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The Practical Guide for Healing Developmental Trauma: Using the NeuroAffective Relational Model to Address Adverse Childhood Experiences and Resolve Complex Trauma Paperback – July 26, 2022

4.9 4.9 out of 5 stars 204 ratings

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A clinician's guidebook for treating developmental trauma--Apply the NeuroAffective Relational Model (NARM) to help clients overcome complex post-traumatic stress disorder (C-PTSD), recover from adverse childhood experiences (ACEs), and map post-traumatic growth.

The Practical Guide for Healing Developmental Trauma introduces a cutting-edge therapeutic model for addressing attachment, relational, and developmental trauma in a clinical setting. NARM is an integrated mind-body framework that identifies and treats the complex ways childhood trauma can manifest in interpersonal difficulties, maladaptive patterns, identity issues, and disrupted affect regulation.

Integrating the latest research on adverse childhood experiences, or ACEs, it arms psychologists, psychiatrists, social workers, and trauma-informed therapists with the skills and tools they need to help clients break free from the lasting effects of childhood trauma.

The
Guide is a go-to tool that explains:
 
  •   The four pillars of the NARM therapeutic model
  •   Cultural and Intergenerational trauma
  •   Shock vs. Complex trauma
  •   Adverse Childhood Experiences and Complex Post-Traumatic Stress Disorder
  •   How to differentiate NARM from other therapeutic modalities
  •   NARM's organizing principles 
  •   How to integrate NARM into your therapeutic practice
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From the Publisher

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Editorial Reviews

Review

 
"This book, from two experienced and insightful practitioners, offers a thorough and clear guide to a modality of therapy far deeper than the prevailing cognitive and behavioral treatments. It is highly promising because it goes beyond the surface manifestations to the root causes and dynamics of human distress."
—Gabor Maté MD, author of
When The Body Says No
 
"This new book, written by Dr. Laurence Heller and Brad Kammer, presents the clinical approach to the NeuroAffective Relational Model (NARM), created by Dr. Laurence Heller, and continues NARM’s important contribution to the rapidly evolving field of traumatology. As a follow up companion to the groundbreaking book
Healing Developmental Trauma, this practical manual offers step-by-step guidance to those wishing to work with some of the most hard-to-treat patients who suffer from the heartbreak of developmental trauma. This book is designed mostly for therapists wanting to better understand NARM but also for some trauma survivors who want to educate themselves about how the NARM method works. While trauma experts scratch their heads about how to best treat early developmental trauma, and while finding consensus among the experts can be challenging, NARM offers a much-needed tool in the integrative trauma therapist's medicine bag."
 —Lissa Rankin, MD, New York Times bestselling author of
Mind Over Medicine
 
“Heller and Kammer’s essential guide expertly translates our best science into the therapeutic skills-building roadmap we need to heal the complex developmental trauma so prevalent among our children, families, communities, and world today. This book reminds us that building our capacity to heal others heals us as well, as we support the innate human capacity to grow and flourish through adversity. The comprehensive NARM approach is a coherent pathway to build the knowledge, skills, and joyful work of healing by restoring an embodied sense of connection, belonging, and ongoing sense of confidence to meet life’s challenges."  
—Christina Bethell, PhD, MBA, MPH, professor of Child Health, Bloomberg School of Public Health, Johns Hopkins University

From the Back Cover

A therapeutic guide for treating developmental trauma—Apply the NeuroAffective Relational Model (NARM) to help clients resolve complex post-traumatic stress disorder (C-PTSD), recover from adverse childhood experiences (ACEs), and facilitate post-traumatic growth.

The Practical Guide for Healing Developmental Trauma presents one of the first comprehensive therapeutic models for addressing complex post-traumatic stress disorder (C-PTSD). The NeuroAffective Relational Model (NARM) focuses on attachment, relational, developmental, cultural and intergenerational trauma. NARM is an integrated psychobiological framework that works with the complex ways unresolved childhood trauma manifests as disruptions in self-regulation, self-image, and the capacity for relationship.

Inspired by cutting-edge research on trauma, attachment, and interpersonal neurobiology, the guide provides counselors, psychotherapists, psychologists, social workers, and trauma-informed helping professionals with the theoretical background and practical skills they need to help clients transform complex trauma.

