Encompassing the contributions of expert clinicians and researchers in the area of traumatic stress and dissociation, this volume is the first to integrate current neuroscience research regarding traumatic dissociation with several cutting-edge approaches to treatment, providing a comprehensive, neurobiologically based treatment approach.
The text discusses current neuroscientific research regarding traumatic stress and dissociation that includes attachment, affective neuroscience, polyvagal theory, structural dissociation, and information processing theory, yielding a comprehensive model that guides treatment and clinical interventions for traumatic dissociation. It then integrates this model with stage-oriented treatment and current therapeutic interventions, including EMDR, somatic and body psychotherapy approaches, Ego State Therapy, and adjunctive pharmacological interventions. Readers are given hands-on practical guidance regarding clinical decision making, enabling them to make sound choices about interventions that will facilitate optimal treatment outcomes.
Key Features:
Provides a broad-based treatment approach to traumatic stress syndromes and dissociation
Offers accessible current research in the basic neurosciences relevant to our understanding of attachment, traumatic stress, and dissociation
Includes practical suggestions for integrating EMDR, somatic, and body psychotherapy approaches with Ego State Therapy and adjunctive pharmacological interventions
Integrates concepts from the affective and cognitive neurosciences and the study of consciousness
Presents a comprehensive neurobiological model that accounts for the therapeutic effects of both somatic therapies and EMDR, as well as adjunctive pharmacological interventions
By:
Ulrich F. Lanius,
Sandra L. Paulsen,
Frank M. Corrigan
Imprint: Springer Publishing Co Inc
Country of Publication: United States
Edition: 1
Dimensions:
Height: 254mm,
Width: 178mm,
Spine: 28mm
Weight: 928g
ISBN: 9780826106315
ISBN 10: 0826106315
Pages: 536
Publication Date: 13 May 2014
Audience:
General/trade
,
ELT Advanced
Format: Paperback
Publisher's Status: Active
Contributors ix Foreword by Jaak Panskepp, PhD xi Preface xv Introduction: The Ubiquity of Dissociation by Sandra L. Paulsen and Ulrich F. Lanius xix PART I. NEUROBIOLOGY Introduction: Dissociation and Neurobiology 1 Ulrich F. Lanius 1. Dissociation: Cortical Deafferentation and the Loss of Self 5 Ulrich F. Lanius, Sandra L. Paulsen, and Frank M. Corrigan 2. Threat and Safety: The Neurobiology of Active and Passive Defense Responses 29 Frank M. Corrigan 3. Peritraumatic Dissociation and Tonic Immobility: Clinical Findings 51 Michelle J. Bovin, Elise Ratchford, and Brian P. Marx 4. A Social–Cognitive–Neuroscience Approach to PTSD: Clinical and Research Perspectives 69 Ruth Lanius, Paul Frewen, Anthony Nazarov, and Margaret C. McKinnon 5. Dissociation and Endogenous Opioids: A Foundational Role 81 Ulrich F. Lanius 6. Attachment, Neuropeptides, and Autonomic Regulation: A Vagal Shift Hypothesis 105 Ulrich F. Lanius 7. Defense Responses: Frozen, Suppressed, Truncated, Obstructed, and Malfunctioning 131 Frank M. Corrigan 8. The Clinical Sequelae of Dysfunctional Defense Responses: Dissociative Amnesia, Pain and Somatization, Emotional Motor Memory, and Interoceptive Loops 153 Frank M. Corrigan 9. Shame and the Vestigial Midbrain Urge to Withdraw 173 Frank M. Corrigan 10. Attachment and Attachment Repair 193 Frank M. Corrigan, Alistair Wilson, and Deirdre Fay 11. Dissociation, EMDR, and Adaptive Information Processing: The Role of Sensory Stimulation and Sensory Awareness 213 Ulrich F. Lanius and Uri Bergmann PART II. TREATMENT Introduction: Dissociation and Psychotherapy 243 Sandra L. Paulsen and Ulrich F. Lanius 12. Seeing That Which Is Hidden: Identifying and Working With Dissociative Symptoms 247 Sandra L. Paulsen and Ulrich F. Lanius 13. The Compassionate Self 269 Frank M. Corrigan, Alistair Wilson, and Deirdre Fay 14. Stabilization Basics 289 Sandra L. Paulsen and Joan Golston 15. Stabilizing the Relationship Among Self-States 321 Sandra L. Paulsen and Joan Golston 16. Alexithymia, Affective Dysregulation, and the Imaginal: Resetting the Subcortical Affective Circuits 341 Sandra L. Paulsen, Katie O’Shea, and Ulrich F. Lanius 17. Fractionating Trauma Processing: TOTEMSPOTS and Other Attenuating Tactics 367 Sandra L. Paulsen and Ulrich F. Lanius vi Contents 18. Accelerating and Decelerating Access to Self-States 383 Sandra L. Paulsen 19. Integrating Body and Mind: Sensorimotor Psychotherapy and Treatment of Dissociation, Defense, and Dysregulation 399 Pat Ogden and Janina Fisher 20. Temporal Integration of Early Trauma and Neglect 423 Sandra L. Paulsen 21. Toward an Embodied Self: EMDR and Somatic Interventions 447 Ulrich F. Lanius and Sandra L. Paulsen 22. Opioid Antagonists and Dissociation: Adjunctive Pharmacological Interventions 471 Ulrich F. Lanius and Frank M. Corrigan Index 499
Ulrich F. Lanius, PhD, RPsych, BCETS, is a clinical and neuropsychological psychologist, EMDRIA Approved Consultant, and EMDR Institute Facilitator who is currently in private practice in British Columbia, Canada. Sandra Paulsen, PhD, is co-founder of the Bainbridge Institute for Integrative Psychology, WA. She provides consultation to individuals and organizations, emphasizing clinical specialties including EMDR, energy psychology, trauma, dissociation, ego state therapy, and consultation. Francis Martin Corrigan, MD, is the Consultant Psychiatrist at Argyll & Bute Hospital, Scotland, with responsibilities for general psychiatric evaluations for all in/out patients. He is a psychiatrist, neuroscientist and researcher, and an accredited EMDR consultant - EMDR Association UK & Ireland.
