Download EMDR Therapy and Adjunct Approaches with Children PDF

EMDR Therapy and Adjunct Approaches with Children

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Publisher : Springer Publishing Company
Release Date :
ISBN : 0826106978
Pages : 344 pages
Rating : 4.1/5 (16 Download)

Download Free EMDR Therapy and Adjunct Approaches with Children PDF by Ana M. Gomez Full Book and published by Springer Publishing Company. This book was released on 2012-07-27 with total page 344 pages. Available in PDF, EPUB and Kindle. Book excerpt: Print+CourseSmart


Download EMDR Therapy and Adjunct Approaches with Children PDF

EMDR Therapy and Adjunct Approaches with Children

Author :
Publisher : Springer Publishing Company
Release Date :
ISBN : 0826106986
Pages : 368 pages
Rating : 4.1/5 (16 Download)

Download Free EMDR Therapy and Adjunct Approaches with Children PDF by Ana M. Gomez, MC, LPC Full Book and published by Springer Publishing Company. This book was released on 2012-07-27 with total page 368 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This volume is a welcome and excellent resource for all clinicians working with severely traumatized children." Francine Shapiro, PhD Founder, EMDR Humanitarian Assistance Programs "Over the past 15 years, Ms. Gomez has developed highly original and brilliant interventions for working with these very difficult to treat children. This book will be an enormous great gift to our field." Dr. Susan Coates Clinical Professor of Psychology in Psychiatry College of Physicians and Surgeons Columbia University This is the first book to provide a wide range of leading-edge, step-by-step strategies for clinicians using EMDR therapy and adjunct approaches with children with severe dysregulation of the affective system. Written by an author internationally known for her innovative work with children, the book offers developmentally appropriate and advanced tools for using EMDR therapy in treating children with complex trauma, attachment wounds, dissociative tendencies, and compromised social engagement. The book also presents the theoretical framework for case conceptualization in EMDR therapy and in the use of the Adaptive Information Processing model with children. Principles and concepts derived from the Polyvagal Theory, affective neuroscience, attachment theory, interpersonal neurobiology, developmental neuroscience and the neurosequential model of therapeutics, which can greatly support and expand our understanding of the AIP model and complex trauma, are presented. The text also offers an original and pioneering EMDR therapy-based model to working with parents with abdicated caregiving systems. The model is directed at assisting parents in developing the ability for mentalization, insightfulness, and reflective capacities linked to infantís development of attachment security. A unique and innovative feature of this book is the masterful integration of strategies from other therapeutic approaches, such as Play therapy, Sandtray therapy, Sensorimotor psychotherapy, Theraplay and Internal Family Systems (IFS), into a comprehensive EMDR treatment maintaining appropriate adherence to the AIP model and EMDR therapy methodology. Key Features: Provides creative, step-by-step, ìhow-toî information about the use of EMDR therapy with children with complex trauma from an internationally known and innovative leader in the field Explores thoroughly the eight phases of EMDR therapy in helping children with attachment wounds, dissociative tendencies and high dysregulation Incorporates adjunct approaches into a comprehensive EMDR therapy while maintaining fidelity to the AIP model and EMDR therapy methodology Contains an original EMDR therapy-based model for helping parents with abdicated caregiving systems to develop metalizing and reflective capacities


Download Healing the Fractured Child PDF

Healing the Fractured Child

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Publisher : Springer Publishing Company
Release Date :
ISBN : 082619964X
Pages : 472 pages
Rating : 4.1/5 (199 Download)

