E-Book, Englisch, 514 Seiten
Nijenhuis The Trinity of Trauma: Ignorance, Fragility, and Control
1. Auflage 2017
ISBN: 978-3-647-40268-0
Verlag: Vandenhoeck & Ruprecht
Format: PDF
Kopierschutz: 0 - No protection
Enactive Trauma Therapy
E-Book, Englisch, 514 Seiten
ISBN: 978-3-647-40268-0
Verlag: Vandenhoeck & Ruprecht
Format: PDF
Kopierschutz: 0 - No protection
Enactive trauma therapy is grounded in so-called enactivism, which holds that, like anyone else, traumatized individuals are (1) embrained, embodied, and environmentally embedded; (2) constitute biopsychological organism-environment systems that are essentially interested in preserving their existence; (3) are primarily affective and oriented toward making sense of things. Individuals exhibit a phenomenal self, world, and self-of-the-world through self- and world-oriented actions. They do not act on the basis of knowledge, but possess knowledge on the basis of world-engaged sensorimotor, affect-laden, and goal-oriented actions. Whenever interpersonal traumatization by significant others occurs, individuals may get caught up in affective and relational conflicts they cannot resolve on their own. Their generation and maintenance of a trauma-related dissociation of the personality involves a kind of sense-making that supports their continued existence when their capacity to integrate traumatic experiences is still too low. However, what starts as a courageous effort to navigate a traumatizing life may at some point in time become a serious problem. Enactive trauma therapy comprises the collaboration of two organism-environment systems: the patient and the therapist. Together they spawn new meaning and adequate actions – an interaction that resembles dancing: It takes pacing, mutual attunement, good timing, a sensitivity to balance, movement and rhythm, courage, as well as the ability and willingness to follow and lead.
Fachgebiete
Weitere Infos & Material
1;Cover;1
2;Title Page;4
3;Copyright;0
4;Table of Contents;6
5;Body;12
6;Volume III: Enactive Trauma Therapy;12
6.1;Preface;14
6.1.1;Ignorance, Fragility, and Control versus Realization;15
6.1.2;Theory: A Navigational Instrument;17
6.1.3;A Player and a Coach: Two Organism-Environment Systems Enacting a Common World;18
6.1.4;The Trinity of Trauma and The Haunted Self;20
6.1.5;The Trinity of Trauma: A Trilogy;22
6.1.6;Clinicians and Therapists;24
6.1.7;Gratitude;24
6.2;Introduction: Volume III in Brief;26
6.2.1;Theoretical Basis;26
6.2.2;The Practice of Enactive Trauma Therapy;30
6.3;Chapter 22: Consciousness in Trauma;34
6.3.1;A Trinity of Prototypical Dissociative Subsystems of the Personality;34
6.3.2;Consciousness: Cooperation, Coordination, Communication;37
6.3.3;General, Personal, and Subjective (Phenomenal) Consciousness;39
6.3.4;Totalitarian, Corporative, and Communicative Cooperation;40
6.3.5;Interpersonal Traumatization as a Totalitarian Organization;41
6.3.6;Dissociative Parts of the Personality in Trauma: Totalitarian and Corporative;43
6.3.7;Enactive Trauma Clinicians: Corporative and Communicative;45
6.3.8;Being Sentient and Being Conscious;46
6.3.9;Phenomenal and Subjective;48
6.4;Chapter 23: Enlightenment, Enlivenment, Enactivism;50
6.4.1;Enlightenment;51
6.4.2;Songs Beyond the Siren of Mechanics;52
6.4.3;Songs Beyond the Siren of Matter;53
6.4.4;Songs Beyond the Siren of Thought;55
6.4.5;Adverse Life: Coincidental Suffering?;55
6.4.6;Enlivenment and Enactivism;56
6.4.7;Parts and Wholes;60
6.4.8;Enactivism: A Viable One System Approach to Life;65
6.5;Chapter 24: Embedment, Entanglement, and Conatus;68
6.5.1;A Knotty Ontological Dialectic;68
6.5.2;A Knotty Epistemic Dialectic;70
6.5.3;The Ontological and Epistemic Relativity and Entanglement of Subjects and Objects;71
6.5.4;Embedment and Subject-Object Relativity in Trauma;71
6.5.5;Conatus or Will;73
