A compelling true story of one woman's battle with the aftermath of childhood trauma, which gives a gripping account of the often controversial and misunderstood condition of dissociative identity disorder (DID), formerly known as multiple personality disorder (MPD). This emotional but ultimately uplifting journey details the unforeseen twists and turns of the effects of therapy and how it can help in coming to terms with the past and its unsettling echoes in the present. Heartwarming and lucid, it's an inspiring tale for all to read. Through its clinical rigour, professional therapists will also gain insight into the various treatment options for DID, including the innovative use of energy therapy. The book contains 32 colour illustrations, including 24 drawings by The Girls. The star of this book is an extraordinary, bright-spirited, and entertaining six-year-old girl, called Little Vivvi, who experienced shocking abuse from members of her family. Yet Little Vivvi lives within Vivian, a middle-aged woman who has struggled with DID for many years. The challenging process of psychotherapy is laid bare, as Little Vivvi wrestles with overwhelming memories of childhood abuse. Alongside talking therapy, energy treatment, which she calls Wooshing, is utilised to astonishing effect, becoming the enigmatic ingredient that finally enables Little Vivvi to find relief from the distress and fear that had dominated her existence. As therapy seems to draw to a close, Izzy appears. A very sensitive, thoughtful and mature eight-year-old, Izzy too needs love, support and treatment to speak about her trauma. After overcoming her understandable distrust, Izzy enables an exceptional ending to the therapeutic journey, far beyond anything Vivian and her therapist, Gill, could have dreamed. Little Vivvi and Izzy will make you want to laugh out loud as well as cry. Their story teaches so much about suffering, dissociation and survival. Their aim is to enlighten, inspire and offer hope to others through reading their incredible tales, which reveal the astonishing power of The Girls within.

'...a fully grown man utterly broken by what he had experienced, physically and mentally exhausted with physical evidence showing the overt signs of the abuse he had been through.' This is how Kate Garbers met Riso, a man who had been trafficked and in forced labour for months, with no way out. Modern slavery is far closer than we think. Yet it is largely unseen and unknown to most of us - a crime against humanity hidden in plain sight. In this revealing expose, Kate Garbers shares moving stories of survivors she has met and shares insights she has gained through over a decade of anti-slavery work. Survivor stories are complemented by a forensic account of how modern slavery works and the many forms it can take - from forced labour to organ harvesting - and how it is enabled to continue by our current laws and systems. Unseen Lives also provides a vision of hope for those looking to challenge and dismantle modern slavery, laying out what changes we need to make as individuals and as a society in order to effectively tackle modern slavery and improve the support of survivors.

Trauma surgery has increasingly become a specialized field inspired by different principles and philosophy. A good trauma surgeon is a surgeon who knows how to perform abdominal, vascular, thoracic, urologic, gynecologic, and orthopaedic procedures and is able to repair multiple traumatic injuries in the best sequence possible. In this second volume the focus is exclusively on thoracic and abdominal trauma, with coverage of injuries to all regions. The surgical techniques employed in managing such trauma are carefully described with the aid of high-quality illustrations. Exploratory surgery (via either laparotomy or laparoscopy), damage control surgery, and definitive surgery are all fully covered, and attention is drawn to important technical tips and tricks. The volume will be a handy pocket guide for trainee surgeons who are beginning to deal with severe multiple trauma patients, as well as for all general or specialty surgeons and professionals (including scrub nurses and theatre staff) who are involved in trauma care and wish to keep abreast of developments in this complex field. Also available: Trauma Surgery Vol. 1: Trauma Management, Trauma Critical Care, Orthopaedic Trauma and Neuro-Trauma

Trauma surgery has increasingly become a specialized field inspired by different principles and philosophy. A good trauma surgeon is a surgeon who knows how to perform abdominal vascular, thoracic, urologic, gynecologic, and orthopaedic procedures and is able to repair multiple traumatic injuries in the best sequence possible. In this first volume, practical, up-to-date guidance is provided on the optimal critical care and ICU management of trauma patients. In addition, individual chapters focus on specific injuries in orthopaedic trauma (and especially spinal trauma) and neurotrauma, with the aim of providing a fresh view of the surgical approach and practical suggestions for improving the skills of treating surgeons. Educational issues and the organization of a trauma center are also covered.