Download Free Healing the Fractured Child PDF by Frances S. Waters, DCSW, LMSW, LMFT Full Book and published by Springer Publishing Company. This book was released on 2016-03-28 with total page 472 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Anyone who works with troubled children and their families should not miss this book. Healing the Fractured Child weaves together comprehensive theory and neurobiology that substantiate practical treatment guidelines for children and their families. The complexity of symptoms, diagnoses, assessment, use of medication, and a variety of innovative treatment approaches for stabilization, trauma processing and integration are explored and come to life through the clear, practical and touching clinical illustrations peppered throughout the book. Fran Waters has drawn on her vast clinical experience and thorough knowledge of current perspectives on dissociation and child therapy to write an integrative, readable, and immensely useful masterpiece, a gift to the field of child psychology and psychotherapy and to the many therapists, children and parents who will benefit from her wisdom." --Pat Ogden PhD, Founder, Sensorimotor Psychotherapy Institute; Author, Sensorimotor Psychotherapy Interventions for Trauma and Attachment "A skillfully written, comprehensive and remarkable volume. Well-grounded in theory and full of rich, practical applications and detailed case examples. Water's outstanding work will expand clinicians' capacity to understand and assess dissociation as well as to effectively accompany children in their healing journeys. An essential resource for therapists of all orientations working with trauma and dissociation." Ana M. GÛmez, MC, LPC, Author of EMDR Therapy and Adjunct Approaches with Children: Complex Trauma, Attachment and Dissociation "Healing the Fractured Child" provides an invaluable source of information for all professionals and non-professionals interested in childhood dissociation. Based on her many years of experience in this field, Waters takes us from an explanation of dissociation and related theories to the behaviors which may be noticed by a parent, teacher or doctor, through the assessment quagmire and the challenges of parenting, to the important work of emotional regulation and the identification of self-states, bringing in consideration of where medication can or cannot assist and describing the hard work of trauma processing, to integration, possible relapse, and back again to even stronger internal integration. The intricately described clinical examples provide a plethora of ideas for working with these children and offer readers the encouragement and hope so important for working with children who experienced trauma. Sandra Wieland, Ph.D., R.Psych. Illuminates the most promising treatments available for dissociative children Written by one of the nation's leading practitioners in the field of childhood trauma, abuse, and dissociation, this comprehensive resource fills a void in the literature to provide in-depth knowledge of current interventions for treating dissociation in youth. It describes a detailed, careful assessment process and creative, evidence-supported techniques for helping children and their families to heal from chaotic, traumatizing experiences. With both a theoretical and practical focus, the book offers proven strategies for successfully treating children and adolescents with varying degrees of dissociation and co-morbid symptoms. It also integrates adjunct therapies in environments beyond those of traditional psychotherapy, such as school, and describes how their strategies can be used effectively to augment therapy and understand dissociative children. Based on a model integrating five prominent therapeutic modalities, and underscoring the importance of attachment style, the book focuses on the neurobiology of trauma, a high co-morbidity of symptoms, specialized clinical interventions, psychopharmacology, and family intervention techniques. Also addressed are adjunct therapies in art, and EMDR. In addition, the book provides a window into the effects of traumatic events such as medical illness that may be overlooked, and safe techniques with dissociative youth who are exhibiting dangerous behaviors. Rich clinical examples demonstrate the various phases of treatment and offer a window into the internal world of dissociative children. This resource provides mental health clinicians, and other health professionals with a wealth of tools to effectively treat this troubled client population. Key Features: Describes theoretical conceptualization and specialized integrative techniques to treat dissociative children effectively Integrates psychotherapy with EMDR, art therapy, neurobiology and psychopharmacology Distills current research on neurobiology of trauma and how to intervene with specially designed treatment strategies Provides in-depth knowledge of the latest creative interventions for treatment across degrees and ages of dissociation, and co-morbid symptoms Sensitizes the therapist to often overlooked traumatic events, e.g. medical illness, that can exacerbate symptoms


Download Healing Addiction with EMDR Therapy PDF

Healing Addiction with EMDR Therapy

Author :
Publisher : Springer Publishing Company
Release Date :
ISBN : 0826136079
Pages : 300 pages
Rating : 4.1/5 (136 Download)

