Developmental Couple Therapy For Complex Trauma

Developmental Couple Therapy for Complex Trauma provides therapists with comprehensive and practical guidance for integrating DCTCT into their work with traumatized couples. The book includes an evidence-based framework which emphasizes the importance of containing conflict and helps clients to build emotional regulation and mentalizing skills. The framework is an invaluable asset to all clinicians working with couples dealing with the ravaging impacts of complex trauma, who may not be able to benefit from traditional forms of couple therapy due to challenges in regulating emotions, mentalizing and other aspects of the complex trauma response that limit capacity to engage in relationships and couple therapy. The chapters guide you through the four key stages of DCTCT: Psychoeducation, Building Capacity, Dyadic Processing, and Consolidation. Each stage has accompanying activities and narratives in which to engage traumatized couples and includes a variety of case transcripts to illustrate the approach. Throughout the manual the author provides the reader with: insights from real-world scenarios based on her extensive clinical experience; worksheets that can be used as part of the therapeutic process; systematic analyses of the therapeutic process from the therapist’s point of view; comprehensive recommendations for further reading so that you can develop your expertise in any area of DCTCT. Never losing sight of the fact that the therapist plays an essential role as a coach and mentor for those undertaking couple therapy, this manual is a valuable tool for any clinician working to engage traumatized couples and equip them with the skills they need to develop and maintain a strong and vibrant couple 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.

Written for those working to heal developmental trauma and seeking new tools for self-awareness and growth, this book focuses on conflicts surrounding the capacity for connection. Explaining that an impaired capacity for connection to self and to others and the ensuing diminished aliveness are the hidden dimensions that underlie most psychological and many physiological problems, clinicians Laurence Heller and Aline LaPierre introduce the NeuroAffective Relational Model® (NARM), a unified approach to developmental, attachment, and shock trauma that, while not ignoring a person’s past, emphasizes working in the present moment. NARM is a somatically based psychotherapy that helps bring into awareness the parts of self that are disorganized and dysfunctional without making the regressed, dysfunctional elements the primary theme of the therapy. It emphasizes a person’s strengths, capacities, resources, and resiliency and is a powerful tool for working with both nervous system regulation and distortions of identity such as low self-esteem, shame, and chronic self-judgment.

With contributions from prominent experts, this pragmatic book takes a close look at the nature of complex psychological trauma in children and adolescents and the clinical challenges it presents. Each chapter shows how a complex trauma perspective can provide an invaluable unifying framework for case conceptualization, assessment, and intervention amidst the chaos and turmoil of these young patients' lives. A range of evidence-based and promising therapies are reviewed and illustrated with vivid case vignettes. The volume is grounded in clinical innovations and cutting-edge research on child and adolescent brain development, attachment, and emotion regulation, and discusses diagnostic criteria, including those from DSM-IV and DSM-5. See also Drs. Ford and Courtois's edited volume Treating Complex Traumatic Stress Disorders in Adults, Second Edition, and their authored volume, Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach.

To serve the increasing numbers of individuals who have survived interpersonal and domestic violence, or as refugees, have sought asylum from political violence, armed conflict, or torture, Transforming the Legacy presents an innovative relationship-based and culturally informed couple therapy practice model that is grounded in a synthesis of psychological and social theories. This unique couple therapy model encompasses three phases of clinical practice: Phase I entails a process of establishing safety, stabilization, and a context for changing legacies of emotional, sexual, and/or physical abuse. Phase II guides reflection on the trauma narrative. The goal of phase III is to consolidate new perspectives, attitudes, and behaviors. Within these phases, the model—illustrated with rich case studies—focuses on specific issues, including: intersubjectivity between the client and clinician (such as transference and countertransference, vicarious traumatization, and racial identity development); intrapersonal, interactional, and institutional factors; the role of the "victim-victimizer-bystander" dynamic in the couple and therapeutic relationships; preserving a locus of control with clients; flexibility in decisionmaking regarding clinical processes; and specific practice themes, such as the composition of a couple, the role of violence, parenting, sexuality, affairs, dual diagnoses, and dissociation. A dramatic departure from formulaic therapeutic approaches, this biopsychosocial model emphasizes the crafting of specific treatment plans and specific clinical interventions to show how couple therapy can transform the legacies of childhood traumatic events for a wide range of populations, including military couples and families, gay lesbian/bisexual/transgendered couples and families, and immigrant and refugee couples and families. This thorough attention to issues of cultural diversity distinguish Transforming the Legacy from the current literature and make it an invaluable resource for clinicians in a wide range of professional disciplines.

In Treating Complex Trauma, renowned clinicians Mary Jo Barrett and Linda Stone Fish present the Collaborative Change Model (CCM), a clinically evaluated model that facilitates client and practitioner collaboration and provides invaluable tools for clients struggling with the impact and effects of complex trauma. A practical guide, Treating Complex Trauma organizes clinical theory, outcome research, and decades of experiential wisdom into a manageable blueprint for treatment. With an emphasis on relationships, the model helps clients move from survival mindstates to engaged mindstates, and as a sequential and organized model, the CCM can be used by helping professionals in a wide array of disciplines and settings. Utilization of the CCM in collaboration with clients and other trauma-informed practitioners helps prevent the re-traumatization of clients and the compassion fatigue of the practitioner so that they can work together to build a hopeful and meaningful vision of the future.

As a quality resource that examines the psychological, neurobiological, cultural, and spiritual considerations that undergird optimal couple care, Foundations for Couples’ Therapy teaches readers to conduct sensitive and comprehensive therapy with a diverse range of couples. Experts from social work, clinical psychotherapy, neuroscience, social psychology, and health respond to one of seven central case examples to help readers understand the dynamics within each partner, as well as within the couple as a system and within a broader cultural context. Presented within a Problem-Based Learning approach (PBL), these cases ground the text in clinical reality. Contributors cover critical and emerging topics like cybersex, emotional well-being, forgiveness, military couples, developmental trauma, and more, making it a must-have for practitioners as well as graduate students.

This book provides psychotherapists with a multidimensional view of childhood neglect and a practical roadmap for facilitating survivors’ healing. Working from a strong base in attachment theory, esteemed clinician Ruth Cohn explores ways therapists can recognize the signs of childhood neglect, provides recommendations for understanding lasting effects that can persist into adulthood, and lays out strategies for helping clients maximize therapeutic outcomes. Along with extensive clinical material, chapters introduce skills that therapists can develop and hone, such as the ability to recognize and discern non-verbal attempts at communication. They also provide an array of resources and evidence-based treatment modalities that therapists can use in session. Working with the Developmental Trauma of Childhood Neglect is an essential book for any mental health professional working with survivors of childhood trauma.