Treating Adult Survivors of Childhood Emotional Abuse and Neglect Component-Based Psychotherapy


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Grounded in 40 years of clinical practice and research, this book provides a systematic yet flexible evidence-informed framework for treating adult survivors of complex trauma, particularly those exposed to chronic emotional abuse or neglect. Component-based psychotherapy (CBP) addresses four primary treatment components that can be tailored to each clients unique needs–relationship, regulation, dissociative parts, and narrative. Vivid extended case examples illustrate CBP intervention strategies and bring to life both the clients and therapists internal experiences.

The appendix features a reproducible multipage clinician self-assessment tool that can be downloaded and printed in a convenient 8 1/2″ x 11″ size.


  • Foreword, Bessel A. van der Kolk
  • Introduction, Christine A. Courtois
  • I. Overview and Background
  • 1. Component-Based Psychotherapy with Adult Survivors of Emotional Abuse and Neglect, with Hilary B. Hodgdon
  • 2. Into the Abyss: A Series of Moments in the Clinical Process for Client and Therapist
  • II. The Component-Based Psychotherapy Model
  • 3. Client and Therapist Relational Patterns and Contextual Factors, with Margaret E. Blaustein
  • 4. Reaching across the Abyss: A Relational Approach
  • 5. Regulation of Complex Trauma
  • 6. Regulating on the Brink of the Abyss
  • 7. Fragmentation of Self and Dissociative Parts
  • 8. Working with Dissociative Parts in the Depths of the Abyss
  • 9. Constructing a Narrative, Constructing a Self, with Jodie Wigren
  • 10. Transcending the Abyss: Life Narrative and Identity Development
  • III. The Component-Based Psychotherapy Model Integration: Out of the Abyss
  • 11. Tailoring Treatment with CBP: Individualized Adaptations and Effective Pacing
  • 12. Applications of CBP: Revisiting David and Nicole
  • Appendix. Component-Based Psychotherapy: Clinician Self-Assessment, Jana Pressley

Author Bio:

Elizabeth K. Hopper, PhD, is a clinical psychologist with a specialization in traumatic stress.

Frances K. Grossman, PhD, ABPP, is a senior supervisor and member of the training faculty at the Trauma Center at Justice Resource Institute in Brookline, Massachusetts

Joseph Spinazzola, PhD, a clinical psychologist in private practice, was a clinician, researcher, clinical supervisor, and national trainer for the Trauma Center in Brookline, Massachusetts

Marla Zucker, PhD, CMPC, is a clinical psychologist and certified sport psychologist in private practice in Brookline, Massachusetts.