Sensorimotor Psychotherapy: Interventions for Trauma and Attachment


Author: Pat Ogden,Janina Fisher
Publisher: W. W. Norton & Company
ISBN: 0393708500
Category: Psychology
Page: 768
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A book for clinicians and clients to use together that explains key concepts of body psychotherapy. The body’s intelligence is largely an untapped resource in psychotherapy, yet the story told by the “somatic narrative”-- gesture, posture, prosody, facial expressions, eye gaze, and movement -- is arguably more significant than the story told by the words. The language of the body communicates implicit meanings and reveals the legacy of trauma and of early or forgotten dynamics with attachment figures. To omit the body as a target of therapeutic action is an unfortunate oversight that deprives clients of a vital avenue of self-knowledge and change. Written for therapists and clients to explore together in therapy, this book is a practical guide to the language of the body. It begins with a section that orients therapists and clients to the volume and how to use it, followed by an overview of the role of the brain and the use of mindfulness. The last three sections are organized according to a phase approach to therapy, focusing first on developing personal resources, particularly somatic ones; second on utilizing a bottom-up, somatic approach to memory; and third on exploring the impact of attachment on procedural learning, emotional biases, and cognitive distortions. Each chapter is accompanied by a guide to help therapists apply the chapter’s teachings in clinical practice and by worksheets to help clients integrate the material on a personal level. The concepts, interventions, and worksheets introduced in this book are designed as an adjunct to, and in support of, other methods of treatment rather than as a stand-alone treatment or manualized approach. By drawing on the therapeutic relationship and adjusting interventions to the particular needs of each client, thoughtful attention to what is being spoken beneath the words through the body can heighten the intimacy of the therapist/client journey and help change take place more easily in the hidden recesses of the self.

The Body as Resource

A Therapist's Manual for Sensorimotor Psychotherapy
Author: Pat Ogden,Janina Fisher
Publisher: W. W. Norton
ISBN: 9780393706130
Category: Psychology
Page: 304
View: 6025

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Instructions for using sensorimotor psychotherapy in your own practice. This practical manual will help therapists integrate sensorimotor psychotherapy—a technique that promotes safe and gradual reconnection with the body—into their work with individuals, groups, families, and couples suffering from complex trauma.

Coping with Trauma-Related Dissociation: Skills Training for Patients and Therapists (Norton Series on Interpersonal Neurobiology)


Author: Suzette Boon,Kathy Steele,Onno van der Hart
Publisher: W. W. Norton & Company
ISBN: 039370646X
Category: Psychology
Page: 470
View: 4763

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This is the first book to offer structured skills training for those suffering from dissociative disorders as a result of trauma. Boone, Steele, and van der Hart draw upon a practical integration of current and important theories and therapies for trauma and dissociation. They offer a helpful combination of short educational pieces, homework sheets, and exercises that promote essential emotional and life skills in individuals who suffer from dissociation, and which can be used in either group or individual treatment.

Body Sense: The Science and Practice of Embodied Self-Awareness (Norton Series on Interpersonal Neurobiology)


Author: Alan Fogel
Publisher: W. W. Norton
ISBN: 0393708667
Category: Psychology
Page: 416
View: 9546

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The science and practice of feeling our movements, sensations, and emotions. When we are first born, before we can speak or use language to express ourselves, we use our physical sensations, our “body sense,” to guide us toward what makes us feel safe and fulfilled and away from what makes us feel bad. As we develop into adults, it becomes easy to lose touch with these crucial mind-body communication channels, but they are essential to our ability to navigate social interactions and deal with psychological stress, physical injury, and trauma. Combining a ground-up explanation of the anatomical and neurological sources of embodied self-awareness with practical exercises in touch and movement, Body Sense provides therapists and their clients with the tools to attain mind-body equilibrium and cultivate healthy body sense throughout their lives.

