A systematic look at the role of “gut feelings” in psychotherapy. What actually happens in psychotherapy, outside the confines of therapeutic models and techniques? How can clinicians learn to pick up on interpersonal nuance, using their intuition to bridge the gap between theory and practice? Drawing from 30 years of clinical experience, Marks-Tarlow explores the central—yet neglected—topic of intuition in psychotherapy, sharing clinical insights and intuitions that can help transform traumatized brains into healthy minds. Bridging art and science, Clinical Intuition in Psychotherapy is grounded in interpersonal neurobiology, and filled with rich case vignettes, personal stories, and original artwork. In the early chapters of the book, Marks-Tarlow defines clinical intuition as a right-brain, fully embodied mode of perceiving, relating, and responding to the ongoing flows and changing dynamics of psychotherapy. She examines how the body “has a mind of its own” in the form of implicit processes, uncovering the implicit roots of clinical intuition within human empathy and emphasizing the importance of play to clinical intuition. Encouraging therapists to bring their own unique senses of humor to clinical practice, she explains how the creative neural powers of playfulness, embedded within sensitive clinical dialogs, can move clients’ lives toward lasting positive affective growth. Later chapters explore the play of imagination within clinical intuition, where imagery and metaphor can lead to deeper insight about underlying emotions and relational truths than words alone; the developmental foundations for intuition; and clinical intuition as a vehicle for developing and expressing wisdom. At the close of each chapter, reflective exercises help the reader personally integrate the concepts. Part of the Norton Series on Interpersonal Neurobiology, this wonderful guidebook will help clinicians harness the power of spontaneous intuitive thinking to transform their therapeutic practices.

Exercises to help mental health practitioners at all levels of experience recognize gut feelings and produce deep therapeutic change. 2015 Gradiva Award Nomination for Best Book When immersed in therapy with a patient, clinicians are guided not only by conscious, explicit dialogues and intellectual investigation, but also by natural flows of emotion, energy, and body-based information—hunches, gut feelings, behavioral impulses. These natural flows are the foundation of clinical intuition, the right-brain means by which therapists perceive and respond to relational patterns and non-conscious signals during psychotherapy. In Clinical Intuition in Psychotherapy, Terry Marks-Tarlow bridged art and science to explain the essential role of clinical intuition in transforming traumatized brains into healthy minds. Here, Marks-Tarlow walks through a series of exercises to help therapists at all levels of experience hone their sensitivity to their non-conscious resources and apply intuition effectively in therapy. With exercises in breathing, mindfulness, meditation, play, perspective-building, and much more, Awakening Clinical Intuition is a practical workbook for eliminating mental clutter, getting in touch with right-brain, embodied responses to psychotherapy, and cultivating a unique, intuitive style. Features include client-ready applications and two hours of accompanying audio.

An edited collection from some of the most influential writers in mental health. Books in the Norton Series on Interpersonal Neurobiology have collectively sold close to 1 million copies and contributed to a revolution in cutting-edge mental health care. An interpersonal neurobiology of human development enables us to understand that the structure and function of the mind and brain are shaped by experiences, especially those involving emotional relationships. Here, the three series editors have enlisted some of the most widely read IPNB authors to reflect on the impact of IPNB on their clinical practice and offer words of wisdom to the hundreds of thousands of IPNB-informed clinicians around the world. Topics include: Dan Hill on dysregulation and impaired states of consciousness; Bonnie Badenoch on therapeutic presence; Kathy Steele on motivational systems in complex trauma.

This book illustrates the current findings of interpersonal neurobiology that inform knowledge building and clinical practice. Contributions cover an impressive range of material including how neurobiology interfaces with clinical work with children, individuals with substance abuse issues, couples and clients with trauma histories. Leading mental health clinician-scholars describe path-breaking explorations at the neurobiological frontiers of 21st century clinical theory and practice. Representing the fields of social work, psychology and psychiatry, these authors creatively apply research findings from the ongoing revolution in social and behaviour neuroscience to a diverse array of clinical issues. Contributions include elaborations of theory (the evolving social brain; new directions in attachment, affect regulation and trauma studies); practice (neurobiologically informed work with children, adults, couples and in the conduct of supervision); and emerging neuroscientific perspectives on broader mental health issues and concerns (substance abuse; psychotropic medications; secondary traumatic stress in clinicians; the neurodynamics of racial prejudice; the dangers of forfeiting humanism to our current romance with the biological). Together, these chapters equip readers with state-of-the-art knowledge of the manner in which new understandings of the brain inform and shape today’s professional efforts to heal the troubled mind. This book was originally published as a special issue of Smith College Studies in Social Work.

Distinguished clinicians explain what lies at the heart of change in effective psychotherapy. A wide range of distinguished scientists and clinicians discuss the nature of change in the therapeutic process. Jaak Panksepp, Ian McGilchrist, Ruth Lanius, Francine Shapiro, and other luminaries offer readers a powerful journey through mindful awareness, neural integration, affective neuroscience, and therapeutic presence to reveal the transformational nature of therapy. Healing Moments in Psychotherapy dives deep into the art and science of healing from the perspective of a variety of clinical approaches and scientific viewpoints, including interpersonal neurobiology. Through the voices of a dozen clinicians and scientists presenting their combined experiences and wisdom, it serves as a window into the process of healing. Practical examples and empowering research data support the ways in which therapeutic relationships can help catalyze health and restore wellness within psychotherapy.

The rich, complex theory of affect regulation boiled down into a clinically useful guide. Affect regulation theory—the science of how humans regulate their emotions—is at the root of all psychotherapies. Drawing on attachment, developmental trauma, implicit processes, and neurobiology, major theorists from Allan Schore to Daniel Stern have argued how and why regulated affect is key to our optimal functioning. This book translates the intricacies of the theory into a cogent clinical synthesis. With clarity and practicality, Hill decodes the massive body of contemporary research on affect regulation, offering a comprehensible and ready-to-implement model for conducting affect regulation therapy. The book is organized around the four domains of a clinical model: (1) a theory of bodymind; (2) a theory of optimal development of affect regulation in secure attachment relationships; (3) a theory of pathogenesis, in which disordered affect regulation originates in relational trauma and insecure attachment relationships; and (4) a theory of therapeutic actions targeted to repair the affect regulating systems. The key themes of Hill’s affect-focused approach include: how and why different patterns of affect regulation develop; how regulatory patterns are transmitted from caretakers to the infants; what adaptive and maladaptive regulatory patterns look like neurobiologically, psychologically, and relationally; how deficits in affect regulation manifest as psychiatric symptoms and personality disorders; and ultimately, the means by which regulatory deficits can be repaired. Specific chapters explore such subjects as self states, mentalization, classical and modern attachment theory, relational trauma (and its manifestations in chronic dissociation, personality disorders, and pervasive dissociated shame), supporting self-development in therapy, patient–therapist attunement, implicit and explicit therapeutic actions, and many more.

Intuition in Psychotherapy provides an unprecedented look at the phenomenon of clinical intuition, outlining its role in psychotherapy and providing a framework to develop intuitive skills that will positively impact practice. Based on qualitative research and extensive first-hand interviews, the text illuminates how an awareness of intuitive processes can benefit therapists’ diagnostic and treatment outcomes. Chapters provide a context for the use of intuition within current thinking in psychotherapy and highlight different forms of intuition that can be purposefully incorporated into clinical practice. Suitable for trainee and practicing psychotherapists, the text explores common intuitive processes and offers guidance for how practitioners might develop a unique therapeutic style. As understanding of intuition becomes mainstream in psychotherapy practice, Intuition in Psychotherapy will serve as a key point of reference for years to come.