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The Haunted Self: Structural Dissociation and the Treatment of Chronic Traumatization (Norton Series on Interpersonal Neurobiology) By Onno van der HartEllert R. S. NijenhuisKathy Steele ( W. W. Norton )
Release Date: 2006-11-10
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List Price: $49.95
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Product Description
A new way of dealing with chronic trauma from leaders in the field.
Life is an ongoing struggle for those who have been severely traumatized. Here, leading trauma experts present a theory and practice for dealing with chronic trauma. Recognizing the structural dissociation (splitting away of part of the self) that often results from trauma and proposing a plan for action that a survivor must implement in order to put his or her haunted past to rest, this book will be of interest to researchers as well as clinicians.
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 A significant addition to dissociative disorders ( joemcf )
A very interesting review of Janetian psychology as well as a helpful presentation of theory and categorization of dissociative identity disorder. The clinical sections are less well organized, and rather hard to follow.
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 An Excellent Text for those Working in this Controversial Field
At last - a truly excellent text on the psychological aspects of trauma-related disorders! This book provides a clear and comprehensive account of the theory and management of complex PTSD and complex dissociative disorders. In approaching the difficulties of categorising all the phenomena seen in these severely disturbed patients, the authors have taken a bird's eye view, presenting their theory of structural dissociation and linking it in a useful and meaningful way to a phased treatment model.
The issue of dissociation has been phenomenologically challenging and even more difficult to unravel theoretically. Van der Hart, Nijenhuis and Steele have accomplished this task with a quite densely written, but lucid, volume which draws on the work of Janet, expanding his concepts and defining a range of terms that greatly assist in conceptualising how dissociation and its consequences occur, and how its manifestations produce the symptoms these patients present. It draws on the growing neurobiological research into the underpinnings of dissociation and highlights the centrality of the phobic response to the traumatising event in the maintenance of dissociation.
The authors importantly distinguish between potentially and actually traumatising events, and traumatic experiences, recognising that only some people develop psychopathological symptoms or mental disorders in response to exposure to a particular event, which can then be identified as a traumatising event which produced a traumatic experience. This can be seen in contrast to the person who does not develop psychopathology and to whom the identical event may be quite stressful, but by definition is not traumatic.
While this theoretical analysis might seem a sufficient endeavour, the second part of the book provides an overarching map to treatment, connecting it throughout with the previously described theoretical framework. In contrast to many previous attempts, the plan provides an understanding of how the phased model of treatment seeks initially to consolidate the patient's response to the traumatising event, thereby attempting to diminish the likelihood of further disintegration. Further it does not view fusion of the dissociative parts, if this can be achieved, as the final therapeutic goal for those who dissociate in response to the traumatising event, but rather suggests that the ultimate task of treatment is to assist the patient to overcome the `phobia of normal life'.
Without doubt, the most helpful text yet for clinicians working in a psychological framework in this controversial field.
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A Major Advancement in Understanding Trauma and Dissociation ( nininije )
In THE HAUNTED SELF the authors, Onno van der Hart, Ellert Nijenhuis and Kathy Steele present a theory of structural dissociation that builds upon the work of Pierre Janet and ties together the recent developments in the areas of trauma and dissociation. They build their theory methodically and concisely, tackling the difficult subject of dissociation and its effects on survivors of trauma. Their writing is compassionate and understanding, illuminating their therapeutic skills while at the same time delving into one of the most misunderstood and confounding areas of psychology with clarity and thoughtfulness.
The book is a challenging read, not because of the language, but because of the thoroughness and detail devoted to the construction of the authors' somewhat complex theory. Divided into two sections, the first constructs the theory of structural dissociation itself, with the second section presenting the phase oriented treatment, including examples illustrating the therapeutic processes involved.
The theory the authors present is consistent with recent advances in neuroscience and has the potential to impact the treatment of those suffering from a range of psychological disorders. The authors fully acknowledge and solicit feedback for those parts of their theory that are in need of further research. They also use the work of many others who have extended our knowledge of trauma and dissociation and its treatment over the past century.
Rather than approaching dissociative disorders by only examining the modern theories and developments, they begin with the work of Janet and thus are able to define the sequential breakdown of the personality in the face of traumatic incidences. Their theory respects the varied nature of individual responses making their approach most accessible for those who work directly with any dissociative system, from the simplest ranging to the most complex or polyfragmented.
This book is great advanced reading for those DID'ers who have already read everything else out there and are looking for more. Although it is dense, if you can make your way through it, you will find yourselves, as I did, commenting on how `on the mark' it feels.
THE HAUNTED SELF should be required reading for all psychology and neurobiology students as well as for all private practitioners and those currently working with the mentally ill in institutions, programs and educational settings. It is also excellent material for those seeking to understand more about the functions of the brain.