This book is a go-to guide that explains:
  • The four pillars of the NARM therapeutic model
  • The differences between shock trauma and developmental trauma
  • The psychobiological impact of complex post-traumatic stress disorder (C-PTSD)
  • The role of emotions in transforming complex trauma
  • Working with client intention, agency and embodiment
  • A relational framework for supporting greater capacity for connection with Self and others
  • How to integrate the organizing principles of NARM into your therapeutic practice

Product details

  • Publisher ‏ : ‎ North Atlantic Books (July 26, 2022)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 400 pages
  • ISBN-10 ‏ : ‎ 1623174538
  • ISBN-13 ‏ : ‎ 978-1623174538
  • Item Weight ‏ : ‎ 1.32 pounds
  • Dimensions ‏ : ‎ 5.98 x 1.11 x 8.96 inches
  • Customer Reviews:
    4.9 4.9 out of 5 stars 204 ratings

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Customer reviews

4.9 out of 5 stars
4.9 out of 5
204 global ratings
A heartfelt breath of fresh air for the field!
5 Stars
A heartfelt breath of fresh air for the field!
As a parent and therapist committed to addressing the intense degree of suffering and oppression in the world, the daunting question of “where to begin?” can feel like an uphill battle. Some would even consider it an unrealistic ideal to attempt to bring a more humanizing approach to the current clinical framework and culture that has become increasingly pathologizing and objectifying, (unfortunately often reinforcing the deep states of shame and disconnection inherent to trauma adaptations). For these reasons, I find this practical guide to be such an invaluable resource in showing us how to actualize this possibility into reality.The Practical Guide For Healing Developmental Trauma elucidates straight-forward methods of refining our own relationship to ourselves to facilitate deep healing and growth in relationship to others on an identity level, rather than a temporary behavioral or symptom-reducing level. True to the experiential nature of NARM therapy, this guide includes several opportunities for the reader to pause and reflect on their internal experience as a means of deepening capacities for presence, exploration, and connection. I find these exercises not only interesting, but so essential in the practice of learning to be with myself as a subjective human-being so that I can increasingly show up in true curiosity and connection with others without pressure or an agenda.For a model as nuanced and rich as NARM, I am impressed by the clear and accessible language in this practical guide. In fact, though primarily written for clinicians, I have shared passages of the book with clients and friends who reported deeper understanding of their own life patterns and experiences from a new, illuminating perspective. Though I have completed one of the NARM therapist trainings and participate in NARM-specific continuing education, I found that the simple breakdown of the core NARM principles and concepts outlined in this text has allowed for greater ease, less effort, and significant self-trust in how to balance being directive and intentional while holding an open space for discovery with a wide variety of clients presenting across differing levels of capacity for self-organization/regulation.I particularly appreciate chapter eight, which emphasizes the relationship or the “R” in NARM, heart connection, and awareness of countertransference, all such crucial aspects of this model. This chapter reminds me how to shift from pressuring myself into the inner knowing of how powerful and reparative attuned presence itself truly is. I especially value being able to apply these principles and concepts as they unfold in real sessions by studying the provided annotated transcripts. So much is emerging each moment in a session and I find it highly useful that the authors provided this detailed breakdown of what was occurring “behind the scenes”, including key choice-points of direction, languaging, and attention to countertransference. As a NARM student, these annotations are inspiring, as they demonstrate how one can learn the techniques and interventions of NARM until the expression and artistry of the craft become spoken in their own authentic voice and style.What a breath of fresh air and encouragement this model and guide are to the field of mental health, to our communities, and to the present-day world at large. I feel hopeful thinking of the many healers, educators, parents, and human beings who may read this guide and integrate such heartfelt understandings into their moment to moment interactions with clients, students, children, and loved ones.
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Top reviews from the United States

Reviewed in the United States on July 26, 2022
I had the privilege of reading an advanced copy of this book and am thrilled it is now out in the world. This book does an excellent job of laying out the map of the NARM model for working with developmental trauma. While the model is complex, the book presents it in a comprehensive, clear, easy-to-understand, and user-friendly way. For those who have already read the first book Healing Developmental Trauma, The Practical Guide is a wonderful companion. For those who haven't read the first book, be assured this book stands on its own.

Throughout the book are practical, self-reflective exercises that the reader can use for their own personal growth as well as bring into therapeutic work with a client. There are also 2 transcripts of client sessions that each author conducted. These transcripts do a wonderful job of giving us an inside look at the thought process of each author as they share their reflections informing their thought process and interventions - a peek behind the curtain so to speak. We can see how the different concepts described in the book show up in actual sessions. This is invaluable learning for me.

