What to do when treatment becomes trauma Of increasing concern to all health professionals is the mental and emotional trauma that can result from adverse medical experiences ranging from life-threatening events to even routine medical procedures. This groundbreaking book is the first to conceptualize the psychological aspects of medical trauma and provide mental health and health care professionals with models they can use to intervene when treatment becomes trauma. The book delivers systems-level strategies for supporting patients and their families who experience distress in the medical setting or as a result of life-threatening or life-altering diagnoses and procedures. Reflecting the growing trend toward interprofessional practice and training in health care and initiatives toward patient-centered care, the book also describes models that promote the seamless integration of mental health professionals into the health care team. The book reflects the PPACA mandate to integrate mental health services into health care in order to both ensure the psychological and emotional well-being of patients and to provide support and guidance to health care professionals. Using an inclusive model of medical trauma, the book examines the effects and complexity of the trauma experience within the medical setting; addresses patient, medical staff, and procedural risk factors regarding specific level 1, 2, and 3 traumas; discusses the effects of environment and medical staff interactions; and covers intervention and prevention. The book also highlights examples of health care systems and organizations that have successfully applied innovative ideas for treating the whole person. Extensive case studies addressing the three levels of medical trauma illustrate its effects and how they could have been better managed. Key Features: Addresses psychological trauma resulting from adverse medical experiences the first book to do so Provides effective models for addressing trauma in health care based on maternal health protocols from NCSWH Includes effective new models, protocols, and best practices for all mental health and health care professionals Presents extensive case examples of three levels of medical trauma Disseminates valuable resources and screening and measurement tools

Using Neuroscience in Trauma Therapy provides a basic overview of structure and function of the brain and nervous system, with special emphasis on changes that occur when the brain is exposed to trauma. The book presents a unique and integrative approach that blends soma and psyche beyond the purview of traditional talk therapy and introduces a variety of trauma-informed approaches for promoting resilience. Each chapter includes case studies, examples, and practical and adaptable tools, making Using Neuroscience in Trauma Therapy a go-to guide for information on applying lessons from neuroscience to therapy.

This book re-assesses director Jean Renoir's work between his departure from France in 1940 and his death in 1979, and contributes to the debate over how the medium of film registers the impact of trauma. The 1930s ended in catastrophe for both for Renoir and for France: La Regle du jeu was a critical and commercial disaster on its release in July 1939 and in 1940 France was occupied by Germany. Even so, Renoir continued to innovate and experiment with his post-war work, yet the thirteen films he made between 1941 and 1969, constituting nearly half of his work in sound cinema, have been sorely neglected in the study of his work. With detailed readings of the these films and four novels produced by Renoir in his last four decades, Davis explores the direct and indirect ways in which film, and Renoir's films in particular, depict the aftermath of violence.

Psychosis and the Traumatised Self explores what it is like to experience psychosis for individuals with histories of childhood physical and sexual abuse. The book additionally explores how meaning expressed in psychosis might originate from the effects of abuse, but also long-term life difficulties, motivations, memories, social history, and struggles to narrate and understand. One chapter focuses on refugees who suffered trauma as adults and later became psychotic. Another chapter examines how trauma leads to the destruction of certainty and trust, thereby opening a pathway to persecutory ideas. Drawing on a developmental model of trauma, it is proposed that dissociated parts of the self that developed during childhood contribute to psychosis in adults when undergoing difficulties and stress. Presented with case illustrations, the book will be useful for those who work in the area of psychosis and abuse to understand the experiences of individuals, and how we might develop appropriate therapy and care.

