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Richard P. Kluft - Shelter from the Storm: Processing the Traumatic Memories of DID/DDNOS Patients with The Fractionated Abreaction Technique

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Richard P. Kluft Shelter from the Storm: Processing the Traumatic Memories of DID/DDNOS Patients with The Fractionated Abreaction Technique
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Shelter from the Storm: Processing the Traumatic Memories of DID/DDNOS Patients with The Fractionated Abreaction Technique: summary, description and annotation

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How can we help our patients process their traumatic memories without their becoming retraumatized and overwhelmed severely all over again? Shelter from the Storm explores how therapists can confront this complex challenge. No one can completely eliminate the pain of those who have suffered mistreatment, but Shelter from the Storm proposes ways to reduce and contain the anguish inherent in trauma work. Helping those who suffer Dissociative Identity Disorder, Dissociative Disorder Not Otherwise Specified, or Posttraumatic Stress Disorder can prove a challenging task. Painful, terrifying, and mortifying memories rarely yield their grips on our patients minds and present-day lives without the help of strenuous therapeutic interventions. It may prove difficult or impossible to free the presents and the futures of those who have suffered unwanted misfortunes in their pasts without helping them abreact some or much of their overwhelming experiences. But therapeutic approaches to traumas once powerful enough to cause mental disorders may themselves prove threatening and destabilizing to those who are already vulnerable and distressed. Preventing trauma treatment from retraumatizing trauma survivors and working to minimize the discomfort they suffer during their psychotherapies are the driving forces behind Shelter from the Storm. Dr. Richard Kluft has over 40 years of experience treating traumatized and dissociative patients. He has brought over 200 Dissociative Identity Disorder patients to integration. His therapeutic innovations have received numerous awards and honors here and abroad. Here he brings together elements from psychoanalysis, psychodynamic psychotherapy, hypnosis, behavioral therapy, cognitive therapy, and EMDR in support of his work with the traumatized. He presents his approaches through the lens of The Fractionated Abreaction Technique. His exploration of this approach is conversational and unconventional. Shelter from the Storm is not a traditional textbook. Kluft allows the Fractionated Abreaction Technique to speak for itself through the voice of its personification, The FAT Man. Kluft and The FAT Man engage the reader directly. Throughout their humorous and often irreverent dialogs they offer a compassionate and empathic perspective on how to go about working effectively with the most grim, tragic, terrifying, and soul-shattering aspects of mans inhumanity to man.

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Copyright 2013 Richard P Kluft MD PhD All rights reserved ISBN - photo 1

Copyright 2013 Richard P. Kluft, M.D., Ph.D.

All rights reserved.

ISBN: 1481916696

ISBN 13: 9781481916691

eBook ISBN: 978-1-63001-154-3

Library of Congress Control Number: 2013900667

CreateSpace Independent Publishing Platform

North Charleston, South Carolina

Indexing by Clive Pine Book Indexing Services

http://www.cpynebook indexing.com

ADVANCE ACCLAIM FOR

SHELTER FROM THE STORM- - - -

(MORE DETAILED COMMENTARIES FOLLOW)

Enjoy this book!

David Spiegel, M.D.

Shelter from the Stormis a truly brilliant and absolutely unique learning experience in the form of a book written by the master in the clinical field of Dissociative Identity Disorder (DID).

Onno van der Hart, Ph.D.

This book should be required reading for all who treat complex trauma survivors. It will increase their skill level and make trauma-focused treatment tolerable for severely traumatized clients.

Bethany Brand, Ph.D.

Dr. Kluft tells a story full of clinical gems and memorable pearls of wisdom. I would recommend this unique book to therapists at all levels of experience.

Ira Brenner, M.D.

A must-have for therapists already familiar with the basic treatment approaches to dissociative disorders.

Suzette Boon, Ph.D.

The authors sense of humor makes the reading fun sometimes, which is a surprising relief because the case illustrations are incredibly tragic. I find myself intensely immersed in reading, and I hear myself giggling with silent laughter. What a nice mixture of humor and education!

Susanna Carolusson, M.Sc.

This is a book not only for specialists but also for anyone interested in consequences of psychological trauma and how it can be treated.

Vedat Sar, M.D.

Their More Detailed Commentaries Follow

ADVANCE ACCLAIM FOR

RICHARD KLUFTS

Shelter from the Storm

Dr. Richard Kluft has provided a leading professional voice of reason, clinical savvy, and respectful concern for people with dissociative disorders over many decades. Our field and those with the disorders are much the better for his teaching, writing, and psychotherapy. Enjoy this book!

David Spiegel, M.D.

