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El. knyga: Families and Individuals Living with Trauma: A Guide for Therapists, Relatives, and Friends

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This book is an accessible guide for understanding and treating psychological trauma. Drawing on Dr. Woodcocks extensive experience and the latest research, it offers an approach that integrates systemic therapy and psychoanalytic perspectives through the lens of attachment theory. The books chapters cover topics such as trauma and pain; traumatic death; how to respond when disaster strikes; social systems that promote attachment versus systems that create trauma; and how to look after ourselves as therapists, family, and friends of trauma survivors. Because no single therapeutic paradigm is sufficient to capture the complexity of trauma, the book brings together a wide set of therapeutic traditions and shows in detail how to apply a variety of treatment approaches, gathered from psychoanalytic, cognitive behavioral, intersubjective, mindfulness, and body psychotherapy traditions, including Eye Movement Desensitization and Reprocessing (EMDR).





The books vignettes and casestudies provide clear illustrations of the theory outlined and demonstrate the use of interventions in a range of settings. It will appeal to qualified and training practitioners in the clinical and care professions and researchers from across the psychological sciences with an interest in trauma, as well as to a more general readership affected by issues relating to trauma.
1 Introduction
1(6)
References
5(2)
2 Beginnings
7(20)
Bodily Signs and Symptoms
9(1)
Mental Signs and Symptoms
9(1)
Environment Signs and Symptoms
9(1)
Making a Story of Trauma
9(2)
The Four Dimensions of the Trauma Story
11(1)
Trust
12(1)
Making Sense of Signs and Symptoms
13(1)
Signs of Being More Easily Aroused
13(1)
Avoiding Things to Do with the Trauma and Being Less Involved in Life
13(1)
Having a Sense That the Extreme Event Is Ever Present
14(1)
Often Trauma Comes Out Sideways
15(1)
The Wish to Remember and the Need to Forget
15(1)
A Systemic Scaffolding
16(2)
Beginning at the Beginning
18(1)
Capacity for Reflection
18(1)
Supporting Someone Who Doesn't Want Therapeutic Help
19(1)
Felt Experience
20(1)
Felt Shift
21(2)
Finding the Middle Ground
23(2)
What We Can Do as Family and Friends
25(1)
References
26(1)
3 Body, Brain and Trauma
27(20)
Basic Trust
28(2)
The Limbic System: Our Fight and Flight and Freeze Protector
30(2)
The Biology of the Limbic System
32(1)
What Our Body Can Teach Us
33(1)
Amygdala
33(1)
Hypothalamus
34(1)
Hippocampus
35(2)
Cingulate Gyrus
37(2)
The Low Road and the High Road
39(2)
Mirror Neurones
41(2)
How Trauma Narrows Attention and Breathing Opens It Up
43(1)
The Vagus Nerve
44(1)
Body Work
45(1)
What We Can Do as Family and Friends
45(1)
References
46(1)
4 Creating a Welcome
47(10)
Containment and Validation
50(1)
Bordered Experience and the Exiled Self
51(1)
Gaze Aversion
52(2)
What We Can Do as Family and Friends
54(1)
References
55(2)
5 Trauma, Attachment and Resilience
57(16)
Attachment
58(1)
Avoidant Attachment
59(1)
Ambivalent Attachment
60(3)
Attachment and Trauma
63(1)
Developmental Trauma and Event-Driven Trauma
64(1)
Resilience to Trauma
65(2)
The Circle of Security
67(1)
Resolving Childhood Abuse in Adulthood
68(3)
What We Can Do as Family and Friends
71(1)
References
72(1)
6 When Secure Attachments Are Blown Apart
73(12)
Coherence
74(1)
Metacognition
74(2)
Dual Coding
76(1)
