Title Trauma and Dissociation Informed Psychotherapy
Subtitle Relational Healing and the Therapeutic Connection
Author Elizabeth Howell
ISBN 9780393713732
List price USD 35.00
Price outside India Available on Request
Original price
Binding Hardbound
No of pages 264
Book size 165 x 241 mm
Publishing year 2020
Original publisher W. W. Norton & Company
Published in India by .
Exclusive distributors Viva Books Private Limited
Sales territory India, Sri Lanka, Bangladesh, Pakistan, Nepal, .
Status New Arrival
About the book Send Enquiry


“Howell elegantly transposes such grief-based work to moments of reparative experiences in attachment, relationality and dissociation that ultimately leads, in her final chapter, to an ‘interpersonal intersubjectivity’ that promotes ‘intrapersonal intersubjectivity.’ [The] nuanced clinical case studies adds substantial momentum to the current paradigm change in psychotherapy. A close reading of her trenchant, elegant arguments will benefit many patients and all therapists.”

Australasian Psychiatry


“Elizabeth Howell writes from her heart, guided by her deeply felt and valued relationships with her patients, clearly cherished as her most important collaborators. Her original thinking shines through as she adds her own views and creatively spells out and interprets the work of both psychoanalytic thinkers and traumatologists, an integrative feat few writers have achieved. Sit down with Elizabeth, as I have, and enjoy her company. You will be delighted!”

—Richard A. Chefetz, M.D., Private Practice of Psychiatry, Washington, D.C.


“Elizabeth Howell’s new book provides a masterful synthesis of the vital revolution in trauma theory and practice over the last 25 years. In this illuminating, indispensable guide, she weaves together the powerful insights of multiple disciplines with those of her own personal transformation as a relational trauma therapist. Dedicated to exploring the painful and complex reality of her subject, Howell’s book is an invaluable guide to the newly hopeful field of trauma therapy. “

—Jessica Benjamin, Psychoanalyst and author of The Bonds of Love and Beyond Doer and Done To


“Clear, well-written, engaging. Valuable for clinicians at all levels.”

—Lucie Grosvenor, LCSW, Executive Director, Psychoanalytic Psychotherapy Study Center


“Howell’s distinctive blend of trauma-informed clinical compassion, academic and analytic questioning reaches a new peak here. She exposes the trauma caused by Freud’s creation of the Oedipus complex and the damage of one-person psychology. At the same time she offers hope through comprehensive non-dissociative theorizing, backed as always by solid clinical evidence. Gently, authentically, and relationally argued this is a powerful seminal bombshell of a book—albeit an elegant one.”

—Valerie Sinason, PhD, British psychoanalyst and author


“Dr. Howell’s book is a timely addition to the literature in that it synthesizes, in exquisitely readable language, the most recent theoretical developments with the most humane and effective approaches to healing trauma and dissociation...It is a book for our times in that the principles it contains apply to individual client work, and to the work that faces us on a societal level as we contemplate the healing needed by our traumatized world.”

European Society for Trauma and Dissociation (ESTD) Newsletter


“[A]n extraordinary contribution to the growing library of contemporary psychotherapy literature and should be considered an essential addition the supplemental studies lists for Medical Neuropsychology and Psychopathology students and practitioners.”

Midwest Book Review


“At the heart of Elizabeth Howell’s courageous thesis is the question: can contemporary psychoanalysis adapt to trauma and dissociation informed psychotherapy? She pulls no punches in offering scholarly yet confronting responses to offer a belated resolution to the 100-year trauma debate raging between Freudian ‘repression’ and Janetian ‘dissociation.’ Therapists and patients alike will greatly benefit from Dr. Howell’s parsimonious definition of trauma as ‘that which causes dissociation.’ This radical reconceptualization has powerfully reshaped the future direction of trauma therapy as her clinically based discussions amply illustrate. “

—Dr. George Halasz, Adjunct Senior Lecturer, Monash University, Melbourne, Australia, and child and adolescent psychiatrist


A fresh look at the importance of dissociation in understanding trauma.

A new model of therapeutic action, one that heals trauma and dissociation, is overtaking the mental health field. It is not just trauma, but the dissociation of the self, that causes emotional pain and difficulties in functioning. This book discusses how people are universally subject to trauma, what trauma is, and how to understand and work with normative as well as extreme dissociation.

In this new model, the client and the practitioner are both traumatized and flawed human beings who affect each other in the mutual process that promotes the healing of the client—psychotherapy. Elizabeth Howell explains the dissociative, relational, and attachment reasons that people blame and punish themselves. She covers the difference between repression and dissociation, and how Freud’s exclusive focus on repression and the one-person fantasy Oedipal model impeded recognition of the serious consequences of external trauma, including child abuse. The book synthesizes trauma/dissociation perspectives and addresses new structural models.





Chapter 1. How Freud Buried Trauma

Chapter 2. Trauma as Dissociation

Chapter 3. Ubiquity of Trauma and Dissociation: The Effects on Minds and Bodies

Chapter 4. The Clinical Dyad as a Wounded Dyad

Chapter 5. Dissociation, Repression, and the Unconscious

Chapter 6. Disorganized Attachment as Dissociation

Chapter 7. The Conundrum of Self-Criticism and Self-Attack

Chapter 8. Structural Models of the Psychological Organization of a Traumatized Person

Chapter 9. Exit from the Closed System as the Therapist Becomes Real

Chapter 10. Conclusion: Toward Psychological Healing




About the Author:

Elizabeth Howell, PhD, teaches at several institutes and is on the Editorial Board of the Journal of Trauma and Dissociation. She has written three previous books on trauma, dissociation, and attachment, and over thirty-five articles. She lives in New York City.

Target Audience:

Students and academicians of psychotherapy & psychiatry. Useful for trauma therapists, medical Neuropsychologists, Psychopathology students and practitioners.


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