Presentation of a major new diagnostic interview to assess chronic trauma-related disorders, in particular dissociative disorders. Written by a world-leading specialist in trauma-related dissociation, this book comprehensively describes the diagnosis of trauma-related disorders, taking up the many dilemmas around criteria in DSM-5 and ICD-11, symptom recognition, the role of traumatic experiences and of self-report questionnaires, as well as other topics. The book elaborates on the assessment of these disorders, using the diagnostic instrument Trauma and Dissociative Symptoms Interview (TADS-I), developed by the author over decades of work in the field. Several thematic chapters discuss key differential diagnostic considerations and illustrate them with case reports. Also discussed are the occurrence of false-negative and false-positive diagnoses of trauma-related dissociative disorders, the assessment of traumatic experiences, and the development of a treatment plan. This book is essential reading for clinicians who diagnose dissociative disorders (or want to learn), and useful for those who want to assist in better recognizing clients with dissociative symptoms and refer them for specialized testing. The complete TADS-I is included as an appendix.

This training manual for pateints who have suffered severe trauma includes a short educational piece, homework sheets, and exercises that promote essential emotional and life skills.

Handbook for the Assessment of Dissociation: A Clinical Guide is the first book to offer guidelines for the systematic assessment of dissociation and posttraumatic syndromes. This book provides a comprehensive overview of dissociative symptoms and disorders, as well as an introduction to the use of the SCID-D, a diagnostic interview for the dissociative disorders includes chapters on differential diagnosis, a discussion of the relationship between dissociation and trauma, and a sample patient interview serves the needs of novices in the field as well as experienced clinicians and researchers

Winner of the 2017 International Society for the Study of Trauma and Dissociation (ISSTD) Pierre Janet Writing Award. Establishing safety and working with dissociative parts in complex trauma therapy. Therapists around the world ask similar questions and struggle with similar challenges treating highly dissociative patients. This book arose not only out of countless hours of treating patients with dissociative disorders, but also out of the crucible of supervision and consultation, where therapists bring their most urgent questions, needs, and vulnerabilities. The book offers an overview of the neuropsychology of dissociation as a disorder of non-realization, as well as chapters on assessment, prognosis, case formulation, treatment planning, and treatment phases and goals, based on best practices. The authors describe what to focus on first in a complex therapy, and how to do it; how to help patients establish both internal and external safety without rescuing; how to work systematically with dissociative parts of a patient in ways that facilitate integration rather than further dissociation; how to set and maintain helpful boundaries; specific ways to stay focused on process instead of content; how to deal compassionately and effectively with disorganized attachment and dependency on the therapist; how to help patients integrate traumatic memories; what to do when the patient is enraged, chronically ashamed, avoidant, or unable to trust the therapist; and how to compassionately understand and work with resistances as a co-creation of both patient and therapist. Relational ways of being with the patient are the backbone of treatment, and are themselves essential therapeutic interventions. As such, the book also focused not only on highly practical and theoretically sound interventions, not only on what to do and say, but places strong emphasis on how to be with patients, describing innovative, compassionately collaborative approaches based on the latest research on attachment and evolutionary psychology. Throughout the book, core concepts—fundamental ideas that are highlighted in the text in bold so they can be seen at a glance—are emphasized. These serve as guiding principles in treatment as well as a summing-up of many of the most important notions in each chapter. Each chapter concludes with a section for further examination. These sections include additional ideas and questions, exercises for practicing skills, and suggestions for peer discussions based on topics in a particular chapter, meant to inspire further curiosity, discovery, and growth.

Traumatic Dissociation: Neurobiology and Treatment offers an advanced introduction to this symptom, process, and pattern of personality organization seen in several trauma-related disorders, including acute stress disorder, posttraumatic stress disorder (PTSD), and the dissociative disorders. Our understanding of traumatic dissociation has recently been advanced by neuroimaging technology, empirically-based investigation, and an acknowledgment of its importance in psychopathology. The authors of this volume tie these findings together, tracking the condition from its earliest historical conceptualization to its most recent neurobiological understanding to provide even greater insight into traumatic dissociation and its treatment. Bringing together for the first time theoretical, cognitive, and neurobiological perspectives on traumatic dissociation, this volume is designed to provide both empirical and therapeutic insights by drawing on the work of many of the main contributors to the field. Opening chapters examine historical, conceptual, and theoretical issues and how other fields, such as cognitive psychology, have been applied to the study of traumatic dissociation. The following section focuses specifically on how neurobiological investigations have deepened our understanding of dissociation and concluding chapters explore issues pertinent to the assessment and treatment of traumatic dissociation. The interacting effects of traumatic experience, developmental history, neurobiological function, and specific vulnerabilities to dissociative processes that underlie the occurrence of traumatic dissociation are among some of the key issues covered. The book's significant contributions include A review of cognitive experimental findings on attention and memory functioning in dissociative identity disorder An appreciation of how the literature on hypnosis provides a greater understanding of perceptual processing and traumatic stress Ascertaining symptoms of dissociation in a military setting and in other situations of extreme stress An outline of key issues for planning assessment of traumatic dissociation, including a critique of its primary empirically supported standardized measures An examination of the association between child abuse or neglect and the development of eating disorders, suggesting ways to therapeutically deal with negative body experience to reduce events that trigger dissociation A description of neuroendocrine alterations associated with stress, pointing toward a better understanding of the developmental effects of deprivation and trauma on PTSD and dissociation A review of the relation of attachment and dissociation A discussion of new research findings in the neuroimaging of dissociation and a link between cerebellar functioning and specific peritraumatic experiences Useful as a clinical reference or as ancillary textbook, Traumatic Dissociation reorganizes phenomenological observations that have been overlooked, misunderstood, or neglected in traditional training. The research and clinical experience described here will provide the basis for further clinical and theoretical formulations of traumatic dissociation and will advance empirical examination and treatment of the phenomenon.

