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The Dissociative Mind, by Elizabeth F. Howell
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Drawing on the pioneering work of Janet, Freud, Sullivan, and Fairbairn and making extensive use of recent literature, Elizabeth Howell develops a comprehensive model of the dissociative mind. Dissociation, for her, suffuses everyday life; it is a relationally structured survival strategy that arises out of the mind’s need to allow interaction with frightening but still urgently needed others. For therapists dissociated self-states are among the everyday fare of clinical work and gain expression in dreams, projective identifications, and enactments. Pathological dissociation, on the other hand, results when the psyche is overwhelmed by trauma and signals the collapse of relationality and an addictive clinging to dissociative solutions.
Howell examines the relationship of segregated models of attachment, disorganized attachment, mentalization, and defensive exclusion to dissociative processes in general and to particular kinds of dissociative solutions. Enactments are reframed as unconscious procedural ways of being with others that often result in segregated systems of attachment. Clinical phenomena associated with splitting are assigned to a model of “attachment-based dissociation” in which alternating dissociated self-states develop along an axis of relational trauma. Later chapters of the book examine dissociation in relation to pathological narcissism; the creation and reproduction of gender; and psychopathy.
Elegant in conception, thoughtful in tone, broad and deep in clinical applications, Howell takes the reader from neurophysiology to attachment theory to the clinical remediation of trauma states to the reality of evil. It provides a masterful overview of a literature that extends forward to the writings of Bromberg, Stern, Ryle, and others. The capstone of contemporary understandings of dissociation in relation to development and psychopathology, The Dissociative Mind will be an adventure and an education for its many clinical readers.
- Sales Rank: #696980 in Books
- Published on: 2005-10-28
- Released on: 2008-05-22
- Original language: English
- Number of items: 1
- Dimensions: 9.02" h x .73" w x 5.98" l, .96 pounds
- Binding: Paperback
- 322 pages
Review
"In The Dissociative Mind, Elizabeth Howell seeks to provide a more substantial integration between psychoanalysis and traumatology and provides a superb inquiry into the question of trauma, dissociation, psychopathology, and the theoretical frameworks that guide our conceptual formulations and modes of clinical practice. Sensitive to concurrent work in trauma studies, neuroscience, attachment theory, defense, and personality structure, this book should be digested slowing for its rich and subtle flavors."
- Jon Mills, Ph.D., Psy.D., Psychologist-Psychoanalyst, Winter 2008
"This is a book that makes an important contribution to our understanding of dissociation. It should be read by clinicians and researchers who wish exposure to the complexities of the dissociative mind."
- PsycCRITIQUES
"Howell's excellent and clearly written book covers both aspects of dissociation. Howell makes excellent use of both her emotional sensitivity and her sharp intellect....read it and discover all it has to offer."
- International Journal of Psychoanalysis
"In sum, The Dissociative Mind provides a thorough context for evaluating current dissociation theories. The case descriptions that Howell uses to bring the complex and competing theories to life are true gems. Her book will be of particular interest and benefit to those interested in obtaining an overview of the history of dissociation theory, as well as a description of how dissociation relates to current psychodynamic constructs. As dialogue in the field focuses on the development of integrative models, we anticipate that this book will provide a valued voice that models, drawing on the best the field has to offer to advance dissociation theories."
- Anne P. DePrince, Ph.D., and Kristin M. Weinzierl, M.S., University of Denver, taken from Journal of Trauma and Dissociation, 8.1, 2007
"Elizabeth Howell's book, The Dissociative Mind, is a long overdue addition to both the traumatological and psychoanalytic literature....Dr. Howell's clear voice is taking its rightful place amongst the leading clinician/theoreticians of our time. I look forward to her future work, and I highly recommend this book to you as essential reading."
- Richard Chefetz, M.D., International Society for the Study of Dissociation
"This text weaves together an excellent theoretical synthesis of a full range of psychological and neurobiological theories to examine the complex nature of dissociation. The level of nuanced, scholarly analysis leads me to recommend a readership of practicing psychotherapists and psychoanalysts as well as Ph.D. students in mental health disciplines... it stands as an impressive example of an authoritative, masterful analysis of dissociation."
- Kathryn Basham, Clinical Social Work Journal, 36, 2008
About the Author
A psychoanalyst and traumatologist who specializes in the treatment of dissociative disorders, Elizabeth Howell, Ph.D., is Associate Editor of the Journal of Trauma and Dissociation and Co-Director of the Dissociative Disorders Psychotherapy Training Program of the International Society for the Study of Dissociation. Dr. Howell is a faculty member of the National Institute for the Psychotherapies Trauma Studies Program and an adjunct associate professor in the psychology department of New York University. She has written and lectured widely on various aspects of trauma and dissociation.
Most helpful customer reviews
10 of 11 people found the following review helpful.
An extraordinary book
By mahipal
The author of this book has done an exellent job of bringing a prolific amount of relevant source material together and taking the reader to a new understanding of this most important subject. I am what you could call a well informed amateur and have been delighted with the wealth of new information and truth this book gave to me.
In many respects this reading was a therapy.
4 of 4 people found the following review helpful.
A brilliant fundamental work in the field today!
By Marc Levy
I know personally Dr Howell because I am specializing in the field of trauma and dissociation.Not only is she a wonderful human being full of compassion but a brilliant analyst and a brilliant writer as well. Her work is a major step in the field of psychoanalysis today.
This book is a huge accomplishment in comparative dissociative psychology supplemented with Dr Howell's own opinions,cases and visions.If you are in the field or want to be in the field this is a fundamental(un incontournable) book you must read and keep preciously at hand...go get a copy a-sap...
1 of 1 people found the following review helpful.
Nice example of scholarship that does not get in the ...
By Suzanne De La Monte
Truly an exceedingly well written and documented book. Nice example of scholarship that does not get in the way of learning, i.e. well presented and not over the top. Highly educational with balanced historical perspectives. It was interesting to see how those guys in the past dealt with the problem [or shoved it under the rug]. The in-fighting among them was also amusing. Janet rather than just Freud seems to have been the leader but was forgotten. I would give it 5 stars for this alone, but was disappointed with the absence of a chapter on treatment approaches and the inclusion of psychopathy--totally wrong for this subject. Actually, Dr. Howell agrees that psychopathy is not really within the spectrum of other dissociative mind disorders but she nonetheless includes it. The chapter is fine by itself but bad idea for the non-critical reader. The revised version should include current effective and ineffective therapeutic interventions. Overall 4.5 stars
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