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Traumatic Brain Injury: Rehabilitation for Everyday Adaptive Living, 2nd Edition
by Jennie Ponsford Sue Sloan Pamela SnowResearch into the rehabilitation of individuals following Traumatic Brain Injury (TBI) in the past 15 years has resulted in greater understanding of the condition. The second edition of this book provides an updated guide for health professionals working with individuals recovering from TBI. Its uniquely clinical focus provides both comprehensive background information, and practical strategies for dealing with common problems with thinking, memory, communication, behaviour and emotional adjustment in both adults and children. The book addresses a wide range of challenges, from those which begin with impairment of consciousness, to those occurring for many years after injury, and presents strategies for maximising participation in all aspects of community life. The book will be of use to practising clinicians, students in health disciplines relevant to neurorehabilitation, and also to the families of individuals with traumatic brain injury.
Traumatic Brain Injury: A Clinician’s Guide to Diagnosis, Management, and Rehabilitation
by Jack W. TsaoThis thoroughly revised and updated work covers numerous advances in traumatic brain injury diagnosis, evaluation, treatment, and pathophysiology. Since publication of the first edition in 2012, there has been greatly increased public awareness of the clinical consequences of even the mildest of head injuries, and the result has been a concerted effort of countries around the world to increase research funding. This second edition continues to focus on mild traumatic brain injury--or concussion--and contains updates to all the original chapters as well as adding new chapters addressing clinical sequelae, including pediatric concussion, visual changes, chronic traumatic encephalopathy, and blast-associated TBI. Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation, Second Edition, is a comprehensive resource designed for neurologists, primary care clinicians, sports physicians, and other medical providers, including psychologists and neuropsychologists, as well as athletic trainers who may evaluate and care for individuals who have sustained a TBI. The book features summaries of the most pertinent areas of diagnosis and therapy, which can be readily accessed by the busy clinician/professional. In addition, the book's treatment algorithms provide a highly practical reference to cutting edge therapies, and an updated appendix of ICD codes is included. An outstanding contribution to the literature, Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation, Second Edition, again offers an invaluable resource for all providers who treat patients with TBI.
Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation
by Jack W. TsaoTraumatic brain injury (TBI) is a major cause of disability worldwide. Each year 1.7 million new TBIs occur in the United States, and it is also considered a signature injury of the Iraq and Afghanistan conflicts. Despite the relatively high incidence-within both civilian and military populations-the diagnosis and treatment, particularly of mild TBI/concussion, remains an inexact science. Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation is a concise guide designed for neurologists, primary care, and sports physicians and other medical providers, psychologists and neuropsychologists, and athletic trainers who may evaluate and care for patients with TBI. The book features summaries of the most pertinent areas of diagnosis and therapy, which can be readily accessed by the busy clinician/professional. In addition, the book's treatment algorithms provide a highly practical reference to cutting edge therapies. A superb contribution to the literature, Traumatic Brain Injury: A Clinician's Guide to Diagnosis, Management, and Rehabilitation offers a well-designed, well-written, useful resource for all providers who treat patients with TBI.
Traumatic Brain Injury and Neuropsychological Impairment: Sensorimotor, Cognitive, Emotional, and Adaptive Problems of Children and Adults
by Rolland S. ParkerThe brain is a delicate, complex, and easily disrupted organ. Unfortunately, the frequency of brain injury and the impairing effects of even seemingly minor injury is generally unknown to the public, the media, and, surprisingly, even many health professionals. It is hoped that this book will make a contribution to the welfare of brain-damaged people through a comprehensive and detailed state ment concerning their impairment and how to recognize it. Increased under standing of impairment, and the significant symptoms that reveal it, will enhance treatment planning, and aid in avoiding the error of assuming that symptoms are emotional, malingering, or exaggerations. In writing this book I have drawn on my experience in assessing individuals of all ages who have undergone traumatic brain injury, in order to alert the public, their families, concerned professionals, teaching physicians, psychologists, and attorneys to the clinical and technical issues that will aid in understanding and serving these people. Experience as a psychotherapist and career counselor offered a clinical perspective from which to document the conclusion that trau matic brain damage frequently impairs adaptive capacity of children and adults after even relatively "minor" injury.
