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Growing up in a home where there is addiction or relationship trauma puts a child at great risk for long-term, post-traumatic stress effects that adversely compromise adult relationships. Bestselling author, psychologist, and psychodramatist Tian Dayton examines this trauma through an exploration of the way the brain and body process frightening or painful emotions and experiences in childhood, and she shows how these traumas can become catalysts for unhealthy, self-medicating behaviors including drug and alcohol abuse, food issues, and sex, gambling, and shopping addictions.

Through Dr. Dayton's insightful analysis and thoughtful examination, Adult Children of Alcoholics will learn how and why the pain they experienced in childhood plays out in their adult partnering and parenting, and they will learn how to restore health and happiness through their resilience.

 

  • Sales Rank: #85269 in Books
  • Published on: 2012-09-03
  • Released on: 2012-09-03
  • Original language: English
  • Number of items: 1
  • Dimensions: 8.30" h x .80" w x 5.40" l, .70 pounds
  • Binding: Paperback
  • 312 pages

About the Author

Tian Dayton, MA, PhD, TEP, has a masters in educational psychology and a PhD in clinical psychology and is a board-certified trainer in psychodrama. She is also a licensed Creative Arts Therapist and a certified Montessori teacher. Dr. Dayton is the director of the New York Psychodrama Training Institute where she runs training groups in psychodrama, sociometry, and experiential group therapy. She created a model for treating trauma called Relationship Trauma Repair, which is currently in use at treatment centers across the United States. She was also on the faculty at NYU for eight years teaching psychodrama.

Dr. Dayton is a fellow of the American Society of Group Psychotherapy and Psychodrama, winner of their Scholar's Award, editor in chief of the Journal of Psychodrama, Sociometry & Group Psychotherapy, and sits on the professional standards committee for ASGPP. She has been awarded the Mona Mansell Award and the Ackerman/Black Award for contributions to the field of addiction.

She has been a guest expert on NBC, CNN, MSNBC, The Montel Williams Show, The Ricki Lake Show, The John Walsh Show, and Geraldo. Dr. Dayton is the author of fifteen books including Emotional Sobriety, Trauma and Addiction, Heartwounds, The Living Stage, and Forgiving and Moving On. She has also written The Process, an award-winning docudrama that uses psychodrama to tell stories of addicts and ACOAs and Psychodrama and Trauma Resolution, a comprehensive psychodrama training tape illustrating the effect of unresolved trauma on the personality and its resolution through psychodrama and sociometry. For more information, please visit www.tiandayton.com.

Excerpt. © Reprinted by permission. All rights reserved.

Introduction

The psychological rule says that when an inner situation is not made conscious, it happens outside, as fate. That is to say, when the individual . . . does not become conscious of his inner opposite, the world must perforce act out the conflict and be torn into opposing halves.
―Carl Jung


My father had two very distinct personalities. The same father who tenderly gave me cafĂ© au lait on a spoon and fresh-squeezed orange juice in a baby glass, who listened to my childish sentences with such pride and pleasure, who dreamed impossible dreams for my future and worked all of his life to give me the best of everything―that same beloved father had a monster living inside of him. And that monster was as frightening to me as the other side of him was beautiful. And that monster grew stronger with each drink he took. At different times of the month, the week, and eventually the day, the monster would take over my father, and I would have no idea where my 'real' dad had gone.

Now and then, the monster in him would break loose and dance with the monster in all of us. The monster roared its terrible roar and sat in my father's chair in the living room. And I was, somehow, this monster's child. We each, at one time or another, shared his private hell with him until all of us lost our grip on normal.

But still, this was my family, my dad, my monster, and I had to do something to make emotional and psychological sense of living with a parent who made me feel both safe and terrified; a parent whom I loved and hated all at once. All children are faced with integrating parts of their parents that they both love and hate, but for the child in the alcoholic home, this becomes a uniquely challenging and daily experience.

When Dad went to (and left) treatment, there was no such thing as family healing. The wisdom of the day was essentially 'get the alcoholic sober and the rest of the family will get better automatically.' But that didn't happen. It didn't happen because the de-selfing experience of living on an emotional roller coaster had left us not knowing what normal life felt like. The healthy boundary that once surrounded the sweet and secure membrane of our lives was invaded and degraded by the disease of addiction. Just as we had a drunken father and a sober one, we had a drunken family and a sober one. It was as if we repeatedly passed behind some invisible curtain, reemerging each time into an alternate universe but still in our same, familiar living room. The scenes looked somewhat the same, but they felt different. Just maneuvering in and through these worlds required creative, complex, zany, and sometimes rather dysfunctional strategies.

