After serving in Rwanda during the 1994 genocide and civil war, Lieutenant Colonel Stephane Grenier returned to Canada haunted by his experiences. Facing post-traumatic stress disorder and an archaic establishment, he spent ten years confronting -- and changing -- the military mental health system from within. Coining the term "Operational Stress Injury" to allow the military to see mental injury in the same light as a physical wound, Grenier founded the Operational Stress Injury Social Support program that provides help for mentally injured soldiers and veterans. Since retiring from the military in 2012, his groundbreaking approach has been adopted by civilian society. Through his social enterprise Mental Health Innovations, Grenier delivers his direct "walk the talk" method to improve mental well being in government and business.

*Essential, expert guidance for parents of kids of all ages who have been through traumatic events. *Skills and strategies for coping with trauma no matter what the source, including accidents, grief, witnessing violence, or others. *Dr. Goldberg Mintz puts clear, concise explanations; numerous examples; and age-appropriate solutions at parents' fingertips. *Strong, warm parenting is the key to healing, but Dr. Goldberg Mintz also covers indicators of prolonged PTSD and when to seek professional help.

Guest editor Lena Napolitano has assembled an expert team of authors on the topic of Trauma in the ICU. Articles will focus on: Non-compressible Torso Hemorrhage; Prediction of Massive Transfusion in Trauma; Coagulopathy of Trauma; Viscoelastic testing and Hyperfibrinolysis in Trauma; Tranexamic Update in Trauma; Optimal Reversal of Novel Anticoagulants in Trauma; Optimal Transfusion for Traumatic Hemorrhagic Shock; and more!

*Bestselling "gold standard" treatment guide, revised: 60% new material includes new chapters on current research and implementation with groups. *Renowned authors are the creators of TF-CBT, recognized as a best practice by the National Child Traumatic Stress Network and the U.S. Department of Health and Human Services. *Comprehensive and flexible: can be tailored to the unique needs of kids at varying developmental levels dealing with different types of trauma. *Updated strategies for complex trauma and other challenging scenarios reflect a decade's worth of clinical refinements. *Shows how to work collaboratively with kids and parents to build core skills needed to thrive.

This authoritative reference on complex traumatic stress disorders (CTSDs) and their assessment and treatment has now been significantly revised with more than 75% new material reflecting a decade of advances in the field. Leading experts delve into ways to understand, engage, assess, and treat adults with complex trauma histories, whose symptoms often include but may go well beyond those of posttraumatic stress disorder. The volume presents cutting-edge theory and research on CTSDs, considers diagnostic controversies, and identifies core elements of effective, culturally responsive treatment. Established and emerging therapies specifically tailored to this population are described and illustrated with vivid case examples. Other highlights are chapters on transtheoretical treatment, the crucial role of professionalism and training, and recognizing and managing vicarious traumatization. New to This Edition *Incorporates major advances in research and clinical practice. *Chapters on additional evidence-based individual treatments: prolonged exposure therapy, cognitive therapy, cognitive processing therapy, brief eclectic psychotherapy, eye movement desensitization and reprocessing therapy, narrative exposure therapy, interpersonal psychotherapy, emotion-focused therapy, and the TARGET recovery model. *Chapters on additional evidence-based group and conjoint family therapy models: attachment-based couple therapy and integrated treatment of co-occurring CTSDs and substance use disorders. *Chapters on promising treatments: treatment for structural dissociation, experiential/somatotherapy approaches, mindfulness approaches, and complementary healing therapies. See also Drs. Ford and Courtois's authored book, Treatment of Complex Trauma, which presents their own therapeutic approach for adult clients in depth, and their edited volume Treating Complex Traumatic Stress Disorders in Children and Adolescents.

Tracing the development of a new genre in contemporary American literature that was engendered in the civil rights, feminist, and ethnic empowerment struggles of the 1960s and 1970s, Bridges to Memory shows how these movements authorized African American and ethnic American women writers to reimagine the traumatic histories that form their ancestral inheritance and define their contemporary identities. Drawing on the concept of postmemory-a paradigm developed to describe the relationship that children of Holocaust survivors have to their parents' traumatic experiences-Maria Bellamy examines narrative representations of this inherited form of trauma in the work of contemporary African American and ethnic American women writers. Focusing on Gayl Jones's Corregidora, Octavia Butler's Kindred, Phyllis Alesia Perry's Stigmata, Cristina Garcia's Dreaming in Cuban, Nora Okja Keller's Comfort Woman, and Edwidge Danticat's The Dew Breaker, Bellamy shows how cultural context determines the ways in which traumatic history is remembered and transmitted to future generations. Taken together, these narratives of postmemory manifest the haunting presence of the past in the present and constitute an archive of textual witness and global relevance that builds cross-cultural understanding and ethical engagement with the suffering of others.