Download Free Healing Addiction with EMDR Therapy PDF by Jamie Marich, PhD, LPCC-S, LICDC-CS, REAT, RYT-200, RMT Full Book and published by Springer Publishing Company. This book was released on 2021-10-15 with total page 300 pages. Available in PDF, EPUB and Kindle. Book excerpt: There are just so many things that I love about this book that I simply don't know where to begin! Marich and Dansiger take an approach that is comprehensive, integrative, relational, and deeply hopeful. They share their wisdom and lived experience as skilled clinicians AND as vulnerable human beings who themselves have struggled with addiction, benefiting in profound ways from EMDR therapy... - Deborah Korn, Psy.D. Co-Author of Every Memory Deserves Respect: EMDR The Proven Trauma Therapy with the Power to Heal This must-read volume, offers clinicians a road map to navigate the often convoluted and intricate journey of accompanying clients suffering the aftermath of trauma and addictions. Clinicians will find in this book the guidance, foundational and advanced skills, as well as an incredibly rich repertoire of stabilization strategies... - Ana M. Gomez, MC, LPC Author of EMDR Therapy and Adjunct Approaches with Children: Complex Trauma, Attachment and Dissociation Healing Addiction with EMDR is tailored to support therapists along the different phases of EMDR Therapy. It focuses on understanding each individual case, through case conceptualization and treatment planning, and avoiding the simplistic ";What protocol should we use?" question. People need to be understood as individual beings since this is the essence of EMDR Therapy... - Dolores Mosquera, Co-Author of EMDR and Dissociation: The Progressive Approach INTRA-TP, A Coruña, Spain Offers a holistic, comprehensive approach to addiction treatment that combines standard EMDR therapy with specialty protocols This innovative and brand new EMDR therapy guide for healing addiction is the first book to underscore the efficacy of EMDR therapy as a primary modality for treating trauma and addiction. Targeting the trauma lurking beneath the addiction, the resource presents a comprehensive collection of best practices and strategies for using EMDR therapy to treat addictive disorders, and guides practitioners in incorporating their protocols of choice into EMDR treatment. While illuminating underlying theory, the book focuses on practice knowledge and how therapists can translate this knowledge into clinical settings in order to provide clinicians with a fully-integrated approach to the diagnosis, treatment, and management of addiction across populations Written in user-friendly language by two prominent practitioners and trainers of EMDR therapy, the book helps therapists to address the complexity of addictive disorders by providing a comprehensive guide to the standard eight-phase protocol and adaptive information processing model as groundwork for case conceptualization and treatment. Chapters contain case studies with commentary on relevant decision-making points along with discussion questions to enhance critical thinking. Abundant “Tips and Tricks” learned in the trenches make the text come alive with clinical relevance, and references to many of the best specialty protocols and strategies for treating clients suffering from addiction due to trauma, guide readers to choose the best protocol for each situation. Purchase includes digital access for use on most mobile devices or computers. Key Features: Authors’ lived experience brings a wealth or real-world application Introduces the standard EMDR therapy protocol as a modality of choice for treating trauma and addiction disorders Rates popular specialty protocols for addiction and provides guidance on how to integrate them into treatment Delivers a wealth of best practices and strategies for working with clients with addiction issues Addresses effectively working with dissociation in EMDR therapy Focuses on best practice informed by a thorough review of up-to-date scholarly literature Uses abundant case studies, “Tips and Tricks from the Field” and practical exercises to reinforce knowledge


Download Trauma and Play Therapy PDF

Trauma and Play Therapy

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Publisher : Routledge
Release Date :
ISBN : 1351216848
Pages : 236 pages
Rating : 4.2/5 (216 Download)

Download Free Trauma and Play Therapy PDF by Paris Goodyear-Brown Full Book and published by Routledge. This book was released on 2019-02-12 with total page 236 pages. Available in PDF, EPUB and Kindle. Book excerpt: Trauma and Play Therapy synthesizes new developments in the study of children’s trauma recovery to assist clinicians in combining play therapy with other powerful ways of addressing the needs of hurt children. The TraumaPlayTM model, formerly known as Flexibly Sequential Play Therapy, equips practitioners to manage and adapt aspects of the play therapy place and process in order to help children tell their stories while draining the emotional toxicity from traumatic experiences. Chapters explore the neurobiological and developmental foundations of play therapy as well as strategies for navigating children’s trauma in relation to specific aspects of play therapy such as sensory integration, metaphor, and humor. Enriched by a tapestry of illustrative case examples and tools for therapists, this is a vital new book for clinicians working at the intersection of play and children’s trauma.