Traumatic Events And Mental Health (PDF)
by L. Stephen O'Brien J. P. WatsonWhat constitutes a traumatic event? How and why does trauma affect people differently and what is a normal response? These are important questions asked on a daily basis. This concise yet comprehensive guidebook provides an accessible and highly referenced resource of practical advice and information on post traumatic distress. Dr O'Brien's coverage ranges from a brief historical perspective on post traumatic illness and its prevalence right through to the legal implications. We are reminded that a diagnosis of Post Traumatic Stress Disorder is by no means the only possible response to trauma and a helpful chapter is also devoted to the definition of a normal response. A broad range of theoretical and practical viewpoints are closely examined including an evaluation of management approaches and possibilities for prevention.
Traumatic Experience in the Unconscious Life of Groups: Aggregation/Massification or (ba) I:A/M (PDF)
by Earl Hopper Howard Kibel Malcolm Pines Richard Billow Victor Schermer'Earl Hopper, in his important, profound and well reasoned book introduces a fourth Basic Assumption (Incohesion) to the three Basic assumptions (of Flight/ Fight, Pairing and Dependency) introduced by Bion. Hopper's theory of Incohesion provides us with a new way of thinking about annihilation anxiety, which he discusses in terms of the unconscious fears of annihilation connected to the fears of separation.' - System Centered News 'What we may learn most from reading Hopper's profound thinking presented in this surprisingly readable book is how he makes the bridge from his theory to the treatment of difficult patients. He identifies aggregation and Massification as a characteristic of regressed groups. In groups of the traumatized, however, where survivor guilt, and perhaps more important, survivor shame underlies the suffering, Aggregation and Massification are likely to be chronic.' - Yvonne Agazarian Working within the traditions of Bion, Turquet, Foulkes and Pines, and drawing on concepts and data from psychoanalysis, group analysis and sociology, this volume develops Earl Hopper's theory of the fourth basic assumption in the unconscious life of groups and group-like social systems within a social, cultural and political transgenerational context. He argues that Incohesion: Aggregation/Massification or (ba) I:A/M (an acronym for 'I AM' - an assertion of personal identity when identity is under threat) is based on the fear of annihilation stemming from traumatic experience. With full respect for the constraints of the social unconscious, the personification of aggregation and massification by patients with crustacean, contact-shunning and amoeboid, merger-hungry characteristics, respectively, is illustrated with detailed clinical vignettes involving drug addicts, victims of incest and sexual abuse, and child survivors of the Shoah. Concluding with critical commentaries by senior British and American group analysts and psychoanalysts, this volume is essential reading for both analysts and their students.
Traumatic Experiences of Normal Development: An Intersubjective, Object Relations Listening Perspective on Self, Attachment, Trauma, and Reality
by Carl H. ShubsTraditionally, trauma has been defined as negatively impacting external events, with resulting damage. This book puts forth an entirely different thesis: trauma is universal, occurring under even the best of circumstances and unavoidably sculpting the very building blocks of character structure. In Traumatic Experiences of Normal Development, Dr. Carl Shubs depathologizes the experience of trauma by presenting a listening perspective which helps recognize the presence and effects of traumatic experiences of normal development (TEND) by using a reconstruction of object relations theory. This outlook redefines trauma as the breach in intrapsychic organization of Self, Affect, and Other (SAO), the three components of object relations units, which combine to form intricate and changeable constellations that are no less than the total experience of living in any given moment. Bridging the gap between the trauma and analytic communities, as well as integrating intrapsychic and relational frameworks, the SAO/ TEND perspective provides a trauma-based band of attunement for attending to all relational encounters including those occurring in therapy. Though targeted to mental health professionals, this book will help enable therapists and sophisticated lay readers alike to recognize the impact of relational encounters, providing new tools to understand the traumas we have experienced and to minimize the hold they have on us.
