Mindfulness-Oriented Interventions for Trauma
Integrating Contemplative Practices
Paperbacke-bookprint + e-book
Grounded in research and accumulated clinical wisdom, this book describes a range of ways to integrate mindfulness and other contemplative practices into clinical work with trauma survivors. The volume showcases treatment approaches that can be tailored to this population's needs, such as mindfulness-based stress reduction (MBSR), acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), mindfulness-based cognitive therapy (MBCT), and mindful self-compassion (MSC), among others. Featuring vivid case material, the book explores which elements of contemplative traditions support recovery and how to apply them safely. Neurobiological foundations of mindfulness-oriented work are examined. Treatment applications are illustrated for specific trauma populations, such as clients with chronic pain, military veterans, and children and adolescents.
“Provides a wealth of resources. This book shares the broad scope of mindfulness-based interventions for trauma. Follette et al. bring many wise voices into one room for an important learning conversation.”
—Sharon Salzberg, author of Lovingkindness and Real Love
“Traumatized individuals frequently identify with and internalize what happened to them in ways that are highly negative and stigmatizing. Treatment approaches that interrupt this process have long been needed. Follette et al. have produced a pioneering volume of innovative and integrative techniques that help survivors resolve the effects of the past in order to live self-fulfilling, positive lives in the present and future. A major advance in the trauma treatment literature.”
—Christine A. Courtois, PhD, ABPP, private practice (retired), Washington, DC; consultant and trainer, trauma psychology and treatment, Bethany Beach, Delaware
“This comprehensive review of mindfulness-based interventions for trauma holds promise both for improving our understanding of the processes of change and for stimulating innovations in treatment. The book points the way toward a potentially valuable integration of Western psychological thinking and Eastern Buddhist perspectives, while stressing the importance of grounding any integration in carefully crafted theory and empirical research.”
—Josef I. Ruzek, PhD, Director, Dissemination and Training Division, National Center for PTSD, VA Palo Alto Health Care System
“This book is especially useful for clinicians working with trauma survivors who do not respond to standard treatments for posttraumatic stress disorder but who may benefit from mindfulness-based interventions delivered within the context of the therapeutic relationship. The book describes a wide range of treatments consistent with a contemplative approach to therapy and validated in part by neurobiological studies and meta-analyses. Whether through the therapist's philosophical commitment to contemplative insights or the client's learning of specific contemplative skills, mindfulness has the potential to decrease a client's identification with the trauma and to increase metacognition, self-awareness, emotion regulation, and life satisfaction.”
—Pamela Carlson Alexander, PhD, Senior Researcher, Outcome Referrals, Inc., Massachusetts
“A brilliant and clear exposition of how contemplative practices can be applied to the modern treatment of trauma. The editors weave together the rigor of science, the wisdom of reflection, and years of practical clinical application to offer an illuminating work. I highly recommend this book.”
—Shauna Shapiro, PhD, Department of Counseling Psychology, Santa Clara University
Table of Contents
Introduction, Victoria M. Follette, John Briere, Deborah Rozelle, James W. Hopper, & David I. Rome
I. Foundations
1. Pain and Suffering: A Synthesis of Buddhist and Western Approaches to Trauma, John Briere
2. Healing Traumatic Fear: The Wings of Mindfulness and Love, Tara Brach
3. Cultivating Self-Compassion in Trauma Survivors, Christopher K. Germer & Kristin Neff
II. Adapting Contemplative Approaches
4. Mindfulness and Valued Action: An Acceptance and Commitment Therapy Approach to Working with Trauma Survivors, Jessica Engle & Victoria M. Follette
5. Dialectical Behavior Therapy for Trauma Survivors, Devika R. Fiorillo & Alan E. Fruzzetti
6. Mindfulness-Based Cognitive Therapy for Chronic Depression and Trauma, J. Mark G. Williams & Thorsten Barnhofer
7. EMDR and Buddhist Practice: A New Model of Posttraumatic Stress Disorder Treatment, Deborah Rozelle & David J. Lewis
