The Haunted Self: Structural Dissociation and the Treatment of Chronic Traumatization

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W. W. Norton & Company, 2006 - Psychology - 418 pages
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They typically have a wide array of symptoms, often classified under different combinations of comorbidity, which can make assessment and treatment complicated and confusing for the therapist.

Many patients have substantial problems with daily living and relationships, including serious intrapsychic conflicts and maladaptive coping strategies. Their suffering essentially relates to a terrifying and painful past that haunts them. Even when survivors attempt to hide their distress beneath a facade of normality—a common strategy—therapists often feel besieged by their many symptoms and serious pain. Small wonder that many survivors of chronic traumatization have seen several therapists with little if any gains, and that quite a few have been labeled as untreatable or resistant.

In this book, three leading researchers and clinicians share what they have learned from treating and studying chronically traumatized individuals across more than 65 years of collective experience. Based on the theory of structural dissociation of the personality in combination with a Janetian psychology of action, the authors have developed a model of phase-oriented treatment that focuses on the identification and treatment of structural dissociation and related maladaptive mental and behavioral actions. The foundation of this approach is to support patients in learning more effective mental and behavioral actions that will enable them to become more adaptive in life and to resolve their structural dissociation. This principle implies an overall therapeutic goal of raising the integrative capacity, in order to cope with the demands of daily life and deal with the haunting remnants of the past, with the “unfinished business” of traumatic memories.

Of interest to clinicians, students of clinical psychology and psychiatry, as well as to researchers, all those interested in adult survivors of chronic child abuse and neglect will find helpful insights and tools that may make the treatment more effective and efficient, and more tolerable for the suffering patient.
 

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Haunted Self

User Review  - 1950nana - Overstock.com

Good book useful in elucidating a very complex issue. Very dense but charts help to summarize throughout. Read full review

Contents

IV
21
Structural Dissociation of the Personality
23
V
45
VI
59
VII
73
VIII
89
IX
109
X
129
XIV
213
Treatment of Chronically Traumatized Patients
215
XV
219
XVI
239
XVII
263
XVIII
281
XIX
301
XX
319

Chronic Traumatization and a Janetian Psychology of Action
131
Introduction to Part II
133
XI
151
XII
169
XIII
193
XXI
337
XXII
355
XXIII
361
XXIV
403
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Popular passages

Page 367 - Bremner, JD. Steinberg, M.. Southwick, SM. Johnson, DR. & Charney. DS (1993). Use of the Structured Clinical Interview for DSMIV-Dissociative Disorders for systematic assessment of dissociative symptoms in posttraumatic stress disorder.

References to this book

About the author (2006)

Kathy Steele, MN, CS, is in private practice with Metropolitan Psychotherapy Associates in Atlanta, Georgia. She is a former President of the International Society for the Study of Dissociation.

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