Traumatic Experiences of Normal Development: An Intersubjective, Object Relations Listening Perspective on Self, Attachment, Trauma, and Reality
by Carl H. ShubsTraditionally, trauma has been defined as negatively impacting external events, with resulting damage. This book puts forth an entirely different thesis: trauma is universal, occurring under even the best of circumstances and unavoidably sculpting the very building blocks of character structure. In Traumatic Experiences of Normal Development, Dr. Carl Shubs depathologizes the experience of trauma by presenting a listening perspective which helps recognize the presence and effects of traumatic experiences of normal development (TEND) by using a reconstruction of object relations theory. This outlook redefines trauma as the breach in intrapsychic organization of Self, Affect, and Other (SAO), the three components of object relations units, which combine to form intricate and changeable constellations that are no less than the total experience of living in any given moment. Bridging the gap between the trauma and analytic communities, as well as integrating intrapsychic and relational frameworks, the SAO/ TEND perspective provides a trauma-based band of attunement for attending to all relational encounters including those occurring in therapy. Though targeted to mental health professionals, this book will help enable therapists and sophisticated lay readers alike to recognize the impact of relational encounters, providing new tools to understand the traumas we have experienced and to minimize the hold they have on us.
Traumatic Grief: Diagnosis, Treatment, and Prevention (Series in Trauma and Loss)
by Selby JacobsFirst published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.
Traumatic Grief: Diagnosis, Treatment, and Prevention (Series in Trauma and Loss)
by Selby JacobsFirst published in 1999. Routledge is an imprint of Taylor & Francis, an informa company.
Traumatic Loss and Recovery in Jungian Studies and Cinema: Transdisciplinary Approaches in Grief Theory
by Mark HolmwoodThis book explores traumatic loss, grief, and recovery through the thoughtful combination of Abraham & Torok’s ‘crypt’ theory, Jungian thought, and film theory to guide readers through the darkest places of the human psyche. Focusing on both the destructive and reconstructive choices people can make, the book explores prolonged grief disorder, complicated mourning, post-traumatic stress disorder, embitterment, disenfranchised grief, trauma-related rumination as well as mental, emotional and physical pain. Presented with real life examples and fictional ones, the book connects the psychoanalytic concepts of intrapsychic tomb and theoretra with Jungian concepts such as teleological model of the psyche, dreams, alchemical operations, shadow, archetypes, enantiodromia, symbols, and compensation on the canvas of modern grief theory. Traumatic Loss and Recovery in Jungian Studies and Cinema is important reading for psychoanalysts, Jungian analysts, and psychotherapists with an interest in popular culture, as well as cinema students, scholars, and general readers interested in psychology, counselling, mental health and media studies.
Traumatic Loss and Recovery in Jungian Studies and Cinema: Transdisciplinary Approaches in Grief Theory
by Mark HolmwoodThis book explores traumatic loss, grief, and recovery through the thoughtful combination of Abraham & Torok’s ‘crypt’ theory, Jungian thought, and film theory to guide readers through the darkest places of the human psyche. Focusing on both the destructive and reconstructive choices people can make, the book explores prolonged grief disorder, complicated mourning, post-traumatic stress disorder, embitterment, disenfranchised grief, trauma-related rumination as well as mental, emotional and physical pain. Presented with real life examples and fictional ones, the book connects the psychoanalytic concepts of intrapsychic tomb and theoretra with Jungian concepts such as teleological model of the psyche, dreams, alchemical operations, shadow, archetypes, enantiodromia, symbols, and compensation on the canvas of modern grief theory. Traumatic Loss and Recovery in Jungian Studies and Cinema is important reading for psychoanalysts, Jungian analysts, and psychotherapists with an interest in popular culture, as well as cinema students, scholars, and general readers interested in psychology, counselling, mental health and media studies.
Traumatic Narcissism: Relational Systems of Subjugation (Relational Perspectives Book Series)
by Daniel ShawIn this volume, Traumatic Narcissism: Relational Systems of Subjugation, Daniel Shaw presents a way of understanding the traumatic impact of narcissism as it is engendered developmentally, and as it is enacted relationally. Focusing on the dynamics of narcissism in interpersonal relations, Shaw describes the relational system of what he terms the 'traumatizing narcissist' as a system of subjugation – the objectification of one person in a relationship as the means of enforcing the dominance of the subjectivity of the other. Daniel Shaw illustrates the workings of this relational system of subjugation in a variety of contexts: theorizing traumatic narcissism as an intergenerationally transmitted relational/developmental trauma; and exploring the clinician's experience working with the adult children of traumatizing narcissists. He explores the relationship of cult leaders and their followers, and examines how traumatic narcissism has lingered vestigially in some aspects of the psychoanalytic profession. Bringing together theories of trauma and attachment, intersubjectivity and complementarity, and the rich clinical sensibility of the Relational Psychoanalysis tradition, Shaw demonstrates how narcissism can best be understood not merely as character, but as the result of the specific trauma of subjugation, in which one person is required to become the object for a significant other who demands hegemonic subjectivity. Traumatic Narcissism presents therapeutic clinical opportunities not only for psychoanalysts of different schools, but for all mental health professionals working with a wide variety of modalities. Although primarily intended for the professional psychoanalyst and psychotherapist, this is also a book that therapy patients and lay readers will find highly readable and illuminating.
