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Families and Individuals Living with Trauma: A Guide for Therapists, Relatives, and Friends PDF

215 Pages·2021·4.702 MB·English
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PALGRAVE TEXTS IN COUNSELLING AND PSYCHOTHERAPY Series Editors:Arlene Vetere · Rudi Dallos Families and Individuals Living with Trauma A Guide for Therapists, Relatives, and Friends Jeremy Woodcock Palgrave Texts in Counselling and Psychotherapy Series Editors Arlene Vetere, Family Therapy and Systemic Practice, VID Specialized University, Oslo, Norway Rudi Dallos, Clinical Psychology, Plymouth University, Plymouth, UK This series introduces readers to the theory and practice of counselling and psychotherapy across a wide range of topical issues. Ideal for both trainees and practitioners, the books will appeal to anyone wishing to usecounsellingandpsychotherapeuticskillsandwillbeparticularlyrele- vant to workers in health, education, social work and related settings. The books in this series emphasise an integrative orientation weaving together a variety of models including, psychodynamic, attachment, trauma, narrative and systemic ideas.The books are written in an acces- sibleandreadablestylewithafocusonpractice.Eachtextofferstheoret- ical background and guidance for practice, with creative use of clinical examples. Arlene Vetere, Professor of Family Therapy and Systemic Practice at VID Specialized University, Oslo, Norway. RudiDallos,EmeritusProfessor,Dept.ofClinicalPsychology,Univer- sity of Plymouth, UK. More information about this series at https://link.springer.com/bookseries/16540 Jeremy Woodcock Families and Individuals Living with Trauma A Guide for Therapists, Relatives, and Friends JeremyWoodcock Nailsworth, UK ISSN 2662-9127 ISSN 2662-9135 (electronic) PalgraveTexts in Counselling and Psychotherapy ISBN 978-3-030-79038-7 ISBN 978-3-030-79039-4 (eBook) https://doi.org/10.1007/978-3-030-79039-4 ©The Editor(s) (if applicable) andThe Author(s), under exclusive license to Springer Nature Switzerland AG 2022 This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whetherthewholeorpartofthematerialisconcerned,specificallytherightsoftranslation,reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way,andtransmissionorinformationstorageandretrieval,electronicadaptation,computersoftware, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publicationdoesnot imply,evenintheabsenceof aspecific statement,thatsuch namesareexempt from the relevant protective laws and regulations and therefore free for general use. Thepublisher,theauthorsandtheeditorsaresafetoassumethattheadviceandinformationinthis book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made.The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. Cover illustration:Tatiana Gerich/Alamy Stock Photo ThisPalgraveMacmillanimprintispublishedbytheregisteredcompanySpringerNatureSwitzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland Acknowledgments This book has emerged out of years of many years of work at The Medical Foundation, now Freedom from Torture, in London and I am deeply indebted to my many colleagues there for discussions, argu- ments, warm friendship, opportunities for co-work, and team experi- ence. The people who come to mind are Abood Tuma, Alex Sklan, Anne-Marie Fox, Annie Ellison, Barbara Dearnley, Caroline Gorst- Unsworth, Dick Blackwell, Derek Summerfield, Funda Kansu, Gill Hinshelwood, Gillian Ballance, Helen Bamber, Irene Aitman, Jane Shackman, Jeanette Campbell-Johnston, John Schlapobersky, Karen Callaghan, Mesfin Demissie, Naomi Richman, Nagul Subramaniam, Nimisha Patel, Perico Rodrigues, Richard McKane, Sally Verity-Smith, SedaSengun,SheilaMelzak,SusanLevyandZohrehRahimi.Inaddition I wish to thank my teachers, supervisors, and psychotherapy colleagues in London and the South West and beyond including Arul Maria Arokiasamy, Ann Miller, Annette Mendelsohn, Barry Mason, Biddy Arnott,mymanycolleaguesinSwedenatKrisochtraumaenheten,andat Gloucestershire Action for Refugees and Asylum Seekers, David Jones, David Pocock, Elsa Jones, Jane Cutler, John Byng-Hall, Judith Lask, v vi Acknowledgments Judy Ryde, Kedar Dwivedi, Lennox Thomas, Marita Eastmond, Nigel Wellings, Mark Rivett, Philip Darley, Sally Box, Tim Hockridge and Tony Navin. Something of work with all these colleagues has rubbed off on me in ways that have been deepening, enjoyable, and challenging in equal measure. Finally to Arlene Vetere for her patience and gentle guidance, to Rudi Dallos for being a critical friend, and to the skill of colleagues at Palgrave in bringing this book to birth. About This Book Thisbookisabookforyouifyouareasurvivoroftrauma,orifsomeone youlove,afamilymember,orfriendhassurvivedaserioustrauma.Itsets outtoexplaintraumaanddescribespathwaysthroughandouttheother side. For survivors it shows how you can recover, and for family and friends it shows how to support and help. For therapists working with individualsandfamiliesitsetsouttobeanessentialtext,describinghow traumaaffectsus,anditrevealsindetailwhatworkstherapeutically,and how to apply these ideas in practice. vii Contents 1 Introduction 1 References 5 2 Beginnings 7 Bodily Signs and Symptoms 9 Mental Signs and Symptoms 9 Environment Signs and Symptoms 9 Making a Story ofTrauma 9 The Four Dimensions of theTrauma Story 11 Trust 12 Making Sense of Signs and Symptoms 13 Signs of Being More Easily Aroused 13 AvoidingThings to Do with theTrauma and Being Less Involved in Life 13 Having a SenseThat the Extreme Event Is Ever Present 14 OftenTrauma Comes Out Sideways 15 TheWish to Remember and the Need to Forget 15 A Systemic Scaffolding 16 Beginning at the Beginning 18 ix x Contents Capacity for Reflection 18 Supporting Someone Who Doesn’t WantTherapeutic Help 19 Felt Experience 20 Felt Shift 21 Finding the Middle Ground 23 WhatWe Can Do as Family and Friends 25 References 26 3 Body, Brain andTrauma 27 BasicTrust 28 The Limbic System: Our Fight and Flight and Freeze Protector 30 The Biology of the Limbic System 32 What Our Body CanTeach Us 33 Amygdala 33 Hypothalamus 34 Hippocampus 35 Cingulate Gyrus 37 The Low Road and the High Road 39 Mirror Neurones 41 HowTrauma Narrows Attention and Breathing Opens It Up 43 TheVagus Nerve 44 BodyWork 45 WhatWe Can Do as Family and Friends 45 References 46 4 Creating aWelcome 47 Containment andValidation 50 Bordered Experience and the Exiled Self 51 Gaze Aversion 52 WhatWe Can Do as Family and Friends 54 References 55

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