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Three leading researchers and clinicians share their lessons from treating such individuals ( mwbookrevw )
Those who have been chronically traumatized have a range of symptoms which make for difficult assessment and treatment by therapists: THE HAUNTED SELF: STRUCTURAL DISSOCIATION AND THE TREATMENT OF CHRONIC TRAUMATIZATION is thus for college-level mental health holdings and practicing therapists who would identify and treat these issues, from daily living challenges to the recurrence of memories about a painful past. Three leading researchers and clinicians share their lessons from treating such individuals - over sixty years of collective experience - and provide a powerful set of insights for clinicians, students of clinical psychology and psychiatry, and any involved in mental health issues.
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A Great Exposition of Understanding for Human Suffering
I must express extreme praise and admiration for the work and eventual understanding the authors of The Haunted Self have so relatively displayed in researching trauma related disorders and maladaptive behaviors. But the amazing thing is they were able to explain it in terms a sufferer can understand. This is not something that happens in research very often. I have been involved in research of some sort all my adult life and know that research produces facts and figures from which decisions and theories can be constructed with a reasonable amount of certainty. The one thing research cannot do is produce empathy and compassion. Being a post-modern theologian as well as an engineer, I know these two expressions can only come from a calling to help humanity. I am a fifty-one year old male who has suffered the agonizing pain of the effects of trauma in many different ways and forms all my life. After reading well over one-hundred and twenty thousand pages of research on my symptoms and problems and theorizing and journaling thoughts, I finally found not only an explanation but compassion and empathy within the pages of this book. I believe this is vital in any therapeutic relationship. Without a shadow of a doubt, the reader can make a therapeutic relationship with this book that can be externalized and extended into their patient therapist relationship. This book is to trauma and mental health as Einstein's theory of relativity is to physics or what the personal computer is to how we view information or, more importantly, what parole is to a prisoner.
I have been treated for many anxiety related symptoms but another symptom would just take its place after treatment. Then the original symptom would reoccur. This cycle has lasted all my life with devastating personal effects. But like most people with psychological disorders or underdeveloped functionality, it was hard to talk about what was really going on inside of me. I could neither express nor have the courage to face my inward demons. I was stuck in a living example of structural disassociation. My emotional self (EP) was stuck in the state of both somatic (empty) and exaggerated memories of accumulative trauma (or of personal perceptions of life events) while my normal every day self (ANP) was in a defensive war keeping me from dealing with the pain, relived trauma and torture of those memories. This actually caused a somatic type of discomfort. Of course this psychosomatic physical suffering just kept the cycle of mental distress going in a spiral of disassociation. Actually I was fighting for the gift of life as found in wholeness.
I have been inducted into the lifer's panic attack hall of fame. If that were not enough I have fought phobias, struggled with intrusive misplaced thoughts bordering OCD, mimicked heart attacks getting intimate with the EKG machine. I endured the embarrassment of publicly displaying tics and jerks and leg movements during stressful situations that I was ill equipped to handle. I would have to find some excuse for losing my current thought process during emotional and trying times. The list could go on but at this point I think you have the idea. I felt like a loser with no hope. Make no mistake. All of those labeled disorders were real. That is; they were symptomatically real due to trauma related structural disorder which affected and distorted my understanding of the gift of life. Treatment was nothing more than an aspirin for the pain. Healing started, however, through understanding the complex make up of my person.
The Haunted Self provided that understanding. I introduced the book to my therapist, whom is very good and someone I trust very much. She embraced the detailed theory as it applied to me much to my surprise. By the way, did I say she was good? Something amazing happened with this embrace. I know that what I am about to say will sound patronizing but healing is something one must share. Within five weeks of therapy using a facilitated understanding of this book by my therapist, symptoms began to weaken (of course I had already completed my homework and I desperately wanted change). Wholeness began happening in my life. Doors began to open to things I never understood. Changes began to happen to my thought process bleeding over into my actions (synaptic psychotherapy). I was actually creating opportunities for myself. I was able to accept past trauma perceptions and started believing and knowing that the defense used by my everyday self (ANP) only made things worse. I feel a life time of treatment, attempted understanding and suffering came to a head with nothing more than simple insight made clear to a somewhat neurotic person. Actually this understanding was presented as a detailed expression of the conflicting forces that wreck havoc on the lives of so many people that make up our world (makes one question the concept of spontaneous panic attacks).
This review is way too long so I will end here with a challenge. I challenge anyone who has been beleaguered with anxiety related disorders to look at themselves and their disorders from a different point of reference like the changing colors of light through a prism as presented in The Haunted Self. I also challenge all mental health professionals to at least look over this book and allow it to provoke your thoughts (it should be required reading for all doctoral students in psychology if only because of the post-modern interpretation of prior research). I believe this book is a holistic expression for a broad range of disorders that are now being treated separately and in this sufferer's opinion sometimes ineffectively. I do not pretend to be an expert in psychology as some of you who are will notice, while chuckling at my review, but I am a seasoned professional at suffering due to trauma or perceptions of trauma and the extreme bizarre anxiety and actions it produces.
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