Personalising Trauma Treatment is about helping trauma victims back to their old selves and focuses on altering the perception of the centrality of the trauma. In this book, clients are taught to rediscover their sense of self by reframing the trauma. Within this new framework the focus is on the client's mental time travel from the trauma to today and reimagining their future. The therapeutic targets are the thoughts and images (cognitions) that interfere with day-to-day functioning. It does not assume that arrested information processing lies at the heart of the development of PTSD, with a consequent need for the client to re-live the trauma. For those clients who were abused in childhood, their experiences are viewed through a particular central window, but other 'windows' may make for more appropriate engagement with their personal world and a reimagining of their view of themselves. Treatment delivery options from telephone consultation, group work and videoconferencing are discussed. With illustrative examples, the author highlights the pathway to recovery for a wide range of clients with the comorbidity often found in real-world settings. The book will be essential reading for therapists and other mental health professionals working with trauma survivors.

This volume is the first to showcase the interdisciplinary nature of Terror Management Theory, providing a detailed overview of how rich and diverse the field has become since the late 1980s, and where it is going in the future. It offers perspectives from psychology, political science, communication, health, sociology, business, marketing and cultural studies, among others, and in the process reveals how our existential ponderings permeate our behavior in almost every area of our lives. It will interest a wide range of upper-level students and researchers who want an overview of past and current TMT research and how it may be applied to their own research interests.

This volume opens up new ground in the field of social representations research by focusing on contexts involving mass violence, rather than on relatively stable societies. Representations of violence are not only symbolic, but in the first place affective and bodily, especially when it comes to traumatic experiences. Exploring the responses of researchers, educators, students and practitioners to long-term engagement with this emotionally demanding material, the book considers how empathic knowledge can make working in this field more bearable and deepen our understanding of the Holocaust, genocide, war, and mass political violence. Bringing together international contributors from a range of disciplines including anthropology, clinical psychology, history, history of ideas, religious studies, social psychology, and sociology, the book explores how scholars, students, and professionals engaged with violence deal with the inevitable emotional stresses and vicarious trauma they experience. Each chapter draws on personal histories, and many suggest new theoretical and methodological concepts to investigate emotional reactions to this material. The insights gained through these reflections can function protectively, enabling those who work in this field to handle adverse situations more effectively, and can yield valuable knowledge about violence itself, allowing researchers, teachers, and professionals to better understand their materials and collocutors. Engaging Violence: Trauma, memory, and representation will be of key value to students, scholars, psychologists, humanitarian aid workers, UN personnel, policy makers, social workers, and others who are engaged, directly or indirectly, with mass political violence, war, or genocide.

This volume is the first to showcase the interdisciplinary nature of Terror Management Theory, providing a detailed overview of how rich and diverse the field has become since the late 1980s, and where it is going in the future. It offers perspectives from psychology, political science, communication, health, sociology, business, marketing and cultural studies, among others, and in the process reveals how our existential ponderings permeate our behavior in almost every area of our lives. It will interest a wide range of upper-level students and researchers who want an overview of past and current TMT research and how it may be applied to their own research interests.

This volume provides an evidence base for clinical practice specific to traumatic brain injury (TBI) sustained during childhood, using a biological-psychosocial conceptual framework. Unlike previous books that have focused on a particular aspect of pediatric TBI, such as assessment or intervention, this book covers a broad scope of topics that offers the reader a comprehensive outlook on the characteristics and repercussions of pediatric TBI, from the time of the accident and throughout the lifespan.

The book takes a clinical perspective incorporating current and past research and evidence regarding advances that have occurred in areas such as outcomes, predictors, medical technology, and rehabilitation post-TBI. The topics are illustrated with past and current research, as well as a range of clinical case studies.

The volume is invaluable to established and new clinicians and researchers, graduate students and postdoctoral fellows who work in the field of pediatric TBI field, including psychologists, neuropsychologists, physical therapists, occupational therapists, speech therapists, nurses, social workers, psychiatrists, neurosurgeons, neurologists, geneticists, educators, pediatricians, rehabilitationists, and representatives from the legal profession.

