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Tables of Contents for Not Trauma Alone
Chapter/Section Title
Page #
Page Count
Series Foreword
xi
Foreword
xv
Preface
xix
Acknowledgments
xxvii
PART I ABUSE IN CONTEXT: THE CONCEPTUAL FRAMEWORK
Abuse: The Trauma Model
3
9
The Social Context of the Recognition of Abuse Trauma
4
2
Abuse, Trauma, and Memory
6
2
Distinguishing Recollection from Recovery
8
4
Family: Beyond the Trauma Model
12
16
The Consequences of Child Abuse: Beyond PTSD
13
3
Child Abuse in Family Context
16
10
Divergent Groups of ``Adult Survivors''
26
2
Alone: Growing Up in an Ineffective Family
28
20
An Interpersonal Context of Silent Complicity
29
3
Found in the Mall: A New Way of Living
32
4
``Maybe That's My Family'': Longing and Denial
36
2
Moving On
38
2
Undeserving: The Enduring Family Legacy
40
2
Family and Identity: The Entanglement of Attachment and Separation
42
3
The Core Issue: To Be Cherished
45
3
Unprepared: The Legacy of an Ineffective Family Background
48
11
Beyond Survivorship: A Broader Perspective
48
4
Inadequate Transmission of Essential Living Skills
52
3
Two Related Pathways to Impaired Adjustment
55
2
Why Trauma-Focused Treatment is Inappropriate for Survivors of Prolonged Child Abuse
57
2
Impact: Intersecting Varieties of Abuse and Deficient Family Context
59
11
Beyond Sexual Abuse
60
1
Varieties of Abuse: Divergent and Convergent Effects
61
4
Clinical Implications
65
5
Society: Beyond Family Context
70
15
Levels of Analysis
71
1
Individual Problems in Adjustment
71
1
Traumatic Antecedants of Current Problems
72
1
Abuse Trauma in Family Context
73
2
Analysis at the Level of Social Context
75
2
Society: Holding Ourselves Accountable
77
8
PART II TREATMENT IN CONTEXT: FOUNDATIONS OF THE THERAPEUTIC MODEL
Collaboration: Forming a Therapeutic Alliance
85
19
The Anticipation of Distain
85
2
Fear of Abandonment
87
5
Dependent Longing
92
1
Navigating Obstacles to a Collaborative Alliance
93
3
Dependency and Power
96
2
The Need for Structure
98
3
The Therapeutic Alliance in Family and Social Context
101
1
Personhood: Avoiding Rigid Categorization
102
2
Conceptualization: Constructing Order From Chaos
104
14
Distinguishing the Impact of Abuse From That of Family Context
104
2
Anchoring Exploration Around Focal Problems and Goals
106
4
Client-Directed Exploration
110
1
Formation and Revision of Hypotheses
111
2
Conceptualization as a Collaborative Process
113
2
The Multiple Functions of Conceptualization
115
3
Planning: Prioritizing Treatment Goals
118
13
The Rationale for Prioritized Treatment Goals
118
3
The Component Skills
121
10
PART III ACQUIRING TOOLS FOR DAILY LIVING: THE STRUCTURE OF THE THERAPEUTIC PROCESS
Security: Managing and Modulating Distress
131
23
The Collaborative Alliance: A Higher Priority Than Treatment Goals
133
2
The Relation Between the Therapeutic Alliance and Distress Reduction
135
2
The Transition From Relationship Building to Goal-Oriented Collaboration
137
2
Facilitating Self-Sufficient Problem Resolution
139
1
The Importance of Practice and Accountability
140
6
Reducing Anxiety: The Need for the Therapist to Be Familiar With a Range of Techniques
146
1
Identifying and Mobilizing Existing Skills and Resources
147
1
Reducing Depression: Concrete Behavioral Strategies
148
6
Focus: Fostering Experiential Presence and Continuity
154
24
A Family Context Model of Dissociation
155
2
DID: Risks of Excessive Emphasis on Extreme Forms of Dissociation
157
3
Absorption: Risks of Overlooking Subtle Forms of Dissociation
160
2
Training in Grounding Techniques
162
5
Learning to Modulate Absorption
167
1
Learning to Disrupt Dissociative Episodes
168
2
Addressing Dissociative Amnesia
170
1
Addressing Identity Fragmentation
171
7
Reasoning: Learning to Exercise Critical Thinking and Judgment
178
20
Adverse Experiences
179
1
Pernicious Programming
180
1
Deficient Transmission of Reasoning Skills
181
1
Cognitive Processes: Developing Critical Reasoning Skills
182
6
Cognitive Content: Re-examining and Revising Erroneous Convictions
188
3
Cognitive Content: Common Core Distortions
191
7
Coping: Breaking and Replacing Maladaptive Patterns
198
15
Conceptualizing Maladaptive Behavior Patterns
198
2
Precautions Regarding Maladaptive Behavior Patterns and PCA Survivor Treatment
200
1
Disrupting Maladaptive Behavior Patterns
201
7
From Maladaptive Patterns to Adaptive Functioning
208
5
Liberation: Resolving the Trauma of Abuse
213
9
The Dangers of Trauma-Focused Treatment for PCA Survivors
213
2
The Shift Away From A Primarily Trauma-Focused Perspective
215
1
Addressing Trauma: Keeping the Client in Charge
216
3
When Exposure to Traumatic Material Is Appropriate
219
3
Transformation: The Miracle of Living Well
222
19
The Challenge of Maintaining Flexibility
222
3
Case Example: Resolving the Impact of Multiple Forms of Abuse and Disturbed Family Context
225
6
Theoretical, Clinical, and Empirical Implications
231
2
The Miracle: It's Not a Big Deal At All
233
8
PART IV CONCLUSION
Epilogue: The Inextricable Tie
241
4
References
245
12
Subject Index
257
12
Author Index
269