Topic - Trauma

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We've gathered Psychotherapy Networkers most popular posts and arranged them here by topic.

Are You There for Me?

Understanding the Foundations of Couples Conflict

Susan Johnson

On the first day of a clinical placement in my doctoral program during the early 1980s, I was assigned to a counseling center and told by the director that because of unexpected staffing problems, I'd be seeing 20 couples a week. I'd never done any couples therapy, but I did have considerable experience as a family and individual therapist with emotionally disturbed adolescents--a tough, challenging group of clients if ever there was one! So my first thought when given this new assignment was, "After what I've done, how hard can this be?" I plunged in and almost immediately was appalled by how hard it actually could be!

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The Slippery Slope

Violating the Ultimate Therapeutic Taboo

Susan Rowan

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Revolution on the Horizon

DBT Challenges the Borderline Diagnosis

Katy Butler, Katy Butler

DBT was no walk in the park: it required team treatment, including weekly individual therapy, a year-long "skills training" class, telephone coaching and supportive supervision for the therapist. But it offered clients and therapists alike a way out of chaos--a systematic clinical package that integrated the technical and analytical strengths of behaviorism, the subtleties of Zen training, the warmth and acceptance of relationship-centered therapies and the often undervalued power of psychoeducation.

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The Power of Paying Attention

What Jon Kabat Zinn Has Against Spirituality

Richard Simon and Mary Sykes Wylie

Jon Kabat-Zinn is acknowledged as one of the pioneers in mind-body medicine--a field that integrates ancient spiritual traditions like yoga and meditation with mainstream medical practice. Kabat-Zinn was a very bright, hard-driving, 22-year-old kid from New York City, the son of a distinguished research immunologist, who was just starting out on his own promising scientific career. He had no idea what Zen was or who Kapleau was, but, in a sea of notices posted on one of the huge bulletin boards lining the corridor, this flyer somehow called out to him.

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The End of Innocence

Reconsidering Our Concepts of Victimhood

Dusty Miller

As a systems therapist, incest survivor, and recovering alcoholic, I've lived through several stages of our culture's attempt to come to terms with child sexual abuse--as a victim in the silent 1950s; as a therapy client in the oblivious 1960s and 1970s; and as a psychotherapist in the 1980s and 1990s, when once-dismissed accounts of abuse filled my therapy practice (and my television screen) only to be partly discredited within the decade during another swing of the cultural pendulum.

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Mirror Mirror

Emotion in the Consulting Room is More Contagious Than We Thought

Babette Rothschild

Far from the therapy office, in the precisely measured environment of the research lab, brain scientists are discovering that a particular cluster of our neurons is specifically designed and primed to mirror another's bodily responses and emotions. We're hardwired, it appears, to feel each other's happiness and pain--more deeply than we ever knew. Moreover, the royal road to empathy is through the body, not the mind. Notwithstanding the river of words that flow through the therapy room, it's the sight of a client looking unhappy, or tense, or relieved, or enraged, that really gets our sympathetic synapses firing.

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The Politics of PTSD

How a Diagnosis Battled Its Way into the DSM

Mary Sykes Wylie

During Vietnam, there were proportionately far fewer reported cases of trauma on the actual battlefield than there'd been in previous wars. The primary reason seems to have been that soldiers had one-year rotations and knew that if they could just hold themselves together for 12 months--often with a little help from their friends, marijuana and heroin--they'd be free. But after they returned stateside full of relief and happy to be alive, many of them--up to 50 percent according to the National Vietnam Veterans Readjustment Survey of 1988--began breaking down, months or even years later. Why?

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VIDEO: Helping Traumatized Clients Heal their Inner Parts

Treating Complex Trauma with IFS Therapy

Richard Schwartz

According to Dick Schwartz’s Internal Family Systems (IFS) model, all people have within them multiple “inner parts,” each with distinct emotions, beliefs, and roles adapted to help us cope with life’s challenges.

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Applying the Brakes

In Trauma Treatment, Safety is Essential

Babette Rothschild

My approach to trauma work is rooted in an experience I had in college. A friend asked me to teach her to drive--in a new car my father had just given me. Sitting in the passenger seat next to her as she prepared to turn on the ignition, I suddenly panicked. I quickly realized that before I taught her how to make that powerful machine go, I had to make sure that she knew how to put on the brakes. I apply the same principle to therapy, especially trauma therapy. I never help clients call forth traumatic memories unless I and my clients are confident that the flow of their anxiety, emotion, memories, and body sensations can be contained at will.

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The Precarious Present

Why is it So Hard to Stay in the Moment?

Robert Scaer

When a client reports repetitive intrusions, we may wonder about a tendency toward obsessiveness or the possibility of depression and/or anxiety. While all of these interpretations may have some validity, I believe that much more is at stake. I propose that in many of these moments of body-mind intrusion, our brain is trying to protect us from mortal danger arising from memories of old, unresolved threats. In short, we're in survival mode.

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