Cover image for From surviving to thriving : a therapist's guide to stage II recovery for survivors of childhood abuse
From surviving to thriving : a therapist's guide to stage II recovery for survivors of childhood abuse
Bratton, Mary.
Personal Author:
Publication Information:
Binghamton, NY : Haworth Maltreatment and Trauma Press, [1999]

Physical Description:
282 pages : illustrations ; 22 cm

Format :


Call Number
Material Type
Home Location
Item Holds
RC569.5.A28 B73 1999 Adult Non-Fiction Central Closed Stacks

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Become more effective in therapy when working with survivors of abuse!

From Surviving to Thriving: A Therapist's Guide to Stage II Recovery for Survivors of Childhood Sexual Abuse is a comprehensive manual for treating survivors of childhood physical, sexual, and emotional abuse. Inspired by the author's own private practice, it combines both theory and practice and supports the therapeutic partnership with a step-by-step outline of the healing process. This outline includes concrete and incremental strategies and exercises that help you move the survivor beyond Stage I trauma debriefing to life-changing Stage II recovery.

In From Surviving to Thriving, you'll find everything you need to know about obtaining and maintaining autonomy and speeding recovery in the age of managed care. The self-contained, focused, and incremental interventions presented in this book can be woven into your own therapeutic style, giving you and your clients more freedom, satisfaction, and, most importantly, swift treatment and recovery. You'll also find step-by-step guidance for dealing with adult survivors, including rationale for diagnosis, process, and sequence.

In addition to the description of theoretical orientations and illustrations, Surviving to Thriving contains: an overview and detailed outline of the incremental recovery process pitfalls and positive strategies for establishing the therapeutic relationship detailed instructions for building a foundation for effective therapy by reframing the client's self-concept explanations of pathological symptoms in context of necessary and "brilliant" survival defenses workable, specific, and sequential interventions for each stage of healing designed to become autonomous and self-generating for the client techniques for trauma resolution using the survivor's internal experience Because it's written in accessible language and includes explanations of clinical concepts, you'll feel comfortable putting From Surviving to Thriving in the hands of select clients--a unique feature that sets it apart from most clinical texts. This book provides exercises to help move clients into the healing recovery of Stage II. Enhanced with art and writing from recovering survivors, this book is a valuable asset as you and your clients begin the collaborative journey toward renewed emotional well-being.

Author Notes

Mary Bratton, MS, LPCC, MAC, presently maintains a private psychotherapy practice at Harbor Behavioral Healthcare in Toledo, Ohio. She also provides training and consultation services as Director of Intervention Resources

