Neurobiology and Mental Health Clinical Practice New Directions, New Challenges

This book illustrates the current findings of interpersonal neurobiology from leading mental health clinician-scholars that inform knowledge building and clinical 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.

1. Introduction to Neurobiology and Clinical Work Dennis Miehls and Jeffrey Applegate 2. Why we Need Therapy – and Why it Works: A Neuroscientific Perspective Louis J. Cozolino and Erin N. Santos 3. Regulation Theory and Affect Regulation Psychotherapy: A Clinical Primer Judith R. Schore and Allan N. Schore 4. Selected Neurobiological Arousal Issues as Manifested in a Clinical Case Illustration Arlene Montgomery 5. The Interpersonal Neurobiology of Clinical Intuition Terry Marks-Tarlow 6. Working Implicitly in Couples Therapy: Improving Right Hemisphere Affect-Regulating Capabilities Francine Lapides 7. Interface between Psychotropic Medications, Neurobiology, and Mental Illness Rosemary Farmer 8. The Neurobiology of Substance Use Disorders: Information for Assessment and Clinical Treatment Susanne Bennett and Patricia Petrash 9. Trauma’s Neurobiological Toll: Implications for Clinical Work with Children Karen Zilberstein 10. Resonance in the Dissociative Field: Examining the Therapist’s Internal Experience when a Patient Dissociates in Session Jacqueline Strait 11. Beneath the Surface: An Exploration of Neurobiological Alterations in Therapists Working With Trauma Brian Rasmussen and Susan Bliss 12. Casting Light on the Shadow: Clinical Implications of Contextualizing Racial Experience Within a Neurobiological Framework Yvette Esprey 13. Neuroscience Insights that Inform Clinical Supervision Dennis Miehls 14. Biomania: Benefits, Risks, and Challenges Jon G. Allen

Dennis Miehls is a Professor at Smith College School for Social Work, Northampton, Massachusetts, USA. He is chair of the Human Behaviour Sequence of the School. He has published extensively in the areas of trauma, couple therapy, neurobiology, and supervision. He maintains a private psychotherapy practice in Northampton, Massachusetts, USA. Jeffrey Applegate is Professor Emeritus, the Graduate School of Social Work and Social Research, Bryn Mawr College, Pennsylvania, USA. Currently he is Adjunct Professor at the School of Social Policy and Practice, University of Pennsylvania, USA. His scholarly work focuses on the application of psychoanalytic theory to social work research, practice and education.