'A kind, tough, brave, important little story ... it will be a godsend to so many people, grown, growing and very young' - Joanna Lumley OBE I want to talk about the things that are happening to you... to us. As a little girl, Libby Moore was sexually abused by someone she should have been able to trust. Sadly, her experience is not uncommon. Many vulnerable children find themselves trapped in similarly devastating situations. Abuse leaves indelible marks; Libby lives with severe low self-esteem that has affected her relationships, career and choices into adulthood. She wishes that she could have supported and comforted her younger self, and explained that even when darkness seems all around light still exists. After... is Libby's way of reaching out and reconnecting with her younger self - and to all other survivors of child abuse. Essential and heart-breaking, with powerful and expressive illustrations by acclaimed cartoonist Tony Husband, this is a compelling and universal personal story. It will comfort and inspire anyone who has suffered childhood violence and abuse, and act as a trusted, therapeutic resource. Full of sensitivity and understanding, it takes a clear-sighted look at how trauma can affect and shape us and explains how through self-compassion we can learn to embrace life and begin to live again.

Birth ought to be a joyful experience: for some women, however, it is anything but. Women who have experienced a medical emergency during birth often find that the memory of it doesn't go away just because a healthy baby has been delivered. They experience the symptoms of post-traumatic stress disorder: flashbacks, sleeplessness, nightmares or extreme anxiety. Some go out of their way to avoid being reminded of the birth, and they may find it difficult to bond with their baby. Post-traumatic stress disorder after birth, known more simply as 'birth trauma', affects at least 10,000 women every year in England and Wales. Yet the condition is poorly misunderstood and women suffering from birth trauma often do not receive the treatment or support they need. They may be misdiagnosed as suffering from postnatal depression, and many find that friends and family, instead of being supportive, simply tell them to pull themselves together. This valuable and fascinating book by Kim Thomas, CEO of the Birth Trauma Association, explains everything you and your family and friends need to know about birth trauma: what causes it, how it affects your personal relationships, how to treat it and where to find support. Using the powerful personal stories of women who have suffered birth trauma and overcome it, this book shows that it is possible to go through this difficult experience and come out the other side. A percentage of all royalties is donated to the Birth Trauma Association. OUTSTANDING FEATURES: * Packed with information, expert advice and personal stories; * Offers practical help and support to women who have suffered birth trauma; * Easy-to-read, explains all jargon, and uses the stories of real women to illustrate the facts about birth trauma; * Includes a wealth of advice from a wide range of experts, including psychologists, midwives, lawyers and therapists; * Sympathetic and non-judgemental, this is a very valuable book for everyone affected by post-traumatic stress disorder and birth trauma. * A percentage of all royalties is donated to the Birth Trauma Association.

Management of critically-ill trauma patients presents multiple challenges that are unique to this patient population. Optimal management of the trauma patient requires establishing priorities of care, minimizing complications, and striving to return the trauma victim to the best possible functional outcome. Yet, most books devoted to trauma focus on prehospital care, the initial assessment of trauma patients, and operative management of specific injuries. Part of the Pittsburgh Critical Care Medicine series, this book will help intensivisits involved in the care of trauma patients implement best care practices for trauma victims in the intensive care unit. Chapters address issues such as: management priorities for trauma patients in the ICU, the use of monitors and drains in trauma patients, resuscitation from hemorrhagic shock, massive transfusions and coagulopathy, ventilator management of trauma patients including patients with chest trauma, as well as management ICU strategies and solutions for specific types of trauma, including traumatic brain injury, spinal cord injury, and burn management.

Every life-changing experience, be it the loss of a function, a job or a friendship, or the death of a loved one, can be excruciating. Illness can forever alter our life and our abilities. And what makes it even more challenging is that many other people might fail to understand how challenging our adjustment to "normalcy" might be. Because there is no "normal" in these experiences. How can there be? When people hear the word acceptance, they might assume that it means being OK with what happened in the past or with how things currently are. In fact, there is a difference between acceptance and "feeling good" about what happened - acceptance means allowing yourself to feel whatever emotions naturally come up in response to what you are going through. It means acknowledging the reality of the pain, even though in an ideal world, it shouldn't be that way. This therapeutic and comforting self-help guide will help you: * Give yourself the permission to grieve or process events in the way that makes sense to you * To fully experience and accept your feelings of anger, grief, frustration or anxiety * To own your truth, even if it makes others uncomfortable This essential book will teach you to understand and be able to accept the difficult moments and circumstances in your life and make room for how you feel about them. And with this kind of an acceptance, there can be healing.

