Cet ouvrage majeur présente une nouvelle façon de penser le traumatisme. Il propose un traitement innovant pour les adultes qui ont subi un traumatisme à la suite de tous types de maltraitance subie dans l enfance (sexuelle, physique, par négligence...). Ce traitement combine les pratiques de thérapie comportementale et cognitive et les applications de la théorie de l attachement et propose une nouvelle conception de l alliance thérapeutique. Il permet d élaborer l ensemble des compétences interpersonnelles requises pour une bonne régulation émotionnelle, en définissant les étapes d un travail graduel sur les souvenirs traumatiques et les vécus de peur, de honte et de perte qui leur sont associés. Séance après séance, ses instructions prodiguent de nombreux conseils pour adapter toute intervention aux besoins de chacune et de chacun, dans le cadre d un environnement thérapeutique rassurant et sécurisant. Véritable outil de travail pour praticiens, le modèle de traitement est présenté de manière progressive et hiérarchisée et inclut de nombreux exemples ainsi qu une douzaine de fiches pratiques.
Excellent, if seemingly ancient, book with loads of worksheets that are actually useful, information and plans for use in therapy that will actually be helpful... There are things written in this book that anyone in the trauma field should know or does know but somehow have escaped being written down, and I'm thrilled this book was still available when I learned about it. Sadly, the blurbs do it an injustice. It looks very formulaic, but it's meant to be individualized for each person. I HIGHLY recommend this to anyone working with survivors and to survivors themselves. This book won't sit on your shelves holding a retelling of the same tale - it has easily copied worksheets and prompts that will suit a variety of survivors.
There were a lot of really good tools to use with clients in this book, and an overall plan for working with victims of child abuse, but, although the authors claim that they have tested the process on men, the entire book was written using female pronouns and examples from their original study with women. It was also very repetitive in places, copying and pasting entire passages in some cases (as in, first they would explain it to the reader, then a few paragraphs later, repeat the same explanation word for word, as what the therapist should explain to the client).
This was listed as a possible treatment option for trafficking survivors, so read through the manual. I really like the STAIR piece, which is essentially another version of a skills training like DBT. This would work well as a precursor to EMDR for the trauma processing.