Volume 5 Issue 2 (February 2017)
As psychotherapists, we often deal with clients who are experiencing or have experienced domestic violence—both victims and perpetrators. Intimate partner violence is a common feature of the domestic violence landscape and a particularly complex phenomenon arising from maladaptive thoughts, feelings, and actions shaped by interpersonal and sociocultural factors. The psychotherapist dealing with intimate partner violence must have a grasp of the client’s core beliefs, emotional awareness/regulation, patterns of dominance and control, and the role of multigenerational violence and sociocultural influences. That’s a lot to get your head around in situations that often involve the law and serious physical threats to your client and/or client’s partner! You have to know what you are doing. This month, with thanks to Dr. Jeffrey Magnavita, we feature research from Texas Woman’s University on five sets of key strategies that can be used in the treatment of interpersonal violence and relationally violent men.
Another challenging set of clients is those who suffer from trauma-related dissociation. The difficulty is not only in working with a fragmented mind, but in maintaining the capacity to stay grounded yourself. To help, we present a chapter from the new Norton book Treating Trauma-Related Dissociation: A Practical, Integrative Approach, called “The Good Enough Therapist”. Working with complex trauma can take its toll on therapists, and if you work at all with such clients, as I do, this chapter will help release you to be kind to yourself, be the best you can be for your clients, and avoid burnout. In the authors’ words, “Therapists do not always respond at their best when they are confronted with a patient’s humiliated fury, demands and needs, regression, entitlement, sadomasochism, unbearable suffering and loneliness, extreme avoidance and silence, or intense self-harm or suicidality.” It’s a tough gig, and we need all the wisdom we can get from those who have been through it.
This month we reach Part 13 of our Psychotherapist’s Essential Guide to the Brain, examining the brain regions implicated in depression as the first in a two-part series on depression. Also this month we look at narcissism, zinc, and loneliness—but not together, although that would be interesting. I trust you will enjoy this month’s offerings.
Unified Psychotherapy for Intimate Partner Violence
This article explores a comprehensive framework for the treatment of interpersonal violence so that psychotherapists may be better equipped when working with relationally violent men.
Danica Harris, Claudia Porras Pyland, Jeff Harris
The Good Enough Therapist: In Treating Trauma Related Dissociation
It is easy to become confused when working with dissociated clients and to be unable to hold the whole person in mind. This article addresses the basic question, “How do I stay grounded and steady with my patients?”
Kathy Steele, Suzette Boon, Onno van der Hart
- News In Brief
- Neuroscience (Guide to the brain part 13 - Depression)
- Prefrontal Muse