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Approaches to Psychic Trauma

Theory and Practice

Edited by Bernd Huppertz

Approaches to Psychic Trauma: Theory and Practice covers the many developments in the relatively new field of trauma therapy. It examines the nature of the wide variety of treatments available for traumatized people, describing elements they have in common and those that are specific to each treatment. Originating with the editor’s clinical experience working with patients from the former German Democratic Republic, contributors then discuss alternative therapies including ego psychology, self psychology, object-relations theory, attachment theory, psychoanalysis, and art therapies. Case studies further illustrate the application and practice.

Approaches to Psychic Trauma presents a diversity of theories and tools centering on trauma and history, and through the microcosm of individual personalities one may have a close-up view of how historical events, as well as personal narratives and reactions to them, consciously and unconsciously affect the individual.

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Rowman & Littlefield Publishers
Pages: 524 • Trim: 6½ x 9¼
978-1-4422-5814-3 • Hardback • October 2018 • $179.00 • (£138.00)
978-1-4422-5816-7 • Paperback • October 2018 • $80.00 • (£62.00)
978-1-4422-5815-0 • eBook • October 2018 • $76.00 • (£58.00)
Subjects: Psychology / Psychotherapy / Counseling

Bernd Huppertz, MD, is a physician, psychotherapist (child, adolescent, and adult), psychiatrist, neurologist, and former brain researcher. He has had a private practice in Germany since 1998. He is a member of the American Psychological Association, fellow of the International College of Psychosomatic Medicine, and founder of the Institute for Comparative Psychotherapy. In 2002, he qualified to teach further education in psychiatry and psychotherapy (German Medical Association). He has widely published in the fields of psychiatry, psychoanalysis, psychotherapy, and psychosomatic medicine, and is editor of Psychotherapy in the Wake of War: Discovering Multiple Psychoanalytic Traditions.

Preface

Acknowledgments

Introduction

Part I: A General Introduction to the Nature of Trauma

1 On the Development of the Concept of Trauma: Definition, Elements, and Relevant Terms

Bernd Huppertz

2 The Psychiatric Approach, the Subgroups of Posttraumatic Syndromes, and the Neurobiology of Stress and Trauma

Bernd Huppertz

Part II: Dimensions of Trauma

3 Development and Trauma: Recapitulation of Traumatic Themes in Early Interaction

Louise Newman

4 Historical and Intergenerational Trauma: Radioactive Transmission of the Burdens of History—Destructive versus Creative Transmission

Yolanda Gampel

5 The Reality of Horror: Psychic Survival in the Face of Massive Trauma

Louise Newman

6 The Role of Cumulative Micro-trauma in Psychic Life: An Abridged Description of Injurious Relational Functioning

Margaret Crastnopol

7 Building Resilience: The Example of Ambiguous Loss

Pauline Boss

Part III: Social Psychological Aspects of the Totalitarian Communist System

8 Political Psychology, Effects of Historical Processes, and Cultural Trauma

Bernd Huppertz

9 Sociohistorical Overview of Germany: The Development of the Federal Republic of Germany (GFR) and the German Democratic Republic (GDR)