We had no idea, in the 1960s, of how deeply affected an entire family becomes, how the trauma of living with the daily disruptions, distortions, and denial of addiction wraps its tentacles around childhood development and family development, changing everyone. But it doesn't have to be that way. Today we have something called recovery. Today we recognize that there is no dignity in hiding the truth and no freedom in keeping secrets. We learn, in recovery, to stand up and take responsibility for the part of the disease that lives in us and to take the necessary steps to treat it. And in doing this, we restore our hope, faith, and trust in life.

It is impossible to explain to someone who has not been through it how many little things go awry in a home where addiction has taken hold. Sure, I can say routines were thrown off; there was constant crisis that wasn't there before, but that doesn't fully describe it. What really hurts is that you can no longer count on anyone the way that you once did. You watch the parent you love turn the face that once smiled at you towards a bottle of alcohol or sink into a lying and degrading behavior. And then, just as mysteriously, he returns, clean-shaven, loving you once again, and remembering all the things you worried he had forgotten--that you're in a school play, what you like for breakfast, that you are still there (even though he comes and goes). You have him back. You're torn between letting it feel wonderful (which it does) and not letting it feel too good, because you know from experience that if it feels too good it will only hurt more when he slips away again. Then sure enough, you sense tension creeping in, you see situations devolving and unraveling before your eyes, and you know that it's coming. You can read all the signs. The gap between the worlds that had temporarily closed up begins to widen, and your addict disappears into some crevice, some wormhole in the universe, and he is gone as mysteriously as he came. He returns to his private nowhere where you can't find him. He hides in plain sight. And you have to lose him once again. And wait to see what happens. And just be in the family that is still there. Somewhat there. You see the disappointment on the faces around you; you see the confusion, the humiliation and the hurt. And simultaneously you see those family members shake their heads, square their shoulders, and mush on because the world is still chugging along even though the alcoholic has stepped off. You both appreciate and hate their efforts. You appreciate the ones who are able to plow through, even with blinders, because someone has to, because there are school buses to make, homework to be done, and appointments to get to. You hate it because you sense the sham underneath it. The pain inside you, inside everyone grows. But no one talks about it; because what would they say? It is too sad to look at, too much to sort out.

And changing one person might mean everyone has to change. And what would that mean--what would it look like and who would everyone be then? And besides, the family loses track of what's wrong. Is it even the alcohol you are looking at? Or the debting? Or the sexual liaisons and secrets? You hardly know any more. Addicts are so good at hiding their disease that for years it simply reads as their personality, their 'depression,' their 'negativity,' their 'expansive personality.'

The Japanese said it most succinctly: 'First the man takes the drink, then the drink takes the drink, then the drink takes the man.' And I would add that then the drink or disease takes the family. This disease is contagious. It's not only the addict who needs to sober up. Family members, too, need to become emotionally sober. Today, because treatment is so much more common, its progression can be caught before it spreads through the whole family. But the longer a family remains silent, in denial and living in the throes of managing the mind-numbing disease of addiction, the more symptomatic family members are likely to become.

Adult children of alcoholics (ACoAs) can and often do suffer from some features of post-traumatic stress disorder (PTSD) that are the direct result of living with the traumatizing effects of addiction. Years after we leave behind our alcoholic homes, we carry the impact of living with addiction with us. We import past, unresolved pain into present-day relationships, but without much awareness as to how or why. And that is what this book is about. How living with addiction or dysfunction creates cumulative trauma, the effects of which can play out over a life time. And what to do to get better. And how getting better will open doors inside of you that you hardly knew were there.

Family Trauma Need Not Be a Life Sentence
Trauma is actually fairly common; most people grow up with at least four adverse childhood experiences (Anda 2006). It is not necessarily the trauma that creates lasting problematic effects, but how we deal with it (or don't deal with it) when it occurs and afterward. Much can be done to ameliorate the effects of adverse childhood experiences. Supportive people, places to go that feel safe, and moving shock into some form of consciousness so pain does not remain hidden and unspoken can take a situation that could be traumatic and turn it into something that might be less damaging and potentially even character building.

Our culture creates a sort of myth of 'happily ever after' that is really no one's life. Feeling sad, anxious, or fearful is part of the human condition and does not necessarily require treatment. What makes trauma different from normal life stressors is that its effects tend to be long-lasting and repetitive and the patterns that are associated with a traumatic circumstance make their way through the generations. Our shock is long-lasting, engraved in our neurological systems and evidenced by how easily we can be triggered, how quickly our emotions go from zero to ten. We experience a loss of neuromodulation, which translates into our losing some of our ability to self regulate. Feelings, even intense ones, come and go; but unresolved, hidden and unprocessed trauma can last.

