hill

Publisher: W. W. Norton & Company

ISBN: 0393711323

Category: Psychology

Page: 208

View: 9144

The rich, complex theory of affect regulation boiled down into a clinically useful guide. Affect regulation theory—the science of how humans regulate their emotions—is at the root of all psychotherapies. Drawing on attachment, developmental trauma, implicit processes, and neurobiology, major theorists from Allan Schore to Daniel Stern have argued how and why regulated affect is key to our optimal functioning. This book translates the intricacies of the theory into a cogent clinical synthesis. With clarity and practicality, Hill decodes the massive body of contemporary research on affect regulation, offering a comprehensible and ready-to-implement model for conducting affect regulation therapy. The book is organized around the four domains of a clinical model: (1) a theory of bodymind; (2) a theory of optimal development of affect regulation in secure attachment relationships; (3) a theory of pathogenesis, in which disordered affect regulation originates in relational trauma and insecure attachment relationships; and (4) a theory of therapeutic actions targeted to repair the affect regulating systems. The key themes of Hill’s affect-focused approach include: how and why different patterns of affect regulation develop; how regulatory patterns are transmitted from caretakers to the infants; what adaptive and maladaptive regulatory patterns look like neurobiologically, psychologically, and relationally; how deficits in affect regulation manifest as psychiatric symptoms and personality disorders; and ultimately, the means by which regulatory deficits can be repaired. Specific chapters explore such subjects as self states, mentalization, classical and modern attachment theory, relational trauma (and its manifestations in chronic dissociation, personality disorders, and pervasive dissociated shame), supporting self-development in therapy, patient–therapist attunement, implicit and explicit therapeutic actions, and many more.

Talking Bodies

How do we Integrate Working with the Body in Psychotherapy from an Attachment and Relational Perspective?

Author: Kate White

Publisher: Routledge

ISBN: 0429919816

Category: Psychology

Page: 176

View: 320

This monograph brings together the presentations from the nineteenth John Bowlby Memorial Conference in 2012, organised by The Bowlby Centre. The aim of this was to explore the growing role of the body in relational psychotherapy over the last decade, and to bring us up to date in thinking about the relationship between attachment, the body and trauma. Questions addressed included: How do we anchor the new understandings we are gaining within the framework of attachment? How might the integration of these ideas about the body change what we do in the consulting room? What impact might this have on the therapy relationship? Can we maintain and respect the place of a secure, attuned attachment between therapist and client, and its healing potential, at the centre of our therapeutic work?Pat Ogden's paper "Wisdom of the Body, Lost and Found" was the conference centrepiece and there are contributions from leading clinicians including Roz Carroll, Mark Linington, and Orit Badouk Epstein. Each in their different ways have brought their clinical experiences to life in their presentations and demonstrated this leading edge work in relation to the themes of the body and touch with clients including those so often regarded as "unsuitable for therapy", namely those who have a physical or learning disability or those who have survived extreme trauma through the painful means of psychic protection resulting in dissociative states of mind.Other contributors include Phil Mollon on "Attachment and Energy Psychology" and Nick Totton on "Embodiment and the Social Bond".

The Haunted Self

Structural Dissociation and the Treatment of Chronic Traumatization

Author: Onno van der Hart,Ellert R. S. Nijenhuis,Kathy Steele

Publisher: W. W. Norton & Company

ISBN: 9780393704013

Category: Psychology

Page: 418

View: 4839

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.

Shattered States

Disorganised Attachment and Its Repair

Author: Judy Yellin,Kate White

Publisher: Karnac Books

ISBN: 1855758318

Category: Psychology

Page: 219

View: 2815

"The John Bowlby Memorial Conference Monograph 2007."

EMDR Therapy and Somatic Psychology: Interventions to Enhance Embodiment in Trauma Treatment

Author: Arielle Schwartz,Barb Maiberger

Publisher: W. W. Norton & Company

ISBN: 0393713113

Category: Psychology

Page: 304

View: 506

A guide to help EMDR practitioners to integrate somatic therapy into their sessions. Clients who have experienced traumatic events and seek EMDR therapists rely on them as guides through their most vulnerable moments. Trauma leaves an imprint on the body, and if clinicians don't know how to stay embodied in the midst of these powerful relational moments, they risk shutting down with their clients or becoming overwhelmed by the process. If the body is not integrated into EMDR therapy, full and effective trauma treatment is unlikely. This book offers an integrative model of treatment that teaches therapists how to increase the client's capacity to sense and feel the body, helps the client work through traumatic memories in a safe and regulated manner, and facilitates lasting integration. Part I (foundational concepts) offers a broad discussion of theory and science related to trauma treatment. Readers will be introduced to essential components of EMDR therapy and somatic psychology. The discussion then deepens into the science of embodiment through the lens of research on emotion, memory, attachment, interpersonal neurobiology, and the impact of trauma on overall health. This part of the book emphasizes the principles of successful trauma treatment as phase-oriented, mindfulness-based, noninterpretive, experiential, relational, regulation focused, and resilience-informed. Part II (interventions) presents advanced scripted protocols that can be integrated into the eight phases of EMDR therapy. These interventions provide support for therapists and clients who want to build somatic awareness through experiential explorations that incorporate mindfulness of sensations, movement impulses, breath, and boundaries. Other topics discussed include a focus on complex PTSD and attachment trauma, which addresses topics such as working with preverbal memories, identifying ego states, and regulating dissociation; chronic pain or illness; and culturally-based traumatic events. Also included is a focused model of embodied self-care to prevent compassion fatigue and burnout.