Designed as a professional complement to Sarah Naish's bestselling A-Z of Therapeutic Parenting, this tried and tested resource offers practical tools for all professionals supporting therapeutic families. Based on the latest research, and with photocopiable worksheets, pro formas and charts to use with parents, these tools will help you to build supportive and stable relationships with families and reduce family breakdown. The resource is structured into three parts: 1. The Trauma Tracker Tool - designed to support the stability of the family and to predict possible incidents by providing an understanding of the presenting behaviours in the context of the child's history 2. The Developmental Foundation Planner - to help professionals to identify and address unmet developmental needs in a structured way as soon as a child is placed with a family and thereby help reduce instances of family breakdown 3. The Behaviour - Assessment of Impact and Resolution Tool (BAIRT) - which enables practitioners of most levels to engage in a step by step intervention, breaking down the most complex behaviours with a problem solving supportive process, thereby reducing the effects of blocked care and enabling engagement with parents in an honest, positive process. Simple to use, and easy to implement, these tools will enable you to create therapeutic, trauma-informed assessments, intervention and support.

The topic of trauma has been covered in many books, and there are many publications covering the use of SFBT in different settings and with varied client populations. However, the convergence of these topics has, to date, been covered only minutely. Solution-Focused Brief Therapy with Clients Managing Trauma is a comprehensive overview of how Solution Focused Brief Therapy (SFBT) can be used as a treatment approach for working with clients managing various forms of trauma. It includes an overview of SFBT's basic tenets, a description of the current research supporting SFBT as an evidence-based practice, and a comparison of how SFBT clinicians may approach trauma cases differently than clinicians from other therapeutic approaches. The bulk of the text uniquely includes chapters contributed by skilled SFBT clinicians, with differing clinical expertise, sharing their knowledge and describing their strength-based, resiliency focus of applying SFBT in different traumatic circumstances. Practitioners and even Master's/doctoral students will find this text invaluable in learning how to best help traumatized clients develop a positive future and move toward healing and health.

Franz Ruppert's book explores the different types of trauma experience, along with the bonding theories of John Bowlby and attachment work of Mary Ainsworth and others, forming a multigenerational picture of the dynamics of trauma. Experiences of trauma can be so painful as to cause a split in the personality. It is impossible for a mother or father to avoid passing something of their own traumatic experiences on to their children through the process of bonding. These are the deeper feelings, perceptions, thoughts and embodied ways of being which form the residue of the trauma. Informed by his clinical experience Franz Ruppert introduces his insights into the origins of psychological distress. He has developed a unique way of working sensitively with Constellations to reveal and resolve the hidden dynamics of past trauma.

Part of the "What Do I Do Now?" series, Cerebrovascular Disease a case-based approach to cover common and important topics in the examination, investigation, and management of stroke, embolism, thrombosis, hemorrhage, and other critical presentations of cerebrovascular disease. Each chapter provides a discussion of the diagnosis, key points to remember, and selected references for further reading. For this edition, all cases and references have been updated and new cases have been added including: Ischemic stroke in cancer, posterior reversible encephalopathy syndrome (PRES), primary angiitis of the central nervous system, symptomatic spinal vascular malformation, anoxic brain injury, and vascular dementia. Cerebrovascular Disease is an engaging collection of thought-provoking cases which clinicians can utilize when they encounter difficult patients. The volume is also a self-assessment tool that tests the reader's ability to answer the question, "What do I do now?"

Trauma, be it as a result of road traffic accident, domestic incident, deliberate violent act, or war, is a leading contributor to the global burden of disease, is a major issue for public health generally, and has significant impact on the economics of healthcare provision.

This book provides a unique and comprehensive overview of the field, covering a wide range of non-orthopaedic trauma, as well as the more prevalent musculoskeletal injuries.

After an introductory section defining the scale of the problem, the book describes the initial management and stabilization of the patient. There then follow substantial chapters on injuries to each of the major body systems and to the musculoskeletal structure. Other physical injuries, such as electrical shock and bites, are covered, before a look at trauma in special groups, including children, the elderly and in pregnant women. The final sections cover specific problems such as dealing with HIV, psychiatric trauma and sexual assault, before a chapter on rehabilitation. The book concludes with a resource section including a drugs formulary specifically for trauma and an online directory of related websites.

This is an all-encompassing textbook providing a uniquely comprehensive and international resource for members of the trauma and accident and emergency teams.