The volume will be a handy pocket guide for trainee surgeons and any surgeon, physician, or nurse who treats trauma patients. It will be particularly relevant for emergency department physicians, critical care and ICU doctors, orthopaedic surgeons, neurosurgeons, and professionals responsible for trauma care and decision making, programs of trauma education, or organization of a trauma center.

Also available: "Trauma Surgery" Vol. 2: Thoracic and Abdominal Trauma

At the Sixth Wiggers Bernard Conference, a group of scientists from various disciplines discussed new findings relating to nitric oxide synthase inhibitor in shock, sepsis, and organ failure. Dedicated to the presentation and discussion of both positive and negative findings related to the use of NOS inhibitors, the meeting served as a forum for issues relating to specific and non-specific inhibitors, as well as the role of nitric oxide-oxygen radical interactions. Both experimental and clinical data were presented in the trauma and sepsis field.

How are people and communities able to prevail despite challenge? What helps them bounce back from adversity and even grow in knowledge and understanding? And can this resilience be taught? During the past decade, exciting scientific advances have shed light on how resilience operates from neurons to neighborhoods. In The Resilience Handbook, experts in the science of resilience draw on human and animal research to describe the process of resilience and follow its course as it unfolds both within individuals and in social networks. Contributors also highlight the promise of new interventions that apply what we know about resilience processes to bolster positive health, and raise some of the pressing questions and issues for the field as it matures. This handbook is designed to be used by students as an invitation to a burgeoning field; by researchers, as a framework for advancing theories, hypotheses, and empirical tests of resilience functions; and by clinicians, as a comprehensive and up-to-the-minute integration of theory and practice.

Mental health professionals who don't specialize in trauma practice are discovering more and more frequently that trauma survivors represent a high percentage of their client population. "Trauma 101" is a concise, current, balanced, and accessible overview of one of the most pervasive, yet controversial psychological issues faced today. It is grounded in the most up-to-date research and theories on trauma and its effects, and covers not only the concepts of what trauma is and the ways in which different kinds of traumas affects people, but also considers how it is diagnosed in the wake of the DSM-V and is treated with both evidence-based and alternative methods.

Written by a leading researcher and clinician in the field, the book is an entry-level text for students. It is illustrated with first-person accounts from trauma survivors and encompasses theories, diagnosis, and treatment as well as how trauma affects family members and caregivers. The text also addresses the potential health consequences of trauma and illuminates controversies in the field and such emerging topics as post-traumatic growth, multiple trauma, and how traumatic events affect communities.

Key Features: Provides a comprehensive yet concise overview of trauma for entry-level students Considers theoretical frameworks for understanding trauma and its impact on physical and mental health Addresses diagnosis, treatment and controversial and emerging topics Covers post-traumatic growth, multiple trauma, evidence-based treatments and alternative treatments Includes plentiful firsthand accounts of trauma survivors

Promoting Resilience offers a fresh perspective that views resilience through a sociological lens, emphasizing the significance of loss issues and highlighting a range of practice implications across a wide range of fields. Drawing on the expertise of a wide range of contributors, the book provides a solid foundation for developing a fuller and more holistic picture of the many challenges associated with promoting resilience. Chapters present a range of sociological perspectives that cast light on trauma and vulnerability. Combining theoretical richness with practical insights, chapter authors bring a sociological lens to enrich understanding of loss and adversity. This volume offers a bedrock of understanding for students, clinicians, and researchers who want to extend and deepen their knowledge of the sociological aspects of overcoming life challenges.