Bernd Huppertz

10 The False Self

Adrian Sutton

11 Totalitarian and Post-totalitarian Matrices: Reflective Citizens Facing Social-Psychic Retreats

Marina Mojović

12 A Post-totalitarian Group: A Collective False Self or Posttraumatic Growth?

Helena Klímová

Part IV: Clinical Material

Bernd Huppertz

13 Case History Summaries

14 The Case of Mr. Q

15 The Case of Mrs. U

16 The Case of Mr. R

17 The Case of Mrs. O

18 The Case of Mrs. P

19 The Case of Mrs. M

20 The Case of Mrs. N

21 The Case of Mrs. B

Part V: Trauma Treatment Grounded inPsychodynamic-Psychoanalytic Approaches

22 Challenges of Treatment with Traumatized Individuals from a Modern Freudian Perspective

Anna Balas

23 Trauma and Inner Reality: A Kleinian and Post-Kleinian Perspective

Mariângela Mendes de Almeida

24 Trauma Treatment from the Winnicottian Perspective

Adrian Sutton

25 Theoretical and Clinical Implications of the Concept of the Zero Process: An Ego-Psychology Perspective

Joseph Fernando

26 Extreme Traumatization: Conceptualization and Treatment from the Perspective of Object Relations and Modern Research

Sverre Varvin

27 Contemporary Self Psychology and Its Treatment of Traumatized Patients

Koichi Togashi and Amanda Kottler

28 Relational Psychoanalysis and Trauma: The Significance of Witnessing and Containing

Adrienne Harris

29 Trauma Work via the Lens of Attachment Theory: Gaslight—Reality Distortion by Familiar Attachment Figures

Orit Badouk Epstein

Part VI: Arts Therapies

30 Embodied Mentalizing or “Meaning-Making” in Music Therapy with Traumatized Children

Jacqueline Z. Robarts

31 Trauma Work in Play and Drama Therapy: The Importance of the Theatre of Resilience

Sue Jennings

Part VII: Other Trauma Treatment Approaches

32 Mentalization and Its Role in Processing Trauma

Nicolas Lorenzini, Chloe Campbell, and Peter Fonagy

33 The Treatment of Trauma: The Neurosequential Model and “Take Two”

Annette Jackson, Margarita Frederico, Allison Cox, and Carlina Black

Part VIII: Summary and Outlook

34 Conclusion

Bernd Huppertz

Index

About the Editor and Contributors

Essential: Approaches to Psychic Trauma is an exhaustive volume describing the various elements of trauma and its treatments. The first strength of the book lies in its organization. The reader is first given a brief history of the concept of trauma and its various therapeutic approaches, followed by in-depth discussion of the different types and presentations of trauma, succeeded by an overview of the current approaches to treatment—including art therapy and the neurosequential model of therapeutics (NMT), which seeks to address the biological developmental changes that happen to children after trauma. The chapter on NMT is an especially valuable one as hospitals, clinics, schools, and communities are increasingly recognizing the importance of considering the role that traumatic and abusive environments play in child development. The second strength of the book lies in the clinical material, which includes eight case studies of traumatic experiences and treatment. While this book will not be helpful for undergraduates or non-clinical graduate students, it is a necessary addition to collections serving clinical programs and current practitioners.
— Choice Reviews


Bernd Huppertz’s new compendium on trauma is breathtaking. An all-star group of contributors brings a breadth and depth of understanding that will inform all therapists who strive to help those who suffer in an increasingly traumatizing world.


— David Scharff, MD, International Psychotherapy Institute, and chair, International Psychoanalytic Association Committee on Couple and Family Psychoanalysis


This monumental book is a tribute to Huppertz’s unstinting dedication to comprehensively examine the nature of different kinds of trauma. Illustrated with a diversity of theories and techniques for understanding how history and personalities affect the individual, it is ideal for practitioners of all levels.


— Frances Thomson-Salo, associate professor, University of Melbourne, Australia


Approaches to Psychic Trauma

Theory and Practice

Cover Image
Hardback
Paperback
eBook
Summary
Summary
  • Approaches to Psychic Trauma: Theory and Practice covers the many developments in the relatively new field of trauma therapy. It examines the nature of the wide variety of treatments available for traumatized people, describing elements they have in common and those that are specific to each treatment. Originating with the editor’s clinical experience working with patients from the former German Democratic Republic, contributors then discuss alternative therapies including ego psychology, self psychology, object-relations theory, attachment theory, psychoanalysis, and art therapies. Case studies further illustrate the application and practice.

    Approaches to Psychic Trauma presents a diversity of theories and tools centering on trauma and history, and through the microcosm of individual personalities one may have a close-up view of how historical events, as well as personal narratives and reactions to them, consciously and unconsciously affect the individual.

Details
Details
  • Rowman & Littlefield Publishers
    Pages: 524 • Trim: 6½ x 9¼
    978-1-4422-5814-3 • Hardback • October 2018 • $179.00 • (£138.00)
    978-1-4422-5816-7 • Paperback • October 2018 • $80.00 • (£62.00)
    978-1-4422-5815-0 • eBook • October 2018 • $76.00 • (£58.00)
    Subjects: Psychology / Psychotherapy / Counseling
Author
Author
  • Bernd Huppertz, MD, is a physician, psychotherapist (child, adolescent, and adult), psychiatrist, neurologist, and former brain researcher. He has had a private practice in Germany since 1998. He is a member of the American Psychological Association, fellow of the International College of Psychosomatic Medicine, and founder of the Institute for Comparative Psychotherapy. In 2002, he qualified to teach further education in psychiatry and psychotherapy (German Medical Association). He has widely published in the fields of psychiatry, psychoanalysis, psychotherapy, and psychosomatic medicine, and is editor of Psychotherapy in the Wake of War: Discovering Multiple Psychoanalytic Traditions.

