Incest Related Syndromes Of Adult Psychopathology

Incest is a social problem of major proportions affecting the lives of one in six American women. This collection of contributions from the most distinguished experts in the field examines the clinical presentations of adult patients who have suffered childhood incestuous experiences. This book explores the connections between incest and * somatoform disorders* disturbances of the self* problems in cognitive functioning* borderline psychopathology* the dissociative disorders* posttraumatic symptoms* vulnerability to revictimization

Within the last decade there has been a tremendous explosion in the clinical, theoretical, and empirical literature related to the study of dissociation. Not since the work done at the tum of the century by Pierre Janet, Morton Prince, William James, and others have the psychological and medical communities shown this great an interest in describing and understanding dissociative phenomena. This volume is the result of this significant expansion. Presently, interest in the scientific and clinical progress in the field of dissociation is indicated by the following: 1. The explosion of conferences, workshops, and seminars devoted to disso ciative disorders treatment and research. 2. The emergence of NIMH-supported investigations that focus on dissociation. 3. The burgeoning literature on dissociation. According to a 1992 biblio graphic analysis of the field by Goettman et al. (1992), 72% of all writings on the topic have appeared in the past decade, with about 1000 published papers scattered across diverse disciplines and journals. 4. Current interest in dissociation as reflected in the appearance of major articles and special issues in respected psychology and psychiatry journals. 5. The initiation of a journal entitled Dissociation (Richard Kluft, MD, Editor) devoted to the area.

In 1996, representatives from 27 different countries met in Jerusalem to share ideas about traumatic stress and its impact. For many, this represented the first dialogue that they had ever had with a mental health professional from another country. Many of the attendees had themselves been exposed to either personal trauma or traumatizing stories involving their patients, and represented countries that were embroiled in conflicts with each other. Listening to one another became possible because of the humbling humanity of each participant, and the accuracy and objectivity of the data presented. Understanding human traumatization had thus become a common denomi nator, binding together all attendees. This book tries to capture the spirit of the Jerusalem World Conference on Traumatic Stress, bringing forward the diversities and commonalties of its constructive discourse. In trying to structure the various themes that arose, it was all too obvious that paradigms of different ways of conceiving of traumatic stress should be addressed first. In fact, the very idea that psychological trauma can result in mental health symptoms that should be treated has not yet gained universal acceptability. Even within medicine and mental health, competing approaches about the impact of trauma and the origins of symptoms abound. Part I discusses how the current paradigm of traumatic stress disorder developed within the historical, social, and process contexts. It also grapples with some of the difficulties that are presented by this paradigm from anthropologic, ethical, and scientific perspectives.

A testament to the vitality of the Masterson Approach to the study and treatment of the disorders of the self, this incisive volume documents the evolution of Masterson's theoretical and clinical work during the past five years. It is comprised of writings by a second generation of clinicians who both carry on and expand the horizons of the Masterson Approach. Disorders of the Self addresses four new areas of great clinical importance from the perspective of developmental, self, and object relations theory. First, Ralph Klein, Clinical Director of the Masterson Institute), has combined the work of Fairburn and Guntrip with the Masterson Approach to develop and updated, broader, original and clinically useful concept of the Schizoid Disorders of the Self. The force of his approach is illustrated by the focus on the schizoid dilemma and the schizoid compromise, vividly depicted with detailed clinical applications. Candace Orcutt, Senior Faculty Member in the Masterson Institute, along with a colleague, then apply the Masterson Approach to the controversial topic of early abuse - physical and/or sexual - to the developing self. Diagnosis and treatment of narcissistic pathology is the focus of section three. Chapters further refine and expand how the disorders of the self triad - self activation leads to anxiety and depression which lead to defenses - operate in both the patient's life and in the therapeutic relationship. The authors identify and illustrate critical points in treatment, detail the technical approach to the closet narcissistic personality disorder, and address the therapeutic management of devaluation and disappointment reactions along with the countertransference reactions they evoke. The volume concludes by delving into arenas beyond individual psychotherapy for disorders of the self. An innovative approach to group therapy combines the Masterson Approach with that of W. Bion, and authors examine the complexities of drug therapy and comorbidity and their interaction with psychodynamic forces. Disorders of the Self will be a vital addition to the armamentarium of any clinician who works with personality disorders. It demonstrates the continued expansion and evolution of a profound theoretical and clinical paradigm - the Masterson Approach - aimed at penetrating and healing the disorders of the self.