Trauma, Guilt and Reparation identifies the emotional barriers faced by people who have experienced severe trauma, as well as the emergence of reparative processes which pave the way from impasse to development. The book explores the issue of trauma with particular reference to issues of reparation and guilt. Referencing the original work of Klein and others, it examines how feelings of persistent guilt work to foil attempts at reparation, locking trauma deep within the psyche. It provides a theoretical understanding of the interplay between feelings of neediness with those of fear, wrath, shame and guilt, and offers a route for patients to experience the mourning and forgiveness necessary to come to terms with their own trauma. The book includes a Foreword by John Steiner. Illustrated by clinical examples throughout, it is written by an author whose empathy and experience make him an expert in the field. The book will be of great interest to psychotherapists, social workers and any professional working with traumatized individuals.

This book is a unique compilation of essays about the genocidal persecution fuelling the Nazi regime in World War II. Written by world-renowned experts in the field, it confronts a vitally important and exceedingly difficult topic with sensitivity, courage, and wisdom, furthering our understanding of the Holocaust/Shoah psychoanalytically, historically, and through the arts. Authors from four continents offer their perspectives, clinical experiences, findings, and personal narratives on such subjects as resilience, remembrance, giving testimony, aging, and mourning. There is an emphasis on the intergenerational transmission of trauma of both the victims and the perpetrators, with chapters looking at the question of "evil", comparative studies, prevention, and the misuse of the Holocaust. Those chapters relating to therapy address the specific issues of the survivors, including the second and third generation, through psychoanalysis as well as other modalities, whilst the section on creativity and the arts looks at film, theater, poetry, opera, and writing. The aftermath of the Holocaust demanded that psychoanalysis re-examine the importance of psychic trauma; those who first studied this darkest chapter in human history successfully challenged the long-held assumption that psychical reality was essentially the only reality to be considered. As a result, contemporary thought about trauma, dissociation, self psychology, and relational psychology were greatly influenced by these pioneers, whose ideas have evolved since then. This long-awaited text is the definitive update and elaboration of their original contributions.

Trauma Surgery provides an illustrative, instructive, and comprehensive review that depicts the rationale of basic operative principles essential to surgical therapy in the trauma patient. The chapters provide pertinent, and concise, summaries of how to deal with the trauma patient, from initial evaluation to a closer look at the various organ systems that may need oeprated on. Thermal injury is also addressed. Stages of operative approaches with relevant technical considerations are outlined in a straigtforward manner, and complications are reviewed when appropriate for the organ system and problem. The text is illustrated throughout by line drawings and photographs that depict anatomic or technical principles. A concise, handbook-sized reference work, this book is a valuable resource for all general surgeons and residents in training.

The authenticity of memories of childhood sexual abuse has become one of the major social controversies of the 1990's. As persons who report histories of abuse have sought remedies in civil and criminal proceedings in the courts,the accuracy of their memories--particularly when they have been recalled after a period of time--has been subject to intense scrutiny. This volume brings together many of the leading participants in the debate. Beginning by defining opposing positions, the contributors offer a variety of perspectives on the nature of the memory, including reviews of some of the most exciting recent developments in this fast-moving area of investigation. Next, consideration is given to the impact of trauma on memory, both in adults and in children. With this framework in place, the authors then turn to an examination of the variety of treatment approaches available to help patients who have been victims of trauma and who are struggling with memories of those events. Finally, they address the legal dilemmas for patients, mental health professionals, and society as a whole that have arisen from the trauma and memory controversy. As a whole, this book provides an unparalleled examination of this important and intriguing issue.

In the Handbook of Injury and Violence Prevention, over fifty experts present the current landscape of intervention methods - from risk reduction to rethinking social norms - as they address some of the most prevalent forms of accidental and violent injury.

- Overview chapters examine the social and economic scope of unintentional and violent injury today

- Extensive literature review of specific intervention programs to prevent violence and injury

- Special chapters on childhood injuries, alcohol-related accidents, and disasters

- "Interventions in the Field" section offers solid guidelines for implementing and improving existing programs

- Critical analysis of issues involved in delivering programs to wider audiences

- Helpful appendices list relevant agencies and professional resources

This dual focus on intervention and application makes the Handbook a bedrock text for professionals involved in delivering or managing prevention programs. Its what-works-now approach gives it particular utility in the graduate classroom, and researchers will benefit from the critical attention paid to knowledge gaps in the field. It is a major resource for any reader committed to reducing the number of incidents just waiting to happen.

