Through the attentive examination of a single case study, this book weaves together the lived experiences of a clinician in training with those of their teenage patient, as they collectively navigate and overcome the profound effects of early relational trauma on the development of the self.
By the care taken in their analysis, the book's authors deepen readers' understanding of attachment disorders and their clinical presentation whilst allowing for a uniquely human view of the interactions between patient and clinician. Elegantly combining poetic prose with a clinical account, this book invites readers to travel with the clinician, to think and feel in tandem with his subjective experiences, and to explore psychoanalytic and systems theory as a means to understand clinical relationships that are seldom written about with such vulnerability. It is a story of determination and growth both moving and enlightening.
By giving form to the resilience of both patient and clinician, their mutual strength through "tears of change", this book expounds the behavioral consequences and treatment of psychopathologies associated with early relational trauma. In this way, the book will prove essential for all psychoanalysts and psychotherapists working with traumatized children and adolescents.
This book is a case study of a pregnant teenage girl in Madrid and the therapeutic educator who accompanied her. The broader context is of attachment disorder, borderline personality disorder, adoption, immigration, and abuse, as the girl succumbed to and fought against the lure of prostitution and exploitative men. Dedication, humor, roleplaying, metaphor, and presence characterized over two years of hard work. Simultaneously the book is a primer in relational and systems theory. Lyrical, emotional, personal, and gripping, the story is of successful therapeutic work with intensely painful feelings.
Daniel Gensler, PhD., William Alanson White Institute, New York, NY.
This book is an original and outstanding contribution to the psychotherapy of troubled adolescents. Casado-Frankel and Herrero have written a richly detailed, deeply empathic, and unusually self-reflective account of intensive therapeutic work with a traumatized adolescent girl. It is both an engrossing story and an insightful meditation on the ambiguities, interpersonal nuances, and potential rewards of this difficult and uncertain work. Readers of this book will come away, as I did, with a deeper understanding of the complex, malignant effects of trauma in the lives of children and how, with time and patience, therapy can be a healing process.
Kenneth Barish, PhD., Clinical Professor of Psychology, Weill Cornell Medical College. Author, How to Be a Better Child Therapist: An Integrative Model for Therapeutic Change.
This book is a noteworthy and creative contribution to the burgeoning clinical literature on treatment of early relational and intergenerationally transmitted trauma. The authors demonstrate and integrate a discussion of early relational trauma as relevant to work with international adoptees, cultural complications, and the psychoanalytic developmental theories upon which the Accompaniment Model is based. De-mystifying theory while bringing to life the complexity of this work, the struggles of a young therapist attempting to maintain a reflective stance during a stormy journey make this a worthwhile read for novice and sophisticated therapist alike.
Susan C. Warshaw, EdD, ABPP, Editor in Chief, Journal of Infant, Child and Adolescent Psychotherapy.