Because of the way the brain processes trauma, our most painful experiences may be the very ones that get repressed or thrown out of conscious awareness. While initially this allows us to function during overwhelming experiences that might otherwise immobilize us, eventually those feelings of fear and anxiety need to be felt rather than frozen. The family, while a perfect unit for raising young, can also be fertile ground for creating cumulative trauma throughout the developmental cycle. Our primary relationships are meant to nurture and sustain us until we are strong enough to survive on our own. When small children are terrified by the very same people who they would normally go to for comfort and safety, they become trapped in a confusing and disequilibrating system with no one to help them to restore their sense of 'normal' and their feeling of emotional balance. They are then forced to come up with immature strategies to manage what feels unmanageable. Oftentimes they just go numb. Or they dissociate; they disappear on the inside.

Recovery from the ACoA trauma syndrome is all about reclaiming the fragmented parts of self that are trapped in another psychological and emotional time and place and bringing them into the here and now. It is translating hidden emotion into words so that feelings can be processed, new insight and meaning can be gained, and experiences can be knitted back together with new understanding into a coherent and present-oriented picture of the functioning self and the self in relation to others. It is learning to live in the present rather than in the past or future.

This field has many pioneers whose remarkable sharing and collaborations over the years have lit a lamp for others to follow. Some of these pioneers are Margaret Cork, Claudia Black, Sharon Wegscheider-Cruse, Robert Ackerman, Jane Middleton-Moz, Stephanie Brown, Don Coyhis, Jerry Moe, Janet Woititz, Rokelle Lerner, Faye Calhoun, Jeannette Johnson, Phil Diaz, Patricia O'Gorman, Frances Brisbane, Stephanie Covington, Anna Whiting Sorrel, Hoover Adger, Lala Strassner, Cathleen Brooks Weiss, Ann Smith, Ellen Morehouse, Patrick Carnes, John Bradshaw, and Timmen Cermak.

Research on trauma made my own work come alive and provided a research base that began my own exploration of what I call the ACoA Trauma Syndrome; much gratitude to Bessel van der Kolk, Judith Hermann, and Lisa Najavitts for their seminal work in this area. Another leg of the stool that the syndrome stands on is attachment research, which I apply to my understanding of how childhood development is affected by growing up with addiction. Those in the area of attachment by whom I have been led are Maria Montessori, Jonathon Bowlby, D. W. Winnicott, Alan Schore, Stanley Greenspan, and Daniel Siegel. Robert Anda's research on Adverse Childhood Experiences (ACE) has elevated awareness and brought attention to the long-term impact that growing up with addiction can have on both mental and physical health, making an invaluable contribution toward policy in this area.

Psychodrama is my method of treating people who have been traumatized or people simply looking to increase their own level of spontaneity, creativity, and aliveness. In this area I have been most impacted by J. L. Moreno, Zerka Moreno, and Dr. Robert Siroka, whose excellent training and vision for this method lit my own healing spirit.

It is my hope that by the end of this book you will have an in-depth understanding of trauma; it is also my hope that reading this book will help to make trauma seem less strange and threatening to cope with and help you to develop various strategies for lifestyles that both minimize its occurrence and intensity and process it before it comes to have a life of its own. In Part 1, we discuss and draw pictures of the black-and-white world of the family system that contains addiction. In Part II, you will learn how your mind and body become affected and infected through living with the trauma-engendering dysfunctional relationship dynamics that surround addiction. In Part III, we explore case studies involving process addictions or the many forms of compulsive behaviors that self-medication can assume.

In Part IV, we'll take a step down the path of healing from the ACoA Trauma Syndrome and offer tips on attitude and lifestyle changes that build resilience and strength. In Part V, we'll look at ways of breaking the intergenerational chain of pain. We'll see how the past can be separated from the present so that we can live with mindful, positive purpose in the here and now.
Many who embrace recovery come to experience it as a journey of self-discovery, one of expansion into a new sense of self, self in relationships, and meaning and purpose in life. Many find that the promises of twelve step program do come true and they 'do not regret nor wish to close the door' on their past, because through processing it, they have come to a deeper sense of aliveness and self-confidence. Or as Edmund Spenser wrote in The Faeire Queene, 'For whatsoever from one place doth fall, Is with the tide unto an other brought: For there is nothing lost, that may be found, if sought.'