Raw and radical, strange and beguiling - a love letter to Britain's breathtaking flatlands, from Orford Ness to Orkney, and a reckoning with the painful, hidden histories they contain 'Noreen Masud fathoms the depths of flat landscapes - sharp, subtle and very moving' Robert Macfarlane 'Haunting and generous, beautifully written - this book is a gift' Preti Taneja 'A Flat Place reminds us that there is hope in the smallest of gestures' Sara Ahmed Noreen Masud has always loved flatlands. Her earliest memory is of a wide, flat field glimpsed from the back seat of her father's car in Lahore. As an adult in Britain she has discovered many more flat landscapes to love: Orford Ness, the Cambridgeshire Fens, Morecambe Bay, Orkney. These bare, haunted expanses remind her of the flat place inside herself: the place created by trauma. Noreen suffers from complex post-traumatic stress disorder: the product of a profoundly disrupted and unstable childhood. It flattens her emotions, blanks out parts of her memory, and colours her world with anxiety. Undertaking a pilgrimage around Britain's flatlands, seeking solace and belonging, she weaves her impressions of the natural world with poetry, folklore and history, and with recollections of her own early life. Noreen's British-Pakistani heritage makes her a partial outsider in these landscapes: both coloniser and colonised, inheritor and dispossessed. Here violence lies beneath the fantasy of pastoral innocence, and histories of harm are interwoven with nature's power to heal. Here, as in her own family history, are many stories that resist the telling. She pursues these paradoxes fearlessly across the flat, haunted spaces she loves, offering a startlingly strange, vivid and intimate account of the land beneath her feet.

Forced Migration and Social Trauma addresses the topic of social trauma and migration by bringing together a broad range of interdisciplinary and international contributors, comprising refugee care practitioners, trauma researchers, sociologists and specialists in public policy from all along the Balkan refugee route into Europe. It gives the essence of a moderated dialogue between psychologists and psychoanalysts, sociologists, public policy and refugee care experts. Migration is connected to social trauma and cannot be handled without being aware of this context. The way refugees are treated in the transit or target countries is often determined by the socio-traumatic history of these countries. Social trauma can be collectively committed and perpetuated, leaving transgenerational traces in posttraumatic and attachment disorders, uprootedness and loss of social and political confidence. Media and cultural artefacts like press, TV and the internet influence collective coping as well as traumatic perpetuation. This book shows how xenophobia in the refugee receiving or transit countries can be caused by projection rather than by experience, and that the way refugees are received and regarded in a country may be connected to the country's cultural-traumatic history. Refugees, who are often individually and collectively traumatised, experience multiple re-enactments; however, such retraumatisations between refugees and receiving populations or institutions often remain unaddressed. The split between welcoming and hostile attitudes sometimes leads to unconscious institutional defences, such as lack of cooperation between medical, psychotherapeutic, humanitarian and legal institutions. An interdisciplinary and international exchange on migration and social trauma is necessary on all levels - this book gives convincing examples of this dialogue. Forced Migration and Social Trauma will be of great interest to all who are involved in the modern issues of refuge and migration.

International terrorism remains a significant threat to the peace of the world. Weapons using various materials and delivery systems have been directed against cities and infrastructure, and other materials are postulated to be usable within the near future. Some of these materials are unusual or exotic, while some are modifications of materials used daily for other purposes: biological, chemical, radiological, nuclear and explosive. These materials pose a safety challenge for first responders, slowing the response and potentially killing scarce trained personnel. This book provides information about how leading agencies across the NATO membership are preparing to confront and respond to terrorists deploying Weapons of Mass Destruction (WMD), Weapons of Mass Killing (WMK) and Weapons of Mass Disruption (WMDi). Based on contributions by experts from NATO member states, Israel and the Russian Federation, this book offers information on fourth generation warfare as a new challenge to first responders. It also provides a variety of insights into methods for preparing for and responding to WMD-, WMK-, and WMDi-events, using new technologies and strategies. Furthermore, the book offers solution for restoring the community to functioning after such a major terror attack. Topics include preparing, planning, operations, equipment, training and unique applications of existing technologies for countering terrorist attacks against cities and their infrastructure.

