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The Science of the Art of Psychotherapy


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The latest work from a pioneer in the study of the development of the self.

Focusing on the hottest topics in psychotherapy—attachment, developmental neuroscience, trauma, the developing brain—this book provides a window into the ideas of one of the best-known writers on these topics. Following Allan Schore’s very successful books on affect regulation and dysregulation, also published by Norton, this is the third volume of the trilogy. It offers a representative collection of essential expansions and elaborations of regulation theory, all written since 2005.

As in the first two volumes of this series, each chapter represents a further development of the theory at a particular point in time, presented in chronological order. Some of the earlier chapters have been re-edited: those more recent contain a good deal of new material that has not been previously published.

The first part of the book, Affect Regulation Therapy and Clinical Neuropsychoanalysis, contains chapters on the art of the craft, offering interpersonal neurobiological models of the change mechanism in the treatment of all patients, but especially in patients with a history of early relational trauma. These chapters contain contributions on “modern attachment theory” and its focus on the essential nonverbal, unconscious affective mechanisms that lie beneath the words of the patient and therapist; on clinical neuropsychoanalytic models of working with relational trauma and pathological dissociation: and on the use of affect regulation therapy (ART) in the emotionally stressful, heightened affective moments of clinical enactments.

The chapters in the second part of the book on Developmental Affective Neuroscience and Developmental Neuropsychiatry address the science that underlies regulation theory’s clinical models of development and psychopathogenesis. Although most mental health practitioners are actively involved in child, adolescent, and adult psychotherapeutic treatment, a major theme of the latter chapters is that the field now needs to more seriously attend to the problem of early intervention and prevention.

Praise for Allan N. Schore:

"Allan Schore reveals himself as a polymath, the depth and breadth of whose reading–bringing together neurobiology, developmental neurochemistry, behavioral neurology, evolutionary biology, developmental psychoanalysis, and infant psychiatry–is staggering." –British Journal of Psychiatry

"Allan Schore' is leading to an integrated evidence-based dynamic theory of human development that will engender a rapproachement between psychiatry and neural sciences."–American Journal of Psychiatry

"One cannot over-emphasize the significance of Schore's monumental creative labor...Oliver Sacks' work has made a great deal of difference to neurology, but Schore's is perhaps even more revolutionary and pivotal...His labors are Darwinian in scope and import."–Contemporary Psychoanalysis

"Schore's model explicates in exemplary detail the precise mechanisms in which the infant brain might internalize and structuralize the affect-regulating functions of the mother, in circumscribed neural tissues, at specifiable points in it epigenetic history." –Journal of the American Psychoanalytic

"Allan Schore has become a heroic figure among many psychotherapists for his massive reviews of neuroscience that center on the patient-therapist relationship." –Daniel Goleman, author of Social Intelligence


“Schore weaves together, in a seemingly effortless fashion, left and right, science and art, head and heart, and theory and practice, managing somehow to make tremendously complex subject matter at once accessible, compelling, and clinically useful. So settle in, savor every morsel, enjoy every moment, engage both sides of your brain—and you will be richly rewarded for your efforts. . . . [A] must-read for health professionals and interested lay persons alike.
” — Psychoanalytic Psychology

“Dr. Schore has been a pioneer in writing about integrative neurobiological models of development . . . . [T]he text is of great value to anyone interested in the theoretical basis underlying attachment and affect regulation. Of particular interest to psychotherapists is that the book explores how psychotherapists’ neurobiology may be altered as a function of the practice of psychotherapy. . . . [O]f value to teachers who want to integrate important findings about current neuroscience into psychotherapy training. Any clinician who believes in the centrality of developmental processes regarding the understanding of adult patients will be riveted by the descriptions of the interdisciplinary data that support our theories of attachment and emotion regulation. . . . I recommend that all psychiatrists become conversant with Dr. Shore’s work.
” — Journal of Clinical Psychiatry

“One would be hard pressed to find another book so extensively filled with an up-to-date and extensive review of contemporary studies on the affective and neuroscience literature related to psychotherapy and psychoanalysis as this. This work will likely be a major reference source for those interested in understanding the brain-mind-body relationships, particularly in the two-person model, focused on the dissociative process, and the autonomic nervous system concomitants.” — Journal of Analytical Psychology

“I would recommend The Science of the Art of Psychotherapy to child psychiatry/psychology fellows, psychoanalysts, family therapists, . . . neuroscience majors, psychology students at all levels of training, and any student of attachment therapy.
” — Journal of Psychiatric Practice

“[S]chore's contribution continues to be invaluable. He voraciously digests the hard science on our behalf, and shows us over and over again that the evidence is there, and that this really matters.
” — Therapy Today

“Geared towards psychotherapists and scientists, this collection of the latest applicable research and advances in clinical practice creates an enriching centrality between these two realms in the mental health profession.
” — Somatic Psychotherapy Today

“Readers familiar with Schore’s previous work will recognize his rigorous and wide-ranging scholarship. This book, like its predecessors, is a thoroughly researched, extensively referenced integration of varied literatures. . . . [T]his is a foundational book, providing a scientific and theoretical basis for scholars and researchers in modern attachment theory, affective neuroscience, and neuropsychiatry.
” — Art Therapy

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