Table of Contents

Prefacep. xiii
Part I The Framework for Healing
Chapter 1. The Therapeutic Agendap. 3
The Dynamics of Traumap. 3
Stage II Recoveryp. 4
Eight Stages of Healingp. 4
The Survivor's Internal Experiencep. 9
Diagnostic Issuesp. 10
Techniques and Strategiesp. 15
Boundariesp. 22
The Therapist's Rolep. 27
The Trauma Therapistp. 28
Chapter 2. Defining Assaultp. 29
Chapter 3. Challenging the Distorted Realityp. 35
The Role of Family Dysfunctionp. 36
The Price of Altered Realityp. 37
Dysfunction Redefines Realityp. 38
Dysfunction Redefines Abusep. 39
Dysfunction Redefines Feelingsp. 39
Role Reversalp. 40
Abuse Plus Dysfunction Equals Destructionp. 41
Chapter 4. Using the PTSD Diagnosis As a Therapeutic Interventionp. 45
Post-Traumatic Stress Disorderp. 45
Physical Responses to Traumap. 47
Emotional Responses to Traumap. 49
Chronic Shockp. 49
Legacies of Assault and Post-Traumatic Stress Disorderp. 51
Physical Hypervigilancep. 52
Emotional Hypervigilancep. 52
Blurred Boundaries and Global Guiltp. 53
Vulnerability to Repeated Violationp. 55
Two Personalities in One Bodyp. 56
Origins of Adult Child Issuesp. 59
Learning to Ignore External Realityp. 59
Contradictory Expectationsp. 60
Learning to Ignore Internal Realityp. 61
Blaming Selfp. 61
Detachmentp. 62
Reframing Pathologyp. 63
Chapter 5. The Survivor's Internal Experiencep. 65
Splitting the Selfp. 66
Pieces of the Puzzlep. 66
Three Core Personasp. 66
Chapter 6. The Adultp. 69
The Origins of the Adultp. 70
The Adult As Parentp. 70
Owning Self-Parenting Skillsp. 72
Chapter 7. The Childp. 75
The Origins of the Childp. 76
Reconnecting with the Childp. 77
Chapter 8. The Destroyerp. 85
The Origins of the Destroyerp. 86
Family Rulesp. 87
Family Labelsp. 90
The Destroyer's Sabotagep. 92
The Many Disguises of the Destroyerp. 93
Challenging the Destroyerp. 93
Chapter 9. Understanding the Brilliance of Childhood Defensesp. 101
Dissociationp. 102
Forgetting and Fantasyp. 105
Choosing Abuse Versus Abandonmentp. 107
Self-Punishmentp. 109
Ritualp. 113
Phobiasp. 115
Family Rolesp. 116
Family Rules and Mythsp. 118
Considering Changep. 120
Part II The Process of Healing
Chapter 10. Recountingp. 125
Blaming Is Not Healingp. 126
Understanding Is Not Healingp. 127
Forgiveness Is Not Necessaryp. 127
The Importance of Recountingp. 128
Roadblocks to Tellingp. 131
Roadblocks to Believingp. 132
The Nature of Traumatic Memoriesp. 133
Chapter 11. Rediscovering the Childp. 139
Alternate Hand Journalingp. 142
The Process of Rememberingp. 144
Moving Deeperp. 149
The Language of the Childp. 151
Combination of Fact and Feeling Memoryp. 158
Chapter 12. Rediscovering the Feelingsp. 163
Learning to Feelp. 165
Scaling Feelingsp. 165
Drawing Feelingsp. 165
Disguised and Hidden Feelingsp. 167
Expressing Feelingsp. 170
The Importance of Angerp. 172
Chapter 13. Continuing to Healp. 183
Chapter 14. Reparenting to Resolve Traumap. 195
Discharging the Feelingsp. 196
Adding Healthy Parentingp. 197
Using the Split Personasp. 198
Resolution Fantasyp. 200
The Dawning of Integrationp. 206
Declaring Independencep. 206
The Power of Resolution Fantasyp. 209
Chapter 15. Repairing Developmental Damagep. 213
Considering Direct Confrontationp. 213
Setting Limitsp. 215
Anger at the Colludersp. 217
Layers of Abusep. 218
Punished for Being Normalp. 218
Projectionp. 220
Faulty Belief Systemp. 221
Challenging the Belief Systemp. 221
Identifying and Grieving What Was Missedp. 223
Letting Go of the Fantasyp. 226
Reparenting Through Griefp. 227
Filling in the Gapsp. 230
Building Bridges and Fencesp. 232
The Survivor As Parentp. 235
Recognizing Ongoing Abusep. 236
Blocks to Recoveryp. 238
The Child Resists Healingp. 239
The Destroyer Fights Healingp. 239
Cycles of Healingp. 240
Chapter 16. The End of Healingp. 245
Identifying Skills and Strengthsp. 246
Integrating and Transforming Childhood Defensesp. 249
Releasing the Angerp. 251
Integrating and Transforming Historyp. 254
Integrating and Transforming Feelingsp. 255
Integrating and Transforming the Destroyerp. 255
Integrating and Transforming the Childp. 257
Spiritualityp. 259
Becoming Wholep. 260
Letting Go of the Survivor Identityp. 261
Thrivingp. 263
Referencesp. 271
Indexp. 275