This book takes a painstaking look at developmental trauma as it manifests in group, individual, and combined psychotherapies, tracking the growth of non-abused individuals who have courageously addressed overwhelming childhood experiences to make sense of the chaos in their lives.

The cumulative impact of repetitive stress, fear, and shame in childhood wreaks havoc on the developing brain, resulting in a life-long vulnerability to anxiety, despair, and dissociative moments that are often described as developmental trauma. Adverse childhood experiences are often overlooked by therapists. This book focuses specifically on the profound suffering of high-functioning private-practice patients who manifest developmental trauma from chronic shock, shame, and neglect. Adams offers a synthesis of diverse theoretical worlds in her study of adaptations to cumulative trauma, namely, relational psychoanalysis, the British school of object relations, trauma theory, neuroscience and interpersonal neurobiology, developmental psychopathology, and attachment theory.

Using richly detailed clinical material, this book provides invaluably clear examples to illustrate the effects of disorganized states in infancy, making it essential reading for psychoanalysts, psychotherapists and clinical psychologists working with traumatized patients.

chapter |8 pages


part I|226 pages

Emerging from the Fog

chapter Chapter 1|29 pages

Our Pain Knows No Time

chapter Chapter 3|57 pages

Retreat from the Body

Birth and Beyond

chapter Chapter 4|58 pages

No Safe Harbor

Children of Perdition

chapter Chapter 5|34 pages

Sometimes It Takes a Village

Treating Developmental Trauma in Combined Therapy

part II|75 pages

Group Therapy with Developmental Stress and Trauma

chapter Chapter 6|42 pages

Falling Forever

The Price of Chronic Shock

chapter Chapter 7|31 pages

The Abject Self

Self-states of Relentless Despair