Trauma and the Body: A Sensorimotor Approach to Psychotherapy (Norton Series on Interpersonal Neurobiology)


Author: Kekuni Minton,Pat Ogden,Clare Pain
Publisher: W. W. Norton & Company
ISBN: 0393075850
Category: Psychology
Page: 320
View: 6150

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The body, for a host of reasons, has been left out of the "talking cure." Psychotherapists who have been trained in models of psychodynamic, psychoanalytic, or cognitive therapeutic approaches are skilled at listening to the language and affect of the client. They track the clients' associations, fantasies, and signs of psychic conflict, distress, and defenses. Yet while the majority of therapists are trained to notice the appearance and even the movements of the client's body, thoughtful engagement with the client's embodied experience has remained peripheral to traditional therapeutic interventions. Trauma and the Body is a detailed review of research in neuroscience, trauma, dissociation, and attachment theory that points to the need for an integrative mind-body approach to trauma. The premise of this book is that, by adding body-oriented interventions to their repertoire, traditionally trained therapists can increase the depth and efficacy of their clinical work. Sensorimotor psychotherapy is an approach that builds on traditional psychotherapeutic understanding but includes the body as central in the therapeutic field of awareness, using observational skills, theories, and interventions not usually practiced in psychodynamic psychotherapy. By synthesizing bottom-up and top down interventions, the authors combine the best of both worlds to help chronically traumatized clients find resolution and meaning in their lives and develop a new, somatically integrated sense of self. Topics addressed include: Cognitive, emotional, and sensorimotor dimensions of information processing • modulating arousal • dyadic regulation and the body • the orienting response • defensive subsystems • adaptation and action systems • treatment principles • skills for working with the body in present time • developing somatic resources for stabilization • processing

Affect Regulation Theory: A Clinical Model


Author: Daniel Hill
Publisher: W. W. Norton & Company
ISBN: 0393711323
Category: Psychology
Page: 208
View: 4268

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The rich, complex theory of affect regulation boiled down into a clinically useful guide. Affect regulation theory—the science of how humans regulate their emotions—is at the root of all psychotherapies. Drawing on attachment, developmental trauma, implicit processes, and neurobiology, major theorists from Allan Schore to Daniel Stern have argued how and why regulated affect is key to our optimal functioning. This book translates the intricacies of the theory into a cogent clinical synthesis. With clarity and practicality, Hill decodes the massive body of contemporary research on affect regulation, offering a comprehensible and ready-to-implement model for conducting affect regulation therapy. The book is organized around the four domains of a clinical model: (1) a theory of bodymind; (2) a theory of optimal development of affect regulation in secure attachment relationships; (3) a theory of pathogenesis, in which disordered affect regulation originates in relational trauma and insecure attachment relationships; and (4) a theory of therapeutic actions targeted to repair the affect regulating systems. The key themes of Hill’s affect-focused approach include: how and why different patterns of affect regulation develop; how regulatory patterns are transmitted from caretakers to the infants; what adaptive and maladaptive regulatory patterns look like neurobiologically, psychologically, and relationally; how deficits in affect regulation manifest as psychiatric symptoms and personality disorders; and ultimately, the means by which regulatory deficits can be repaired. Specific chapters explore such subjects as self states, mentalization, classical and modern attachment theory, relational trauma (and its manifestations in chronic dissociation, personality disorders, and pervasive dissociated shame), supporting self-development in therapy, patient–therapist attunement, implicit and explicit therapeutic actions, and many more.

Healing the Fragmented Selves of Trauma Survivors

Overcoming Internal Self-Alienation
Author: Janina Fisher
Publisher: Taylor & Francis
ISBN: 1134613016
Category: Psychology
Page: 280
View: 4372

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Healing the Fragmented Selves of Trauma Survivors integrates a neurobiologically informed understanding of trauma, dissociation, and attachment with a practical approach to treatment, all communicated in straightforward language accessible to both client and therapist. Readers will be exposed to a model that emphasizes "resolution"—a transformation in the relationship to one’s self, replacing shame, self-loathing, and assumptions of guilt with compassionate acceptance. Its unique interventions have been adapted from a number of cutting-edge therapeutic approaches, including Sensorimotor Psychotherapy, Internal Family Systems, mindfulness-based therapies, and clinical hypnosis. Readers will close the pages of Healing the Fragmented Selves of Trauma Survivors with a solid grasp of therapeutic approaches to traumatic attachment, working with undiagnosed dissociative symptoms and disorders, integrating "right brain-to-right brain" treatment methods, and much more. Most of all, they will come away with tools for helping clients create an internal sense of safety and compassionate connection to even their most dis-owned selves.

