- Subjects
- Published
-
Washington, DC :
American Psychiatric Press
[1995]
- Language
- English
- Main Author
- Edition
- First edition
- Physical Description
- xx, 385 pages : illustrations ; 24 cm
- Bibliography
- Includes bibliographical references (pages 339-373) and index.
- ISBN
- 9780880487207
9781585621699
- Preface
- The Plan of This Book
- Acknowledgments
- Part I. Foundations
- 1. Trauma
- Trauma Happens
- Types of Trauma
- Varieties of Man-Made Trauma
- Severity of Trauma
- The Eye of the Beholder
- Not All Symptoms Come From Trauma
- Not All Trauma Leads to Symptoms
- 2. Development
- Derailed Development
- Complex Effects and Vicious Circles
- Rerailed Development
- Before the Cradle
- Trauma and the Nervous System
- Part II. Effects of Trauma
- 3. Attachment
- The Foundation of Development
- The Secure Base
- The Strange Situation
- Secure Attachment
- Insecure Attachment
- Disorganized Attachment
- Reciprocity and Vicious Circles
- Attachment Beyond Infancy
- Disruption of Attachment by Trauma
- Attachment and Regulation of Arousal
- Restoring Security
- 4. Emotion
- Anxiety, Fear, and Panic
- Anger and Aggression
- Shame and Guilt
- Depression
- Temperament and Personality
- Establishing Emotional Control
- 5. Consciousness
- Escaping the Inescapable
- Shades of Consciousness
- Self-Consciousness
- Unconscious, Conscious, and Subconscious
- Dissociation as a Blessing and a Curse
- The Process of Dissociation
- Back to Reality
- 6. Memory
- Intrusive Memories
- Memory or Fantasy?
- The Pendulum Swings
- How Accurate Is Autobiographical Memory?
- Reasons for Traumatic Memories to Be Clouded
- Amnesia
- Memory Versus Fantasy: A Current Perspective
- Remembering in Therapy
- 7. Self
- Aspects of the Self
- Self-Continuity
- Self-Concept
- Self-Destructiveness
- Restoring Self-Esteem
- 8. Relationships
- Repetition of Trauma in Relationships
- Relationship Models
- Traumatic Bonding
- Problematic Models
- Problematic Patterns
- Developing New Models
- Self-Dependence
- Part III. Trauma-Related Psychiatric Disorders
- 9. Posttraumatic Stress Disorder
- A Brief History
- Prevalence
- Hyperarousal
- Reexperiencing
- Avoidance and Numbing
- Variations in Course
- Complex PTSD
- What Causes PTSD?
- Treatment
- 10. Dissociative Disorders
- The Spectrum of Dissociation
- Depersonalization Disorder
- Dissociative Amnesia and Fugue
- Dissociative Identity Disorder
- Responsibility for Dissociative Behavior
- Achieving Continuity and Integration
- 11. Other Disorders
- Anxiety Disorders
- Depressive Disorders
- Substance Abuse
- Somatization Disorder
- Sexual Dysfunction
- Eating Disorders
- Borderline Personality Disorder
- The Perils of Labeling
- Part IV. Treatment
- 12. Treatment Approaches
- Safety First
- Individual Psychotherapy
- Cognitive-Behavior Therapy
- Group Psychotherapy
- Family Intervention
- Medication
- Hospital Treatment
- Continuum of Care
- 13. Self-Regulation
- Simple but Difficult
- Positive Emotions
- Methods of Self-Regulation
- Putting It All Together
- 14. Conclusions
- Trauma Happens
- Trauma Is One Factor Among Many
- Understand Your Brain and Be Gentle on Your Mind
- Safety Rests on a Secure Base
- Emotions Are Adaptive
- Dissociation Is a Blessing and a Curse
- Your Autobiography Is a Continual Construction
- Your Self-Concept Is a Compass
- Outdated Relationship Models Can Be Put on Unemployment
- Avoid Retraumatization
- Dissociation Diminishes With Self-Expansion
- Focus on Trauma Should Not Obscure Other Problems
- The Goal of Treatment Is to Improve the Quality of Life
- Care for Yourself and Your Nervous System
- Beyond Fight or Flight
- Appendix. The Biology of Trauma
- Gene Doings
- The Biochemical Brain
- The Triune Brain
- The Neurophysiology of the Fight-or-Flight Response
- Concluding Biological Reflections
- Notes
- References
- Index