Neurobiology and Treatment of Traumatic Dissociation

Ulrich F. Lanius, PhD, RPsych, BCETS, is a clinical and neuropsychological psychologist, EMDRIA Approved Consultant, and EMDR Institute Facilitator who is currently in private practice in British Columbia, Canada.Sandra Paulsen, PhD, is co-founder of the Bainbridge Institute for Integrative Psychology, WA. She provides consultation to individuals and organizations, emphasizing clinical specialties including EMDR, energy psychology, trauma, dissociation, ego state therapy, and consultation.Francis Martin Corrigan, MD, is the Consultant Psychiatrist at Argyll & Bute Hospital, Scotland, with responsibilities for general psychiatric evaluations for all in/out patients. He is a psychiatrist, neuroscientist and researcher, and an accredited EMDR consultant - EMDR Association UK & Ireland.

• Contributors ixForeword by Jaak Panskepp, PhD xiPreface xvIntroduction: The Ubiquity of Dissociation by Sandra L. Paulsen and Ulrich F. Lanius xixPART I. NEUROBIOLOGYIntroduction: Dissociation and Neurobiology 1Ulrich F. Lanius1. Dissociation: Cortical Deafferentation and the Loss of Self 5Ulrich F. Lanius, Sandra L. Paulsen, and Frank M. Corrigan2. Threat and Safety: The Neurobiology of Active and Passive Defense Responses 29Frank M. Corrigan3. Peritraumatic Dissociation and Tonic Immobility: Clinical Findings 51Michelle J. Bovin, Elise Ratchford, and Brian P. Marx4. A Social–Cognitive–Neuroscience Approach to PTSD: Clinical and ResearchPerspectives 69Ruth Lanius, Paul Frewen, Anthony Nazarov, and Margaret C. McKinnon5. Dissociation and Endogenous Opioids: A Foundational Role 81Ulrich F. Lanius6. Attachment, Neuropeptides, and Autonomic Regulation:A Vagal Shift Hypothesis 105Ulrich F. Lanius7. Defense Responses: Frozen, Suppressed, Truncated, Obstructed, andMalfunctioning 131Frank M. Corrigan8. The Clinical Sequelae of Dysfunctional Defense Responses: Dissociative Amnesia,Pain and Somatization, Emotional Motor Memory, and Interoceptive Loops 153Frank M. Corrigan9. Shame and the Vestigial Midbrain Urge to Withdraw 173Frank M. Corrigan10. Attachment and Attachment Repair 193Frank M. Corrigan, Alistair Wilson, and Deirdre Fay11. Dissociation, EMDR, and Adaptive Information Processing: The Role of SensoryStimulation and Sensory Awareness 213Ulrich F. Lanius and Uri BergmannPART II. TREATMENTIntroduction: Dissociation and Psychotherapy 243Sandra L. Paulsen and Ulrich F. Lanius12. Seeing That Which Is Hidden: Identifying and WorkingWith Dissociative Symptoms 247Sandra L. Paulsen and Ulrich F. Lanius13. The Compassionate Self 269Frank M. Corrigan, Alistair Wilson, and Deirdre Fay14. Stabilization Basics 289Sandra L. Paulsen and Joan Golston15. Stabilizing the Relationship Among Self-States 321Sandra L. Paulsen and Joan Golston16. Alexithymia, Affective Dysregulation, and the Imaginal: Resetting the SubcorticalAffective Circuits 341Sandra L. Paulsen, Katie O’Shea, and Ulrich F. Lanius17. Fractionating Trauma Processing: TOTEMSPOTS and OtherAttenuating Tactics 367Sandra L. Paulsen and Ulrich F. Laniusvi Contents18. Accelerating and Decelerating Access to Self-States 383Sandra L. Paulsen19. Integrating Body and Mind: Sensorimotor Psychotherapy and Treatment ofDissociation, Defense, and Dysregulation 399Pat Ogden and Janina Fisher20. Temporal Integration of Early Trauma and Neglect 423Sandra L. Paulsen21. Toward an Embodied Self: EMDR and Somatic Interventions 447Ulrich F. Lanius and Sandra L. Paulsen22. Opioid Antagonists and Dissociation: AdjunctivePharmacological Interventions 471Ulrich F. Lanius and Frank M. CorriganIndex 499