Trauma Therapy and Clinical Practice: Neuroscience, Gestalt and the Body Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]

Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. Trauma Therapy and Clinical Practice Neuroscience, Gestalt and the Body TRAUMA THERAPY AND CLINICAL PRACTICE “Miriam Taylor has done a simply tremendous job in articulating an expanded Gestalt approach to trauma treatment that is informed by, and integrated with, modern neurobiological approaches to trauma … This book should be read by everyone treating trauma and I expect it TRAUMA to become a foundational text in our field.” James Kepner, Gestalt therapist and international trainer in Gestalt Body Process Psychotherapy “Destined to become a classic in Gestalt therapy literature. Well- written, insightful, compassionate, and practical, it will assist many a therapist.” THERAPY Malcolm Parlett, formerly Visiting Professor of Gestalt Psychotherapy, University of Derby, UK AND Therapy with traumatized clients can be fraught with problems and therapists working with these clients often seek greater understanding of the specific problems they encounter. Trauma Therapy and Clinical Practice weaves together neuroscience research and the experience of trauma, taking a fresh look at how original Gestalt theory informs our current understanding of trauma therapy. The book: CLINICAL • Places trauma and trauma therapy in a relational field model • Includes material on change processes, triggers, dissociation, shame, enactment and resources • Describes clearly the neurobiology of trauma and the role of the body in maintaining trauma reactions and in the recovery process • Offers experiments for deepening the therapist’s embodied presence PRACTICE • Provides numerous clinical examples and an extended case study Miriam Taylor offers readers a theoretical basis for interventions and shows how simple Gestalt concepts can be applied in trauma therapy. By creating NEUROSCIENCE, GESTALT AND THE BODY the conditions in which awareness, choice and vitality can grow, contemporary relational Gestalt is shown to be exceptionally well suited for trauma clients. The book is presented in three parts covering theory, the phenomenology of MIRIAM TAYLOR trauma and the therapeutic relationship. Including a glossary for readers unfamiliar with Gestalt therapy, case studies and reflection points, this book is a thoughtful and coherent guide for trainees and practitioners in counselling and therapy. Miriam Taylor is a Gestalt psychotherapist, supervisor and trainer. With a background in adult education and clinical work with young people, she now works in private practice and at a trauma service, and teaches at the Metanoia Institute, UK, and elsewhere. Cover design: Phil Barker MIRIAM TAYLOR Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. Trauma Therapy and Clinical Practice: neuroscience, gestalt and the body Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. Trauma Therapy and Clinical Practice: Neuroscience, gestalt and the body Miriam Taylor Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. Open University Press McGraw- Hill Education McGraw- Hill House Shoppenhangers Road Maidenhead Berkshire England SL6 2QL email: [email protected] world wide web: www.openup.co.uk and Two Penn Plaza, New York, NY 10121-2289, USA First published 2014 Copyright © Miriam Taylor 2014 All rights reserved. Except for the quotation of short passages for the purpose of criticism and review, no part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior written permission of the publisher or a licence from the Copyright Licensing Agency Limited. Details of such licences (for reprographic reproduction) may be obtained from the Copyright Licensing Agency Ltd of Saffron House, 6–10 Kirby Street, London EC1N 8TS. A catalogue record of this book is available from the British Library ISBN–13: 978–0–33–526309–7 (pb) ISBN–10: 0–33–526309–7 (pb) eISBN: 978–0–33–526310–3 Library of Congress Cataloging- in- Publication Data CIP data applied for Typesetting and e- book compilations by RefineCatch Limited, Bungay, Suffolk Fictitious names of companies, products, people, characters and/or data that may be used herein (in case studies or in examples) are not intended to represent any real individual, company, product or event. Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. Praise for this book “This important book is destined to become a classic in Gestalt therapy literature. Well-written, insightful, compassionate, and practical, it will assist many a therapist, guiding their approach to working with traumatised clients in ways that are up-to-date and well-informed. A great contribution!” Malcolm Parlett, Visiting Professor of Gestalt Psychotherapy, University of Derby, UK (now retired) “Miriam Taylor has done a simply tremendous job in articulating an expanded Gestalt approach to trauma treatment that is informed by, and integrated with, modern neurobiological approaches to trauma. Along the way she succinctly presents the general Gestalt phenomenological approach, allowing the reader to absorb our larger psychotherapeutic model as she builds from it her own particular approach to treating trauma clients. Miriam brings Gestalt therapy’s experiential methodology to a clinical dilemma that is so rooted in disturbances of experiencing, while being informed by emerging knowledge about biological processes that maintain these disturbances in the nervous system post-trauma. Importantly, in a field that has too often mistaken techniques of reducing trauma reactions as if they are coherent systems of psychotherapy, her book clearly places trauma treatment in a larger systematic vision of what it means to be a whole person through the lens of the Relational Gestalt psychotherapeutic endeavour. Miriam Taylor does this admirably, and her book shines with humanity. Her dedication, her compassion and caring, her concern for both her clients and also for her fellow therapists in service, and her voice for the restoration of an embodied and vital life for clients in healing, all resonate throughout her text. This book should be read by everyone treating trauma and I expect it to become a foundational text in our field.” James Kepner, Gestalt therapist and international trainer in Gestalt Body Process Psychotherapy, and author of Body Process: a gestalt approach to working with the body in psychotherapy, and Healing Tasks: psychotherapy with adult survivors of childhood abuse Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. “Taylor’s book is a theoretically and clinically sophisticated approach to working with trauma from a phenomenological vant- age point. Although she references brain processes, the clinical power of this book is in how she integrates extant knowledge of the experience of trauma beautifully with her skilful, experiential, gestalt approach to working with the ‘window of tolerance’ and other trauma theory concepts. Her book had an immediate effect on my work.” Lynne Jacobs, co-founder, Pacific Gestalt Institute, USA Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. For my family through all generations: ancestors, contemporaries and descendants Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. Downloaded by [ Faculty of Nursing, Chiangmai University 5.62.156.86] at [07/18/16]. Copyright © McGraw-Hill Global Education Holdings, LLC. Not to be redistributed or modified in any way without permission. Contents Acknowledgements xiii 1 Introduction 1 Defining trauma 2 Contemporary trauma therapies 4 The traumatized body 6 The application of neuroscience 8 Reductionism and technique 10 Gestalt as a therapy for trauma 11 About the book 15 PART 1 Enlarging the field of choice 19 2 Making change possible 21 Change from the client’s point of view 21 Introductory comments 22 The Paradoxical Theory of Change and trauma 23 Other factors in the change process 25 Neuroscience, trauma and change 27 Creating the conditions for growth 31 Towards an Integrated Model of Change 35 Summary 37 3 The organization of parts and wholes 39 A metaphor for the work 39 Orienting

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