Developmental Trauma and Forgetting
77(1)
What Happens in Trauma
78(2)
When Trauma Detaches Us
80(2)
Learning Point
82(1)
What We Can Do as Family and Friends
83(1)
References
84(1)
7 Trauma, Pain, and Transformation
85(24)
Pain Is Not Pathology
86(3)
Being Safe
89(1)
The Need for a Secure Base to Work Through Trauma
90(2)
Meeting Physiological Needs
92(2)
Meeting Safety and Security Needs
94(6)
Meeting the Need to Belong: Unravelling Inner and Outer Experience
100(1)
Needs for Esteem, and Self-Actualization
101(1)
Transformation
101(1)
Groupwork and Transformation
102(1)
Learning to Sit with Trauma and When to Respond
103(1)
Mindfulness
104(1)
Summary
105(1)
What We Can Do as Family and Friends
106(1)
References
107(2)
8 Trauma and Death
109(14)
The Singularity of Death
110(2)
The Web of Life and Death
112(2)
The Need to Remember and the Wish to Forget
114(3)
How to Help with Deeply Traumatic Grief
117(1)
Whether to Seal off Memories or Work with Them
118(1)
Sleep
119(2)
Alienation
121(1)
The Pathway Toward Recovery
121(1)
What We Can Do as Family and Friends
122(1)
9 Social Systems That Promote Attachment Versus Systems That Create Trauma
123(18)
Poverty and Trauma
123(3)
What Could Be More Natural Than a Natural Disaster
126(1)
Gender and Trauma
127(1)
Social Systems That Promote Attachment vs. Systems That Create Trauma
128(2)
Relational Learning
130(1)
Social systems That Work Against Attachment Cause Trauma
130(2)
Family Violence and Trauma
132(2)
Attachment as Tenderness
134(1)
Social Systems Geared Toward Attachment
135(1)
Attachment, Violence, and Trauma
135(1)
Resilience to Trauma
136(1)
Frameworks for Social Protection Are Frameworks for Self Protection
137(1)
What We Can Do as Family and Friends
137(1)
References
138(3)
10 When Disaster Strikes
141(12)
Psychological First Aid
143(1)
More Targeted Psychological Help
144(3)
Visualization
147(1)
Self-Help
148(1)
Moving Beyond First Aid
149(1)
What We Can Do as Family and Friends
150(1)
References
151(2)
11 Learning to Look After Ourselves
153(18)
Secondary Traumatic Distress
154(1)
What to Do?
155(1)
Remedial Measures
155(3)
Daily and Weekly Self-Care
158(1)
Guidance
159(1)
The Hidden Effects of Stress
160(1)
Pain and Memory
161(1)
How We Are Affected
162(2)
Forms of Self-Protection
164(1)
Compartmentalization
164(1)
Questions to Subjectively Determine if Stress Is at Breaking Point
165(1)
Compassion Fatigue and Secondary Traumatic Stress
166(1)
Looking After Ourselves When It's a Family Who Is Traumatized
167(2)
What We Can Do as Family and Friends
169(1)
References
169(2)
12 Mainly Theory
171(25)
The Presence and Absence of the Body in Psychotherapy
173(1)
Shell Shock and Work in Groups
174(2)
Fear of Intimacy and Projective Identification
176(1)
The Body as Container
177(1)
Containment and Validation
177(1)
Shame
178(1)
Attachment Theory
179(1)
Vietnam War Veterans
180(1)
Unclaimed Experience
181(1)
EMDR
182(1)
Body Psychotherapies
183(2)
Mindfulness
185(2)
Family Therapy
187(2)
Integration in Theory and Practice
189(6)
Finale
195(1)
References 196(3)
Index 199
Jeremy Woodcock is in independent practice as a psychotherapist, supervisor, teacher, and writer. He has spent his professional life as a psychotherapist working with survivors of trauma. He was Consultant Family Therapist and Head of Groupwork at Freedom from Torture and Director of Family therapy training at the University of Bristol (UK), and is advisor and consultant to a wide variety of organizations working with trauma and its after effects.