When the Body Is the Target

In this comprehensive and insightful work, Dr. Sharon K. Farber provides an invaluable resource for the mental health professional who is struggling to understand self-harm and its origins. Using attachment theory to explain how addictive connections to pain and suffering develop, she discusses various kinds and functions of self-harm behavior. From eating disorders to body modifications such as tattooing, Dr. Farber explores the language of self-harm, and the translation of that language and its psychic functions in the therapeutic setting. She tells us, 'When the body weeps tears of blood, we need to wonder what terrible sorrows cannot be spoken.' Brilliantly illustrated with rich clinical material, this book offers a practical approach to the diagnosis, assessment, and treatment of the increasing number of patients whose emotions are expressed through bodily harm. The challenges of working with patients who tend to view the world of relationships in terms of predator and prey are clearly explicated and the stormy countertransference responses that threaten to destroy the treatment are given a full hearing. Finally, she shows how the attachment relationship formed in treatment can repair the traumatic attachment in mind, body, psyche, and soul, and can serve as the cornerstone of therapeutic change. A Jason Aronson Book

Sharon Klayman Farber, Ph.D., is a Board Certified Diplomate in clinical social work practice in Hastings-on-Hudson, New York. Dr. Farber earned her Ph.D. in clinical social work from New York University, and trained at the Institute for the Study of Psychotherapy and privately in psychoanalysis and child treatment. She is the founder of Mothertalk, a parent guidance group, and Westchester Eating Disorders Consultation Services. In addition to teaching, writing, and supervising, she maintains a general practice with specializations in child and adolescent treatment and treatment of people with eating and other psychosomatic disorders.

Part 1 The Borderland of Self-Harm
Chapter 2 The Mystery of Self-Harm: Concepts and Paradoxes
Chapter 3 How Common Is Self-Harm?
Chapter 4 Not Wanting to Know about Self-Harm: Trauma, Violence, and Chronic Mental Illness
Part 5 Neglect, Violence, and Traumatic Attachments
Chapter 6 Suffering and Self-Harm: Treating Oneself as the Other Dehumanization of the Other and Violent Suffering
Chapter 7 How Attachments Go Haywire
Chapter 8 The Psyche-Soma and Traumatic Attachments to Pain and Suffering
Chapter 9 Survival and Sacrifice: When the Prey Becomes the Predator
Chapter 10 Trauma, Duality, and the Transformation from Prey to Predator
Part 11 The Body Speaks
Chapter 12 The Body Speaks That Which Cannot Be Spoken
Chapter 13 Self-Harm, Gender, and Perversion
Chapter 14 The Addiction to Wanting: "Do Not Want What You Cannot Have"
Part 15 Clinical Implications
Chapter 16 The Attachment Paradigm
Chapter 17 Diagnosis, Assessment, and Core Features
Chapter 18 Using Attachment Theory in Therapy of Self-Harm Patients
Chapter 19 Transference, Countertransference, and Enactments
Chapter 20 From Self-Harm to Self-Reflection