From surviving to thriving : a therapist's guide to stage II recovery for survivors of childhood abuse

Become more effective in therapy when working with survivors of abuse!

From Surviving to Thriving: A Therapist's Guide to Stage II Recovery for Survivors of Childhood Sexual Abuse is a comprehensive manual for treating survivors of childhood physical, sexual, and emotional abuse. Inspired by the author's own private practice, it combines both theory and practice and supports the therapeutic partnership with a step-by-step outline of the healing process. This outline includes concrete and incremental strategies and exercises that help you move the survivor beyond Stage I trauma debriefing to life-changing Stage II recovery.

In From Surviving to Thriving, you'll find everything you need to know about obtaining and maintaining autonomy and speeding recovery in the age of managed care. The self-contained, focused, and incremental interventions presented in this book can be woven into your own therapeutic style, giving you and your clients more freedom, satisfaction, and, most importantly, swift treatment and recovery. You'll also find step-by-step guidance for dealing with adult survivors, including rationale for diagnosis, process, and sequence.

In addition to the description of theoretical orientations and illustrations, Surviving to Thriving contains: an overview and detailed outline of the incremental recovery process pitfalls and positive strategies for establishing the therapeutic relationship detailed instructions for building a foundation for effective therapy by reframing the client's self-concept explanations of pathological symptoms in context of necessary and "brilliant" survival defenses workable, specific, and sequential interventions for each stage of healing designed to become autonomous and self-generating for the client techniques for trauma resolution using the survivor's internal experience Because it's written in accessible language and includes explanations of clinical concepts, you'll feel comfortable putting From Surviving to Thriving in the hands of select clients--a unique feature that sets it apart from most clinical texts. This book provides exercises to help move clients into the healing recovery of Stage II. Enhanced with art and writing from recovering survivors, this book is a valuable asset as you and your clients begin the collaborative journey toward renewed emotional well-being.

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Preface	p. xiii
Part I The Framework for Healing
Chapter 1. The Therapeutic Agenda	p. 3
The Dynamics of Trauma	p. 3
Stage II Recovery	p. 4
Eight Stages of Healing	p. 4
The Survivor's Internal Experience	p. 9
Diagnostic Issues	p. 10
Techniques and Strategies	p. 15
Boundaries	p. 22
The Therapist's Role	p. 27
The Trauma Therapist	p. 28
Chapter 2. Defining Assault	p. 29
Chapter 3. Challenging the Distorted Reality	p. 35
The Role of Family Dysfunction	p. 36
The Price of Altered Reality	p. 37
Dysfunction Redefines Reality	p. 38
Dysfunction Redefines Abuse	p. 39
Dysfunction Redefines Feelings	p. 39
Role Reversal	p. 40
Abuse Plus Dysfunction Equals Destruction	p. 41
Chapter 4. Using the PTSD Diagnosis As a Therapeutic Intervention	p. 45
Post-Traumatic Stress Disorder	p. 45
Physical Responses to Trauma	p. 47
Emotional Responses to Trauma	p. 49
Chronic Shock	p. 49
Legacies of Assault and Post-Traumatic Stress Disorder	p. 51
Physical Hypervigilance	p. 52
Emotional Hypervigilance	p. 52
Blurred Boundaries and Global Guilt	p. 53
Vulnerability to Repeated Violation	p. 55
Two Personalities in One Body	p. 56
Origins of Adult Child Issues	p. 59
Learning to Ignore External Reality	p. 59
Contradictory Expectations	p. 60
Learning to Ignore Internal Reality	p. 61
Blaming Self	p. 61
Detachment	p. 62
Reframing Pathology	p. 63
Chapter 5. The Survivor's Internal Experience	p. 65
Splitting the Self	p. 66
Pieces of the Puzzle	p. 66
Three Core Personas	p. 66
Chapter 6. The Adult	p. 69
The Origins of the Adult	p. 70
The Adult As Parent	p. 70
Owning Self-Parenting Skills	p. 72
Chapter 7. The Child	p. 75
The Origins of the Child	p. 76
Reconnecting with the Child	p. 77
Chapter 8. The Destroyer	p. 85
The Origins of the Destroyer	p. 86
Family Rules	p. 87
Family Labels	p. 90
The Destroyer's Sabotage	p. 92
The Many Disguises of the Destroyer	p. 93
Challenging the Destroyer	p. 93
Chapter 9. Understanding the Brilliance of Childhood Defenses	p. 101
Dissociation	p. 102
Forgetting and Fantasy	p. 105
Choosing Abuse Versus Abandonment	p. 107
Self-Punishment	p. 109
Ritual	p. 113
Phobias	p. 115
Family Roles	p. 116
Family Rules and Myths	p. 118
Considering Change	p. 120
Part II The Process of Healing
Chapter 10. Recounting	p. 125
Blaming Is Not Healing	p. 126
Understanding Is Not Healing	p. 127
Forgiveness Is Not Necessary	p. 127
The Importance of Recounting	p. 128
Roadblocks to Telling	p. 131
Roadblocks to Believing	p. 132
The Nature of Traumatic Memories	p. 133
Chapter 11. Rediscovering the Child	p. 139
Alternate Hand Journaling	p. 142
The Process of Remembering	p. 144
Moving Deeper	p. 149
The Language of the Child	p. 151
Combination of Fact and Feeling Memory	p. 158
Chapter 12. Rediscovering the Feelings	p. 163
Learning to Feel	p. 165
Scaling Feelings	p. 165
Drawing Feelings	p. 165
Disguised and Hidden Feelings	p. 167
Expressing Feelings	p. 170
The Importance of Anger	p. 172
Chapter 13. Continuing to Heal	p. 183
Chapter 14. Reparenting to Resolve Trauma	p. 195
Discharging the Feelings	p. 196
Adding Healthy Parenting	p. 197
Using the Split Personas	p. 198
Resolution Fantasy	p. 200
The Dawning of Integration	p. 206
Declaring Independence	p. 206
The Power of Resolution Fantasy	p. 209
Chapter 15. Repairing Developmental Damage	p. 213
Considering Direct Confrontation	p. 213
Setting Limits	p. 215
Anger at the Colluders	p. 217
Layers of Abuse	p. 218
Punished for Being Normal	p. 218
Projection	p. 220
Faulty Belief System	p. 221
Challenging the Belief System	p. 221
Identifying and Grieving What Was Missed	p. 223
Letting Go of the Fantasy	p. 226
Reparenting Through Grief	p. 227
Filling in the Gaps	p. 230
Building Bridges and Fences	p. 232
The Survivor As Parent	p. 235
Recognizing Ongoing Abuse	p. 236
Blocks to Recovery	p. 238
The Child Resists Healing	p. 239
The Destroyer Fights Healing	p. 239
Cycles of Healing	p. 240
Chapter 16. The End of Healing	p. 245
Identifying Skills and Strengths	p. 246
Integrating and Transforming Childhood Defenses	p. 249
Releasing the Anger	p. 251
Integrating and Transforming History	p. 254
Integrating and Transforming Feelings	p. 255
Integrating and Transforming the Destroyer	p. 255
Integrating and Transforming the Child	p. 257
Spirituality	p. 259
Becoming Whole	p. 260
Letting Go of the Survivor Identity	p. 261
Thriving	p. 263
References	p. 271
Index	p. 275

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