Hallucination-focused Integrative Treatment (HIT) is a specific treatment for auditory verbal hallucinations which integrates techniques from CBT, systems therapy, psychoeducation, coping training, rehabilitation and medication. It emphasises active family involvement, crisis intervention when required and specialised motivational strategies. In clinical trials HIT has been proven to have longer lasting and wider ranging effects than other therapies, high patient satisfaction scores and a low drop-out rate. In Hallucination-focused Integrative Therapy, Jack Jenner presents a full manual for using HIT with patients. Divided into five parts, the book offers a clear and straightforward explanation of each aspect of the treatment. Part One introduces auditory verbal hallucinations in their social and historical context. Part Two explains the need for an integrative approach to treating them and sets out the eleven-step diagnostic procedure. Part Three describes the treatment in full, including motivational strategies, the constituent modules and how to integrate them, flexible implementation of a tailor-made procedure and its overall effectiveness. It also demonstrates the use of HIT with specific patient groups, including those suffering from trauma, children and adolescents, those who are suicidal and those with learning difficulties. Part Four examines other hallucination-focused therapies. Finally, Part Five covers insight-oriented psychotherapies. The book also includes several appendices of supplementary material which enhance the content. Illustrated throughout with case studies and clinical material, Hallucination-focused Integrative Therapy will be of interest to psychiatrists, psychologists, psychiatric nurses and social workers working with patients who experience auditory verbal hallucinations.

Hallucination-focused Integrative Treatment (HIT) is a specific treatment for auditory verbal hallucinations which integrates techniques from CBT, systems therapy, psychoeducation, coping training, rehabilitation and medication. It emphasises active family involvement, crisis intervention when required and specialised motivational strategies. In clinical trials HIT has been proven to have longer lasting and wider ranging effects than other therapies, high patient satisfaction scores and a low drop-out rate. In Hallucination-focused Integrative Therapy, Jack Jenner presents a full manual for using HIT with patients. Divided into five parts, the book offers a clear and straightforward explanation of each aspect of the treatment. Part One introduces auditory verbal hallucinations in their social and historical context. Part Two explains the need for an integrative approach to treating them and sets out the eleven-step diagnostic procedure. Part Three describes the treatment in full, including motivational strategies, the constituent modules and how to integrate them, flexible implementation of a tailor-made procedure and its overall effectiveness. It also demonstrates the use of HIT with specific patient groups, including those suffering from trauma, children and adolescents, those who are suicidal and those with learning difficulties. Part Four examines other hallucination-focused therapies. Finally, Part Five covers insight-oriented psychotherapies. The book also includes several appendices of supplementary material which enhance the content. Illustrated throughout with case studies and clinical material, Hallucination-focused Integrative Therapy will be of interest to psychiatrists, psychologists, psychiatric nurses and social workers working with patients who experience auditory verbal hallucinations.

When we study trauma, we see how trauma stems from relationships, but recovery also depends on them. Grounded firmly in attachment and trauma theory, this book offers ways to aid clients in self-understanding and attending to their past traumas by using shared retellings in therapy to bring recovery and growth.

Trauma-Informed Practices With Children and Adolescents is a sourcebook of practical approaches to working with children and adolescents that synthesizes research from leading trauma specialists and translates it into easy-to-implement techniques. The approaches laid out address the sensory and somatic experiences of trauma within structured formats that meet the "best practices" criteria for trauma-informed care: safety, self-regulation, trauma integration, healthy relationships, and healthy environments. Each chapter contains short excerpts, case examples, and commentary relevant to the chapter topic from recognized leaders in the field of trauma intervention with children and adolescents. In addition to this, readers will find chapters filled with easily applied activities, methods, and approaches to assessment, self-regulation, trauma integration, and resilience-building. The book's structured yet comprehensive approach provides professionals with the resources they need to help trauma victims not just survive but thrive and move from victim thinking to survivor thinking using the current best practices in the field.

