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Stronger Medicine

by Psychotherapy Networker

IT WAS MID-MORNING ON THE FIRST DAY OF THE LARGE psychotherapy conference when I first began noticing the small white buttons with their pithy little saying sprouting on the lapels of conference attendees: "DEPRESSION: IT'S AN ILLNESS, NOT A WEAKNESS." By late afternoon, the buttons, dispensed at an exhibit booth for a large pharmaceutical company, were everywhere. I glimpsed them affixed to collars, pockets, belt loops, purses, backpacks, folders, any spare inch of apparel or appurtenance. It was startling ...

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Can We Talk?

by Mary Jo Barrett, Katy Butler

It is the end of innocence--the day we enter the land beyond the rulebook. A client wants to give us diamonds. Another invites us to dinner. Another notices that we've stopped wearing a wedding ring, and we wonder how much to tell her. A client moves forward as if to hug us, and then gives us a open-mouthed kiss. Simple dicta no longer seem sufficient.

One way or another, all therapists face similar questions about therapeutic boundaries: Should we accept the gift? How much do we self-disclose? What ...

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  • A-303 Ethics with Soul

    Instructor: Ofer Zur
    CE Credits: 6
    In our litigious age of risk management, reduce unnecessary anxiety while bringing more soulfulness and clinical integrity back into your practice.
    Note: This course fulfills many state board requirements for training in ethics and risk management.

  • A-216 Shhh! The Ethical Dilemmas No One Talks About

    Instructor: Mary Jo Barrett
    CE Credits: 4
    Explore the ethical dilemmas we face around such issues as self-disclosure, sexuality, gifts, and dual relationships.


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  • OL-115 Shhh! The Ethical Dilemmas No One Talks About

    Authors: Mary Jo Barrett, Arnold Lazarus, Jay Efran, Michael Hoyt, and others
    CE Credits: 2
    Explore the Big Four of ethical trouble spots: self-disclosure, sexuality, gifts, and dual relationships.
    Note: This course fulfills many state board ethics requirements

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Beyond Talk

by Mary Sykes Wylie

A brilliant, thirty-something architect named Frank went to see Minnesota psychologist Patrick Dougherty because he'd never been able to sustain a successful, lasting relationship. Charming and voluble, he talked nonstop about his work, his social life, his multiple affairs, what he thought about art, architecture, music, politics, and the general state of the world. Several times during the first two sessions, Dougherty--who makes use of qigong breathing techniques in his clinical work--asked Frank to ...

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20 Weeks to Happiness

by Richard Handler

If Thomas Jefferson were a psychology graduate student today, he'd probably think of himself as a positive psychologist. It was Jefferson, after all, who began the Declaration of Independence with the statement that human beings aren't only created equal but "endowed by their Creator with certain unalienable Rights, [and] that among these are Life, Liberty and the pursuit of Happiness." Happiness was the word he chose, not pursuit of power or economic gain.

Jefferson didn't formally study happiness. ...

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The Limits of Talk

by Mary Sykes Wylie

Bessel van der Kolk likes to introduce his workshops on Post-Traumatic Stress Disorder (PTSD) with medical film clips from World War I showing veterans diagnosed with what was then called "shell shock." In these dramatic and riveting clips, one soldier sits hunched over on his hospital cot, staring blankly ahead, responding to nothing and nobody until the single word "bomb" is said, whereupon he dives for cover underneath the small bed. Another man lies almost naked on the bare floor, his back rigidly arched, ...

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Discoveries from the Black Box

by Mary Sykes Wylie, Richard Simon

The human brain is a wet, coconut-sized, walnut-shaped organ, the color of raw liver and the consistency of an overripe peach. Comprised of billions of nerve cells, each connecting electrochemically with an average of 10 thousand others, it's the most complex biological entity known on earth. The number of possible interconnections among its neurons exceeds the estimated number of atoms in the universe. Just as remarkably, it can make such intricate and baffling self-transformations that many insist it ...

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The Big Moment

by David Waters

Psychotherapy Networker.

