This highly influential volume, now in a much-expanded second edition, delivers major advances for psychotherapy, all empirically grounded in memory reconsolidation neuroscience. A great increase of therapeutic effectiveness can be gained, thanks to a clear map of the brain's innate core process of transformational change—a process that does not require use of any particular system or techniques and is therefore remarkably versatile.

Twenty-six case examples show the decisive ending of a vast range of major symptoms, including depression, anxiety, panic, shame, self-devaluing, anger, perfectionism, alcohol abuse, sexual aversion, compulsive eating and obesity, paralyzed self-expression, and teen ADHD—all transformed through deeply resolving underlying disturbances such as complex trauma, lifelong oppression by systemic racism and homophobia, childhood sexual molestation, parental narcissistic domination, violent assault trauma, natural disaster trauma, and childhood traumatic aloneness and neglect.

This is a transdiagnostic, transtheoretical, lucid understanding of therapeutic action, based, for the first time in the history of the psychotherapy field, on rigorous empirical knowledge of an internal mechanism of change, and it achieves a fundamental unification of the confusingly fragmented psychotherapy field: diverse systems no longer seem to belong to different worlds, because they now form a wonderful repertoire of options for facilitating the same core process of transformational change, as shown in case examples from AEDP, Coherence Therapy, EFT, EMDR, IFS, IPNB, ISTDP, psychedelic-assisted therapy, and SE.

It's now clear why therapy systems that differ strikingly in technique and theory can produce the same quality of liberating change. Practitioners who value deep connection with their clients are richly rewarded by the experiential depth that this core process accesses, where no awareness had previously reached, whether sessions are done in person or via online video. It is an embarrassment of riches, because in addition we gain the decisive resolution of several longstanding, polarizing debates regarding the nature of symptom production, the prevalence of attachment issues, the operation of traumatic memory, the functions of the client-therapist relationship, the role of emotional arousal in the process of change, and the relative importance of specific versus non-specific factors.

part I|160 pages

The Emotional Coherence Framework

chapter 21|12 pages

Maximum Psychotherapeutic Effectiveness

The Reality of Transformational Change

chapter 2|29 pages

How the Brain Unlearns

Memory Reconsolidation Explained

chapter 4|30 pages

The Moments of Fundamental Change in Slow Motion

Three Case Examples of Coherence Therapy

chapter 5|34 pages

Is It Always About Attachment?

Emotional Coherence and the Great Attachment Debate

chapter 6|18 pages

A Framework for the Unification of Psychotherapy

Introduction to Part 2

part II|86 pages

Hidden in Plain Sight

part III|116 pages

The Versatility of Coherence-Focused Psychotherapy

chapter 24815|9 pages

A Father's Tormenting Guilt

Deep Resolution in Seven Coherence-Focused Sessions

chapter 16|13 pages

Up on Top from Down Below

Ending Compulsive Drinking Using Coherence Therapy

chapter 17|5 pages

Bypassing Bypass Surgery

Using Emotional Coherence to End Compulsive Eating

chapter 18|15 pages

Hearing Hostile Voices

Ending Psychotic Symptoms at Their Coherent Roots

chapter 19|25 pages

Releasing Blocked Self-Expression from the Wounds of Systemic Racism

Coherence Therapy for a Deep Recalibration of Vulnerability

chapter 20|10 pages

Don't Be That Way

Liberation from Lifelong Homophobic Oppression via Coherence-Guided Narratology

chapter 21|19 pages

Life in the Stranglehold of Rules

Using Meditative Experience for Ending Insecure Attachment within Coherence Therapy

chapter 22|6 pages

Young Teen Medicated and Misdiagnosed ADHD

Ending Hyperactive Behavior by Finding Its Underlying Coherence

chapter 23|9 pages

Plunging Moods and Erratic Behaviors “For No Reason”

A Six-Year-Old Boy's Secret Fear Dissolves in Coherence Therapy

chapter 24|3 pages

It's My Fault

Group Coherence Therapy for Nine-Year-Old Children with Divorcing Parents