Complex Trauma: Dissociation, Fragmentation, and Self Understanding

For those of us working in the field of complex trauma, one of the most exciting events of 2017 was the release of Healing the Fragmented Selves of Trauma Survivors by Dr. Janina Fisher. The book is a wonderful summary and synthesis of the current state of knowledge in trauma research enlivened with wisdom, insight and deep compassion for the victims of abuse. Dr. Fisher draws together neurobiological research, psychological theory, and a productive, if sometimes painful, process of trial and error in which dozens of committed therapists sought out better ways of helping survivors of trauma. Unfortunately, many people suffering from the after effects of a traumatic childhood have summoned up the courage necessary to start a course of therapy only to be forced to stop because confronting their repressed or partially repressed memories caused a breakdown or personal crisis that made it impossible to continue with therapy. While it can be argued that therapy on the “it must get worse before it gets better” model nevertheless helped many people, the desirability of finding a less painful model is obvious. Dr. Fisher describes both the new, improved model for trauma therapy and the process by which it came about, which is itself a fascinating story. The book is, I believe, required reading for anyone in the psychology profession, but is also aimed at victims of complex trauma, especially those starting therapy, and can be profitably read by anyone who has friends or f...
Source: Psych Central - Category: Psychiatry Authors: Tags: Abuse Caregivers Children and Teens Dissociation Dissociative Motivation and Inspiration Neuroscience Parenting Personality Psychology Psychotherapy Self-Esteem Trauma Treatment Alienation C-PTSD Child Abuse child neglect Source Type: news

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Authors: Hale AC, Bohnert KM, Ganoczy D, Sripada RK Abstract OBJECTIVE:: The U.S. Department of Veterans Affairs (VA) has placed increased emphasis on the availability and use of evidence-based psychotherapies (EBPs) for posttraumatic stress disorder (PTSD). However, many individuals do not complete a full course of EBP. The current study aimed to quantify the percentage of veterans receiving adequate EBP in VA hospitals and identify factors related to treatment completion. METHODS:: A national sample of 16,559 VA patients who began cognitive processing therapy (CPT) or prolonged exposure (PE) during fiscal yea...
Source: Psychiatric Services - Category: Psychiatry Tags: Psychiatr Serv Source Type: research
Psychiatric Services, Ahead of Print.
Source: Psychiatric Services - Category: Psychiatry Authors: Source Type: research
Stereoelectroencephalography (SEEG) vs.Mindstrong HealthMood Monitoring via Invasive Brain Recordings or Smartphone SwipesWhich Would You Choose?That's not really a fair question. The ultimate goal of invasive recordings is one of direct intervention, by delivering targeted brain stimulation as a treatment. But first you have to establish a firm relationship between neural activity and mood. Well, um, smartphone swipes (the way you interact with your phone) aim to establish a firm relationship between your “digital phenotype” and your mood. And then refer you to an app for a precision intervention. Or to your t...
Source: The Neurocritic - Category: Neuroscience Authors: Source Type: blogs
“PTSD is a whole-body tragedy, an integral human event of enormous proportions with massive repercussions.” ― Susan Pease Banitt This question came up in conversation when I was speaking with someone who has experienced severe panic attacks to the point of calling them “debilitating”, requiring inpatient care.  As they were sharing about the ordeal, they told me that when they contemplate the time spent seeking treatment and the aftermath, it ramped up both the anxiety and PTSD symptoms. Even as a career therapist with decades of experience treating people with stand-alone anxiety, ...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anxiety and Panic Personal Psychotherapy PTSD Trauma Aromatherapy Breathing Exercise PTSD trigger Relaxation Self Care Source Type: blogs
CONCLUSIONS: This is the first study to explore associations between hippocampal volume sub-regions and treatment outcome in PTSD and PD. Convergent results suggest that affect-focused treatment may influence the clinical outcome through the 'limbic' AH, whereas exposure-based treatments do not. These preliminary, theory-congruent, therapeutic findings require replication in a larger clinical trial. PMID: 30773148 [PubMed - as supplied by publisher]
Source: Psychological Medicine - Category: Psychiatry Authors: Tags: Psychol Med Source Type: research
(1) To evaluate the feasibility of conducting a randomized controlled trial (RCT) of the Safety, Meaning, Activation and Resilience Training (SMART) intervention versus Non-Directive Supportive Psychotherapy (NDSP) in an acutely hospitalized adult burn survivor sample; (2) To assess the preliminary impact of SMART on Acute Stress Disorder (ASD)/Posttraumatic Stress Disorder (PTSD) and Major Depress Disorder (MDD) symptom reduction as secondary prevention.
Source: Archives of Physical Medicine and Rehabilitation - Category: Rehabilitation Authors: Source Type: research
Many therapists and trainees will be familiar with the terms “somatic psychology” and “EMDR therapy,” and there have been many authors who have tried to write a book that encapsulates both of these topics succinctly, but in my opinion, none have succeeded in quite the same way as Arielle Schwartz and Barb Maiberger with their new book, EMDR Therapy and Somatic Psychology: Interventions to Enhance Embodiment in Trauma Treatment. EMDR Therapy and Somatic Psychology is a wonderful resource for both therapists-in-training and practicing therapists. The first part of the book is devoted to providing foun...
Source: Psych Central - Category: Psychiatry Authors: Tags: Book Reviews Disorders General Memory and Perception Mindfulness Neuroscience Psychological Assessment Psychology Psychotherapy Relaxation and Meditation Stress Trauma Treatment cultural sensitivity EMDR EMDR Therapy and Soma Source Type: news
AbstractPurpose of ReviewPosttraumatic stress disorder is a chronic, heterogeneous disorder for which a multitude of psychotherapies, pharmaceuticals, and immerging treatment programs are available. Majority of efficacy studies focus on Caucasian male military populations, which may be a reason why not all patients respond to treatment with long-term positive outcomes. Additionally, effects of treatment on symptom clusters have been neglected. This work reviews treatment of PTSD and its symptom clusters exclusively in civilian populations, which have been historically under-examined in the literature.Recent FindingsExposur...
Source: Current Psychiatry Reports - Category: Psychiatry Source Type: research
Clinical Applications of the Polyvagal Theory is another work in the Norton series on interpersonal neurobiology. I have come to believe that at least three theories are indispensable in learning and understanding how and why we behave the way we do — attribution theory, attachment theory, and our underlying physiology of safety, called the polyvagal theory. The polyvagal theory was developed by Stephen Porges and presented to the Society for Psychophysiological Research in 1994. The theory takes into account how our autonomic nervous system is constantly working to keep us safe. Very simply, the components are our ...
Source: Psych Central - Category: Psychiatry Authors: Tags: Anxiety Book Reviews Disorders General Memory and Perception Mindfulness Neuroscience Panic Disorder Personal Stories Psychological Assessment Psychology Psychotherapy PTSD Relationships & Love Relaxation and Meditation Traum Source Type: news
This study supports existing research showing promise for the application of rt-fMRI neurofeedback in the treatment of problems like PTSD, addiction and depression that are associated with heightened amygdala activation. The clinical potential of this technique, bridging the worlds of neurobiology and psychotherapy, is clear. That said, fMRI scanning is an expensive business, so it may be a while before a new world of personalised mental health interventions reveals itself. —Training emotion regulation through real-time fMRI neurofeedback of amygdala activity Post written by Eleanor Morgan (@eleanormorgan) for B...
Source: BPS RESEARCH DIGEST - Category: Psychiatry & Psychology Authors: Tags: Brain guest blogger Mental health Source Type: blogs
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