Emotion-focused therapy is a research-informed psychological therapy that to date has mainly been studied in the context of depression, trauma and couple distress. The evidence suggests that this therapy has a lasting and transformative effect. Ladislav Timulak presents EFT as a particular therapeutic approach that addresses psychological human suffering, offering a view that puts more emphasis on attending to the distress, rather than avoiding or suppressing it. Focusing on the latest developments in EFT, Transforming Emotional Pain in Psychotherapy presents a theory of human suffering and a model of therapy that addresses that suffering. The model of suffering assumes that the experienced emotional pain is a response to an injury that prevents or violates the fulfilment of the basic human needs of being loved, safe, and acknowledged. This book focuses on a particular way of transforming emotional pain in psychotherapy through: helping the client to tolerate the pain; assisting the client to identify the core of the difficult emotional experiences; identifying the needs connected to the core pain which are unmet or being violated, and responding (with compassion and protective anger) to the underlying needs of the client that transforms the original pain. Transforming Emotional Pain in Psychotherapy provides an account of how emotional pain can be conceptualised and how it can be addressed in therapy. It provides practical tips for therapists working with emotional pain and shows how it can then be made more bearable and transformed allowing the client to be more sensitive to the pain of others, and to seek support when needed. This book will be essential reading for clinical and counselling psychologists, psychotherapists and counsellors in practice and training, as well as for fully qualified professionals undergoing further training in EFT.

Information and the technology to rapidly transmit, analyze, document, and disperse this information are increasing arithmetically, if not logarithmi cally. Arguably, no discipline better exemplifies this trend than medicine. It can be further argued that care of the trauma patient is one of the better examples of informatics and the potential benefit to the health profession als who care for these patients. Maull and Augenstein have provided us with a primer on informatics and its use in trauma care. The subject matter is timely and covers the gamut of trauma care from prehospital to rehabilitation. Who will benefit from trauma informatics? A simple answer would be anyone who takes care of trauma patients. From a broader perspective, however, at least three examples illustrate how trauma informatics can be used today to exert a positive effect on patient outcome. The first example is care of combat casualties, including battlefield resuscitation, evacuation, acute care, and ultimate return to the continental United States. Current technology is such that via global positioning satellite, a corpsman could transmit to a remote area the vital signs and pertinent physical findings of a combat casualty. Furthermore, the location of the corpsman and the casu alty would be precisely known, and consultation and destination disposition would be possible. The injured person, when admitted to a combat support hospital, could be continuously monitored and additional remote consulta tion obtained."

Combat Stress Injury represents a definitive collection of the most current theory, research, and practice in the area of combat and operational stress management, edited by two experts in the field. In this book, Charles Figley and Bill Nash have assembled a wide-ranging group of authors (military / nonmilitary, American / international, combat veterans / trainers, and as diverse as psychiatrists / psychologists / social workers / nurses / clergy / physiologists / military scientists). The chapters in this volume collectively demonstrate that combat stress can effectively be managed through prevention and training prior to combat, stress reduction methods during operations, and desensitization programs immediately following combat exposure.

Holographic Reprocessing (HR) is a cognitive-experiential psychotherapy based on Seymour Epstein's theory of personality, cognitive experiential self-theory (CEST). According to CEST, people have a natural adaptive system for processing information. If an emotionally distressing event is not fully processed, people may attempt to resolve the stuck point, known as emotional blockage, by unconsciously setting up situations that recreate the original experience. A reenactment can facilitate a healthy confrontation of the issue, but it is not uncommon that this reenactment serves to reinforce negative perceptions and behavioral reactions. HR gives clients an opportunity to gain a new awareness and understanding of their re-enactments, thereby facilitating a constructive reorganization of their perceptual, emotional and behavioral tendencies. The hologram is used as a model for describing a pattern of these re-enactments - as each experience is a whole experience unto itself as well as being a part of a larger whole, and each experience contains information consistent with the larger pattern. The experience is holographic, and is termed an experiential hologram. These experiential holograms are holistic, integrative, and unique in terms of existing constructs such as a schema, belief, expectation, self-fulfilling prophecy, sensitivity, or script - constructs that are largely cognitive and only part of the holographic picture. The hologram also activates an experiential reaction including affect, sensations, and associations. The model of the experiential hologram is intended to more closely explain human experience, as it is assumed that experience itself is processed in a complex array of cognitions, affective reactions, sensations and associations. Written by a clinical psychologist specializing in the trauma therapy, this volume will guide mental health professionals through the use of holographic reprocessing in their treatment of trauma victims, from sufferers of PTSD to rape victims.

