Shattered States: Disorganised Attachment and Its Repair

Shattered States: Disorganised Attachment and Its Repair

by KateWhite (Editor), JudyYellin (Author)

Synopsis

Recent research in the fields of attachment and trauma is once more pointing to the contribution of early relational failures to extreme psychic suffering. 'Disorganised' patterns of attachment, identified in children whose caregivers are simultaneously a source of fear and a source of comfort, have been linked to the development of both dissociative and so called 'borderline' disorders in adult life. The conference was to bring together speakers able to extend our thinking and bring insights from attachment theory and psychoanalysis to the current debate about the links between the traumatic disorganisation of attachment relationships and more severe mental and emotional distress - dissociative states, borderline experiences and psychosis - as they emerge in clinical practice. The papers in this volume have in common a committed insistence upon placing human relationship at the centre of their accounts of extreme psychological suffering, both as the source of injury and, most hopefully, as the potential agent of repair. In this respect, they contribute fittingly in his centenary year to the continuation and extension of John Bowlby's pioneering work for the understanding, treatment and relief of such suffering.

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More Information

Format: Paperback
Pages: 240
Publisher: Karnac Books
Published: 07 Dec 2011

ISBN 10: 1855758318
ISBN 13: 9781855758315

Media Reviews
'This is a fascinating and important collection about the central significance of human relationships both in the generation of severe psychological distress and in its relief. It is essential reading for all those concerned with working with survivors of early trauma.'- Oliver James, clinical psychologist, journalist, and author 'In an age in which traumatized clients are often misunderstood, maltreated, or rejected by the mental health system, this book is required reading for every clinician. It opens our eyes to the mind shattering effects of early childhood traumatization that take place within dysfunctional attachment relationships - relationships in which children are utterly dependent on their caretakers. Moreover, it powerfully describes the way in which clients who come to us for help are caught in an unbearable conflict between attachment needs and the intense fear of entering a therapeutic relationship. Shattered States highlights what traumatized individuals need from therapists in order to heal and what it takes from the therapists to meet these needs, including the ability to bear witness; therapeutic skills; boundaries; patience; kind firmness; compassion; understanding; and the capacity to mentalize.'- Onno van der Hart, Honorary Professor of Psychopathology of Chronic Traumatization, Utrecht University and co-author of The Haunted Self: Structural Dissociation and the Treatment of Chronic Traumatization'I found this work especially valuable because it spoke to two important themes: one about how the early experience of hostility from caregivers causes a type of disturbance in the mind which is profound and long-lasting and needs to be looked for at assessment; and also about the importance of using psychological techniques that speak to the meaning of experience, irrespective of diagnosis. This may mean some modification of traditional technique; but all the authors described clinical material that demonstrated in a most moving way, the need for people in desperate mental states to be listened to as people with minds, not just carriers of disease. As research into these disorders, and their attachment roots continues, we should expect to keep learning new ways of thinking and working with people who are frightened by their own minds; and these authors have provided us with powerful learning tools.'- Gwen Adshead, forensic psychiatrist, consultant psychotherapist, and group analyst at Broadmoor hospital and co-editor of A Matter of Security: The Application of Attachment Theory to Forensic Psychiatry and Psychotherapy
Author Bio
Kate White is a training therapist, supervisor and teacher at The Bowlby Centre. Formerly senior lecturer at South Bank University in the Department of Nursing and Community Health Studies, she has used her extensive experience in adult education to contribute to the innovative psychotherapy curriculum developed at The Bowlby Centre. In addition to working as an individual psychotherapist, Kate runs workshops on the themes of attachment and trauma in clinical practice. Judy Yellin trained at The Bowlby Centre. She works as a psychotherapist in private practice and is a member of the teaching staff on the The Bowlby Centre's psychotherapy training. She frequently teaches attachment theory and relational psychotherapy in other psychotherapy training organizations. She also has a legal background and, prior to training as a therapist, specialized as a solicitor in family law and public law in relation to child protection. Judy has a particular interest in questions of attachment, sexuality, and gender, and in working with lesbians, gay men, and transgendered clients from a relational perspective. She is an associate of Pink Therapy, an organization offering affirmative psychotherapy to sexual minority clients, as well as training for psychotherapists in working effectively with the LGBT communities. She is a founder member of The Relational School and a member of its Steering and Education Committees.