Written and edited by some of the world's foremost experts in the field, Trauma, Memory, and Dissociation provides comprehensive coverage of dissociation and memory alterations in trauma, an area that is being dramatically reshaped by vigorous new research. This one-of-a-kind book, written for researchers and clinicians alike, covers aspects of this subject that have not been thoroughly examined before. It presents empirical data on dissociative symptoms associated with exposure to psychological trauma, including combat, childhood abuse, and other traumas, as well as the important relationships dissociative disorder has with other conditions associated with extreme stress such as posttraumatic stress disorder. This book also examines areas where questions still linger concerning the psychopathology of trauma-related dissociation, including dissociation as a defense mechanism or a normal personality trait. Because dissociation plays an important role in the recall of traumatic memories, Trauma, Memory, and Dissociation investigates the controversial areas of delayed recall of childhood abuse and "false memory syndrome." This text also offers clinicians a detailed, step-by-step discussion of approaches to treat the dissociative patient. It reviews the neurobiology of dissociative disorders and illuminates areas where future research may lead to more effective treatments.

An international look at the similarities and differences of long-lasting trauma Trauma and Dissociation in a Cross-Cultural Perspective examines the psychological, sociological, political, economic, and cultural aspects of trauma and its consequences on people around the world. Dispelling the myth that trauma-related dissociative disorders are a North American phenomenon, this unique book travels through more than a dozen countries to analyze the effects of long-lasting traumatization-both natural and man-made-on adults and children. Working from theoretical and clinical perspectives, the field’s leading experts address trauma in situations that range from the psychological effects of “the Troubles” in Northern Ireland to the emergence of “Hikikomori,” the phenomenon of social withdrawal in Japanese youth. Reactions to trauma can be both unique according to a person’s culture and similar to the experiences of others around the world. Dissociation, intense grief, anger, and survivor’s guilt are common responses as people split off mentally, physically, and emotionally from the source of the trauma, whether it’s an act of nature (tsunami, earthquake, flood, etc.) or the trauma created by violence, physical, sexual, and emotional abuse, assault, confinement, kidnapping, and war. Trauma and Dissociation in a Cross-Cultural Perspective examines the efforts of clinicians and researchers in Europe, Asia, the Middle East, South America, Australia, and New Zealand to develop sociopsychological methods of providing counseling to people who are suffering physically, emotionally and spiritually, training for professionals counted on to dispense that counseling, and economic and political solutions that might help to limit the devastating effects of natural disasters. Trauma and Dissociation in a Cross-Cultural Perspective examines: the tensions between the National Health Service and the private sector in the United Kingdom how the Mandarin version of the Dissociative Experiences Scale (DES) is used in China Djinnai, a culture-bound syndrome and possession trance disorder found in Iran how colonialism has transmitted trauma to the Maori people of New Zealand transgenerational trauma in Turkey religious rituals and spirit possession in the Philippines “memory wars” in Israel traumatic syndromes among the French differences in dissociative experiences among Chinese and Japanese youth childhood trauma in Argentina and much more Trauma and Dissociation in a Cross-Cultural Perspective is an enlightening professional resource for anyone working in psychology, sociology, psychiatry, and psychotherapy.

In the 100 years since Eugen Bleuler unveiled his concept of schizophrenia, which had dissociation at its core, the essential connection between traumatic life events, dissociative processes and psychotic symptoms has been lost. Psychosis, Trauma and Dissociation is the first book to attempt to reforge this connection, by presenting challenging new findings linking these now disparate fields, and by comprehensively surveying, from a wide range of perspectives, the complex relationship between dissociation and psychosis. A cutting-edge sourcebook, Psychosis, Trauma and Dissociation brings together highly-respected professionals working in the psychosis field with renowned clinicians and researchers from the fields of traumatic stress, dissociation and the dissociative disorders, and will be of interest to those working with or studying psychotic or dissociative disorders, as well as trauma-related conditions such as borderline personality disorder or complex post-traumatic stress disorder. It makes an invaluable contribution to the burgeoning literature on severe mental disorders and serious life events. The book has three sections: Connecting trauma and dissociation to psychosis - an exploration of the links between trauma, dissociation and psychosis from a wide range of historical and theoretical perspectives. Comparing psychotic and dissociative disorders - a presentation of empirical and clinical perspectives on similarities and differences between the two sets of disorders. Assessing and treating hybrid and boundary conditions - consideration of existing and novel diagnostic categories, such as borderline personality disorder and dissociative psychosis, that blend or border dissociative and psychotic disorders, along with treatment perspectives emphasising humanistic and existential concerns.