It was the kind of tense stalemate between an angry, critical father and an increasingly withdrawn teenage son I'd seen many times through the years. Greg was a single parent who seemed to regard every exchange with his shy, 14-year-old son, Tad, as an opportunity for a "corrective experience." But they were both bright and articulate, and therapy started off with both of them readily agreeing to spend more time together.

Having contact isn't the same as making contact, ...

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10 Best-Ever Anxiety-Management Techniques

by Margaret Wehrenberg

"I don't think I want to live if I have to go on feeling like this." I hear this remark all too often from anxiety sufferers. They say it matter-of-factly or dramatically, but they all feel the same way: if anxiety symptoms are going to rule their lives, then their lives don't seem worth living.

What is it about anxiety that's so horrific that otherwise high-functioning people are frantic to escape it? The sensations of doom or dread or panic felt by sufferers are truly overwhelming--the very same ...

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Trauma

The Limits of Talk: Bessel Van der Kolk Wants to Transform the Treatment of Trauma
By Mary Sykes Wylie
January/February 2004

The Politics of PTSD: How a Diagnosis Battled Its Way into the DSM
By Mary Sykes Wylie
January 2004

Bringing the War Home: The Challenge of Helping Iraqi War Vets
By Cecilia Capuzzi Simon
January/February 2007

Creating a Culture of Healing: Recovering from Trauma in War-Ravaged Gaza
By James Gordon
January/February 2007

Applying the Brakes: In Trauma Treatment, Safety Is Essential
By Babette Rothschild
January/February 2004

The End of Innocence: Reconsidering Our Concepts of Victimhood
By Dusty Miller
July/August 2003

 

 

 

Content Search Overview: Therapists, social workers, counselors and others found these articles helpful in learning more about the effects of trauma. People searching for information on the following terms and concepts found these articles helpful:

Trauma
Post Traumatic Stress Disorder (PTSD)
EMDR
Cognitive Therapy
Exposure Therapy
Antidepressants
Combat PTSD
Vicarious Trauma
Compassion Fatigue
Abuse Survivors
Mind/Body Techniques
Somatic Therapies
Somatic Experiencing
Mindfulness

Sample from: The Limits of Talk, by Mary Sykes Wylie

And what was the treatment that he felt was not really helping his patients to move on? It was standard talk therapy 101--helping them explore their thoughts and feelings--supplemented with group therapy and medications. During individual sessions with clients, he often focused intensely on patients' past traumas, in the interest of getting them to process and integrate their memories. "I very quickly went to people's trauma, and many of my patients actually got worse rather than better," he says. "There was an increase in suicide attempts. Some of my colleagues even told me that they didn't trust me as a therapist."

The fundamental conundrum of how trauma affects the mind and body that still plays out in treating trauma survivors was already crystallizing in van der Kolk's mind 20 years ago. "When people get close to reexperiencing their trauma, they get so upset that they can no longer speak," he says. "It seemed to me then that we needed to find some way to access their trauma, but help them stay physiologically quiet enough to tolerate it, so they didn't freak out or shut down in treatment. It was pretty obvious that as long as people just sat and moved their tongues around, there wasn't enough real change."

From Psychotherapy Networker, January/February 2004

 

Sample from: Creating a Culture of Healing, by James Gordon

Afterward, we share our drawings. Ali, a surgeon, quick-moving and humorous, begins. In his first drawing, he's alone and looks confused. In the second, his four children stand in front of an Israeli soldier, who's pointing his gun at them. "I live near an Israeli settlement," he says, "and, every day, when I leave the house, I worry that something will happen to my children before I come home. Two years ago," he adds matter-of-factly, "my house was bombed." In the final picture, the one that shows the "problem solved," he's joyfully playing with his children. The occupation is over and the Israeli soldiers have gone home. "I'm thankful to God," he concludes.

Several others hold up their own pictures of endangered children, assuring me that they didn't have to copy from each other. "This is our biggest concern," Mahmoud says. "Everyone worries about their children, every single morning when we leave for the hospital or clinic." They share memories of homes vacated on Israeli orders and destroyed, of bombs shaking their houses, of children bleeding in hospital emergency rooms. Later I think of the recent training we led in Israel, where health professionals drew their own pictures of vulnerable children traveling on buses or sitting in malls that might be attacked.

From Psychotherapy Networker, January/February 2007

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