Associate Chairman of the Department of Psychiatry and Behavioral Sciences and The Jack, Samuel and Lulu Willson Professor, Stanford University School of Medicine

Shelter from the Stormis a truly brilliant and absolutely unique learning experience written by the master in the clinical field of dissociative identity disorder (DID). Just as in his highly instructive workshops, Richard Kluft uses literary devices and, I suspect, many elements of Ericksonian hypnosis, to make adult learning as engaging, enjoyable and effective as possible. His main focus is to instruct clinicians in the safest and most effective ways to help DID patients integrate their traumatic memories. Most demanding and potentially highly disruptive, this clinical challenge nevertheless needs to be met in order for patients to heal and be able to lead healthy lives. In this book, Klufts dominant literary device is the personification of his pioneering and much copied Fractionated Abreaction Technique. This technique, personified as the FAT Man, becomes the main narrator. Kluft himself and treatment in general become the objects of the FAT mans comments. Although I do not entirely agree with some of the theoretical concepts used in this book, I find myself incredibly enriched by this truly enjoyable learning experience, as will all those who read it.

Onno van der Hart, PhD

Emeritus Professor of Psychopathology

of Chronic Traumatization

Utrecht University, Utrecht

The Netherlands

Richard Kluft has creatively used two personas to tell the fascinating history and depict the use of The Fractionated Abreaction Technique, represented satirically as the persona of The FAT Man. The FAT technique is an indispensable clinical tool for the treatment of individuals with complex dissociative disorders. Seen through the eyes of The FAT Man, readers are introduced to the diverse ways in which this technique can be adapted to make trauma processing manageable for a range of clients, including those who are medically compromised or emotionally phobic. Even experienced clinicians will gain a great deal from reading this book due to its foundation of rich clinical cases. Readers will feel as if they have been allowed to step inside Dr. Klufts treatment room, to observe his masterful work and discuss with this superb clinician the process of treatment planning and decision-making. This book should be required reading for all who treat complex trauma survivors as it will increase their skill level and make trauma-focused treatment tolerable for severely traumatized clients.

Bethany Brand, Ph.D., Professor of Psychology at Towson University, Baltimore MD; Principal Investigator, TOP Dissociative Disorders Study

Richard P. Kluft, M.D., Ph.D. is an internationally acclaimed pioneer in the treatment of dissociative disorders. InShelter from the Storm, he offers us a remarkably creative and entertaining way of appreciating and learning to use his historic contribution. Through the clever and apt personification of his groundbreaking Fractionated Abreaction Technique, Dr. Kluft tells a story full of clinical gems and memorable pearls of wisdom. I would recommend this unique book to therapists at all levels of expertise and experience. They most certainly will be rewarded!

Ira Brenner, M.D., Clinical Professor of Psychiatry, Thomas Jefferson University; Training and Supervising Analyst, Psychoanalytic Center of Philadelphia

It was unconventional in the late eighties to allow two novices in the treatment of dissociative disorders to observe therapy sessions with DID clients. But this is what Dr. Richard Kluft did, and in this way he gave me one of the most intense and valuable educational experiences I encountered in my learning about the treatment of Dissociative Identity Disorder. I am still grateful to him and to his generous and courageous patients, who tolerated the intrusion of me and my colleague, Onno van der Hart into their psychotherapeutic work with him. Dedicated, caring, not giving up no matter what happened, Dr. Kluft persisted with a fierce sense of humor, each and every session. And now almost 25 years later he has taken his masterful therapeutic approaches and shared them in an unconventional book on the treatment of traumatic memories of complex dissociative disorder patients, describing The Fractionated Abreaction Technique. This book, written as a novel from the most interesting perspective of The FAT Man (this technique in person), offers rich case material that excellently illustrates Dr. Klufts pioneering work with these often difficult and extremely traumatized individuals. A must-have for therapists already familiar with the basic treatment approaches to dissociative disorders.

Suzette Boon, Ph.D.

Clinical Psychologist/Psychotherapist

Top Referent Trauma Center, Zeist

The Netherlands

This book is composed of several autobiographies The autobiographies of a therapist, of a therapists patients, and last but not least, of a psychotherapeutic technique. It may be unusual to talk about the autobiography of a psychotherapeutic technique; however, this is the angle from which the author prefers to look at more than three decades of his professional life. Thus, the protagonist of this novel is the psychotherapy technique he described initially, has shared with his colleagues over years, and has observed as this product took a life of its own. The book is rich on case stories, a sine qua none for the proper understanding of what is meant when discussing a clinical subject, like the use of a technique. But at the same time it is a book on psychotherapy in general, and on treatment of dissociative identity disorder in particular. As suggested by the name the personification of the technique (The FAT Man) gives to the therapist co- protagonist of this novel (The Mixologist), this book is in a position to make an attempt to integrate insights based on psychotraumatology, hypnosis, general medicine, and clinical psychiatry. While psychotherapy itself remains a fragmented field, it also remains the only tool to integrate the mind of a person who has been subjected to severe stress by humans misusing their power. Fortunately, this kind of healing is a mission possible, and this novel conveys to the reader the cumulative experience and insight of a therapist who has witnessed the success of such missions repeatedly. This is a book not only for specialists but also for anyone interested in consequences of psychological trauma and how it can be treated. Anyone who has struggled with difficulties of teaching proper psychotherapy will respect the authors attempt to develop a new approach to making this possible. He has created and pioneered a narrative approach to clinical education which has not been explored in the past.

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