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For Bromberg, a model of mind premised on the centrality of self-states and dissociation not...

Winner of the 2009 Gradiva Award for Outstanding Psychoanalytic Publication

Within the title of her book, Making a Difference in Patients' Lives, Sandra Buechler echoes the hope of all clinicians. But, she counters, experience soon convinces most of us that insight, on its own, is often not powerful enough to have a significant impact on how a life is actually lived. Many clinicians and therapists have turned toward emotional experience, within and outside the treatment setting, as a resource. How can the immense power of lived emotional experience be...

During early development, every human being is exposed to the relative impact of relational trauma - disconfirmation of aspects of oneself as having legitimate existence in the world of others - in shaping both the capacity for spontaneous human relatedness and the relative vulnerability to "adult-onset trauma." To one degree or another, a wave of dysregulated affect - a dissociated "tsunami" - hits the immature mind, and if left relationally unprocessed leaves a fearful shadow that weakens future ability to regulate affect in an interpersonal context and reduces the capacity to trust,...