An international look at the similarities and differences of long-lasting trauma Trauma and Dissociation in a Cross-Cultural Perspective examines the psychological, sociological, political, economic, and cultural aspects of trauma and its consequences on people around the world. Dispelling the myth that trauma-related dissociative disorders are a North American phenomenon, this unique book travels through more than a dozen countries to analyze the effects of long-lasting traumatization-both natural and man-made-on adults and children. Working from theoretical and clinical perspectives, the field’s leading experts address trauma in situations that range from the psychological effects of “the Troubles” in Northern Ireland to the emergence of “Hikikomori,” the phenomenon of social withdrawal in Japanese youth. Reactions to trauma can be both unique according to a person’s culture and similar to the experiences of others around the world. Dissociation, intense grief, anger, and survivor’s guilt are common responses as people split off mentally, physically, and emotionally from the source of the trauma, whether it’s an act of nature (tsunami, earthquake, flood, etc.) or the trauma created by violence, physical, sexual, and emotional abuse, assault, confinement, kidnapping, and war. Trauma and Dissociation in a Cross-Cultural Perspective examines the efforts of clinicians and researchers in Europe, Asia, the Middle East, South America, Australia, and New Zealand to develop sociopsychological methods of providing counseling to people who are suffering physically, emotionally and spiritually, training for professionals counted on to dispense that counseling, and economic and political solutions that might help to limit the devastating effects of natural disasters. Trauma and Dissociation in a Cross-Cultural Perspective examines: the tensions between the National Health Service and the private sector in the United Kingdom how the Mandarin version of the Dissociative Experiences Scale (DES) is used in China Djinnai, a culture-bound syndrome and possession trance disorder found in Iran how colonialism has transmitted trauma to the Maori people of New Zealand transgenerational trauma in Turkey religious rituals and spirit possession in the Philippines “memory wars” in Israel traumatic syndromes among the French differences in dissociative experiences among Chinese and Japanese youth childhood trauma in Argentina and much more Trauma and Dissociation in a Cross-Cultural Perspective is an enlightening professional resource for anyone working in psychology, sociology, psychiatry, and psychotherapy.

Wenegrat (psychiatry, Stanford U. School of Medicine) argues that women's lack of social power, as defined as the ability to provide for one's needs and security and to make decisions based on one's own desires, is to blame for their excess risk for certain mental disorders such as anxiety, depression, eating disorders, and multiple personality. He reviews women's social power and mental illness from an evolutionary and cross-cultural perspective and addresses 19th- century women's disorders and illness roles. Annotation copyright by Book News, Inc., Portland, OR

Attachment: New Directions in Psychotherapy and Relational Psychoanalysis is a leading-edge journal for clinicians working relationally with their clients. It is a professional journal, featuring cultural articles, politics, reviews and poetry relevant to attachment and relational issues; an inclusive journal welcoming contributions from clinicians of all orientations seeking to make a contribution to attachment approaches to clinical work; an international journal open to ideas and practices from all countries and cultures; and a cutting-edge journal with up-to-date briefings on latest developments in neuroscience relevant to psychotherapy and counselling. Articles - A Tribute to Joyce Robertson by Kate White - Masochism: A Bridge to the Other Side of Abuse (revised) by Elizabeth F. Howell - Healing Childhood Trauma: Connecting With Present Experience and Body-based Insights by Angela King - How Death Reverberates in Us: The Firing Up of Attachment Narratives in a Palliative Care Setting by Simon Parrett - Facing Emotional Pain–a Model for Working With People With Intellectual Disabilities and Trauma by Pat Frankish - What Happened to Vanisha? by Hazel Leventhal - Mind Control in the German Democratic Republic by Irina Vogt (translated and complemented by Winja Lutz)

Dissociative disorders are one of the psychiatric consequences of childhood psychological trauma. While oppression is an aspect of traumatic conditions, dissociation undermines resistance to oppression throughout a person’s lifespan. Neither oppression nor dissociation are restricted to particular cultures, and both can affect the individual as well as societies. This collection engages with the universality of dissociative disorders and their close relationship to oppression. The chapters cover extreme examples such as ongoing incest in adulthood, children and adults forced to kill others, and abusive states in interrogation. Further subjects examined include the utilization of dissociation in postmodern societies to maintain oppression, the oppressive conditions of asylum seekers and the consequences of oppression as they are dealt with in psychotherapy. The final chapter considers how a paedophile pandering network employed multi-layered oppression to prevent the public becoming aware of the widespread and organised abuse of children. This book will engender interactions between trauma investigators – those whose approach is close clinical observation, those who use instruments to survey groups of individuals, those whose research takes the form of investigative journalism, and those who examine the truth embedded or hidden in documents created for multiple, and at times, disturbing political purposes. Portions of this book were originally published as a special issue of the Journal of Trauma & Dissociation. It also includes material from other sources.