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Internal Family Systems Therapy for Shame and Guilt

Rich in clinical examples, this book offers a fresh perspective on the roles of shame and guilt in psychological distress and presents a step-by-step framework for treatment. Martha Sweezy explains how the principles of Internal Family Systems (IFS) therapy are ideally suited to helping trauma survivors and other clients who struggle with debilitating shame to understand and heal psychic parts wounded in childhood. Annotated case illustrations show and explain IFS techniques in action. Other useful features include boxed therapeutic exercises, decision trees, and pointers to help therapists avoid or overcome common pitfalls.

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An Excerpt From Internal Family Systems Therapy for Shame and Guilt

What do I want for my clients? First, I take their parts seriously, and I want them to know it. I aim to be open to all their parts. Then, I want their parts to entertain the idea that meeting the Self could be safe and beneficial. I trust they know that bad things can happen and that people, including caretakers, can be cruel, sadistic, violent, selfish, and annihilating. Just ask a child which stories they love. Harry Potter? The Golden Compass? Some gruesome fairy tale? Children can bear bad things happening, but they don’t know how to bear the idea that they are bad. When a child accepts global condemnation of their worth, they’re doomed to go on and expend a preponderance of their psychic energy justifying and trying to validate their existence. Adults who come to therapy are still doing this—or their parts are doing it. (Page 39)

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REVIEWS

Shame and guilt are integral to the experience of complex trauma and are among the effects most resistant to change. This volume is particularly pertinent for therapists who want to interrupt intergenerational cycles of trauma that are often fueled by shame and guilt. Whether or not the reader has a background in IFS, this book convincingly makes the case for the relevance and power of this approach. I am already finding it extremely useful in my practice with trauma survivors, and am excited to learn even more about this system of thought.

Pamela C. Alexander, PhD

Private practice, Sherborn, Massachusetts

IFS is a compelling model that is capturing the imagination of therapists around the world, especially for the treatment of trauma. IFS is simple and elegant, but there is an art to its application. Sweezy is an artist who explains why and how she applies each brushstroke. With remarkable clarity and sophistication, the author untangles the inner dynamics of shame and guilt, and shows how to address a client’s unmet needs compassionately in therapy. This book is generous and deep—no reader will be left untouched.

Christopher Germer, PhD

Co-Founder, Center for Mindful Self-Compassion

This landmark book takes a deep dive into a central topic for all psychotherapists—how to address the pernicious effects of shame and inappropriate guilt on a person’s sense of self, psychological functioning, and interpersonal behavior. Sweezy applies IFS theory and practice in exquisite detail, with illuminating clinical vignettes. Her approach is novel and refreshingly non-pathologizing and compassionate. The book shows how to help clients come to view their harsh internal voices as their best attempts to protect the vulnerable core Self, and learn to forge a path of reconciliation among these parts and the Self. This is a complex, nuanced process requiring close attention and creativity on the part of the therapist, but Sweezy provides a clear map with which to traverse this emotionally fraught territory.

Peter Fraenkel, PhD

Department of Psychology, The City College of the City University of New York

This book is a welcome, inspiring guide for all therapists who have struggled with the limitations of pathologizing DSM-based approaches to psychotherapy, in which the therapist is expected to have ‘the answers.’ Based on her deep experience with IFS, Sweezy wisely focuses on symptom domains such as shame or guilt, rather than on specific disorders. The book reminds us that the answers reside within each individual, and gives powerful examples of how IFS allows individuals to discover their own paths to healing.

Michael Mithoefer, MD

Senior Medical Director for Medical Affairs, Training, and Supervision, MAPS Public Benefit Corporation