Traumatic Narcissism: Relational Systems of Subjugation (Relational Perspectives Book Series)
by Daniel ShawIn this volume, Traumatic Narcissism: Relational Systems of Subjugation, Daniel Shaw presents a way of understanding the traumatic impact of narcissism as it is engendered developmentally, and as it is enacted relationally. Focusing on the dynamics of narcissism in interpersonal relations, Shaw describes the relational system of what he terms the 'traumatizing narcissist' as a system of subjugation – the objectification of one person in a relationship as the means of enforcing the dominance of the subjectivity of the other. Daniel Shaw illustrates the workings of this relational system of subjugation in a variety of contexts: theorizing traumatic narcissism as an intergenerationally transmitted relational/developmental trauma; and exploring the clinician's experience working with the adult children of traumatizing narcissists. He explores the relationship of cult leaders and their followers, and examines how traumatic narcissism has lingered vestigially in some aspects of the psychoanalytic profession. Bringing together theories of trauma and attachment, intersubjectivity and complementarity, and the rich clinical sensibility of the Relational Psychoanalysis tradition, Shaw demonstrates how narcissism can best be understood not merely as character, but as the result of the specific trauma of subjugation, in which one person is required to become the object for a significant other who demands hegemonic subjectivity. Traumatic Narcissism presents therapeutic clinical opportunities not only for psychoanalysts of different schools, but for all mental health professionals working with a wide variety of modalities. Although primarily intended for the professional psychoanalyst and psychotherapist, this is also a book that therapy patients and lay readers will find highly readable and illuminating.
Traumatic Narcissism and Recovery: Leaving the Prison of Shame and Fear (ISSN)
by Daniel ShawThis book looks at the trauma suffered by those in relationships with narcissists, covering topics such as surviving a cult, dysfunctional families, political dysfunction, and imbalances of power in places of work and education.This new volume by author and psychoanalyst Daniel Shaw revisits themes from his first book, Traumatic Narcissism: Relational Systems of Subjugation. Shaw offers further reflections on the character and behavior of the traumatizing narcissist, the impact such persons have on those they abuse and exploit and the specific ways in which they instill shame and fear in those they seek to control. In addition, this volume explores, with detailed clinical material, many of the challenges mental health professionals face in finding effective ways of helping those who have suffered narcissistic abuse. From within a trauma informed, relational psychoanalytic perspective, Shaw explores themes of attachment to internalized perpetrators, self-alienation, internalized aggression, and loss of faith in the value and meaning of being alive.This book will be especially illuminating and rewarding for mental health professionals engaged in helping patients heal and recover from complex relational trauma, and equally valuable to those individuals who have struggled with the tenacious, often crippling shame and fear that can be the result of relational trauma.
Traumatic Narcissism and Recovery: Leaving the Prison of Shame and Fear (ISSN)
by Daniel ShawThis book looks at the trauma suffered by those in relationships with narcissists, covering topics such as surviving a cult, dysfunctional families, political dysfunction, and imbalances of power in places of work and education.This new volume by author and psychoanalyst Daniel Shaw revisits themes from his first book, Traumatic Narcissism: Relational Systems of Subjugation. Shaw offers further reflections on the character and behavior of the traumatizing narcissist, the impact such persons have on those they abuse and exploit and the specific ways in which they instill shame and fear in those they seek to control. In addition, this volume explores, with detailed clinical material, many of the challenges mental health professionals face in finding effective ways of helping those who have suffered narcissistic abuse. From within a trauma informed, relational psychoanalytic perspective, Shaw explores themes of attachment to internalized perpetrators, self-alienation, internalized aggression, and loss of faith in the value and meaning of being alive.This book will be especially illuminating and rewarding for mental health professionals engaged in helping patients heal and recover from complex relational trauma, and equally valuable to those individuals who have struggled with the tenacious, often crippling shame and fear that can be the result of relational trauma.
