Grounded in research and accumulated clinical wisdom, this book describes a range of ways to integrate mindfulness and other contemplative practices into clinical work with trauma survivors. The volume showcases treatment approaches that can be tailored to this population's needs, such as mindfulness-based stress reduction (MBSR), acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), mindfulness-based cognitive therapy (MBCT), and mindful self-compassion (MSC), among others. Featuring vivid case material, the book explores which elements of contemplative traditions support recovery and how to apply them safely. Neurobiological foundations of mindfulness-oriented work are examined. Treatment applications are illustrated for specific trauma populations, such as clients with chronic pain, military veterans, and children and adolescents.
I started reading this after being diagnosed with ptsd (I'm Buddhist and my therapist takes a CBT/mindfulness approach, so it seemed appropriate).
I liked all the science explanations for how traumatic events can change the brain, the factoids about how people with ptsd may not respond appropriately to meditation (can be triggering, can be hard to know whether you're dissociating or being mindful), and all sorts of other light bulb moments for me. That said: fight, flight, freeze, or BEFRIEND. Befriend was totally ignored, which is weird to me given.... reasons.
Some of the authors took a savior approach to their patients which also kind of freaked me out since, hello, healthy boundaries are healthy.
And some authors kept using metaphors comparing brains to computers and talking about circuitry. Like, noooooo, we are humans not cyborgs. (Alas.)
Anyway, I really enjoyed the beginning, but towards the end I started doing exposure therapy with my therapist and hooboy, my reactions became a lot more agitated. (Surprise!)
If you're reading this as a ptsd patient, be warned that the entire concept of this is based on a medical model of disability. Try to find stuff that takes more of a social model if you can, it's a lot more humanizing.