Treating Trauma-Related Dissociation: A Practical, Integrative Approach (Norton Series on Interpersonal Neurobiology)


Author: Kathy Steele,Suzette Boon,Onno van der Hart
Publisher: W. W. Norton & Company
ISBN: 039371263X
Category: Psychology
Page: 560
View: 7033

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Winner of the 2017 International Society for the Study of Trauma and Dissociation (ISSTD) Pierre Janet Writing Award. Establishing safety and working with dissociative parts in complex trauma therapy. Therapists around the world ask similar questions and struggle with similar challenges treating highly dissociative patients. This book arose not only out of countless hours of treating patients with dissociative disorders, but also out of the crucible of supervision and consultation, where therapists bring their most urgent questions, needs, and vulnerabilities. The book offers an overview of the neuropsychology of dissociation as a disorder of non-realization, as well as chapters on assessment, prognosis, case formulation, treatment planning, and treatment phases and goals, based on best practices. The authors describe what to focus on first in a complex therapy, and how to do it; how to help patients establish both internal and external safety without rescuing; how to work systematically with dissociative parts of a patient in ways that facilitate integration rather than further dissociation; how to set and maintain helpful boundaries; specific ways to stay focused on process instead of content; how to deal compassionately and effectively with disorganized attachment and dependency on the therapist; how to help patients integrate traumatic memories; what to do when the patient is enraged, chronically ashamed, avoidant, or unable to trust the therapist; and how to compassionately understand and work with resistances as a co-creation of both patient and therapist. Relational ways of being with the patient are the backbone of treatment, and are themselves essential therapeutic interventions. As such, the book also focused not only on highly practical and theoretically sound interventions, not only on what to do and say, but places strong emphasis on how to be with patients, describing innovative, compassionately collaborative approaches based on the latest research on attachment and evolutionary psychology. Throughout the book, core concepts—fundamental ideas that are highlighted in the text in bold so they can be seen at a glance—are emphasized. These serve as guiding principles in treatment as well as a summing-up of many of the most important notions in each chapter. Each chapter concludes with a section for further examination. These sections include additional ideas and questions, exercises for practicing skills, and suggestions for peer discussions based on topics in a particular chapter, meant to inspire further curiosity, discovery, and growth.

The Haunted Self

Structural Dissociation and the Treatment of Chronic Traumatization
Author: Onno van der Hart,Ellert R. S. Nijenhuis,Kathy Steele
Publisher: W. W. Norton & Company
ISBN: 9780393704013
Category: Psychology
Page: 418
View: 2110

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They typically have a wide array of symptoms, often classified under different combinations of comorbidity, which can make assessment and treatment complicated and confusing for the therapist. Many patients have substantial problems with daily living and relationships, including serious intrapsychic conflicts and maladaptive coping strategies. Their suffering essentially relates to a terrifying and painful past that haunts them. Even when survivors attempt to hide their distress beneath a facade of normality—a common strategy—therapists often feel besieged by their many symptoms and serious pain. Small wonder that many survivors of chronic traumatization have seen several therapists with little if any gains, and that quite a few have been labeled as untreatable or resistant. In this book, three leading researchers and clinicians share what they have learned from treating and studying chronically traumatized individuals across more than 65 years of collective experience. Based on the theory of structural dissociation of the personality in combination with a Janetian psychology of action, the authors have developed a model of phase-oriented treatment that focuses on the identification and treatment of structural dissociation and related maladaptive mental and behavioral actions. The foundation of this approach is to support patients in learning more effective mental and behavioral actions that will enable them to become more adaptive in life and to resolve their structural dissociation. This principle implies an overall therapeutic goal of raising the integrative capacity, in order to cope with the demands of daily life and deal with the haunting remnants of the past, with the “unfinished business” of traumatic memories. Of interest to clinicians, students of clinical psychology and psychiatry, as well as to researchers, all those interested in adult survivors of chronic child abuse and neglect will find helpful insights and tools that may make the treatment more effective and efficient, and more tolerable for the suffering patient.