Cognitive Behavioral Therapy for Preventing Suicide Attempts consolidates the accumulated knowledge and efforts of leading suicide researchers, and describes how a common, cognitive behavioral model of suicide has resulted in 50% or greater reductions in suicide attempts across clinical settings. Simple and straightforward descriptions of these techniques are provided, along with clear explanations of the interventions' rationale and scientific support. Critically, specific adaptations of these interventions designed to meet the demands and needs of diverse settings and populations are explained. The result is a practical, clinician-friendly, how-to guide that demonstrates how to effectively reduce the risk for suicide attempts in any setting.

* Provides detailed guidance on how to implement trauma-responsive educational practices for use with justice-impacted persons in a classroom setting * Meets the growing need for trauma-informed teaching skills that results from expanded offerings of post-secondary courses to correctional populations * Offers lessons gleaned from decades of experience by a master educator who has taught a spectrum of learners with high trauma burdens

First Published in 1989, Child Abuse and Neglect attempts to focus on the problem of child maltreatment by using a multidisciplinary approach. It presents findings from the fields of psychiatry, psychology, education, sociology, and social work from a broad theoretical perspective. Both micro and macro approaches are stressed in the work, with particular emphasis on social factors related to child abuse and neglect, characteristics of adults and families likely to abuse and neglect and interesting strategies of treatment including family therapy. Professionals actively involved in research and theory building, as well as those who work directly with abused and neglected children will find this book a useful form of reference.

Strengthening Family Coping Resources (SFCR) uses a skill-building, multi-family group framework to teach constructive resources to families who have a high exposure to stress and trauma. As an intervention for high-risk families, SFCR can cause a reduction in symptoms of traumatic distress and behavior problems and help families demonstrate higher functioning. The SFCR manual is based on a systemic, family approach and uses empirically-supported trauma treatment that focuses on family ritual, storytelling, and narration, which improves communication and understanding within family members. The manual is organized into three accessible parts: * Part 1 details the theoretical and empirical foundations of SFCR * Part 2 focuses on implementation and the clinical guidelines for conducting SFCR * Part 3 contains session guidelines focused on the multi-family group versions of SFCR Each session included in the intervention is structured according to specific guidelines, and instructions provide examples of what facilitators might say to a group. Formed through the input of psychiatrists, psychologists, social workers, and anthropologists, Strengthening Family Coping Resources will help you reduce the symptoms of traumatic stress disorders and increase coping resources in children, adult caregivers, and the family system. It also provides a novel approach to addressing co-occurring traumatic reactions in multiple family members by including developmentally appropriate skill-building activities that are reinforced with family practice. For anyone working with families in a therapeutic capacity, this manual is a must-have resource.

Strengthening Family Coping Resources (SFCR) uses a skill-building, multi-family group framework to teach constructive resources to families who have a high exposure to stress and trauma. As an intervention for high-risk families, SFCR can cause a reduction in symptoms of traumatic distress and behavior problems and help families demonstrate higher functioning. The SFCR manual is based on a systemic, family approach and uses empirically-supported trauma treatment that focuses on family ritual, storytelling, and narration, which improves communication and understanding within family members. The manual is organized into three accessible parts: * Part 1 details the theoretical and empirical foundations of SFCR * Part 2 focuses on implementation and the clinical guidelines for conducting SFCR * Part 3 contains session guidelines focused on the multi-family group versions of SFCR Each session included in the intervention is structured according to specific guidelines, and instructions provide examples of what facilitators might say to a group. Formed through the input of psychiatrists, psychologists, social workers, and anthropologists, Strengthening Family Coping Resources will help you reduce the symptoms of traumatic stress disorders and increase coping resources in children, adult caregivers, and the family system. It also provides a novel approach to addressing co-occurring traumatic reactions in multiple family members by including developmentally appropriate skill-building activities that are reinforced with family practice. For anyone working with families in a therapeutic capacity, this manual is a must-have resource.