Treating PTSD presents a comprehensive, compassion-focused cognitive behavioral therapy (CBT) approach that provides therapists with the evidence-based information they need to understand trauma's effects on the mind and body as well as the phases of healing. Chapters offer discussion, practical tools, and interventions that therapists can use with clients suffering from post-traumatic stress disorder (PTSD) to reduce feelings of distress and increase their sense of safety. Readers are introduced to the metaphor of "the valley of the shadow of death" to explain the experience of PTSD; they're also shown how to identify the work they'll need to do as therapists to accompany clients on their healing journey. Two new compassion-focused CBT interventions for trauma processing are also introduced.

PTSD is more usually considered as an adult disorder: this volume concentrates on children and adolescents. The introductory chapters are followed by a chapter on assessment and several chapters on treatment. The issues of clinical management in some of the important ecological contexts such as family and school, and aetiological contexts such as refugee status and child abuse, are discussed in further detail. Then a variety of treatment approaches are clearly described. The book is aimed at teachers, practitioners and researchers in child psychiatry, clinical child psychology, educational psychology, social work, paediatrics, and occupational therapy.

Based on original interviews of 22 Muslim-American women of South Asian descent on the topics of honor and honor killings, this book examines honor and culture, and their intersections with power, tradition, gender, family, and religion. Additionally, it incorporates an autoethnographic approach describing the author's journey to Pakistan to create a personal narrative throughout. This volume offers a unique perspective that allows for informed exploration and description of Muslim-American women's attitudes and beliefs surrounding the practice of killing women and girls in order to regain family honor.

Military psychology has become one of the world's fastest-growing disciplines with ever-emerging new applications of research and development. The Routledge International Handbook of Military Psychology and Mental Health is a compendium of chapters by internationally renowned scholars in the field, bringing forth the state of the art in the theory, practice and future prospects of military psychology. This uniquely interdisciplinary volume deliberates upon the current issues and applications of military psychology not only within the military organization and the discipline of psychology, but also in the larger context of its role of building a better world. Split into three parts dedicated to specific themes, the first part of the book, "Military Psychology: The Roots and the Journey," provides an overview of the evolution of the discipline over the years, delving into concepts as varied as culture and cognition in the military, a perspective on the role of military psychology in future warfare and ethical issues. The second part, "Soldiering: Deployment and Beyond," considers the complexities involved in soldiering in view of the changing nature of warfare, generating a focal discourse on various aspects of military leadership, soldier resilience and post-traumatic growth in the face of extreme situations, bravery and character strengths and transitioning to civilian life. In the final section, "Making a Choice: Mental Health Issues and Prospects in the Military," the contributors focus on the challenges and practices involved in maintaining the mental health of the soldier, covering issues ranging from stress, mental health and well-being, through to suicide risk and its prevention, intervention and management strategies, moral injury and post-traumatic stress disorder. Incorporating enlightening contributions of eminent scholars from around the world, the volume is a comprehensive repository of current perspectives and future directions in the domain of military psychology. It will prove a valuable resource for mental health practitioners, military leaders, policy-makers and academics and students across a range of disciplines.

Soon after losing her own daughter in a tragic accident, Hon returns to her childhood home in the Korean countryside after many years away. Her father, a cattle farmer, is elderly and requires her care. He is withdrawn, kind but awkward around his own daughter. As time passes however, Hon realises that her father is far more complex than she ever realised. The discovery of a chest of letters and conversations with his family and friends help Hon piece together the tumultuous story of his life. She learns of her father's experiences during the Korean War and the violence of the 19th April Revolution; of a love affair and involvement in a religious sect; of his sacrifice and heroism and of the phantoms that haunt him. As she unravels secret after secret, Hon grows closer to her father, realising that his lifelong kindness belies a past wrought in both private and national trauma. More than just the portrait of one man, I Went to See My Father opens a window onto humankind, family, loss and war. It asks us to look at the ones we love, uncover the secrets they keep, and finally see who they really are. Flawlessly rendered by award-winning translator Anton Hur, Kyung-Sook Shin has crafted a novel both affectionate and epic, joyous and lasting.

