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This manual has been written for a wide range of dynamic practitioners involved in treating patients with narcissistically-infused issues. The treatment model and case material presented in Listening with Purpose cover the spectrum of narcissistic vulnerability and may be applied to the relatively intact patient as well as to the relatively impaired patient. Throughout, it refers to issues of narcissistic vulnerability, from a perspective that assumes narcissistic mechanisms are implicated in all levels of personality functioning and in all people. They exist both in therapists and clients differing only in the level of prominence and degree of disturbance in the personality. Cutting across several schools of thought, this treatment manual places shame and its derivatives at the very center of narcissistic vulnerabilities, vulnerabilities which create character splits and dissociative phenomena in their wake. One can wonder if therapists have avoided looking at shame because of its contagious qualities. Human experience has demonstrated that shame is a ubiquitous emotion, yet when individuals encounter shame it places them in a seemingly paradoxical position which looks much like a dissociated limbo state with no way out. We experience it and yet don’t experience it, we see it and don’t see it, we feel it and don’t feel it. Therapists and mental health professionals cannot adequately treat unexamined shame from within its core unless he or she finds a compatible language for the theory that informs the interventions. In particular, the theory cannot replicate pre-existing splits embedded within a treatment paradigm and cannot be weighted with theoretical underpinnings that are distancing, objectifying, or removed. The authors have proposed instead an innovative paradigm-shifting model that is very explicit in recommending an experience-near, moment-to-moment immersion in the conflicted and often disoriented life of patients. Unlike existing volumes in the field, Listening with Purpose: Entry Points into Shame and Narcissistic Vulnerability is by design replete with copious down-to-earth examples to help guide one’s systemic shift in treatment focus, treatment emphasis, and treatment posture. The shift involves healing on many levels and opens up for re-examination and re-assessment heretofore difficult-to-treat cases of trauma, dissociation, character disturbances, and addictive disorders.
Chronic shame is painful, corrosive, and elusive. It resists self-help and undermines even intensive psychoanalysis. Patricia A. DeYoung’s cutting-edge book gives chronic shame the serious attention it deserves, integrating new brain science with an inclusive tradition of relational psychotherapy. She looks behind the myriad symptoms of shame to its relational essence. As DeYoung describes how chronic shame is wired into the brain and developed in personality, she clarifies complex concepts and makes them available for everyday therapy practice. Grounded in clinical experience and alive with case examples, Understanding and Treating Chronic Shame is highly readable and immediately helpful. Patricia A. DeYoung’s clear, engaging writing helps readers recognize the presence of shame in the therapy room, think through its origins and effects in their clients’ lives, and decide how best to work with those clients. Therapists will find that Understanding and Treating Chronic Shame enhances the scope of their practice and efficacy with this client group, which comprises a large part of most therapy practices. Challenging, enlightening, and nourishing, this book belongs in the library of every shame-aware therapist.
Shame severs our relationship from God. It is so powerful that it often results in denial, apathy, and even a self-defensive wrath toward neighbor. At the same time, shame may drive us to discover the true source of our dignity beyond our isolated and broken self. The arc of the biblical narrative takes us from the fig leaves of Adam and Eve, who desire to hide from God and each other, to the liberation from self-consciousness that Jesus displays at the Last Supper, which can be seen as “undoing” the shame of Adam and Eve. Shame is the experience that can bring us close to the experience of the Cross, the place of simultaneous condemnation and liberation. By examining the biblical stories of shame and some personal and public stories of shame and of being shamed, Hirschfeld delves into this emotional and spiritual phenomenon to mine what shame has to teach. Shame cannot be erased, but God does not want us to be stuck in it. Working through our shame can lead us to a deeper sense of joy and freedom so we can, as the Proper Preface for Advent says, “without shame or fear rejoice to behold [Christ’s] appearing?”
Uncovering the Resilient Core provides a comprehensive and inclusive methodology that guides the therapist into the nuances and complexities of the therapeutic relationship throughout the entire course of treatment. With its psychodynamic/relational orientation, this Workbook is unique in that it begins with character pathology in its widest spectrum and moves in depth to understanding and treating corrosive shame, dissociation, trauma and narcissism, including narcissism’s many hidden cultural and dynamic manifestations. The applied nature of this text draws from a wide variety of case examples as well as progressive therapeutic techniques designed to help deepen therapeutic listening skills. Training concepts are organically linked to videotaped treatment examples, with ample discussion questions and case analyses that can be used in your own supervision groups. These videos can be found on and serve as companion illustrations closely following the learning points in the text itself.

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