RC552.P67B7495

Includes bibliographical references (p. 233-262) and index

Introduction PART I: TRAUMA, EFFECTS, AND ASSESSMENT 1. What is trauma? Major types of trauma The problem of combined and cumulative traumas 2. The effects of trauma What makes trauma responses more likely, more intense, or more complicated?. . Types of posttraumatic responses 3. Assessing trauma and posttraumatic outcomes Assessment in the clinical interview Psychological tests PART II: CLINICAL INTERVENTIONS 4. Central issues in trauma treatment A basic philosophy of trauma, recovery, and growth Central treatment principles Gender issues Cultural issues Therapist countertransference Psychoeducation Handouts and other media General focus Constraints 6. Distress reduction and affect regulation training Dealing with acute intrusion - Grounding Intervening in chronic affect dysregulatio 7. Cognitive interventions Cognitive reconsideration Cognitive processing Developing a coherent narrative Cognitive changes arising from non-overwhelming emotional activation during treatment Insight 8. Emotional processing Reexperiencing as trauma processing The therapeutic window Constraints on trauma processing The components of trauma processing. . Processing ?hot spots.? Emotional processing and substance abuse: Suggested modifications Emotional processing from another perspective: A note on EMDR Sequence and session-level structure 9. Increasing relational functioning and other self-capacities Relational disturbance Identity problems 10. Treating the effects of acute trauma . . . Acute traumatic stress. . . . Brief review of the acute trauma intervention literature Intervention strategies 11. Biology and psychopharmacology of trauma The psychobiology of trauma Principles of trauma psychopharmacology Medications for PTSD Antipsychotics for trauma-related psychosis Sleep medications Medication, pregnancy, and lactation 12. Conclusions Endnotes References Appendix 1: The Brief Interview for Posttraumatic Disorders (BIPD) Appendix 2: The Initial Trauma Review (ITR) Appendix 3: Breath Training Protocol Index

"This is a phenomenal compilation of clinical, biological, neuropsychiatric, and psychotherapeutic information on the subject of trauma. The authors move from the very basic subject of "what trauma is" to the most complicated subjects of etiology and intervention. The usefulness of the book is greatly enhanced by the many case examples. This is a major contribution, both for those who treat and for theoreticians.... a must for every clinician!" --Marcia Goin, MD, PhD, Psychoanalyst; Past-president, American Psychiatric Association; Professor of Clinical Psychiatry, Keck School of Medicine, University of Southern California, Los Angeles, CA Principles of Trauma Therapy provides a creative synthesis of cognitive-behavioral, relational/psychodynamic, and psychopharmacologic approaches to the "real world" treatment of acute and chronic posttraumatic states. Grounded in empirically-supported trauma treatment techniques, and adapted to the complexities of actual clinical practice, it is a hands-on resource for both front-line clinicians in public mental health and those in private practice. Trauma-related disturbance can be complex, requiring careful assessment and multimodal, symptom-focused treatment. This book describes assessment approaches and specific interventions not only for the cognitive and emotional processing of trauma memories, but also for the treatment of problems related to affect dysregulation, identity/self-disturbance, cognitive distortions, negative relational schema, and avoidance responses such as substance abuse, dissociation, and tension-reduction behavior. A special chapter on trauma psychopharmacology, accessible to both prescribing and nonprescribing clinicians, outlines the indications and limitations of psychoactive medication in the treatment of trauma survivors. Written by trauma researcher and clinician John Briere, Ph.D., and medical director of the USC Psychological Trauma Clinic, Catherine Scott, M.D., this book articulates a nonpathologizing, phenomenological perspective on trauma and recovery - one that emphasizes both specific therapeutic techniques and the general, but critical, role of the therapeutic relationship. Intended Audience: This is an essential resource for practicing clinicians interested in the area of trauma. It also serves as an ideal supplemental text for graduate students studying psychotherapy, clinical psychology, and traumatic stress in the fields of Psychology, Psychiatry, and Social Work.