Trauma-Attachment Tangle offers informative and inspiring clinical stories of children who have complex trauma and attachment issues from experiences such as adoption, hospitalization, or death of a parent. Some of these children display puzzling or extreme symptoms like prolonged tantrums, self-hatred, attacking their parents or being fearful of common things like lights, solid foods or clothing. Dr. Lovett presents strategies for unraveling the traumatic origins of children's symptoms and gives a variety of tools for treating complex trauma and for promoting attunement and attachment.

Understanding and Healing Emotional Trauma is an interdisciplinary book which explores our current understanding of the forces involved in both the creation and healing of emotional trauma. Through engaging conversations with pioneering clinicians and researchers, Daniela F. Sieff offers accessible yet substantial answers to questions such as: What is emotional trauma? What are the causes? What are its consequences? What does it mean to heal emotional trauma? and How can healing be achieved?

These questions are addressed through three interrelated perspectives: psychotherapy, neurobiology and evolution. " Psychotherapeutic perspectives" take us inside the world of the unconscious mind and body to illuminate how emotional trauma distorts our relationships with ourselves and with other people (Donald Kalsched, Bruce Lloyd, Tina Stromsted, Marion Woodman). "Neurobiological perspectives" explore how trauma impacts the systems that mediate our emotional lives and well-being (Ellert Nijenhuis, Allan Schore, Daniel Siegel). And e"volutionary perspectives" contextualise emotional trauma in terms of the legacy we have inherited from our distant ancestors (James Chisholm, Sarah Blaffer Hrdy, Randolph Nesse).

Transforming lives affected by emotional trauma is possible, but it can be a difficult process. The insights shared in these lively and informative" "conversations can support and facilitate that process.This book will therefore be a valuable resource for psychotherapists, psychologists, counsellors and other mental health professionals in practice and training, and also for members of the general public who are endeavouring to find ways through their own emotional trauma. In addition, because emotional trauma often has its roots in childhood, this book will also be of interest and value to parents, teachers and anyone concerned with the care of children."

"In Lawrence, Massachusetts, fully one-half of the population 14 years of age or over is employed in the woolen and worsted mills and cotton mills". Thus begins the federal government's Report on Strike of Textile Workers in Lawrence, Massachusetts in 1912 . This book follows up, one hundred years later. The story's retelling offers readers an exciting reexamination of just how powerful a united working class can be. The Great Lawrence Textile Strike of 1912 - the Bread and Roses Strike - was a public protest by 20,000 to 25,000 immigrant workers from several countries, prompted by a wage cut. Backed by skillful neighborhood organizing, supported by hundreds of acts of solidarity, and unified by a commitment to respect every striker's nationality and language, the walkout spread across the city's densely packed tenements. Defying the assumptions of mill owners and conservative trade unionists alike that largely female and ethnically diverse workers could not be organized, the women activists, as one mill boss described them, were full of "lots of cunning and also lots of bad temper. They're everywhere, and it's getting worse all the time." Events in Lawrence between January 11 and March 25, 1912, changed labor history. In this volume the authors tackle the strike story through new lenses and dispel assumptions that the citywide walkout was a spontaneous one led by outside agitators. They also discuss the importance of grasping the significance of events like the 1912 strike and engaging in the process of community remembrance. This book appeals to a wide constituency. Most directly, it is of great relevance to historians of labor, industrialization, immigration, and the development of cities, as well as researchers studying social movements. The story of the Bread and Roses Strike resonates strongly with social justice supporters, the women's movement, advocates for children's well-being, and anti-poverty organizations. Social studies and college-level teachers will find it a rich resource. Graduate-level students will find inspiration for further research. The Bread and Roses strike has excellent name recognition and has always had a considerable international audience.