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    The Science of the Art of Psychotherapy (Norton Series on Interpersonal Neurobiology)

    The Science of the Art of Psychotherapy (Norton Series on Interpersonal Neurobiology)

    by Allan N. Schore


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    Allan N. Schore, PhD, is on the clinical faculty of the Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, and at the UCLA Center for Culture, Brain, and Development. He is the recipient of the American Psychological Association Division 56: Trauma Psychology "Award for Outstanding Contributions to Practice in Trauma Psychology" and APA's Division 39: Psychoanalysis "Scientific Award in Recognition of Outstanding Contributions to Research, Theory and Practice of Neuroscience and Psychoanalysis."He is also an honorary member of the American Psychoanalytic Association. He is author of three seminal volumes, Affect Regulation and the Origin of the Self, Affect Dysregulation and Disorders of the Self and Affect Regulation and the Repair of the Self, as well as numerous articles and chapters. His Regulation Theory, grounded in developmental neuroscience and developmental psychoanalysis, focuses on the origin, psychopathogenesis, and psychotherapeutic treatment of the early forming subjective implicit self. His contributions appear in multiple disciplines, including developmental neuroscience, psychiatry, psychoanalysis, developmental psychology, attachment theory, trauma studies, behavioral biology, clinical psychology, and clinical social work. His groundbreaking integration of neuroscience with attachment theory has lead to his description as "the American Bowlby" and with psychoanalysis as "the world's leading expert in neuropsychoanalysis." His books have been translated into several languages, including Italian, French, German, and Turkish.

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    Table of Contents

    Acknowledgments xi

    Toward a New Paradigm of Psychotherapy 1

    Part I Affect Regulation Therapy and Clinical Neuropsychoanalysis

    1 Modern Attachment Theory: The Central Role of Affect Regulation in Development and Treatment Judith R. Schore 27

    2 Relational Trauma and the Developing Right Brain: An Interface of Psychoanalytic Self Psychology and Neuroscience 52

    3 Right Brain Affect Regulation: An Essential Mechanism of Development, Trauma, Dissociation, and Psychotherapy 71

    4 The Right Brain Implicit Self Lies at the Core of Psychoanalysis 118

    5 Therapeutic Enactments: Working in Right Brain Windows of Affect Tolerance 152

    Part II Developmental Affective Neuroscience and Developmental Neuropsychiatry

    6 Attachment, Affect Regulation, and the Developing Right Brain: Linking Developmental Neuroscience to Pediatrics 223

    7 How Elephants Are Opening Doors: Developmental Neuroethology, Attachment, and Social Context Gay Bradshaw 243

    8 Attachment Trauma and the Developing Right Brain: Origins of Pathological Dissociation 259

    9 Is Borderline Personality a Particularly Right Hemispheric Disorder? A Study of P3a Using Single Trial Analysis Russell Meares Dmitry Melkonian 321

    10 Bowlby's Environment of Evolutionary Adaptedness: Current Decrement in U.S. Culture 339

    11 Using Regulation Theory to Guide Clinical Assessments of Mother-Infant Attachment Relationships Ruth Newton 383

    12 Family Law and the Neuroscience of Attachment: An Interview in Family Court Review Jennifer McIntosh 428

    Index 445

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    The latest work from a pioneer in the study of the development of the self.

    Focusing on the hottest topics in psychotherapy—attachment, developmental neuroscience, trauma, the developing brain—this book provides a window into the ideas of one of the best-known writers on these topics. Following Allan Schore’s very successful books on affect regulation and dysregulation, also published by Norton, this is the third volume of the trilogy. It offers a representative collection of essential expansions and elaborations of regulation theory, all written since 2005.

    As in the first two volumes of this series, each chapter represents a further development of the theory at a particular point in time, presented in chronological order. Some of the earlier chapters have been re-edited: those more recent contain a good deal of new material that has not been previously published.

    The first part of the book, Affect Regulation Therapy and Clinical Neuropsychoanalysis, contains chapters on the art of the craft, offering interpersonal neurobiological models of the change mechanism in the treatment of all patients, but especially in patients with a history of early relational trauma. These chapters contain contributions on “modern attachment theory” and its focus on the essential nonverbal, unconscious affective mechanisms that lie beneath the words of the patient and therapist; on clinical neuropsychoanalytic models of working with relational trauma and pathological dissociation: and on the use of affect regulation therapy (ART) in the emotionally stressful, heightened affective moments of clinical enactments.

    The chapters in the second part of the book on Developmental Affective Neuroscience and Developmental Neuropsychiatry address the science that underlies regulation theory’s clinical models of development and psychopathogenesis. Although most mental health practitioners are actively involved in child, adolescent, and adult psychotherapeutic treatment, a major theme of the latter chapters is that the field now needs to more seriously attend to the problem of early intervention and prevention.

    Praise for Allan N. Schore:

    "Allan Schore reveals himself as a polymath, the depth and breadth of whose reading–bringing together neurobiology, developmental neurochemistry, behavioral neurology, evolutionary biology, developmental psychoanalysis, and infant psychiatry–is staggering." –British Journal of Psychiatry

    "Allan Schore's...work is leading to an integrated evidence-based dynamic theory of human development that will engender a rapproachement between psychiatry and neural sciences."–American Journal of Psychiatry

    "One cannot over-emphasize the significance of Schore's monumental creative labor...Oliver Sacks' work has made a great deal of difference to neurology, but Schore's is perhaps even more revolutionary and pivotal...His labors are Darwinian in scope and import."–Contemporary Psychoanalysis

    "Schore's model explicates in exemplary detail the precise mechanisms in which the infant brain might internalize and structuralize the affect-regulating functions of the mother, in circumscribed neural tissues, at specifiable points in it epigenetic history." –Journal of the American Psychoanalytic

    "Allan Schore has become a heroic figure among many psychotherapists for his massive reviews of neuroscience that center on the patient-therapist relationship." –Daniel Goleman, author of Social Intelligence

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    Seldom does one have the privilege of reviewing work as important and impressive as these volumes...One cannot over-emphasize the significance of Schore’s monumental creative labor...Schore’s prodigious erudition is illuminating. He draws on interdisciplinary literature from developmental psychology, attachment theory and research, developmental biology, neurobiology, neurochemistry, and developmental neuropsychoanalysis…Oliver Sacks’s work has made a great deal of difference to neurology, but Schore’s is perhaps even more revolutionary and pivotal. I am pleased to steer all my distinguished neurologist friends to these volumes.
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