* Highly successful handbook of trauma care is now extensively revised and updated to accommodate recent advancements in emergency medicine

* New chapters on environmental emergencies, the new injury severity scoring system, mass casualty triage, biological terrorism, and new antibiotics and fracture management techniques

* A useful resource for anyone treating the trauma victim, from Emergency MDs and trauma nurses to EMTs, Physician Assistants, and medical students

An ideal companion from the authors of Trauma, 4/e, this concise pocket manual is a quick reference to the most common diseases and disorders encountered by the trauma surgeon. Through the use of diagnostic and treatment algorithms, the companion gives the surgeon fast access to the appropriate surgical procedure.

Real-life case studies are used in delivering practical advice and information on specific aspects of care delivery and risk management. The experience of the patient is the main focus, making this an invaluable text for all those involved in the trauma and recovery process.An essential text providing a team-based structure for the delivery of optimum trauma care Offers advice on how to get the best out of staff working in the unpredictable, often stressful environment of the trauma unit Features real-life case studies focusing on the experience of the patient

There are few issues more explosive than guns. "Guns don't kill people, people kill people", is an often-heard response to calls for firearm control. But are there ways to make guns safer without placing further restrictions on gun owners? Can guns be engineered to reduce the number and severity of injuries?

This book is about guns and new solutions for addressing problems they create. Trudy Karlson and Stephen Hargarten, two experts in public health and injury control, show readers how guns are products, designed to injure and kill, and how changes in the design, technology, and marketing of firearms can lead to reductions in the number of injuries and fatalities.

Just as innovations in the design and technology of motor vehicles succeeded in creating safer cars, Karlson and Hargarten describe how responsible changes to gun products can reduce the number of serious injuries and fatalities. The injury control perspective illustrates how the characteristics of guns and ammunition are associated with their ability to cause injury and death. It also provides options for how guns can be re-engineered to ensure a greater degree of safety and protection. Reducing Firearm Injury and Death teaches basic facts about guns and gun injuries, and by reframing the problem of firearms as a public health issue, offers hope for saving lives.
-- There are nearly 40,000 gun-related deaths and more than 100,000 injuries annually in the U.S.
-- The lifetime cost of all firearm injuries, fatal and nonfatal, that occurred in 1990 alone has been estimated at $20.4 billion.
-- Guns are used in approximately 65% of all youth suicides. The risk of youth suicide is 2.5 times higher if there is a gunin the house.
-- There are very few safety standards, or standards of any kind, for domestically manufactured firearms and manufacturers are under no obligation to make guns that have saftey features. By contrast, there are many safety standards for almost all other domestic and imported consumer products, including cars and most toys, including toy guns.
-- In public health, education is used to inform people about risks they face when they choose to smoke, drink alcoholic beverages, eat fatty meals, and own guns. The better we are at describing high risk situations, high risk weapons, and high risk populations for deaths and injuries from firearms, the more specific our public health strategies can be.
-- Public health education based on sound scientific information and marketed appropriately has changed eating, smoking, exercise, and drinking habits among some segements of the population. In doing so, it has also changed social behavior and provided impetus for public policy change.
-- Summarizes the problem of gun-related injuries and fatalities from a public health perspective.
-- Provides basic facts about firearm technology, wound ballistics, ammunition, and the public health implications of gun design and technology.
-- Informs public policy debate by recommending changes in gun products and the marketing of guns to reduce the likelihood of injury and death.

Aimed at physical therapists and students of rehabilitation, this series exposes the reader to today's most challenging concepts in rehabilitation in a problem-solving format. The emphasis is on clinical decision making. The intent of the series is to promote a clear grasp of concepts in clinical practice through an analytical perspective that will complement the academic or workshop presentations in the field of rehabilitation therapy.

*First book on the component-based psychotherapy (CBP) approach, in development for 40 years at the prestigious Trauma Center at Justice Resource Institute. *Addresses the impact of chronic, long-term childhood maltreatment (considered the basis of complex trauma), with a unique focus on emotional abuse and neglect. *Melds humanistic, dynamic, and interpersonal approaches to help adult clients work through sensitive issues. *Ready demand: authors have done trainings worldwide. *Notable in CBP is the attention given to the therapist's experience, offering real help for preventing burnout.

This book presents an innovative and empathic approach to working with traumatized teens. It offers strategies for getting through to high-risk adolescents and for building a strong attachment relationship that can help get development back on track. Martha B. Straus draws on extensive clinical experience as well as cutting-edge research on attachment, developmental trauma, and interpersonal neurobiology. Vivid case material shows how to engage challenging or reluctant clients, implement interventions that foster self-regulation and an integrated sense of identity, and tap into both the teen's and the therapist's moment-to-moment emotional experience. Essential topics include ways to involve parents and other caregivers in treatment.