Traumatic Pasts in Asia: History, Psychiatry, and Trauma from the 1930s to the Present
by Mark S. Micale Hans PolsIn the early twenty-first century, trauma is seemingly everywhere, whether as experience, diagnosis, concept, or buzzword. Yet even as many scholars consider trauma to be constitutive of psychological modernity or the post-Enlightenment human condition, historical research on the topic has overwhelmingly focused on cases, such as World War I or the Holocaust, in which Western experiences and actors are foregrounded. There remains an urgent need to incorporate the methods and insights of recent historical trauma research into a truly global perspective. The chapters in Traumatic Pasts in Asia make just such an intervention, extending Euro-American paradigms of traumatic experience to new sites of world-historical suffering and, in the process, exploring how these new domains of research inform and enrich earlier scholarship.
Traumatic Pasts in Asia: History, Psychiatry, and Trauma from the 1930s to the Present
by Mark S. Micale Hans PolsIn the early twenty-first century, trauma is seemingly everywhere, whether as experience, diagnosis, concept, or buzzword. Yet even as many scholars consider trauma to be constitutive of psychological modernity or the post-Enlightenment human condition, historical research on the topic has overwhelmingly focused on cases, such as World War I or the Holocaust, in which Western experiences and actors are foregrounded. There remains an urgent need to incorporate the methods and insights of recent historical trauma research into a truly global perspective. The chapters in Traumatic Pasts in Asia make just such an intervention, extending Euro-American paradigms of traumatic experience to new sites of world-historical suffering and, in the process, exploring how these new domains of research inform and enrich earlier scholarship.
Traumatic Pasts in Asia: History, Psychiatry, and Trauma from the 1930s to the Present
by Mark S. Micale Hans PolsIn the early twenty-first century, trauma is seemingly everywhere, whether as experience, diagnosis, concept, or buzzword. Yet even as many scholars consider trauma to be constitutive of psychological modernity or the post-Enlightenment human condition, historical research on the topic has overwhelmingly focused on cases, such as World War I or the Holocaust, in which Western experiences and actors are foregrounded. There remains an urgent need to incorporate the methods and insights of recent historical trauma research into a truly global perspective. The chapters in Traumatic Pasts in Asia make just such an intervention, extending Euro-American paradigms of traumatic experience to new sites of world-historical suffering and, in the process, exploring how these new domains of research inform and enrich earlier scholarship.
Traumatic Pasts in Asia: History, Psychiatry, and Trauma from the 1930s to the Present
by Mark S. Micale Hans PolsIn the early twenty-first century, trauma is seemingly everywhere, whether as experience, diagnosis, concept, or buzzword. Yet even as many scholars consider trauma to be constitutive of psychological modernity or the post-Enlightenment human condition, historical research on the topic has overwhelmingly focused on cases, such as World War I or the Holocaust, in which Western experiences and actors are foregrounded. There remains an urgent need to incorporate the methods and insights of recent historical trauma research into a truly global perspective. The chapters in Traumatic Pasts in Asia make just such an intervention, extending Euro-American paradigms of traumatic experience to new sites of world-historical suffering and, in the process, exploring how these new domains of research inform and enrich earlier scholarship.
Traumatic Pasts in Asia: History, Psychiatry, and Trauma from the 1930s to the Present
In the early twenty-first century, trauma is seemingly everywhere, whether as experience, diagnosis, concept, or buzzword. Yet even as many scholars consider trauma to be constitutive of psychological modernity or the post-Enlightenment human condition, historical research on the topic has overwhelmingly focused on cases, such as World War I or the Holocaust, in which Western experiences and actors are foregrounded. There remains an urgent need to incorporate the methods and insights of recent historical trauma research into a truly global perspective. The chapters in Traumatic Pasts in Asia make just such an intervention, extending Euro-American paradigms of traumatic experience to new sites of world-historical suffering and, in the process, exploring how these new domains of research inform and enrich earlier scholarship.