Who were the shell shocked soldiers of the First World War? How did the warfare they experienced, the military discipline they often endured, the medical treatment they encountered shape their post-war lives? Peter Leese's Shell Shock, now published for the first time in paperback, narrates their stories to demonstrate the wider implications of shell shock. In its origins, shell shock in the Great War tells us about the new industrial technologies and mentalities of modernity. In its after-life, shell shock helps us understand the histories of violence, trauma and memory through the twentieth and into the twenty-first century.

Trauma in the Creative and Embodied Therapies is a cross-professional book looking at current approaches to working therapeutically and socially with trauma in a creative and embodied way. The book pays attention to different kinds of trauma - environmental, sociopolitical, early relational, abuse in its many forms, and the trauma of illness - with contributions from international experts, drawn from the fields of the arts therapies, the embodied psychotherapies, as well as nature-based therapy and Playback Theatre. The book is divided into three sections: the first section takes into consideration the wider sociopolitical perspective of trauma and the power of community engagement. In the second section, there are numerous clinical approaches to working with trauma, whether with individuals or groups, highlighting the importance of creative and embodied approaches. In the third section, the focus shifts from client work to the impact of trauma on the practitioner, team, and supervisor, and the importance of creative self-care and reflection in managing this challenging field. This book will be useful for all those working in the field of trauma, whether as clinicians, artists, or social workers.

This accessible guide explores how our brains react to stress and offers a fresh perspective on how we define "trauma." Probing how the words we use can influence our understanding of distress, this text focuses on expanding awareness of excess stress and reducing judgment of its potential impact on relationships and day-to-day life. Helpfully split into three parts, the book introduces the terms "cortisprinkled," "cortisaturated," and "cortisoaked" and provides a rationale for why these states of brain occur. The role of culture and society are highlighted, and an in-depth focus on coping and offering support to others is presented. Whether caused by sexual assault, social rejection, abuse, the taboo of sexuality, disadvantaged status, or other difficulties, chapters detail specific coping skills and step-by-step strategies to deal with a variety of stress responses. Advice is offered on reconnecting with sexuality, phrasing difficult questions, and ways to offer validation, with concrete recommendations on incorporating healthier practices into everyday life. Both metaphor and real-world vignettes are interwoven throughout, making Redefining Trauma an essential and understandable resource for therapists and their clients, parents and support givers, and anyone looking to develop practical, informed methods for dealing with stress and trauma and reclaim life with intention.

The Oxford Handbook of Orthopaedics and Trauma offers junior doctors, medical students, and all those with an interest in the field the practical and up-to-date information needed for clinical practice. It presents the essentials of orthopaedics and trauma in a concise and user-friendly style for use with patients, in the operating room, and in tutorials. As well as covering the basic principles and conditions of both adult and paediatric orthopaedics and trauma, it also contains a comprehensive overview of anatomy and surgery. Helpful illustrations and diagrams guide the reader, aiding the understanding of movements and anatomical relationships, which are of particular importance in establishing a diagnosis. Information is extensively referenced with further reading materials, providing a structured basis in for all levels of training. Emergency topics are highlighted for quick access and the appendix provides information on common drugs in orthopaedics and trauma, as well as fracture diagrams. The book is clearly laid out, and written in an easily readable note-based style. Blank pages are included for the reader, so that notes, observations, and local protocols can be included, thereby individualising the Handbook. Written by trainees and qualified surgeons, the Oxford Handbook of Orthopaedics and Trauma is an accessible and informative tool for all junior doctors and students in the field.