8. The Internal Family Systems Model in Trauma Treatment: Parallels with Mahayana Buddhist Theory and Practice, Richard C. Schwartz & Flint Sparks
9. Teaching Mindfulness-Based Stress Reduction and Mindfulness to Women with Complex Trauma, Trish Magyari
10. Focusing-Oriented Psychotherapy: A Contemplative Approach to Healing Trauma, Doralee Grindler Katonah
11. Yoga for Complex Trauma, David Emerson & Elizabeth K. Hopper
III. Neurobiological/Somatic Issues and Approaches
12. Harnessing the Seeking, Satisfaction, and Embodiment Circuitries in Contemplative Approaches to Trauma, James W. Hopper
13. An Interpersonal Neurobiology Approach to Developmental Trauma: The Possible Role of Mindful Awareness in Treatment, Daniel J. Siegel & Moriah Gottman
14. Embedded Relational Mindfulness: A Sensorimotor Psychotherapy Perspective on the Treatment of Trauma, Pat Ogden
IV. Special Applications and Populations
15. Mindfulness-Based Stress Reduction for Underserved Trauma Populations, Mary Ann Dutton
16. Mindfulness in the Treatment of Trauma-Related Chronic Pain, Ronald D. Siegel
17. Mindfulness-Based Stress Reduction and Loving-Kindness Meditation for Traumatized Veterans, David J. Kearney
18. Treating Childhood Trauma with Mindfulness, Randye J. Semple & Laila A. Madni
19. Mindfulness and Meditation for Trauma-Related Dissociation, Lynn C. Waelde
20. Focusing-Oriented Therapy with an Adolescent Sex Offender, Robert A. Parker
21. Intensive Vipassana Meditation Practice for Traumatized Prisoners, Jenny Phillips & James W. Hopper
22. Cognitively Based Compassion Training for Adolescents, Brooke Dodson-Lavelle, Brendan Ozawa-de Silva, Geshe Lobsang Tenzin Negi, & Charles L. Raison
Conclusion, John Briere, Victoria M. Follette, Deborah Rozelle, James W. Hopper, & David I. Rome
Index
About the Editors
Victoria M. Follette, PhD, is Foundation Professor in the Department of Psychology at the University of Nevada, Reno. Her work has focused on treating complex trauma using acceptance and commitment therapy. A Fellow and past president of the Western Psychological Association, Dr. Follette is coeditor of
Mindfulness and Acceptance: Expanding the Cognitive-Behavioral Tradition.
John Briere, PhD, is Professor Emeritus of Psychiatry and Behavioral Sciences at the Keck School of Medicine, University of Southern California (USC); Director of the USC Adolescent Trauma Training Center of the National Child Traumatic Stress Network; and Remote Program Faculty at the Institute for Meditation and Psychotherapy. Past president of the International Society for Traumatic Stress Studies (ISTSS), Dr. Briere is a recipient of the Award for Outstanding Contributions to the Science of Trauma Psychology from Division 56 of the American Psychological Association and the Robert S. Laufer Memorial Award for Scientific Achievement from ISTSS, among other honors. At USC, he teaches and consults in the burn center and in the inpatient psychiatry and emergency services. He lectures internationally on trauma, therapy, and mindfulness.
Deborah Rozelle, PsyD, is a certified therapist and Approved Consultant in eye movement desensitization and reprocessing. She trains and consults widely on psychological trauma, trauma therapy, and their relation to contemplative practice. Dr. Rozelle is on the faculties of the Institute for Meditation and Psychotherapy in Cambridge, Massachusetts, and the Nalanda Institute for Contemplative Science in New York City. She is a long-time practicing Buddhist and has a clinical practice in Lexington, Massachusetts.
James W. Hopper, PhD, is Clinical Instructor in Psychology in the Department of Psychiatry at Harvard Medical School. His work as a consultant, clinician, and researcher has focused on the effects of child abuse and sexual assault, the nature of traumatic memories, the psychology and biology of trauma, and the brain bases of meditation and other spiritual practices. Dr. Hopper trains and consults with a wide range of organizations and professionals.
David I. Rome is a teacher, writer, and editor focusing on applications of contemplative methods in personal and social change. He has directed the development of the Garrison Institute’s Transforming Trauma initiative as well as programs applying contemplative methods in K-12 education and environmental change work. Mr. Rome is the developer of mindful focusing, a contemplative technique integrating Focusing and Buddhist mindfulness-awareness practices, and is a senior trainer with the Focusing Institute and Shambhala International.