I especially appreciated the discussion on trauma and the distinction between shock trauma and developmental trauma and how they each require a different approach to support healing. The chapter on agency (chapter 5) is pure gold for therapists especially and no doubt helpful for laypeople. I also especially love the chapter on the relational model (chapter 8). As a NARM therapist, one of my favorite things about the model is the emphasis on the relationship between therapist and client. For therapists struggling with burnout or feeling stuck with clients, this chapter will be incredibly useful. Therapists are in high demand these days and clients' lives are complex and challenging. It can be easy to feel like we're trying to empty the ocean with a teaspoon at times. This book overall, and especially this chapter, can help therapists support themselves and their clients more effectively.

I would love to see this book be required reading for all grad students in helping professions as well as all therapists. Yes, I may be biased :). That said, I cannot say enough about how helpful I have found NARM to be for me personally and professionally and I am thrilled this book is now out and more people will have access to this powerful and profound model. As we heal developmental trauma we become more fully human and help heal the world.

"Our vision is to bring humanity to the transformation of complex trauma. In this book, we have presented an embodied, relational, and depth-oriented model that we hope will advance greater humanization in the healing process. NARM is a therapeutic approach that supports reconnection to one’s lived experience, so that clients can feel more fully alive—and become more fully human."
19 people found this helpful
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Reviewed in the United States on August 26, 2022
This is a crucial book, and a must-have for anyone treating trauma or interested in further healing their own. It provides a complete description of the key elements needed to resolve complex trauma. It provides a roadmap to the Self, the challenges we encounter as we reconnect with Self (called Survival Styles or Identifications), the centrality of disrupted attachment and involving the physical body in healing, and describes in detail the clinical process needed to progress through the journey. Something that is particularly appealing to me, is that the book shares how the NARM therapeutic process is deeply relational and compassionate. NARM also de-pathologizes trauma symptoms and positions them as adaptive, a notion that is itself healing.

The book is practical, and while the topics are by their nature nuanced, it is written with accessible and precise language. While it is clinical in its approach, I highly encourage interested non-clinicians to pick this book up, as the concepts and how they are presented are so valuable and vital for addressing C-PTSD. The book contains many self-reflection exercises that at first may appear simple, but upon reflection go deep. Also, NARM is inquiry-driven and the book provides many helpful example questions that a provider can ask clients to help them go deeper and resolve complex trauma. Finally, annotated client cases provided moment-by-moment commentary on therapeutic choices.

Therapists who are interested in treating complex trauma in their clients will find clear and helpful descriptions of key treatment processes, as well as how they are used together to help the client move through their healing process. Of particular note are Agency and Protest Anger which are described here. I am a therapist who uses NARM, and so may be biased, but I find both of these concepts are absolutely vital to treatment of complex trauma. Anger has at times been pathologized in therapeutic circles (and society and families), but NARM recognizes it as a vital source of energy that once integrated can lead to authentic self-esteem and greater self-regulation. Good stuff! Also, through discussion of Survival Styles the book provides a basis for therapists (and lay people) to conceptualize how we are organized in response to trauma, and so what our central challenges will be to healing, and it also goes deep and discusses links between trauma and personality disorders, something which is crucial to understand when treating complex trauma, and a vital clinical topic that many practitioners are challenged by.

To sum up, this is a book that is designed to serve as a practical resource, and one that brings together what I believe are the most vital concepts for treatment of C-PTSD.
14 people found this helpful
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Top reviews from other countries

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Alitia Farrell RCC
5.0 out of 5 stars Exceptional!
Reviewed in Canada on August 26, 2022
I have been a somatic psychotherapist working with complex trauma for the past 16 years. This is the book I've been waiting for. Heller and Kammer's book is a rare accomplishment. They have elegantly combined comprehensive theory with practical and humane interventions that therapists can incorporate into their practices immediately.

My hope is that this book and the NARM training become the gold standard for working with developmental trauma. I am so grateful for this model.
5 people found this helpful
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Graziana Leoni
5.0 out of 5 stars Interessantissimo
Reviewed in Italy on March 17, 2024
Libro sulla Tecnica N.A.R.M. per lavorare sui traumi dello sviluppo o età evolutiva. Scritto molto bene e molto chiara l'esposizione.
Bas
5.0 out of 5 stars Contains many of the most impactful insights and exercises from the NARM training
Reviewed in the Netherlands on August 5, 2022
I've been through the NARM training in Cologne and use this as my main modality for coaching and counseling. Obviously this biases my review here, since I've experienced and used NARM intensively over the past 6 years or so. That being said, this practical guide is a fantastic resource, not only in working with my clients, but also to continue the unique self-inquiry process that is so central to the NARM training.

