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Trauma and the 12 Steps, Revised and Expanded: An Inclusive Guide to Enhancing Recovery

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An inclusive, research-based guide to working the 12 steps: a trauma-informed approach for clinicians, sponsors, and those in recovery.

Step 1: You admit that you're powerless over your addiction. Now what?

12-step programs like Alcoholics Anonymous (AA) and Narcotics Anonymous (NA) have helped countless people on the path to recovery. But many still feel that 12-step programs aren't for them: that the spiritual emphasis is too narrow, the modality too old-school, the setting too triggering, or the space too exclusive. Some struggle with an addict label that can eclipse the histories, traumas, and experiences that feed into addiction, or dismisses the effects of adverse experiences like trauma in the first place. Advances in addiction medicine, trauma, neuropsychiatry, social theory, and overall strides in inclusivity need to be integrated into modern-day 12-step programs to reflect the latest research and what it means to live with an addiction today.

Dr. Jamie Marich, an addiction and trauma clinician in recovery herself, builds necessary bridges between the 12-step's core foundations and up-to-date developments in trauma-informed care. Foregrounding the intersections of addiction, trauma, identity, and systems of oppression, Marich's approach treats the whole person—not just the addiction—to foster healing, transformation, and growth.

Written for clinicians, therapists, sponsors, and those in recovery, Marich provides an extensive toolkit of trauma-informed skills that:
  • Explains how trauma impacts addiction, recovery, and relapse
  • Celebrates communities who may feel excluded from the program, like atheists, agnostics, and LGBTQ+ folks
  • Welcomes outside help from the fields of trauma, dissociation, mindfulness, and addiction research
  • Explains the differences between being trauma-informed and trauma-sensitive; and
  • Discusses spiritual abuse as a legitimate form of trauma that can profoundly impede spirituality-based approaches to healing.

ISBN-13: 9781623174682

Media Type: Paperback

Publisher: North Atlantic Books

Publication Date: 07-07-2020

Pages: 288

Product Dimensions: 5.90(w) x 8.90(h) x 0.80(d)

JAMIE MARICH, Ph.D., LPCC-S, LICDC-CS, travels internationally speaking on EMDR therapy, trauma, addiction, expressive arts, and mindfulness while maintaining a private practice in Warren, OH. She is the developer of the Dancing Mindfulness practice and co-creator of the Yoga Unchained approach to trauma-informed yoga. Marich is the author of seven books, including the popular EMDR Made Simple and EMDR Therapy and Mindfulness for Trauma Focused Care, written in collaboration with Dr. Stephen Dansiger. Her newest title, Process Not Perfection: Expressive Arts Solutions for Trauma Recovery, released in April 2019.

Table of Contents

Foreword xv

Acknowledgments xvii

Introduction 1

Chapter 1 The Problem with the "They're Just Addicts" Mentality 5

Chapter 2 There Is a Solution 15

Chapter 3 Trauma and Dissociation 101 23

Chapter 4 What Twelve-Step Recovery Can Offer Traumatized Individuals 51

Chapter 5 Where Twelve-Step Recovery Can (and Often Does) Go Wrong 71

Chapter 6 Working with Others in a Trauma-Sensitive Manner 97

Chapter 7 Bring Your Butt, the Rest Will Follow-The Importance of Honoring the Body in Addiction Recovery 117

Chapter 8 It's the Relationship that Heals 147

Chapter 9 Best Practices for Building Recovery Capital 163

Chapter 10 Strategies for Reprocessing and Reintegration 177

Chapter 11 Respect for Change-Trauma-Sensitive Recovery in a Diverse World 203

Chapter 12 Embracing Spiritual Diversity 219

Appendix: Handouts and Resources 229

Further Reading 241

Notes 249

Index 253

About the Author 269