Attachment Trauma And Multiplicity

Valerie Sinason's Treating Survivors of Satanist Abuse addressed a subject that many professionals working in the field had been uncomfortable discussing. Her work in disability and abuse has consistently broken new ground in addressing subjects that many people have found initially hard to deal with. This new book covers the equally unexplored subject of Dissociative Identity Disorder (DID), and is the first major British book available for both clinicians and the intelligent lay public on this subject. Attachment, Trauma and Multiplicity explains the phenomenon of DID, the conflicting models of the human mind that have been found to try and understand it, the political conflict over the subject, and, with the permission of patients, clinical accounts. Valerie Sinason, along with an impressive array of contributors, covers: the background history and a description of the condition issues of diagnoses treatment issues the stages of dissociation that lead to full-blown DID the legal and management problems. Attachment, Trauma and Multiplicity will be indispensable to professionals in the UK increasingly concerned about their lack of training in this subject and the fear it evokes in them and their teams.

Trauma, Dissociation and Multiplicity provides psychoanalytic insights into dissociation, in particular Dissociative Identity Disorder (DID), and offers a variety of responses to the questions of self, identity and dissociation. With contributions from a range of clinicians from both America and Europe, areas of discussion include: the concept of dissociation and the current lack of understanding on this topic the verbal language of trauma and dissociation the meaning of children’s art the dissociative defence from the average to the extreme pioneering new theoretical concepts on multiple bodies. This book brings together latest findings from research and neuroscience as well as examples from clinical practice and includes work from survivor-writers. As such, this book will be of interest to specialists in the field of dissociation as well as psychoanalysts, both experienced and in training. This book follows on from Valerie Sinason’s Attachment, Trauma and Multiplicity, Second Edition and represents a confident theoretical step forward.

This book brings together the latest knowledge from attachment research and neuroscience to provide a new approach to treating trauma for therapists from different professional disciplines and diverse theoretical backgrounds. The field of trauma suffers from fragmentation as brands of therapy proliferate in relation to a multiplicity of psychiatric disorders. This fragmentation calls for a fresh clinical approach to treating trauma. Pinpointing at once the problem and potential solution, the author places the experience of being psychologically alone in unbearable emotional states at the heart of trauma in attachment relationships. This trauma results from a failure of mentalizing, that is, empathic attunement to emotional distress. Psychotherapy offers an opportunity for healing by restoring mentalizing, that is, fostering psychological attunement in the context of secure attachment relationships-in the psychotherapy relationship and in other attachment relationships. The book gives a unique overview of common attachment patterns in childhood and adulthood, setting the stage for understanding attachment trauma, which is most conspicuous in maltreatment but also more subtly evident in early and repeated failures of attunement in attachment relationships.

This Revised Edition of Attachment, Trauma and Multiplicity investigates the subject of Dissociative Identity Disorder. With brand new chapters on police work and attachment theory it has been fully updated to include new research and the latest understanding of patterns of attachment theory that lead to dissociation. With contributions from psychotherapists, psychiatrists, psychoanalysts and service users this book covers the background history and a description of the condition along with the issues of diagnoses and treatment. It also looks at: the phenomenon of DID the conflicting models of the human mind that have been found to try and understand DID the political conflict over the subject including problems for the police clinical accounts and personal writing of people with DID. Attachment, Trauma and Multiplicity, Second Edition will prove essential reading for therapists and mental health workers as well as being a valuable resource for graduates and researchers.

Drawing on the pioneering work of Janet, Freud, Sullivan, and Fairbairn and making extensive use of recent literature, Elizabeth Howell develops a comprehensive model of the dissociative mind. Dissociation, for her, suffuses everyday life; it is a relationally structured survival strategy that arises out of the mind’s need to allow interaction with frightening but still urgently needed others. For therapists dissociated self-states are among the everyday fare of clinical work and gain expression in dreams, projective identifications, and enactments. Pathological dissociation, on the other hand, results when the psyche is overwhelmed by trauma and signals the collapse of relationality and an addictive clinging to dissociative solutions. Howell examines the relationship of segregated models of attachment, disorganized attachment, mentalization, and defensive exclusion to dissociative processes in general and to particular kinds of dissociative solutions. Enactments are reframed as unconscious procedural ways of being with others that often result in segregated systems of attachment. Clinical phenomena associated with splitting are assigned to a model of “attachment-based dissociation” in which alternating dissociated self-states develop along an axis of relational trauma. Later chapters of the book examine dissociation in relation to pathological narcissism; the creation and reproduction of gender; and psychopathy. Elegant in conception, thoughtful in tone, broad and deep in clinical applications, Howell takes the reader from neurophysiology to attachment theory to the clinical remediation of trauma states to the reality of evil. It provides a masterful overview of a literature that extends forward to the writings of Bromberg, Stern, Ryle, and others. The capstone of contemporary understandings of dissociation in relation to development and psychopathology, The Dissociative Mind will be an adventure and an education for its many clinical readers.