Traumatic Reliving in History, Literature and Film
by Rudolph BinionTraumatic Reliving in History, Literature, and Film explores an intriguing facet of human behavior never yet examined in its own right - an individual or a group may contrive, unawares, to repeat a half-forgotten traumatic experience in disguise. Such reliving has shaped major careers and large-scale events throughout history. Insight into it is therefore vital for understanding historic causation past and present. Traumatic Reliving has also proliferated in literature since antiquity and lately in film as well, indicating its tacit acceptance as a piece of life by the reading and movie-going public. This book examines the evidence of history, literature, and film on how this irrational behavioral mechanism works.
Traumatic Reliving in History, Literature and Film
by Rudolph BinionTraumatic Reliving in History, Literature, and Film explores an intriguing facet of human behavior never yet examined in its own right - an individual or a group may contrive, unawares, to repeat a half-forgotten traumatic experience in disguise. Such reliving has shaped major careers and large-scale events throughout history. Insight into it is therefore vital for understanding historic causation past and present. Traumatic Reliving has also proliferated in literature since antiquity and lately in film as well, indicating its tacit acceptance as a piece of life by the reading and movie-going public. This book examines the evidence of history, literature, and film on how this irrational behavioral mechanism works.
Traumatic Ruptures: Abandonment And Betrayal In The Analytic Relationship (Relational Perspectives Book Series)
by Robin A. DeutschFor much of its history, psychoanalysis has been strangely silent about sudden ruptures in the analytic relationship and their immediate and far-reaching effects for those involved. Such issues of betrayal and abandonment – the death of an analyst, a patient’s suicide, an ethical violation – disrupt the stability and cohesion of the analytic framework and leave indelible marks on both individuals and institutions alike. In Traumatic Ruptures an international range of contributors present first-person, highly personal and sometimes painful accounts of their experiences and the occasionally difficult yet redeeming lessons they have taken from them. Presented in four parts, the book explores multiple meanings and consequences of the break in the analytic relationship. Part One, Ruptured Subjectivity: Lost and Found, presents accounts of clinical encounters with death. Part Two, Rupture: The Clinical Process, addresses the sudden loss of an analyst, the trauma of patient suicide and the issue of countertransference when working with patients who have suffered the unexpected loss of their first analyst. Part Three, The Long Shadow of Rupture, examines the effects of ethical violations in the short and long term. Finally, Part Four, Ruptures’ Impact on Organizations, looks at the wider impact of ethical and sexual boundary violations in the context of an organization and the effect of trauma on a psychoanalytic institute. By giving voice to issues that are usually silenced, the authors here open the door to understanding the complex nature of traumatic rupture within the analytic field. This intimate exploration of psychoanalytic treatments and communities is ideal for psychoanalysts, psychologists, clinical social workers, psychiatrists and family therapists. It is an important text for clinicians working with individuals who have experienced traumatic ruptures and for members of organisations dealing with their effects.
Traumatic Ruptures: Abandonment And Betrayal In The Analytic Relationship (Relational Perspectives Book Series)
by Robin A. DeutschFor much of its history, psychoanalysis has been strangely silent about sudden ruptures in the analytic relationship and their immediate and far-reaching effects for those involved. Such issues of betrayal and abandonment – the death of an analyst, a patient’s suicide, an ethical violation – disrupt the stability and cohesion of the analytic framework and leave indelible marks on both individuals and institutions alike. In Traumatic Ruptures an international range of contributors present first-person, highly personal and sometimes painful accounts of their experiences and the occasionally difficult yet redeeming lessons they have taken from them. Presented in four parts, the book explores multiple meanings and consequences of the break in the analytic relationship. Part One, Ruptured Subjectivity: Lost and Found, presents accounts of clinical encounters with death. Part Two, Rupture: The Clinical Process, addresses the sudden loss of an analyst, the trauma of patient suicide and the issue of countertransference when working with patients who have suffered the unexpected loss of their first analyst. Part Three, The Long Shadow of Rupture, examines the effects of ethical violations in the short and long term. Finally, Part Four, Ruptures’ Impact on Organizations, looks at the wider impact of ethical and sexual boundary violations in the context of an organization and the effect of trauma on a psychoanalytic institute. By giving voice to issues that are usually silenced, the authors here open the door to understanding the complex nature of traumatic rupture within the analytic field. This intimate exploration of psychoanalytic treatments and communities is ideal for psychoanalysts, psychologists, clinical social workers, psychiatrists and family therapists. It is an important text for clinicians working with individuals who have experienced traumatic ruptures and for members of organisations dealing with their effects.