 ©2012 Tian Dayton, PhD. All rights reserved. Reprinted from The ACOA Trauma Syndrome. No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, without the written permission of the publisher. Publisher: Health Communications, Inc., 3201 SW 15th Street, Deerfield Beach, FL 33442.

Most helpful customer reviews

25 of 26 people found the following review helpful.
I feel understood, and I feel like I understand, too.
By Poodle
I purchased this book originally with the idea to better understand my significant other, an adult child of an alcoholic. I am a recovering alcoholic (18 years sober), and my grandfather was an alcoholic. I never saw my father (an ACOA) drink, but he said he stopped drinking when we (my brother and I) were kids so that we wouldn't have the life that he did, growing up with an alcoholic father. So many things in this book affirmed who I am--I felt odd and confused and sad and defective as a child, and as if something bad had happened to me, but have no recollection of any huge trauma. This book affirmed my experience and my feelings. It has helped me be more compassionate toward myself and to my significant other, who struggles with his own ACOA issues. I read many MANY books on recovery and alcoholism over the years, and this is the FIRST one that I have ever felt so validated and so helped by! This book helped me understand why I react the way I do sometimes and how to change. I recommend it for ACOAs and alcoholics and addicts alike. Amazing book.

19 of 21 people found the following review helpful.
Recommended for anyone suffering from the affects of alcoholism; very insightful
By Alison R
I am an ACOA and I am working a 12 step program in Al anon. I came across this book and I am amazed at how insightful it has been for me. I was unaware of the fact that those who suffer from the affects of alcoholism could suffer from PTSD and now after reading this book I am aware that many of my feelings and behaviors mimic that of suffering from PTSD symptoms. I am grateful to have the awareness and to know that by continuing to work my Al anon program along with the help of a therapist these unhealthy behaviors can be reversed and I can grow to live a healthy life for me and the people in my life. I would definitely recommend this book to a friend or anyone else suffering from the affects of someone Else's drinking.

9 of 10 people found the following review helpful.
This book will change your life for the better!
By Amazon Customer
Truly brilliant explanation of what happens to change the brain and thought processes, and physiological responses to every day stimuli in trauma victims. I thought it was just that I was defective, because I was told and shown that in so many awful ways by my abusive family of origin. I endured years of abuse that started with a stepparent, and which left me a target for further bullying and abusive relationships. If I had understood what happened to me I would have dealt with the fallout from the abuse differently because I would have had tools to help reframe events and change my thought patterns. I wasn't born this way, I was outgoing and confident and empathetic, and I ended up with undiagnosed PTSD. Nobody knew 40 years ago that kids from abusive and dysfunctional families suffered this way, but now it's recognized and there is some help available. We don't get to go back in time for do-overs to have the life we should have had, but we can start from where we are now and make the time we have left much better. Even if we are older, there is still hope and this book is a great place to start healing from the inside out.

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Coping with BPD: DBT and CBT Skills to Soothe the Symptoms of Borderline Personality Disorder, by Blaise Aguirre, Gillian Galen



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Coping with BPD: DBT and CBT Skills to Soothe the Symptoms of Borderline Personality Disorder, by Blaise Aguirre, Gillian Galen

In this much-needed book, two renowned borderline personality disorder (BPD) experts offer simple, easy-to-use skills drawn from dialectical behavior therapy (DBT) and cognitive behavior therapy (CBT) to help you address the most common issues of BPD, such as intense feelings of anger, depression, and anxiety.

For many, having BPD is like living in emotional overdrive. And whether you are feeling depressed, anxious, worried, or angry, you might struggle just to get through each day. So, how can you start balancing your moods and managing your symptoms? This helpful guide addresses over fifty of the most common struggles people with BPD face every day, and offers accessible, evidence-based solutions to help you feel better and get back to living your life.

You'll discover powerful DBT and mindfulness skills to help you set personal limits, manage intense emotions and moods, and address issues like substance abuse and doing harm to yourself and others. In addition, you'll learn how to deal with the inevitable negative self-talk, feelings of paranoia, and self-invalidation.

If you’re ready to take charge of your BPD—instead of letting it take control of you—this book will be your go-to guide. Perfect for everyday use, the practices within will help you manage your symptoms as they arise.

