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Intensive Psychotherapy for Persistent Dissociative Processes: The Fear of Feeling Real (Norton Series on Interpersonal Neurobiology)
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Review
“[A] goldmine for anyone struggling to understand this most perplexing and important of fields. . . . Dissociative disorders are frequently described as ‘hidden disorders,’ in part because even in plain sight their signs and symptoms are subtle and nuanced. That elusiveness is perhaps the most daunting challenge to developing clinicians . . . . I know of no other work on dissociation that contributes so much in this regard. . . . [N]o one can gainsay the invaluable contribution this treatise has made in illuminating diverse dissociative symptomatology in the complex clinical contexts in which it is most often encountered, and too often overlooked.†- Psychodynamic Psychiatry“Reading this book feels like a friendly, usable bridge for any therapist interested in a more complete understanding of psychodynamic concepts, the enduring effects of developmental trauma, and how to engage with patients who have a fundamental fear of being visible to us and to themselves. . . . Despite its title and emphasis on treating dissociative disorders, this book should also be read as a significant contribution to the general understanding of psychopathology and psychological defense.†- Journal of Trauma and Dissociation“Chefetz shows by example that we can reach beyond the limits of these disabling disorders. . . . It is clear from case illustrations that Chefetz has a special talent for working with complex conditions, as well guiding less experienced clinicians. Reading this book, I felt the comfort of talking with a mentor about my own difficult or confusing cases. . . . Few resources on this topic rival this well-written book. Without hesitation, I recommend it to all clinicians who work with complex disorders.†- The Milton H. Erickson Foundation Newsletter“Avoiding the density of a traditional textbook, Intensive Psychotherapy for Persistent Dissociative Processes takes an intimate look at the techniques that the author incorporates within his own practice. It couples this with a presentation style accessible for professional readership of diverse experience and methodology. . . . [A] highly illuminative book for how treatment for dissociative processes is unique . . . . For those therapists who are currently or expecting to encounter these processes in their work, the book is an expansive resource.†- Somatic Psychotherapy Today“Whether laying out verbatim vignettes, neuroscience, or positioning his work within the plains of psychoanalytic theory, his style is engaging and it is a pleasure to read. . . . [I]t made me think and it fed directly, immediately and effectively into my practice. For these reasons I highly recommend it.†- European Society for Trauma and Dissociation newsletter“[This book] does a fantastic job of explaining the dissociative process of patients who have struggled with connecting their painful history to their current reality. . . . [S]uited for a student in training, a mental health professional, or a layman with prior knowledge of the field of psychiatry and psychotherapy. . . [A] great book for professionals working with clients who dissociate. . . . Chefetz offers an inside look at dissociative processes and stimulates the reader’s mind on how to intervene, heal, and care for someone struggling with dissociation.†- PsychCentral“Richard Chefetz, arguably the most astute and sophisticated mind in the field of trauma and dissociation, accompanies his readers on a personal journey into the mind and consulting room of a master clinician, scientist, and educator. This book demonstrates why dissociation is mostly not about dissociate disorders. It is about how a mind struggles to cope with the intolerable and unbearable. As both a traumatologist and a psychodynamic clinician, Chefetz has built a bridge that explores the joint dissociative processes that take place as part of the patient/therapist relationship.†- Philip M. Bromberg, PhD, author, The Shadow of the Tsunami: and the Growth of the Relational Mind“A master teacher on dissociative phenomena, Richard Chefetz integrates scientific sophistication with in-the-trenches clinical mastery. His eloquent writing―synthesizing theory and practice, mind and body, left- and right-brain processes, research and application, science and art―exemplifies the healing integration sought by every therapist familiar with dissociative disorders. I recommend it to anyone seriously interested in the treatment of fractured minds and defeated hearts. †- Nancy McWilliams, PhD, Professor, Rutgers University Graduate School of Applied & Professional Psychology“Dr. Chefetz has written an engaging and reader-friendly introduction to the relational understanding and treatment of dissociative processes. More impressively still, he accomplishes these objectives with the flair of a master storyteller. . . . incredibly useful for any mental health professional beginning to make his or her way into the often complex, overwhelming, and disconcerting study of dissociative processes. I recommend it highly.†- Richard P. Kluft, MD, PhD, authors of Shelter from the Storm and Good Shrink/Bad Shrink“With a wonderfully engaging style, Richard Chefetz instructs readers in the art of blending psychodynamic and affect theory with attachment, neurobiology, and trauma-related research in the treatment of severely dissociative patients. Clinicians, get ready to be inspired by the warmth, attunement, and clinical skill demonstrated in this book! †- Bethany Brand, PhD, Principal Investigator, TOP DD Study (Treatment of Patients with Dissociative Disorders), Professor of Psychology, Towson University
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About the Author
Richard A. Chefetz, MD, is a psychiatrist in private practice in Washington, D.C. He was President of the International Society for the Study of Trauma and Dissociation (2002-3), and is a Distinguished Visiting Lecturer at the William Alanson White Institute of Psychiatry, Psychoanalysis, and Psychology. He is a faculty member at the Washington School of Psychiatry, the Institute of Contemporary Psychotherapy & Psychoanalysis, and theWashington Center for Psychoanalysis.
