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When the Body Is the Target
Self-Harm, Pain, and Traumatic Attachments
When the Body Is the Target
Self-Harm, Pain, and Traumatic Attachments
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Description
In this comprehensive and insightful work, Dr. Sharon K. Farber provides an invaluable resource for the mental health professional who is struggling to understand self-harm and its origins. Using attachment theory to explain how addictive connections to pain and suffering develop, she discusses various kinds and functions of self-harm behavior. From eating disorders to body modifications such as tattooing, Dr. Farber explores the language of self-harm, and the translation of that language and its psychic functions in the therapeutic setting. She tells us, 'When the body weeps tears of blood, we need to wonder what terrible sorrows cannot be spoken.' Brilliantly illustrated with rich clinical material, this book offers a practical approach to the diagnosis, assessment, and treatment of the increasing number of patients whose emotions are expressed through bodily harm. The challenges of working with patients who tend to view the world of relationships in terms of predator and prey are clearly explicated and the stormy countertransference responses that threaten to destroy the treatment are given a full hearing. Finally, she shows how the attachment relationship formed in treatment can repair the traumatic attachment in mind, body, psyche, and soul, and can serve as the cornerstone of therapeutic change. A Jason Aronson Book
Table of Contents
Chapter 2 The Mystery of Self-Harm: Concepts and Paradoxes
Chapter 3 How Common Is Self-Harm?
Chapter 4 Not Wanting to Know about Self-Harm: Trauma, Violence, and Chronic Mental Illness
Part 5 Neglect, Violence, and Traumatic Attachments
Chapter 6 Suffering and Self-Harm: Treating Oneself as the Other Dehumanization of the Other and Violent Suffering
Chapter 7 How Attachments Go Haywire
Chapter 8 The Psyche-Soma and Traumatic Attachments to Pain and Suffering
Chapter 9 Survival and Sacrifice: When the Prey Becomes the Predator
Chapter 10 Trauma, Duality, and the Transformation from Prey to Predator
Part 11 The Body Speaks
Chapter 12 The Body Speaks That Which Cannot Be Spoken
Chapter 13 Self-Harm, Gender, and Perversion
Chapter 14 The Addiction to Wanting: "Do Not Want What You Cannot Have"
Part 15 Clinical Implications
Chapter 16 The Attachment Paradigm
Chapter 17 Diagnosis, Assessment, and Core Features
Chapter 18 Using Attachment Theory in Therapy of Self-Harm Patients
Chapter 19 Transference, Countertransference, and Enactments
Chapter 20 From Self-Harm to Self-Reflection
Product details
Published | Aug 01 2000 |
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Format | Hardback |
Edition | 1st |
Extent | 580 |
ISBN | 9780765702562 |
Imprint | Jason Aronson, Inc. |
Dimensions | 238 x 162 mm |
Publisher | Bloomsbury Publishing |
About the contributors
Reviews
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When the Body Is the Target is impressively comprehensive and jargon-free. Apart from its contents, its up-to-date bibliography alone makes it a must-read for graduate students. But the book is a worthy addition to even a seasoned clinician's library. By unraveling some of the paradoxes of self-harm, by demonstrating a successful method for dealing with individuals who engage in this behavior, she has enlarged the scope of psychoanalytic treatment and provided hope for an underserved group. She earns our gratitude for doing so.
Psychologist-Psychoanalyst: Division 39 Newsletter
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Whether the book is utilized for a course of study on how to understand and treat those who harm themselves, or as a resource for those who wish to advance their knowledge and perfect their skills, or as a general reference book, When the Body is the Target will amply reward the reader for the time and effort devoted to it.
National Membership Committee on Psychoanalysis in Clinical Social Work
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Using clear and incisive language, Dr. Farber elegantly and empathically cuts to the core of the extreme suffering that our patients who repeatedly harm themselves endure. She provides an exhaustive, scholarly review of the underpinnings of self-mutilation and related behaviors in this beautifully written book. She then goes on to present one of the most sophisticated theoretical and clinical explanations to date showing why these behaviors have become so pervasive, how we can understand them, and what we can do to alleviate the suffering that is at the root of such disorders.
Edward Khantzian
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The present volume will be most helpful to graduate students through faculty and to professionals.
Choice Reviews
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Few patients evoke in their therapists the kind of dread than those who continue to mutilate themselves during treatment do. Dr. Sharon Klayman Farber earns our gratitude for venturing deeply into this difficult domain. Every therapist treating these patients will learn a great deal from this book, but beyond the immediate, all those who are puzzled by the nature of human aggression will appreciate the many insights the author has assembled.
Martin S. Bergmann, New York University
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When the Body Is the Target is an impressive exploration of a disturbing part of the human experience; the book has the potential to help many clinicians, and by extension their patients.
Paula Wolk, The Psychoanalytic Quarterly