Contributors
Thorsten Barnhofer, PhD, Charité Clinic, Freie Universitaet Berlin, Berlin, Germany
Tara Brach, PhD, private practice, Great Falls, Virginia
John Briere, PhD, Departments of Psychiatry and Psychology, Keck School of Medicine, University of Southern California, and USC Adolescent Trauma Training Center, National Child Traumatic Stress Network, Los Angeles, California
Brooke Dodson-Lavelle, MA, Emory–Tibet Partnership, Emory University, Atlanta, Georgia
Mary Ann Dutton, PhD, Center for Trauma and the Community, Department of Psychiatry, Georgetown University Medical Center, Washington, DC
David Emerson, E-RYT, The Trauma Center at Justice Resource Institute, Brookline, Massachusetts
Jessica L. Engle, BA, Department of Psychology, University of Nevada, Reno, Reno, Nevada
Devika R. Fiorillo, PhD, Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, Georgia
Victoria M. Follette, PhD, Department of Psychology, University of Nevada, Reno, Reno, Nevada
Alan E. Fruzzetti, PhD, Department of Psychology, University of Nevada, Reno, Reno, Nevada
Christopher K. Germer, PhD, Department of Psychology, Harvard Medical School, Boston, Massachusetts
Moriah Gottman, BA, College of Natural Sciences, University of Texas at Austin, Austin, Texas
Doralee Grindler Katonah, PsyD, MDiv, Department of Psychology, Sofia University, Palo Alto, California, and private practice, Woodland, California
Elizabeth K. Hopper, PhD, The Trauma Center at Justice Resource Institute, Brookline, Massachusetts
James W. Hopper, PhD, Department of Psychiatry, Harvard Medical School, Boston, Massachusetts
David J. Kearney, MD, Department of Medicine, VA Puget Sound Health Care System, Seattle, Washington
David J. Lewis, PhD, private practice, Brighton, Massachusetts
Laila A. Madni, BA, Department of Psychology, California School of Professional Psychology, Alliant International University, San Diego, California
Trish Magyari, MS, private practice and Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland
Kristin D. Neff, PhD, Department of Educational Psychology, University of Texas at Austin, Austin, Texas
Geshe Lobsang Tenzin Negi, PhD, Department of Religion, Emory University, Atlanta, Georgia
Pat Ogden, PhD, Sensorimotor Psychotherapy Institute, Boulder, Colorado
Brendan Ozawa-de Silva, PhD, Emory–Tibet Partnership, Emory University, Atlanta, Georgia
Robert A. Parker, PhD, private practice, White Plains, New York
Jenny Phillips, PhD, private practice, Concord, Massachusetts
Charles L. Raison, MD, Department of Psychiatry, University of Arizona, Tucson, Arizona
David I. Rome, BA, writer, Garrison, New York
Deborah Rozelle, PsyD, Institute for Meditation and Psychotherapy, Cambridge, Massachusetts, and Nalanda Institute for Contemplative Science, New York, New York
Richard C. Schwartz, PhD, Department of Psychiatry, Harvard Medical School, Boston, Massachusetts
Randye J. Semple, PhD, Department of Psychiatry and Behavioral Sciences, Keck School of Medicine, University of Southern California, Los Angeles, California
Daniel J. Siegel, MD, Department of Psychiatry, School of Medicine, University of California, Los Angeles, Los Angeles, California
Ronald D. Siegel, PsyD, Department of Psychology, Harvard Medical School, Boston, Massachusetts
Flint Sparks, PhD, private practice, Austin, Texas
Lynn C. Waelde, PhD, Pacific Graduate School of Psychology, Palo Alto University, Palo Alto, California
J. Mark G. Williams, DPhil, Oxford Mindfulness Centre, Department of Psychiatry, University of Oxford, Prince of Wales International Centre, Warneford Hospital, Oxford, United Kingdom
Audience
Mental health practitioners, including clinical psychologists, psychiatrists, clinical social workers, counselors, and psychiatric nurses.
Course Use
May serve as a supplemental text in graduate-level courses.