The book contains the most up-to-date models used in NARM which have transformed my work with clients, in particular the Emotional Completion Model. Since working with complex trauma is, well, complex, it is a relief to get some core principles that can be a fantastic 'red thread' throughout session work and which have saved me from getting stuck with clients or falling into transference traps. Being able to use these author's accumulated knowledge and expertise of many decades, distilled into powerful core principles and tools, gives an incredible advantage and avoiding unnecessary pitfalls or suffering -- again, both for yourself and/or your clients.

All in all, this is an amazing resource for anyone encountering developmental trauma in their work or personal life. Even if you don't work with clients, the many insights and unique self-reflection exercises will propel your personal growth -- especially if you do them with a safe and trusted partner, which is a core piece of the NARM training.
Adam B.
5.0 out of 5 stars An eminently practical guide to a profound and effective clinical model
Reviewed in Germany on July 30, 2022
For mental health practitioners and non-specialists alike, The Practical Guide to Healing Developmental Trauma should become a momentous publication in the world of mental health. This rich and accessible guide is suitable to introduce the NeuroAffective Relational Model (NARM) to mental health professionals, clients, and anyone motivated to work on themselves toward living in greater alignment with their deepest wishes.

While Heller’s previous book, Healing Developmental Trauma, focused on theory, providing a detailed developmental psychological model for understanding the effects of early trauma, this book is practice-oriented. It provides clear overviews of the NARM organizing principles and the four pillars of the therapeutic model. Annotated excerpts from session transcripts illustrate in concrete detail the explanations in the body of the text. In addition, there are questions for personal reflection in each section, which encourages experiential engagement with the material. The NARM Training Institute excels at providing experiential learning opportunities for trainees, and here this indispensable aspect of learning any modality is woven into the book format.

At the end of the book, there are two full-length transcripts of sessions with clients. The transcripts come with clear, precise annotations that make it easy to follow along. This gives the reader a look behind the scenes, showing how NARM is used in real-time. The transcripts give readers insight into how various interventions relate to the therapeutic model and into the thoughts and emotions of expert NARM therapists and how this informs their decision-making, as well as providing clues about how clients’ processes relate to the therapeutic model.

For those who are new to the field, the book provides a clear, essential overview of the trauma-informed movement and contextualizes within recent history the diagnosis of Complex Post-Traumatic Stress Disorder (C-PTSD). The authors make a cogent case for the game-changing significance and value of trauma-informed care in mental health communities and in the world.

Besides the book’s merit as a well-written practical guide, the NeuroAffective Relational Model offers blueprints and a spirit of relating for healing our world. The language is deceptively simple, using contemporary idiom to convey essential and indescribably deep dynamics of being human. The Buddha chose to teach in the vernacular over the language of the priests and educated classes. I would like to see a similar move here, where jargon and theoretical terminology do not get in the way of conveying a model which is relieving suffering both in the narrower context of clinical psychology and in the world at large. With that said, I have two degrees in philosophy and know that the philosophical, scientific and psychological underpinnings of this eminently practical modality are drawn from profound sources.
7 people found this helpful
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Zhong Sheng Kong
1.0 out of 5 stars Corner of book worn out
Reviewed in Australia on April 3, 2024
The corner of the book showed significant wear and damage, indicative of rough handling. Despite this, the book remains functional and its contents are accessible, allowing for continued reading or reference. Nonetheless, the compromised aesthetic and structural integrity of the book has led to a sense of dissatisfaction with its condition. It's clear that while the book can still serve its purpose, its diminished physical state detracts from the overall enjoyment and value one might derive from it. This situation underscores the importance of proper book care and handling to preserve their condition for as long as possible.
Customer image
Zhong Sheng Kong
1.0 out of 5 stars Corner of book worn out
Reviewed in Australia on April 3, 2024
The corner of the book showed significant wear and damage, indicative of rough handling. Despite this, the book remains functional and its contents are accessible, allowing for continued reading or reference. Nonetheless, the compromised aesthetic and structural integrity of the book has led to a sense of dissatisfaction with its condition. It's clear that while the book can still serve its purpose, its diminished physical state detracts from the overall enjoyment and value one might derive from it. This situation underscores the importance of proper book care and handling to preserve their condition for as long as possible.
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