6.5.6;Summary;77
6.6;Chapter 25: Desire, Joy, and Sadness;78
6.6.1;Evaluation as Signification;78
6.6.2;Signs and Sense Making;80
6.6.3;Insignification;81
6.6.4;Signification is Species-Dependent;82
6.6.5;The Power of Action;82
6.6.6;Actions, Passions, and Umwelt;85
6.6.7;Passions and Substitute Actions;86
6.6.8;Adverse, Traumatizing, and Traumatic Events;88
6.6.9;Decomposition and (Re)Composition of the Personality in Trauma;88
6.6.10;Reenactment of Traumatic Memories and Relationships: Seeking Joy, Remaining Stuck in Sadness, Suffocating in Hate;90
6.6.11;Dissociative Intrusions;93
6.6.12;Demoralization: Power of Action Lost;94
6.6.13;Enactivism and Participatory Sense Making;95
6.7;Chapter 26: Dissociative Parts of the Personality and Modes of Longing and Striving;98
6.7.1;Dissociative Parts and Action Systems;98
6.7.2;ANPs with ‘EP-like’ Features and EPs with ‘ANP-like’ Features;101
6.7.3;Modes of Longing and Striving;103
6.7.4;Dissociative Parts Include Various Modes of Longing and Striving;108
6.7.5;Lack of Integration and Dissociation: Related but Different Concepts;114
6.8;Chapter 27: Traumatized Individuals and Their Dissociative Parts: Autonomous Centers of Action and Passion;118
6.8.1;Autonomous Systems;118
6.8.2;Traumatized Individuals and Their Dissociative Parts: Autonomous Systems;122
6.8.3;Autonomous Systems: Operationally Closed, Environmentally Open;128
6.8.4;Traumatized Individuals and Dissociative Parts as Operationally Closed Systems .;128
6.8.5;Autonomous Systems: Minded;129
6.8.6;Mind, Affectivity, and Perspectivalness in Trauma;134
6.8.7;Conatus and Passions;134
6.8.8;Conatus and Passion in Trauma;136
6.8.9;A Recapitulation;138
6.9;Chapter 28: Ego and Socius;142
6.9.1;Ego as Socius;142
6.9.2;Some Perspectival Features of Prenatal Development;144
6.9.3;Ego and Socius in Prenatal and Postnatal Trauma;146
6.10;Chapter 29: Conatus, Cognition, and the Body;154
6.10.1;Conatus and Cognition in Trauma;156
6.10.2;Mind, Brain, and Body;157
6.11;Chapter 30: Participatory Sense-Making;166
6.11.1;Entering the World of Psychology;167
6.11.2;Paula;168
6.11.3;The Province of Groningen;170
6.11.4;Defrosting a Frozen Lady;173
6.11.5;Making Meaning Together;176
6.11.6;Epilogue;190
6.12;Chapter 31: Attunement, Consensus Building, and Sensitive Leading by Utilization;192
6.12.1;Pediatric Hypnotherapy as a Model of Any Form of Psychotherapy;193
6.12.2;The Dance of Enactive Trauma Therapy;198
6.12.3;From Flatland to Spaceland;205
6.12.4;Loss of Control in Trauma and Dissociation;212
6.13;Chapter 32: Enactive Assessment of Dissociation and Traumatizing Events;216
6.13.1;Therapeutic Democracy and the Development of Positive Control;217
6.13.2;Standard Assessment;219
6.13.3;Stop Signals;221
6.13.4;Ineke;223
6.13.5;The First Session;223
6.13.6;The Second Session;225
6.13.7;The Path So Far;262
6.13.8;Secrets;263
6.13.9;Epilogue;263
6.14;Chapter 33: Uncommon Enactive Assessment;264
6.14.1;Martha;264
6.14.2;Assessment;290
6.14.3;A Therapeutic Plan of Action;301
6.14.4;The Continued Treatment;302
6.14.5;Epilogue;306
6.14.6;Sonja;306
6.14.7;Conclusion;310
6.15;Chapter 34: How Water Beats Rocks and Other Metaphors;312
6.15.1;How Water Beats Rocks;313
6.15.2;Epilogue;320
6.15.3;Paralinguistics;321
6.15.4;Metaphor Construction and Preparation;325
6.15.5;Sleeping Beauty: A Tale for Young Fragile EPs;326
6.15.6;The Boxer;327
6.15.7;The Jigsaw Puzzle;328
6.15.8;The Long Journey, the First Step;329
6.16;Chapter 35: The Meaning of Sirens;330
6.16.1;WWW: From Symptom to Meaning – Who Does What and Why?;331
6.16.2;Discussion;352
6.16.3;A Brutal Confession, the Unveiling of a Final Secret, and the Right to Exist;358
6.17;Chapter 36: Hand in Hand;360
6.17.1;Agnes;362
6.17.2;Physical Contact Between Patients and Clinicians;376
6.17.3;Conclusion;386
6.18;Chapter 37: Sympathy for The Devil;388