Download Handbook of EMDR and Family Therapy Processes PDF

Handbook of EMDR and Family Therapy Processes

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Publisher : John Wiley & Sons
Release Date :
ISBN : 1118046102
Pages : 504 pages
Rating : 4.0/5 (46 Download)

Download Free Handbook of EMDR and Family Therapy Processes PDF by Francine Shapiro Full Book and published by John Wiley & Sons. This book was released on 2011-01-31 with total page 504 pages. Available in PDF, EPUB and Kindle. Book excerpt: Starting with the Foreword by Daniel Siegel, MD, the Handbook demonstrates in superb detail how you can combine EMDR’s information processing approach with family systems perspectives and therapy techniques. An impressive and needed piece of work, Handbook of EMDR and Family Therapy Processes provides a clear and comprehensive bridge between individual and family therapies.


Download Psychotherapy Supervision PDF

Psychotherapy Supervision

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Publisher : John Wiley & Sons Incorporated
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ISBN :
Pages : 648 pages
Rating : 4.3/5 (387 Download)

Download Free Psychotherapy Supervision PDF by Allen K. Hess Full Book and published by John Wiley & Sons Incorporated. This book was released on 2008-08-25 with total page 648 pages. Available in PDF, EPUB and Kindle. Book excerpt: Unique in its coverage of the process from the supervisee's as well as the supervisor's point of view, Psychotherapy Supervision, Second Edition provides a guide for the student and teacher preparing for a variety of clients using various skills in a multiplicity of mental healthcare environments. Now in a second edition, this book provides up-to-date, in-depth coverage of psychotherapy supervision, a critical part of graduate training that is under-served by current texts. Written for clinical psychology students in supervision courses as well as practicing professionals, this text provides comprehensive, current, and accessible coverage.


Download Responses to Traumatized Children PDF

Responses to Traumatized Children

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Publisher : Palgrave MacMillan
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ISBN :
Pages : 352 pages
Rating : 4.0/5 (11 Download)

Download Free Responses to Traumatized Children PDF by Amer A. Hosin Full Book and published by Palgrave MacMillan. This book was released on 2007 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is the result of collaboration between professionals of multidisciplinary backgrounds, providing a range of interests and expertise in the area of trauma in children. The stimulating and though-provoking evidence-based research reaches across a comprehensive range of topics, from problems of cultural sensitivity and resilience to the use of cognitive behavioural therapy and the prevention of secondary trauma among carers and healthcare providers.


Download Healing Complex Posttraumatic Stress Disorder PDF

Healing Complex Posttraumatic Stress Disorder

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Publisher : Springer Nature
Release Date :
ISBN : 3030614166
Pages : 167 pages
Rating : 4.6/5 (614 Download)

Download Free Healing Complex Posttraumatic Stress Disorder PDF by Gillian O’Shea Brown Full Book and published by Springer Nature. This book was released on 2021-04-30 with total page 167 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a clinician's guide to understanding, diagnosing, treating, and healing complex posttraumatic stress disorder (C-PTSD). C-PTSD, a diagnostic entity to be included in ICD-11 in 2022, denotes a severe form of posttraumatic stress disorder (PTSD) and is the result of prolonged and repeated interpersonal trauma. The author provides guidance on healing complex trauma through phase-oriented, multimodal, and skill-focused treatment approaches, with a core emphasis on symptom relief and functional improvement. Readers will gain familiarity with the integrative healing techniques and modalities that are currently being utilized as evidence-based treatments, including innovative multi-sensory treatments for trauma, in addition to learning more about posttraumatic growth and resilience. Each chapter of this guide navigates readers through the complicated field of treating and healing complex trauma, including how to work with clients also impacted by the shared collective trauma of COVID-19, and is illustrated by case examples. Topics explored include: Complex layered trauma Dissociation Trauma and the body The power of belief An overview of psychotherapy modalities for the treatment of complex trauma Ego state work and connecting with the inner child Turning wounds into wisdom: resilience and posttraumatic growth Vicarious trauma and professional self-care for the trauma clinician It is important for clinicians to be aware of contemporary trends in treating C-PTSD. Healing Complex Posttraumatic Stress Disorder is an essential text for mental health practitioners, clinical social workers, and other clinicians; academics; and graduate students, in addition to other professionals and students interested in C-PTSD. It is an attractive resource for an international clinical audience as we work together to heal, affirm, and unburden clients following this time of shared collective trauma.


