Relational Treatment Of Trauma

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.

Through the attentive examination of a single case study, this book weaves together the lived experiences of a clinician in training with those of their teenage patient, as they collectively navigate and overcome the profound effects of early relational trauma on the development of the self. By the care taken in their analysis, the book's authors deepen readers' understanding of attachment disorders and their clinical presentation whilst allowing for a uniquely human view of the interactions between patient and clinician. Elegantly combining poetic prose with a clinical account, this book invites readers to travel with the clinician, to think and feel in tandem with his subjective experiences, and to explore psychoanalytic and systems theory as a means to understand clinical relationships that are seldom written about with such vulnerability. It is a story of determination and growth both moving and enlightening. By giving form to the resilience of both patient and clinician, their mutual strength through "tears of change", this book expounds the behavioral consequences and treatment of psychopathologies associated with early relational trauma. In this way, the book will prove essential for all psychoanalysts and psychotherapists working with traumatized children and adolescents.

Relational and Body-Centered Practices for Healing Trauma provides psychotherapists and other helping professionals with a new body-based clinical model for the treatment of trauma. This model synthesizes emerging neurobiological and attachment research with somatic, embodied healing practices. Tested with hundreds of practitioners in courses for more than a decade, the principles and practices presented here empower helping professionals to effectively treat people with trauma while experiencing a sense of mutuality and personal growth themselves.

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.

Relational Treatment of Trauma: Stories of loss and hope is the culmination of over 35 years of psychotherapy with children and adults, many of whom have suffered the effects of physical, emotional, or sexual abuse. It addresses a gap in the literature on the treatment of trauma and chronic loss that are ubiquitous parts of life in foster care. While "trauma-informed care" has received considerable attention recently, there is little that focuses on the consequences of repeated, unexpected, and unexplained or unexplainable losses of caregivers. Relational Treatment of Trauma explores the ways in which those experiences arise in the therapeutic relationship and shows how to help clients build the trust necessary for establishing healthier, and more satisfying and hopeful relationships. Toni Heineman introduces and reinforces the concept of the relationship as the most powerful agent of therapeutic change. She highlights the ways in which clinicians can build and sustain a relationship with clients whose experience of trauma can make them wary of trusting, illustrating this theme throughout the book with compelling case vignettes. The book is especially valuable for psychoanalysts, clinical psychologists, psychiatrists, social workers, and family therapists working with those who have suffered traumatic loss. It is essential reading for clinicians in the early part of their career, working with traumatized individuals for the first time. Dr. Heineman has practiced in San Francisco for over 35 years, working with children, adults, and families. She is the founder and executive director of A Home Within. Dr. Heineman presents and publishes widely.

The research base on complex psychological trauma has grown significantly in recent years. Yet even with the development of more effective techniques for treating complex trauma survivors, therapists often struggle to build strong relationships with these severely distressed clients. In this guide, the authors present an approach for helping adult clients move through the three phases of posttraumatic recovery -- and for managing the inevitable roadblocks and relationship issues that occur. The introductory chapters explore how complex trauma emerges from chronic victimization and the disruption of attachment bonds in childhood or adulthood and review diagnostic considerations. Two extended case examples highlight clinical issues that arise with this population and, running throughout the chapters, show how to use a secure therapeutic alliance as a foundation for utilizing evidence-based treatment strategies. The authors demonstrate ways to weave together elements of cognitive-behavioral, psychodynamic, relational, and systemic therapies, along with other proven approaches, in the service of working toward clearly defined therapeutic goals. In Phase 1, the emphasis is basic safety and personal stabilization. Phases 2 and 3 address trauma processing and the challenges of creating a new, more satisfying life. Strategies for tailoring interventions to each individual's needs and strengths, aided by ongoing assessment, are detailed. Applications in group, couple, and family therapy are also discussed.

From the founder of DDP, this updated and comprehensive guide is the authoritative text on DDP. DDP is an attachment-focused treatment for children and adolescents who experience abuse and neglect and who are now living in stable foster and adoptive families. Its central interventions are influenced by enhanced knowledge about the structure and functions of the brain, as well as the latest findings regarding developmental trauma and the related attachment problems it brings.

Shame, Pride, and Relational Trauma is a guide to recognizing the many ways shame and pride lie at the heart of psychotherapy with survivors of relational trauma. In these pages, readers learn how to differentiate shame and pride as emotional processes and traumatic mind/body states. They will also discover how understanding the psychodynamic and phenomenological relationships between shame, pride, and dissociation benefit psychotherapy with relational trauma. Next, readers are introduced to fifteen attitudes, principles, and concepts that guide this work from a transtheoretical perspective. Therapists will learn about ways to conceptualize and successfully navigate complex, patient-therapist shame dynamics, and apply neuroscientific findings to this challenging work. Finally, readers will discover how the concept and phenomena of pro-being pride, that is delighting in one's own and others' unique aliveness, helps patients transcend maladaptive shame and pride and experience greater unity within, with others, and with the world beyond.