Traumatic Relationships and Serious Mental Disorders / Edition 1

Traumatic Relationships and Serious Mental Disorders / Edition 1

by Jon G. Allen
     
 

"This excellent book achieves rare success in synthesising academic scholarship and sound clinical principles in understanding and treating disorders relating to trauma. Allen's conceptual clarity and masterful use of narrative, makes coherent those disorders characterised by incoherence. Equally clinician and teacher, he shows how containment and care,

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Overview

"This excellent book achieves rare success in synthesising academic scholarship and sound clinical principles in understanding and treating disorders relating to trauma. Allen's conceptual clarity and masterful use of narrative, makes coherent those disorders characterised by incoherence. Equally clinician and teacher, he shows how containment and care, self-regulation and support can mend the wounds inflicted by attachment trauma."
Antonia Bifulco, Ph.D., Royal Holloway, University of London, UK
"There are but a handful of books that could ever make the claim that they have the potential to change your life ... Allen's book is a genuine 'tour de force' ... the model that Allen constructs in this book is quite simply the most satisfactory integration of findings concerning interpersonal trauma which anyone has yet achieved. His review is comprehensive and extremely valuable in that respect alone, but it is also original. Help may take a number of forms, but in all the forms that psycho-social intervention might take, the understanding of underlying psychological processes is the 'sine qua non' of adequate therapeutic help. Reading this book, you will come to appreciate the truth of this statement as well as making a giant step toward understanding the experience of the individuals who have turned to you for assistance."
From the Foreword by Peter Fonagy, University College London and The Anna Freud Centre, London, UK
"In this superb new book, Jon Allen makes creative use of attachment theory to explicate the multifaceted outcomes of trauma. Encyclopedic in scope and scholarly in its up-to-the-minute survey of research findings, this book will be equally useful as a test for the classroom or as a reference book for the experienced clinician. Students and clinicians alike are indebted to Allen for tghis landmark contribution."
Glen Gabbard, M.D., The Menninger Clinic, USA
"Jon Allen has organize a wealth of scientific information and clinical wisdom about the impact of trauma on a wide range of pychiatric disorders. This comprehensive book impressively integrates not only the psychological and biological impact of trauma, but also essential features of practical trauma treatment. 'Traumatic Relationships and Serious Mental Disorders' is an outstanding contribution and important resource for all mental health professionals."
Marlene Steinberg, M.D., Associate Professor in Psychiatry
University of Massachusetts Medical School. Author of
The Stranger in the Mirror, Dissociation - The Hidden Epidemic

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Product Details

ISBN-13:
9780471485544
Publisher:
Wiley
Publication date:
06/26/2001
Edition description:
New Edition
Pages:
486
Product dimensions:
6.71(w) x 9.72(h) x 1.02(d)

Table of Contents

List of Tables and Figures
About the Author
Foreword
Preface
1A Developmental Approach to Trauma3
Core features of trauma5
Trauma, psychopathology, and development8
Relatively impersonal trauma11
Interpersonal Trauma13
Educating clients about trauma17
2Trauma in Attachment Relationships20
Attachment trauma in childhood22
Attachment trauma in adulthood33
Attachment trauma and psychopathology38
Educating Clients about attachment trauma41
3Attachment, Relationships, and Reenactment44
Attachment and physiological regulation45
Attachment patterns in infancy and childhood46
Mental representation and internal working models53
Developmental continuity and discontinuity in attachment55
Attachment patterns in adulthood56
Reenactment61
Educating clients about attachment and reenactment73
4The Traumatized Self78
The traumatized 'I'79
The traumatized 'Me'90
Educating clients about the traumatized self95
5PTSD and Traumatic Memories103
PTSD103
Traumatic memories115
Repressed memories?123
Factors that impair personal event memories of trauma127
A spectrum of accuracy in personal event memories of trauma132
Educating clients about traumatic memories136
6Trauma as Chronic Physical Illness139
PTSD as a chronic physical illness140
Trauma and ill health154
Educating clients about chronic physical illness158
7Dissociative Detachment and Compartmentalization161
The traumatic basis of dissociation162
PTSD and dissociation167
Evolutionary origins of dissociative states169
Genetic and neurobiological contributions to dissociation175
Dissociative detachment177
Dissociative compartmentalization183
Dissociative Identity Disorder (DID)188
Dissociation, PTSD, and psychosis196
Educating clients about dissociative states199
8Substance Abuse, Eating Disorders, and Self-Harm204
Substance abuse205
Eating disorders211
Deliberate self-harm216
Educating clients about interpersonal effects and vicious circle228
9Post-Traumatic Depression234
Depression and PTSD236
Trauma, stress, and depression240
Depression as interpersonal imbalance247
Trauma and bipolar disorder251
Educating clients about the catch-22s of depression252
10Post-Traumatic Personality Disorders261
Personality disorder or complex PTSD?264
Trauma and personality disorder265
Dissociation and personality disorder268
Insecure attachment and personality disorder270
Trauma in the etiology of BPD271
The problem of masochism277
Alienation283
Educating clients about personality disorders284
11Containing Trauma291
Containment292
Structuring treatment294
The hazards of seeking social support298
Secure attachment in psychotherapy304
Principles of self-regulation312
Educating clients about self-regulation strategies317
12Narrating Trauma324
Avoidance revisited325
Beyond catharsis327
Transformation329
Selected techniques331
Some horse races337
Some complication339
Narrating trauma341
Educating clients about narrating trauma344
13Psychoeducational Approaches347
Educating adolescents359
Educating partners and family members366
14Therapists at Risk373
Childhood adversity373
Current stress375
Impact of secondary stress376
Prevention and intervention379
References383
Index453

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