Talking Bodies

How do we Integrate Working with the Body in Psychotherapy from an Attachment and Relational Perspective?
Author: Kate White
Publisher: Routledge
ISBN: 0429919816
Category: Psychology
Page: 176
View: 3267

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This monograph brings together the presentations from the nineteenth John Bowlby Memorial Conference in 2012, organised by The Bowlby Centre. The aim of this was to explore the growing role of the body in relational psychotherapy over the last decade, and to bring us up to date in thinking about the relationship between attachment, the body and trauma. Questions addressed included: How do we anchor the new understandings we are gaining within the framework of attachment? How might the integration of these ideas about the body change what we do in the consulting room? What impact might this have on the therapy relationship? Can we maintain and respect the place of a secure, attuned attachment between therapist and client, and its healing potential, at the centre of our therapeutic work?Pat Ogden's paper "Wisdom of the Body, Lost and Found" was the conference centrepiece and there are contributions from leading clinicians including Roz Carroll, Mark Linington, and Orit Badouk Epstein. Each in their different ways have brought their clinical experiences to life in their presentations and demonstrated this leading edge work in relation to the themes of the body and touch with clients including those so often regarded as "unsuitable for therapy", namely those who have a physical or learning disability or those who have survived extreme trauma through the painful means of psychic protection resulting in dissociative states of mind.Other contributors include Phil Mollon on "Attachment and Energy Psychology" and Nick Totton on "Embodiment and the Social Bond".

Healing Developmental Trauma

How Early Trauma Affects Self-Regulation, Self-Image, and the Capacity for Relationship
Author: Laurence Heller, Ph.D.,Aline LaPierre, Psy.D.
Publisher: North Atlantic Books
ISBN: 1583945113
Category: Psychology
Page: 320
View: 2389

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Written for those working to heal developmental trauma and seeking new tools for self-awareness and growth, this book focuses on conflicts surrounding the capacity for connection. Explaining that an impaired capacity for connection to self and to others and the ensuing diminished aliveness are the hidden dimensions that underlie most psychological and many physiological problems, clinicians Laurence Heller and Aline LaPierre introduce the NeuroAffective Relational Model® (NARM), a unified approach to developmental, attachment, and shock trauma that, while not ignoring a person’s past, emphasizes working in the present moment. NARM is a somatically based psychotherapy that helps bring into awareness the parts of self that are disorganized and dysfunctional without making the regressed, dysfunctional elements the primary theme of the therapy. It emphasizes a person’s strengths, capacities, resources, and resiliency and is a powerful tool for working with both nervous system regulation and distortions of identity such as low self-esteem, shame, and chronic self-judgment.

Loving with the Brain in Mind: Neurobiology and Couple Therapy (Norton Series on Interpersonal Neurobiology)


Author: Mona DeKoven Fishbane,Daniel J. Siegel
Publisher: W. W. Norton & Company
ISBN: 0393706532
Category: Psychology
Page: 304
View: 5226