6.18.1;Dissociative Amnesia and Dissociative Hypermnesia;388
6.18.2;Meeting The Helper;390
6.18.3;Meeting The Devil;393
6.18.4;Completion of the Session;406
6.18.5;The Next Session;407
6.18.6;From Totalitarian to Communicative-Egalitarian Relationships;408
6.18.7;Therapeutic Exposure from an Enactive Perspective;411
6.18.8;Twenty Years Later: Sonja’s Reactions to Watching The Devil;415
6.19;Chapter 38: 222 Propositions Regarding Enactivism and Enactive Trauma Therapy;418
6.19.1;Enactivism;418
6.19.2;Mind and Matter;418
6.19.3;Relativity of Subject and Object; Meaning Making;418
6.19.4;Morality;419
6.19.5;Organism-Environment Systems and Operationally Autonomous Systems;419
6.19.6;Embrained, Embodied, Embedded;420
6.19.7;Mental and Phenomenal Systems;420
6.19.8;Needs and Desires;420
6.19.9;Modes of Longing and Striving;421
6.19.10;Integration: Synthesis, Personification, Presentification, Symbolization, and Realization;421
6.19.11;Integrative Limitations, Adverse Events, and Traumatic and Traumatizing Events .;422
6.19.12;Dissociation in Trauma and Dissociative Subsystems;423
6.19.13;Prototypical Dissociative Parts;424
6.19.14;Dissociative Parts and Consciousness;425
6.19.15;Enactive Trauma Therapy;426
6.19.16;Enactive Trauma Clinicians;426
6.19.17;Egalitarianism;427
6.19.18;Goals;427
6.19.19;Attunement, Consensus Building, and Leading;428
6.19.20;Enactive Trauma Therapy: Healing Steps;429
6.19.21;Embodiment and the Body in Trauma Treatment;430
6.19.22;Who Does What and Why?;430
6.19.23;Pointland, Lineland, Flatland, and Spaceland;430
6.19.24;Phobias;431
6.19.25;Imaginal Exposure;432
6.19.26;Concretizations;432
6.19.27;Overcoming the Trinity of Trauma in Psychiatry, Psychology, and Psychotherapy .;433
6.19.28;Society and Chronic Childhood Traumatization;434
7;Appendix 1: Some Notes on the Efficacy of Enactive Trauma Therapy;438
7.1;Defining and Using the Concept of ‘Dissociation’ in ContradictoryWays;438
7.2;Dissociative Disorders Require a Specific Kind of Treatment;439
7.3;Useful (Significant-Good) and Harmful (Significant-Bad) or Useless (Insignificant) Treatment of Complex Dissociative Disorders;440
7.4;Community Therapists and Expert Therapists of Complex Dissociative Disorders: What Do They Do?;441
7.5;Controlled Group Comparison Outcome Studies and Their Limitations;441
7.6;Single-Case Studies;442
7.7;Multiple Cases Studies of the Treatment of Complex Dissociative Disorders;443
8;Appendix 2: The Need for and the Utility of Minimal Constraints on the Concept of Dissociative Parts;445
8.1;Concepts are Artificial Constructs;445
8.2;Integrative Limitations;447
8.3;Phenomenological Interests;448
8.4;Clinical Interests;449
8.5;Scientific/Empirical Interests;449
8.6;Dissociative Parts and Minimal Constraints on Consciousness;451
8.7;Minimal Constraints on Self-Consciousness: Phenomenal Self-Conception and Phenomenal Conception of an Intentionality Relationship;454
8.8;Dissociative Parts Need Not Be Verbal;456
8.9;Minimal Dissociative Parts, Minimal Contents;457
8.10;To Have an Autobiographical Memory, Someone Must Remember and Personify It;457
8.11;Assessment of Dissociative Disorders and the Accessibility and Assessability of Dissociative Parts;458
8.12;Detection of Rudimentary EPs in PTSD (and Other Dissociative Disorders);459
9;Appendix 3: The Somatoform Dissociation Questionnaire (SDQ-20);462
9.1;Scoring;462
9.2;Scalability;462
9.3;Reliability;463
9.4;Relationship with Demographic Characteristics;463
9.5;Convergent Validity;463
9.6;Discriminant Validity;463
9.7;Construct Validity;464
9.8;Screening Capacity;465
10;Appendix 4: The Somatoform Dissociation Questionnaire (SDQ-5);469
11;Appendix 5: The Traumatic Experiences Checklist (TEC);473
11.1;Scoring Form Traumatic Experiences Checklist (TEC);479
12;References;484
13;Author Index;506
14;Subject Index;508
