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The Best of 2019

As a perennial bookworm each year approaches its end, I peruse the stacks and contemplate, what was the best book I read this year? It is like my own little Nobel Prize for Literature, and likely many will receive it as their holiday gift from me. This year it was easy to choose, a slender …

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Coming Home to Passion: Restoring Loving Sexuality After Childhood Trauma and Neglect

1. Introduction In the long and arduous journey of healing from childhood trauma and neglect, sexuality is often the last frontier. It is particularly complex and challenging in that sexuality is a place where body and psyche, nervous system and emotion, vulnerability and attachment intersect and entwine with perhaps everything that is essential to being …

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The Practice of Empathy: The “Validation” Step of Intentional Dialog

In my work as a couple’s therapist one tool I rely on, is the structured “Intentional Dialog” of Harville Hendrix’s Imago Relationship Therapy. I find it particularly potent for couples with histories of childhood trauma and neglect, whose childhood experiences so readily intrude on their current lives and confuse their relationships. And generally speaking, adult …

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Out of the Tempest: The Challenge of Interactive Repair

“In normal, optimally interactive dyads, only about 30% of their time together is actually spent in the affectively positive, mutually coordinated interactive state. The rest of the time is spent in mis-coordinated interactive states, accompanied by negative affect, attempts to get back to coordinated states, and positive affect. There is a constant oscillation between matched …

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The Essential Female Tragedy – Changing the Ending: Therapy with Mothers and Daughters of the Incest Family

“The loss of the daughter to the mother, the mother to the daughter, is the essential female tragedy.” – Adrienne Rich On a dark November afternoon, I received an unusual phone message from a woman in Southern California. She had gotten my name from her daughter, and she wanted to come and see me. When …

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