Winner of ISSTD's 2009 Pierre Janet Writing Award for the best publication on dissociation in 2009! Dissociation and the Dissociative Disorders is a book that has no real predecessor in the dissociative disorders field. It reports the most recent scientific findings and conceptualizations about dissociation; defines and establishes the boundaries of current knowledge in the dissociative disorders field; identifies and carefully articulates the field’s current points of confusion, gaps in knowledge, and conjectures; clarifies the different aspects and implications of dissociation; and sets forth a research agenda for the next decade. In many respects, Dissociation and the Dissociative Disorders both defines and redefines the field.

Building on the comprehensive theoretical model of dissociation elegantly developed in The Dissociative Mind, Elizabeth Howell makes another invaluable contribution to the clinical understanding of dissociative states with Understanding and Treating Dissociative Identity Disorder. Howell, working within the realm of relational psychoanalysis, explicates a multifaceted approach to the treatment of this fascinating yet often misunderstood condition, which involves the partitioning of the personality into part-selves that remain unaware of one another, usually the result of severely traumatic experiences. Howell begins with an explication of dissociation theory and research that includes the dynamic unconscious, trauma theory, attachment, and neuroscience. She then discusses the identification and diagnosis of Dissociative Identity Disorder (DID) before moving on to outline a phase-oriented treatment plan, which includes facilitating a multileveled co-constructed therapeutic relationship, emphasizing the multiplicity of transferences, countertransferences, and kinds of potential enactments. She then expands the treatment possibilities to include dreamwork, before moving on to discuss the risks involved in the treatment of DID and how to mitigate them. All concepts and technical approaches are permeated with rich clinical examples.

Finally, a book that addresses your concerns about DID From Eve to Sybil to Truddi Chase, the media have long chronicled the lives of people with dissociative identity disorder (DID), formerly known as multiple personality disorder. The Dissociative Identity Disorder Sourcebook serves as a much-needed bridge for communication between the dissociative individual and therapists, family, and friends who also have to learn to deal with the effects of this truly astonishing disorder.

Drawing on research from a variety of domains - clinical studies of trauma, developmental psychopathology, interpersonal psychobiology, epidemiology, and social policy - September 11: Trauma and Human Bonds addresses especially the fundamental relationship of human bonds to trauma and underscores the manner in which developments in all these fields are coming together in complementary ways that sustain a key finding: that trauma must be understood in its relational and attachment contexts. The quality of early emotional attachments, differences in attachment styles to family milieus, and the psychological qualities that enable traumatized parents to avoid traumatizing their children are among the topics through which these contexts are explored. From their various disciplinary vantage points, the contributions converge to show how human relationships can either provide an anodyne to trauma or serve as the vehicle of its transmission. As Susan Coates observes, a major legacy of 9/11 is the realization that "there are no simple truths in the world of trauma studies, no easy-to-remember anodynes or pharmacologic magic bullets or depth-psychological schematizations that will hold true for a majority or even a sizable minority of cases." Yet, in delineating the multiple connections between human relations and trauma, and in elaborating these connections from multiple disciplinary perspectives, the contributors to September 11 have taken a decisive first step to consolidate new knowledge about trauma and to demonstrate how it can assist clinicians who encounter diverse responses to trauma in their day-to-day work. A sobering reminder of shared human vulnerability in the face of devastating events, September 11 is also a heartening reminder of resiliency in the face of overwhelming loss and of the healing potential of human connection.

In this opening chapter, Gwen Adshead provides a careful overview of the research literature concerning the main issues in this debate. She includes legal issues and child and adult memory in her remit.