  • Sales Rank: #632451 in eBooks
  • Published on: 2015-11-01
  • Released on: 2015-11-01
  • Format: Kindle eBook

Review
“Aguirre and Galen have raised the bar for self-help resources in the borderline personality disorder (BPD) community. Their wisdom and compassion shine through the lines of this text, creatively identifying common problems and effective solutions. For the person in recovery, they offer tools for problem solving to promote stability; and for therapists, and especially for professionals in training, they provide an opportunity to understand the individual experience of living with BPD—an accomplishment that renders this book a space in everyone’s library.”
—Perry D. Hoffman, PhD, president and cofounder of National Education Alliance for Borderline Personality Disorder

“Blaise Aguirre and Gillian Galen have written a compassionate, sensitive, and practical book to help individuals diagnosed with borderline personality disorder (BPD) successfully navigate everyday life challenges. I'm exceptionally proud to recommend this important book to my clients as well as their family members and friends.”
—Amanda L. Smith, LMSW, dialectical behavior therapist and treatment consultant, and author of The Dialectical Behavior Therapy Wellness Planner

“Aguirre and Galen have written a thoughtful and practical guide for people suffering with borderline personality disorder (BPD). This book will be an important resource for clients as well as professionals and family members.”
—Michael Hollander, PhD, director of training at McLean 3East, assistant professor of psychology in the department of psychiatry at Harvard Medical School, and author of Helping Teens Who Cut

“There are few books designed to help the individual suffering from borderline personality disorder (BPD) to use cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) tools to help get them through difficult situations. A supplement to traditional coaching and therapy, this book accomplishes that with simplicity and clarity. Aguirre and Galen have written a practical guide that will serve as a road map to help clients improve their lives, and at the same time help therapists working with some of the most challenging clients.”—Michael Roy, LCSW, founder and executive director of Clearview Women’s Center, a treatment center specializing in borderline personality and emotional disorders

"The [book's] emphasis on lay language and the numerous pragmatic problem-solving skills make this a superlative guide that will be helpful to those with BPD and clinical therapists who work with them."
—Library Journal

About the Author

Blaise Aguirre, MD, is assistant professor of psychiatry at Harvard Medical School, and an expert in child, adolescent, and adult psychotherapy, including dialectical behavior therapy (DBT), and medication evaluation and management. He is founding medical director of McLean 3East—a unique residential DBT program for young women exhibiting self-endangering behaviors and borderline personality disorder (BPD) traits. Dr. Aguirre has been a staff psychiatrist at McLean since 2000, and is internationally recognized for his extensive work in the treatment of mood and personality disorders in adolescents. He lectures regularly in Europe, Africa, and the Middle East on DBT and BPD. Dr. Aguirre is author of Borderline Personality Disorder in Adolescents and Depression (Biographies of Disease), and coauthor of Mindfulness for Borderline Personality Disorder and Helping Your Troubled Teen.

Gillian Galen, PsyD, is instructor of psychology at Harvard Medical School. She is program director and assistant director of training for the 3East Intensive Residential Program at the Harvard-affiliated McLean Hospital—a unique residential dialectical behavior therapy (DBT) program for young women exhibiting self-endangering behaviors and borderline personality disorder (BPD) traits. She specializes in adolescent psychotherapy, including DBT. She has a particular interest in using mindfulness and yoga in the treatment of BPD and other psychiatric illnesses. Galen has been a registered yoga instructor since 2008. She is coauthor of Mindfulness for Borderline Personality Disorder.

Foreword author Alec Miller, PsyD, is cofounder of Cognitive and Behavioral Consultants of Westchester, LLP, in White Plains, NY. He is professor of clinical psychiatry and behavioral sciences, chief of child and adolescent psychology, director of the Adolescent Depression and Suicide Program, and director of clinical services at PS 8 School-Based Mental Health Program. Miller has become internationally known in the areas of adolescent depression and suicidology, non-suicidal self-injury, borderline personality disorder (BPD), and dialectical behavior therapy (DBT). He has authored numerous articles and book chapters, and is coauthor of Dialectical Behavior Therapy with Suicidal Adolescents and Childhood Maltreatment.

Most helpful customer reviews

3 of 3 people found the following review helpful.
Five Stars
By angela lyons
the book is not to thick and is easy to read

2 of 2 people found the following review helpful.
Not for me but maybe for thee
By David
The idea behind the book is fair, but it really does not add much to what is available on the internet and to use this book in as situational tool does not make much sense. Mindfulness, stop and think, don't react think and act rinse and repeat. Having said all of this I think others may really love the layout of this book giving skills learned a practical setting.

2 of 2 people found the following review helpful.
Five Stars
By Amazon Customer
Excellent providing one can get a patient to read it

See all 7 customer reviews...

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