Dissociation and the Dissociative Disorders

DSM-V and Beyond

Author: Paul F. Dell,John A. O'Neil

Publisher: Routledge

ISBN: 1135906033

Category: Psychology

Page: 898

View: 8770

Winner of ISSTD's 2009 Pierre Janet Writing Award for the best publication on dissociation in 2009! Dissociation and the Dissociative Disorders is a book that has no real predecessor in the dissociative disorders field. It reports the most recent scientific findings and conceptualizations about dissociation; defines and establishes the boundaries of current knowledge in the dissociative disorders field; identifies and carefully articulates the field’s current points of confusion, gaps in knowledge, and conjectures; clarifies the different aspects and implications of dissociation; and sets forth a research agenda for the next decade. In many respects, Dissociation and the Dissociative Disorders both defines and redefines the field.

Foundational Concepts in Neuroscience: A Brain-Mind Odyssey (Norton Series on Interpersonal Neurobiology)

Author: David E. Presti

Publisher: W. W. Norton & Company

ISBN: 0393709612

Category: Psychology

Page: 320

View: 8318

Key concepts in neuroscience presented for the non-medical reader. A fresh take on contemporary brain science, this book presents neuroscience—the scientific study of brain, mind, and behavior—in easy-to-understand ways with a focus on concepts of interest to all science readers. Rigorous and detailed enough to use as a textbook in a university or community college class, it is at the same time meant for any and all readers, clinicians and non-clinicians alike, interested in learning about the foundations of contemporary brain science. From molecules and cells to mind and consciousness, the known and the mysterious are presented in the context of the history of modern biology and with an eye toward better appreciating the beauty and growing public presence of brain science.

Hakomi Mindfulness-Centered Somatic Psychotherapy: A Comprehensive Guide to Theory and Practice

Author: Halko Weiss,Greg Johanson,Lorena Monda

Publisher: W. W. Norton & Company

ISBN: 0393710734

Category: Psychology

Page: 432

View: 8332

The authoritative text on Hakomi methods, theory, and practice. Hakomi is an integrative method that combines Western psychology and body-centered techniques with mindfulness principles from Eastern psychology. This book, written and edited by members of the Hakomi Institute— the world’s leading professional training program for Hakomi practitioners—and by practitioners and teachers from across the globe, introduces all the processes and practices that therapists need in order to begin to use this method with clients. The authors detail Hakomi's unique integration of body psychotherapy, mindfulness, and the Eastern philosophical principle of non-violence, grounding leading-edge therapeutic technique in an attentiveness to the whole person and their capacity for transformation.

The Heart of Trauma: Healing the Embodied Brain in the Context of Relationships (Norton Series on Interpersonal Neurobiology)

Author: Bonnie Badenoch

Publisher: W. W. Norton & Company

ISBN: 0393710491

Category: Psychology

Page: 368

View: 8177

How each of us can become a therapeutic presence in the world. Images and sounds of war, natural disasters, and human-made devastation explicitly surround us and implicitly leave their imprint in our muscles, our belly and heart, our nervous systems, and the brains in our skulls. We each experience more digital data than we are capable of processing in a day, and this is leading to a loss of empathy and human contact. This loss of leisurely, sustained, face-to-face connection is making true presence a rare experience for many of us, and is neurally ingraining fast pace and split attention as the norm. Yet despite all of this, the ability to offer the safe sanctuary of presence is central to effective clinical treatment of trauma and indeed to all of therapeutic practice. It is our challenge to remain present within our culture, Badenoch argues, no matter how difficult this might be. She makes the case that we are built to seek out, enter, and sustain warm relationships, all this connection will allow us to support the emergence of a humane world. In this book, Bonnie Badenoch, a gifted translator of neuroscientific concepts into human terms, offers readers brain- and body-based insights into how we can form deep relational encounters with our clients and our selves and how relational neuroscience can teach us about the astonishing ways we are interwoven with one another. How we walk about in our daily lives will touch everyone, often below the level of conscious awareness. The first part of The Heart of Trauma provides readers with an extended understanding of the ways in which our physical bodies are implicated in our conscious and non-conscious experience. Badenoch then delves even deeper into the clinical implications of moving through the world. She presents a strong, scientifically grounded case for doing the work of opening to hemispheric balance and relational deepening.

Mentalizing in Clinical Practice

Author: Jon G. Allen,Peter Fonagy,Anthony Bateman

Publisher: American Psychiatric Pub

ISBN: 1585623067

Category: Medical

Page: 403

View: 340

This timely and ambitious book helps clarify the meaning and clinical applications of the mentalization construct. The authors propose that mentalizing is the central corrective process of all psychotherapies.

Clinical Insights from the Polyvagal Theory: The Transformative Power of Feeling Safe (Norton Series on Interpersonal Neurobiology)

Author: Stephen W. Porges

Publisher: W. W. Norton

ISBN: 9780393707878

Category: Psychology

Page: 288

View: 7010

Bridging the gap between research, science, and the therapy room. The polyvagal theory explains the biological origins of a variety of social behaviors and emotional disorders. This book distills that theory into practical clinical tips, explaining its relevance to the social engagement system and offering clinical examples, including cases of trauma and autism.