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Facilitating change in couple therapy by understanding how the brain works to maintain—and break—old habits. Human brains and behavior are shaped by genetic predispositions and early experience. But we are not doomed by our genes or our past. Neuroscientific discoveries of the last decade have provided an optimistic and revolutionary view of adult brain function: People can change. This revelation about neuroplasticity offers hope to therapists and to couples seeking to improve their relationship. Loving With the Brain in Mind explores ways to help couples become proactive in revitalizing their relationship. It offers an in-depth understanding of the heartbreaking dynamics in unhappy couples and the healthy dynamics of couples who are flourishing. Sharing her extensive clinical experience and an integrative perspective informed by neuroscience and relationship science, Mona Fishbane gives us insight into the neurobiology underlying couples’ dances of reactivity. Readers will learn how partners become reactive and emotionally dysregulated with each other, and what is going on in their brains when they do. Clear and compelling discussions are included of the neurobiology of empathy and how empathy and selfregulation can be learned. Understanding neurobiology, explains Fishbane, can transform your clinical practice with couples and help you hone effective therapeutic interventions. This book aims to empower therapists— and the couples they treat—as they work to change interpersonal dynamics that drive them apart. Understanding how the brain works can inform the therapist’s theory of relationships, development, and change. And therapists can offer clients “neuroeducation” about their own reactivity and relationship distress and their potential for personal and relational growth. A gifted clinician and a particularly talented neuroscience writer, Dr. Fishbane presents complex material in an understandable and engaging manner. By anchoring her work in clinical cases, she never loses sight of the people behind the science.

Mindfulness-Based Cognitive Therapy for Anxious Children

A Manual for Treating Childhood Anxiety
Author: Randye J. Semple,Jennifer Lee
Publisher: New Harbinger Publications
ISBN: 9781608825325
Category: Psychology
Page: 394
View: 5964

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Mindfulness-Based Cognitive Therapy for Anxious Children offers a complete professional treatment program designed to help children ages nine through twelve who struggle with anxiety. This twelve-session protocol can be used to treat anxious children in group or individual therapy. The poems, stories, session summaries, and home practice activities on the enclosed CD-ROM supplement child therapy sessions and parent meetings to illuminate mindful awareness concepts and practices. In twelve simple sessions, children will learn new ways to relate to anxious thoughts and feelings and develop the ability to respond to life events with greater awareness and confidence. Help children manage the symptoms of all types of anxiety: •Panic disorder •Agoraphobia •Obsessive-compulsive disorder •Post-traumatic stress disorder •Generalized anxiety disorder •Social phobia •Specific phobias •Separation anxiety disorder •School refusal

Trauma Practice

Tools for Stabilization and Recovery
Author: Anna Baranowsky,J. Eric Gentry
Publisher: Hogrefe Publishing
ISBN: 1616764716
Category: Psychology
Page: 217
View: 1613

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An essential reference and tool-kit for treating trauma survivors – now updated and even more comprehensive. Trauma Practice, now in its 3rd edition, is back by popular demand! Filled with new resources, this book based on the tri-phasic trauma treatment model is a guide for both seasoned trauma therapists and newer mental health professionals seeking practical approaches that work. Clearly written and detailed, Trauma Practice provides the reader with an array of techniques, protocols and interventions for effectively helping trauma survivors. This book will help you address the (cognitive, behavioral, body-oriented, and emotional/ relational) aftermath of trauma using impactful care approaches. In addition to presenting the foundations of CBT trauma treatment, the authors also provide step-bystep explanations of many popular and effective CBT techniques developed through the lens of phased trauma therapy. Interventions include Trigger List Development, 3-6 Breath Training, Layering, Systematic Desensitization, Exposure Therapy, Story-Telling Approaches, as well as new approaches inspired by recent research on neuroplasticity such as Picture Positive, Corrective Messages from Old Storylines, and Thematic Map.Completely new sections are devoted to forward-facing trauma therapy, and clinician self-care. This is a manual that you will find useful everyday in your trauma practice.

