Transforming the Legacy: Couple Therapy with Survivors of Childhood Trauma
Columbia University Press, Aug 7, 2012 - Social Science - 368 pages
To serve the increasing numbers of individuals who have survived interpersonal and domestic violence, or as refugees, have sought asylum from political violence, armed conflict, or torture, Transforming the Legacy presents an innovative relationship-based and culturally informed couple therapy practice model that is grounded in a synthesis of psychological and social theories. This unique couple therapy model encompasses three phases of clinical practice: Phase I entails a process of establishing safety, stabilization, and a context for changing legacies of emotional, sexual, and/or physical abuse. Phase II guides reflection on the trauma narrative. The goal of phase III is to consolidate new perspectives, attitudes, and behaviors.
Within these phases, the model—illustrated with rich case studies—focuses on specific issues, including: intersubjectivity between the client and clinician (such as transference and countertransference, vicarious traumatization, and racial identity development); intrapersonal, interactional, and institutional factors; the role of the "victim-victimizer-bystander" dynamic in the couple and therapeutic relationships; preserving a locus of control with clients; flexibility in decisionmaking regarding clinical processes; and specific practice themes, such as the composition of a couple, the role of violence, parenting, sexuality, affairs, dual diagnoses, and dissociation.
A dramatic departure from formulaic therapeutic approaches, this biopsychosocial model emphasizes the crafting of specific treatment plans and specific clinical interventions to show how couple therapy can transform the legacies of childhood traumatic events for a wide range of populations, including military couples and families, gay lesbian/bisexual/transgendered couples and families, and immigrant and refugee couples and families. This thorough attention to issues of cultural diversity distinguish Transforming the Legacy from the current literature and make it an invaluable resource for clinicians in a wide range of professional disciplines.
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adult affect regulation aftereffects amygdala attachment theories behavior biopsychosocial assessment bisexual bystander capacity caregiver chapter child childhood trauma clients clini clinical clinical depression clinician cognitive cognitive–behavioral complex PTSD conflict countertransference couple and family couple therapy practice couple’s cultural discussion disorder dissociation dynamic emotional enactment experienced explore factors families of origin family therapy feelings focus gender gender roles GLBT homophobia impact important individuals infant influence interactions intergenerational internal interpersonal interventions issues Janet legacies of childhood lesbian ment mental health Miehls object relations object relations theory one’s parents partner partnership patterns physical projective identification psychoeducational psychological psychotherapy racial identity rage reenactment refugee relationship resilience responses Rod and Yolanda Rod’s role Saakvitne self-care sessions sexual abuse social stance substance abuse survivors of childhood symptoms themes therapeutic therapist tion transgendered trauma narrative trauma survivors trauma theories trauma-related traumatic experiences traumatic memories traumatized couples treatment understanding vicarious traumatization victim victim–victimizer–bystander violence