Download Dissertation Abstracts International PDF

Dissertation Abstracts International

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Publisher :
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ISBN :
Pages : pages
Rating : 4.1/5 (15 Download)

Download Free Dissertation Abstracts International PDF by Full Book and published by . This book was released on 2004 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:


Download Wiley Concise Guides to Mental Health PDF

Wiley Concise Guides to Mental Health

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Publisher : John Wiley & Sons
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ISBN : 0470040343
Pages : 304 pages
Rating : 4.0/5 (4 Download)

Download Free Wiley Concise Guides to Mental Health PDF by Adam Cash Full Book and published by John Wiley & Sons. This book was released on 2006-09-01 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: The new, quick reference for understanding Posttraumatic Stress Disorder The Wiley Concise Guides to Mental Health: Posttraumatic Stress Disorder uses clear, highly accessible language to comprehensively guide the reader through posttraumatic stress disorder (PTSD) and related issues. This concise, informative reference provides a complete overview of the history of the field, diagnosis, treatment, research, emerging trends, and other critical information about PTSD. Examining both theory and practice, the text offers a multifaceted look at the disorder, outlining biological, cognitive, psychosocial, psychodynamic, integrated, and other relevant approaches. Like all the books in the Wiley Concise Guides to Mental Health Series, Posttraumatic Stress Disorder features a compact, easy-to-use format that includes: Vignettes and case illustrations A practical approach that emphasizes real-life treatment over theory Resources for specific readers such as clinicians, students, or patients In addition to the fundamentals of treatment, Posttraumatic Stress Disorder covers some of today's most important and cutting-edge issues in the field, such as war and terrorism; PTSD in children, adolescents, and families; professional and ethical issues; and relevant positive psychological findings. This straightforward resource is admirably suited for a wide variety of readers including students and practicing mental health professionals, as well as first responders, military personnel, and other individuals that regularly deal with traumatic situations and their aftermath.


Download Complex Psychological Trauma PDF

Complex Psychological Trauma

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Publisher : Routledge
Release Date :
ISBN : 1317311469
Pages : 200 pages
Rating : 4.3/5 (311 Download)

Download Free Complex Psychological Trauma PDF by Philip J. Kinsler Full Book and published by Routledge. This book was released on 2017-08-09 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Complex Psychological Trauma takes clinicians beyond the standard approaches for treating simple, single-stressor incident PTSD. Here the focus is on the major choice points that establish the relational conditions for growth and change. In these pages, new and experienced clinicians alike will find specific guidance for acting in a relationally healing manner and refreshingly practical, real-life advice on what to say in challenging therapy situations.


Download Handbook of Personality Disorders PDF

Handbook of Personality Disorders

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Publisher : John Wiley & Sons
Release Date :
ISBN : 047148234X
Pages : 600 pages
Rating : 4.4/5 (482 Download)

Download Free Handbook of Personality Disorders PDF by Jeffrey J. Magnavita Full Book and published by John Wiley & Sons. This book was released on 2004-02-15 with total page 600 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive reference, edited by one of the leading experts in the field, assimilates the newest and most effective treatment techniques for the personality disorders. Each chapter is written by leading scholars in the Cognitive-Behavior, Humanistic and Integrative theoretical models. In addition to a detailed case example in each chapter, additional case studies are integrated and used throughout.


Download Building Resilience to Trauma PDF

Building Resilience to Trauma

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Publisher : Routledge
Release Date :
ISBN : 1136480897
Pages : 214 pages
Rating : 4.4/5 (48 Download)

Download Free Building Resilience to Trauma PDF by Elaine Miller-Karas Full Book and published by Routledge. This book was released on 2015-02-20 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: After a traumatic experience, survivors often experience a cascade of physical, emotional, cognitive, behavioral, and spiritual responses that leave them feeling unbalanced and threatened. Building Resilience to Trauma explains these common responses from a biological perspective, reframing the human experience from one of shame and pathology to one of hope and biology. It also presents alternative approaches, the Trauma Resiliency Model (TRM) and the Community Resiliency Model (CRM), which offer concrete and practical skills that resonate with what we know about the biology of trauma. In programs co-sponsored by the World Health Organization, the Unitarian Universalist Service Committee, ADRA International and the department of behavioral health of San Bernardino County, the TRM and the CRM have been used to reduce and in some cases eliminate the symptoms of trauma by helping survivors regain a sense of balance. Clinicians will find that they can use the models with almost anyone who has experienced or witnessed any event that was perceived as life threatening or posed a serious injury to themselves or to others. The models can also be used to treat symptoms of vicarious traumatization and compassion fatigue.