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Product details
Series: Norton Series on Interpersonal Neurobiology
Hardcover: 496 pages
Publisher: W. W. Norton & Company; 1 edition (April 6, 2015)
Language: English
ISBN-10: 0393707520
ISBN-13: 978-0393707526
Product Dimensions:
6.6 x 1.6 x 9.6 inches
Shipping Weight: 3.6 pounds (View shipping rates and policies)
Average Customer Review:
4.6 out of 5 stars
40 customer reviews
Amazon Best Sellers Rank:
#188,296 in Books (See Top 100 in Books)
Once in a great while there's a book, an author, who fully captures my mind and heart and shares a wealth of knowledge, wisdom, compassion and provides an active learning experience that I believe will last a lifetime. Dr. Rich Cheftez is the author of such a book. I, as well as so many others - professionals and non professionals - are the rich beneficiaries of his expertise, humanity, courageous honesty, and highly developed synergistic capacity for vast stores of information, experience and knowledge. I have read it through once, am on my second reading, and will savor and continue to mine the treasures within it for a long time to come. His work contributes enormously to a most difficult field of working with survivors of abuse and the conditions of trauma and dissociation. I believe countless individuals are already benefitting, directly and indirectly through those of us who are studying this wondrous work.
Rich Chefetz has written a clinically eye-opening, theoretically sophisticated, and immensely relational book about the “Intensive Psychotherapy for Persistent Dissociative Processesâ€. Note that the terms “dissociative disorders†or “dissociative patients†are not featured in the title. In fact, what comes across most consistently throughout this book, is Rich Chefetz’s unpretentious way of being a Mensch, a caring, fully present person, offering his exquisitely honed skills of mindfully connecting to fellow human beings who have been taught by life that feeling real and really relating are threats to their survival.Dr. Chefetz is not afraid to share his struggles about how to create a sense of safety in a person whose mind had to shatter in order to keep living. With a stance of unwavering compassion, Dr. Chefetz quietly and astutely makes sense of the many puzzling, difficult, hurtful and dangerous behaviors his traumatized patients feel compelled to demonstrate. He takes all sensationalism, dramatic flair, “the dissociative patient as a curious specimenâ€, any “us (therapists)†vs. “them (patients)†out of the therapeutic equation. He does not offer a manual that will guarantee the patient’s measurable improvement by the final page. Instead, he offers something way more valuable: a close-up view of the many layers of nuanced, informed, awake engagement a psychotherapist needs to cultivate in order to offer a healing presence to a deeply suffering person seeking/refusing care.Beginning therapists as well as seasoned clinicians will find this book to be a tremendous asset to their own growth, and a reassuring presence when the going gets tough. A must read!Reinhild Draeger-Muenke, PsyD, LMFT
I am a social worker who has the privilege of working with wonderfully complex clients (aren't we all?) who mostly carry a diagnosis of PTSD and/or borderline personality disorder. No matter the diagnosis, all carry a deep, traumatic life trajectory that include abuse, abandonment, neglect, narcisstic wounding, dysfunctional relationships, and deeply felt pain and terror, sometimes/often predating verbal ability. Even with excellent supervision, however, various cases and presentations stumped me. For example, people who had seen many previous therapists but had never actually "gotten better". People who seems basically present yet were aware of parts of them that terrified them. People who were aware of sensations or emotions but could not place how this emotion arrived in the body or its function. People who were abused and hated their abuser yet held inside them introjects of the abuser that held enormous power over them; parts they hated, but could not get rid of. And finally, people who seems symptomatic of horrific abuse, yet reported that they had suffered no wrongdoing at anyone's hands.If your caseload has anyone with these types of presentations, or any trauma based diagnoses, this book should have been placed in your hands a long time ago. And hopefully, you could have been given a paid week off from work so that you could sit at home and read it. Yes, it's that good.Dr. Chefetz does a masterful job of helping you understand the way a mind's feelings, with repeated, sustained abuse, can fracture into frozen-like pieces that remain suspended in the patient's life, presenting itself in myriad ways, without being explicitly 'seen' by the client. Replete with examples taken from his own practice, Dr. Chefetz leads the reader through the the neurological beginnings of dissociation, its manifestations, and ultimately, concepts of re-integration so the client begins to feel whole. The tone is both fascinating and gentle. So gentle, in fact, that you may be lulled into thinking its a book about interventions, where really it's a treatise on how to view humanity. This is a seminal book, and I only wish I could have read it sooner in my career. I don't think you will ever look at the behaviors of a client the same way again.
For anyone working in the field of psychotherapy - this is a must read! For folks working with trauma in any capacity - it should be on the required reading list. Richard Chefetz, MD has created a masterpiece of literature in this scientifically solid book. His writing style is brilliant, inviting, humorous, calming, and deeply personal. The manner in which he presents both research and clinical case material is truly a rare gift. It is as if he is an interpreter for the reader by making something so complex as dissociative processes much easier to embrace and understand. The way he shares the struggles of his patients and the stories of his relationship with them is beautifully honoring. An incredible tribute to our field and to the process of healing. It has been my summer reading book and by far the best book I have read of this type in a long while. I will be reading it again and again.
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