Awakening the Dreamer

Clinical Journeys
Author: Philip M. Bromberg
Publisher: Routledge
ISBN: 1134914970
Category: Psychology
Page: 240
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In Awakening the Dreamer: Clinical Journeys, Philip Bromberg continues the illuminating explorations into dissociation and clinical process begun in Standing in the Spaces (1998). Bromberg is among our most gifted clinical writers, especially in his unique ability to record peripheral variations in relatedness - those subtle, split-second changes that capture the powerful workings of dissociation and chart the changing self-states that analyst and patient bring to the moment. For Bromberg, a model of mind premised on the centrality of self-states and dissociation not only offers the optimal lens for comprehending and interpreting clinical data; it also provides maximum leverage for achieving true intersubjective relatedness. And this manner of looking at clinical data offers the best vantage point for integrating psychoanalytic experience with the burgeoning findings of contemporary neuroscience, cognitive and developmental psychology, and attachment research. Dreams are approached not as texts in need of deciphering but as means of contacting genuine but not yet fully conscious self-states. From here, he explores how the patient's "dreamer" and the analyst's "dreamer" can come together to turn the "real" into the "really real" of mutative therapeutic dialogue. The "difficult," frequently traumatized patient is newly appraised in terms of tensions within the therapeutic dyad. And then there is the "haunted" patient who carries a sense of preordained doom through years of otherwise productive work - until the analyst can finally feel the patient's doom as his or her own. Laced with Bromberg's characteristic honesty, humor, and thoughtfulness, these essays elegantly attest to the mind's reliance on dissociation, in both normal and pathological variants, in the ongoing effort to maintain self-organization. Awakening the Dreamer, no less than Standing in the Spaces, is destined to become a permanent part of the literature on therapeutic process and change.

Relational and Body-Centered Practices for Healing Trauma

Lifting the Burdens of the Past
Author: Sharon Stanley
Publisher: Routledge
ISBN: 1317432894
Category: Psychology
Page: 236
View: 380

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Relational and Body-Centered Practices for Healing Trauma provides psychotherapists and other helping professionals with a new body-based clinical model for the treatment of trauma. This model synthesizes emerging neurobiological and attachment research with somatic, embodied healing practices. Tested with hundreds of practitioners in courses for more than a decade, the principles and practices presented here empower helping professionals to effectively treat people with trauma while experiencing a sense of mutuality and personal growth themselves.

Psychoanalytic Energy Psychotherapy


Author: Phil Mollon
Publisher: Routledge
ISBN: 0429917910
Category: Psychology
Page: 520
View: 2687

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People like to talk. We know that talking to an attentive and thoughtful listener can be helpful in clarifying conscious and unconscious feelings, thoughts, and motivations. But is talk enough? The complex physiology of anxiety and traumatic stress reactions is often stubbornly persistent, despite therapeutic exploration in both conscious and unconscious areas of the mind. In the case of severe trauma, talking can stir up the emotions and associated bodily disturbance without providing any resolution - sometimes leaving clients feeling worse. The developing field of energy psychology offers an entirely new perspective and gamut of techniques for locating where these traumatic patterns are encoded. They are not in the mind - but in the energy system at the interface of psyche and soma. By addressing these realms concurrently, a powerful therapeutic synergy emerges that allows rapid and deep shifts in the patterns of distress that drive the psychosomatic system. Psychoanalytic Energy Psychotherapy PEP provides a window into the deep sources and structures of emotional currents that flow through the mind. From the energetic vantage point, we can survey the parts, the multiple levels, and the hidden programmes of the psychosomatic system. We have access to realms that are not available through the psyche alone. The author has bridged the diverse fields of "thought field therapy" energy psychology and psychoanalysis to provide a novel overview that is both practical and theoretical.

Hakomi Mindfulness-Centered Somatic Psychotherapy: A Comprehensive Guide to Theory and Practice


Author: Halko Weiss,Greg Johanson,Lorena Monda
Publisher: W. W. Norton & Company
ISBN: 0393710734
Category: Psychology
Page: 432
View: 8085

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The authoritative text on Hakomi methods, theory, and practice. Hakomi is an integrative method that combines Western psychology and body-centered techniques with mindfulness principles from Eastern psychology. This book, written and edited by members of the Hakomi Institute— the world’s leading professional training program for Hakomi practitioners—and by practitioners and teachers from across the globe, introduces all the processes and practices that therapists need in order to begin to use this method with clients. The authors detail Hakomi's unique integration of body psychotherapy, mindfulness, and the Eastern philosophical principle of non-violence, grounding leading-edge therapeutic technique in an attentiveness to the whole person and their capacity for transformation.