Table of Contents
Table of Contents
  • Preface

    Acknowledgments

    Introduction

    Part I: A General Introduction to the Nature of Trauma

    1 On the Development of the Concept of Trauma: Definition, Elements, and Relevant Terms

    Bernd Huppertz

    2 The Psychiatric Approach, the Subgroups of Posttraumatic Syndromes, and the Neurobiology of Stress and Trauma

    Bernd Huppertz

    Part II: Dimensions of Trauma

    3 Development and Trauma: Recapitulation of Traumatic Themes in Early Interaction

    Louise Newman

    4 Historical and Intergenerational Trauma: Radioactive Transmission of the Burdens of History—Destructive versus Creative Transmission

    Yolanda Gampel

    5 The Reality of Horror: Psychic Survival in the Face of Massive Trauma

    Louise Newman

    6 The Role of Cumulative Micro-trauma in Psychic Life: An Abridged Description of Injurious Relational Functioning

    Margaret Crastnopol

    7 Building Resilience: The Example of Ambiguous Loss

    Pauline Boss

    Part III: Social Psychological Aspects of the Totalitarian Communist System

    8 Political Psychology, Effects of Historical Processes, and Cultural Trauma

    Bernd Huppertz

    9 Sociohistorical Overview of Germany: The Development of the Federal Republic of Germany (GFR) and the German Democratic Republic (GDR)

    Bernd Huppertz

    10 The False Self

    Adrian Sutton

    11 Totalitarian and Post-totalitarian Matrices: Reflective Citizens Facing Social-Psychic Retreats

    Marina Mojović

    12 A Post-totalitarian Group: A Collective False Self or Posttraumatic Growth?

    Helena Klímová

    Part IV: Clinical Material

    Bernd Huppertz

    13 Case History Summaries

    14 The Case of Mr. Q

    15 The Case of Mrs. U

    16 The Case of Mr. R

    17 The Case of Mrs. O

    18 The Case of Mrs. P

    19 The Case of Mrs. M

    20 The Case of Mrs. N

    21 The Case of Mrs. B

    Part V: Trauma Treatment Grounded inPsychodynamic-Psychoanalytic Approaches

    22 Challenges of Treatment with Traumatized Individuals from a Modern Freudian Perspective

    Anna Balas

    23 Trauma and Inner Reality: A Kleinian and Post-Kleinian Perspective

    Mariângela Mendes de Almeida

    24 Trauma Treatment from the Winnicottian Perspective

    Adrian Sutton

    25 Theoretical and Clinical Implications of the Concept of the Zero Process: An Ego-Psychology Perspective

    Joseph Fernando

    26 Extreme Traumatization: Conceptualization and Treatment from the Perspective of Object Relations and Modern Research

    Sverre Varvin

    27 Contemporary Self Psychology and Its Treatment of Traumatized Patients

    Koichi Togashi and Amanda Kottler

    28 Relational Psychoanalysis and Trauma: The Significance of Witnessing and Containing

    Adrienne Harris

    29 Trauma Work via the Lens of Attachment Theory: Gaslight—Reality Distortion by Familiar Attachment Figures

    Orit Badouk Epstein

    Part VI: Arts Therapies

    30 Embodied Mentalizing or “Meaning-Making” in Music Therapy with Traumatized Children

    Jacqueline Z. Robarts

    31 Trauma Work in Play and Drama Therapy: The Importance of the Theatre of Resilience

    Sue Jennings

    Part VII: Other Trauma Treatment Approaches

    32 Mentalization and Its Role in Processing Trauma

    Nicolas Lorenzini, Chloe Campbell, and Peter Fonagy

    33 The Treatment of Trauma: The Neurosequential Model and “Take Two”

    Annette Jackson, Margarita Frederico, Allison Cox, and Carlina Black

    Part VIII: Summary and Outlook

    34 Conclusion

    Bernd Huppertz

    Index

    About the Editor and Contributors

Reviews
Reviews
  • Essential: Approaches to Psychic Trauma is an exhaustive volume describing the various elements of trauma and its treatments. The first strength of the book lies in its organization. The reader is first given a brief history of the concept of trauma and its various therapeutic approaches, followed by in-depth discussion of the different types and presentations of trauma, succeeded by an overview of the current approaches to treatment—including art therapy and the neurosequential model of therapeutics (NMT), which seeks to address the biological developmental changes that happen to children after trauma. The chapter on NMT is an especially valuable one as hospitals, clinics, schools, and communities are increasingly recognizing the importance of considering the role that traumatic and abusive environments play in child development. The second strength of the book lies in the clinical material, which includes eight case studies of traumatic experiences and treatment. While this book will not be helpful for undergraduates or non-clinical graduate students, it is a necessary addition to collections serving clinical programs and current practitioners.
    — Choice Reviews


    Bernd Huppertz’s new compendium on trauma is breathtaking. An all-star group of contributors brings a breadth and depth of understanding that will inform all therapists who strive to help those who suffer in an increasingly traumatizing world.


    — David Scharff, MD, International Psychotherapy Institute, and chair, International Psychoanalytic Association Committee on Couple and Family Psychoanalysis


    This monumental book is a tribute to Huppertz’s unstinting dedication to comprehensively examine the nature of different kinds of trauma. Illustrated with a diversity of theories and techniques for understanding how history and personalities affect the individual, it is ideal for practitioners of all levels.


    — Frances Thomson-Salo, associate professor, University of Melbourne, Australia


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