Download Psychiatric Care Plans PDF

Psychiatric Care Plans

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Publisher : F A Davis Company
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ISBN :
Pages : 532 pages
Rating : 4.1/5 (15 Download)

Download Free Psychiatric Care Plans PDF by Marilynn E. Doenges Full Book and published by F A Davis Company. This book was released on 1998 with total page 532 pages. Available in PDF, EPUB and Kindle. Book excerpt: Computer disk includes all the care plans from the text and allows the nurse to customize information and easily create quality care plans.


Download What Happened To You? PDF

What Happened To You?

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Publisher : Flatiron Books: An Oprah Book
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ISBN : 9781250223180
Pages : 304 pages
Rating : 4.1/5 (18 Download)

Download Free What Happened To You? PDF by Oprah Winfrey Full Book and published by Flatiron Books: An Oprah Book. This book was released on 2021-04-27 with total page 304 pages. Available in PDF, EPUB and Kindle. Book excerpt: Oprah Winfrey and renowned brain development and trauma expert, Dr. Bruce Perry, discuss the impact of trauma and adverse experiences and how healing must begin with a shift to asking, “what happened to you?” rather than “what’s wrong with you?” Through wide-ranging, and often deeply personal conversation, Oprah Winfrey and Dr. Perry explore how what happens to us in early childhood – both good and bad - influences the people we become. They challenge us to shift from focusing on, “What’s wrong with you?” or “Why are you behaving that way?,” to asking, “What happened to you?” This simple change in perspective can open up a new and hopeful understanding for millions about why we do the things we do, why we are the way we are, providing a road map for repairing relationships, overcoming what seems insurmountable, and ultimately living better and more fulfilling lives. Many of us experience adversity and trauma during childhood that has lasting impact on our physical and emotional health. And as we’re beginning to understand, we are more sensitive to developmental trauma as children than we are as adults. ‘What happened to us’ in childhood is a powerful predictor of our risk for physical and mental health problems down the road, and offers scientific insights in to the patterns of behaviors so many struggle to understand. A survivor of multiple childhood challenges herself, Oprah Winfrey shares portions of her own harrowing experiences because she understands the vulnerability that comes from facing trauma at a young age. Throughout her career, Oprah has teamed up with Dr. Bruce Perry, one of the world’s leading experts on childhood trauma. He has treated thousands of children, youth, and adults and has been called on for decades to support individuals and communities following high-profile traumatic events. Now, Oprah joins forces with Dr. Perry to marry the power of storytelling with the science and clinical experience to better understand and overcome the effects of trauma. In conversation throughout the book, the two focus on understanding people, behavior, and ourselves in the context of personal experiences. They remove blame and self-shaming, and open up a space for healing and understanding. It’s a subtle but profound shift in our approach to trauma, and it’s one that allows us to understand our pasts in order to clear a path to our future - opening the door to resilience and healing in a proven, powerful way. Grounded in the latest brain science and brought to life through compelling narratives, this book shines a light on a much-needed path to recovery – showing us our incredible capacity to transform after adversity.


Download Occupational Stress PDF

Occupational Stress

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Publisher : CRC Press
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ISBN :
Pages : 335 pages
Rating : 4.1/5 (15 Download)

Download Free Occupational Stress PDF by Ken Addley Full Book and published by CRC Press. This book was released on 1997-10-13 with total page 335 pages. Available in PDF, EPUB and Kindle. Book excerpt: In this book multi-disciplinary contributors representing a wide range of interests in the workplace provide an easy-to ready practical approach to the topic of occupational stress. The practical theme of this book is reinforced by the inclusion of a sample stress policy, questionnaires, advice on holding stress seminars with specimen overheads and an example of a personal job appraisal system. The trade union view and legal aspects for employers are also highlighted. A chapter is also devoted to the European Union and its role in health and safety within workplaces and how that relates to issues of stress.