Unlike the many works that attempt to deal with PTSD in youth by extrapolating from therapeutic work with adults, Dr. Silva has called upon leading practitioners in the area of childhood and adolescent trauma to write about their clinical practice and to consider research findings drawn from studies focusing on these younger populations. The 15 chapters gathered here address different aspects of childhood and adolescent trauma-some consider a distinct therapeutic situation (abuse and neglect), others pertain to standard clinical procedure (assessment), and still others focus on complex research issues (neurobiology and genetics of PTSD). This broad range of clinical experience as well as theoretical research makes this book Posttraumatic Stress Disorders in Children and Adolescents: Handbook an extremely useful resource for clinicians of varying backgrounds and with different therapeutic disciplines.

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.

* 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

According to the poet Elias Canetti, "All the things one has forgotten / scream for help in dreams." To the ancient Egyptians they were prophecies, and in world folklore they have often marked visitations from the dead. For Freud they were expressions of "wish fulfillment," and for Jung, symbolic representations of mythical archetypes. Although there is still much disagreement about the significance and function of dreams, they seem to serve as a barometer of current mind and body states.

In this volume, Deirdre Barrett brings together the study of dreams and the psychology of trauma. She has called on a distinguished group of psychiatrists, psychologists, and social workers--among them Rosalind Cartwright, Robert J. Lifton, and Oliver Sacks--to consider how trauma shapes dreaming and what the dreaming mind might reveal about trauma. The book focuses on catastrophic events, such as combat, political torture, natural disasters, and rape. The lasting effects of childhood trauma, such as sexual abuse or severe burns, on personality formation, the nature of memories of early trauma, and the development of defenses related to amnesia and dissociation are all considered. The book also takes up trauma and adult dreams, including Vietnam veterans and Post-Traumatic Stress Disorder, Holocaust survivors and perpetrators, rape victims, and firestorm survivors. Finally, this volume concludes with a look at the potential "traumas of normal life," such as divorce, bereavement, and life-threatening illness, and the role of dreams in working through normal grief and loss.

Taken together, these diverse perspectives illuminate the universal and the particular effects of traumatic experience. Forphysicians and clinicians, determining the etiology of nightmares offers valuable diagnostic and therapeutic insights for individual treatment. This book provides a way of juxtaposing the research in the separate fields of trauma and dreams, and learning from their discoveries.

*An innovative, research-based group treatment for a pervasive clinical problem. *The highly regarded developer of IR provides an accessible guide to the 9-session program. *Stands out by incorporating mantra meditations as well as mindfulness practices. *Complete; includes downloadable client handouts and audio recordings of guided practices.

Traumatic brain injury is the fourth most common cause of death in the developed world: in the United States alone, 75,000 to 100,000 people die of brain trauma each year, and another 70,000 to 90,000 are left permanently impaired. This book-the first comprehensive, accessible book on traumatic brain injury-explains what it is, how it is caused, and what can be done to treat, cope with, and prevent it. William Winslade presents facts about traumatic brain injury; information about its financial and emotional costs to individuals, families, and society; and key ethical and policy issues. He illustrates each aspect with dramatic case studies, including his own childhood brain injury. He explains how the brain works and how severe injuries affect it, both immediately and over the long term, pointing out how resources are often squandered on patients with poor prognoses and adequate insurance, while underinsured patients with better prognoses do not receive appropriate care. He tells about the lack of regulation in the rehabilitation industry and what federal and state legislatures are doing to correct the situation. And he offers recommendations for policy changes to lower the instances of traumatic brain injury (such as raising the minimum driving age) as well as practical steps that individuals can take to protect themselves from brain trauma.

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.

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.

THE NEW YORK TIMES BESTSELLER 'Insightful, thought-provoking and profound. I can't recommend highly enough' Sunny Singh 'A revolutionary work of beauty, brilliance, compassion and ultimately, hope' Robin DiAngelo The consequences of racism can be found in our bodies - in skin and sinew, in bone and blood. In this ground-breaking, inspiring work, therapist Resmaa Menakem examines the damage, the physical consequences of discrimination, from the perspective of body-centred psychology. He argues that until we learn to heal and overcome the generational anguish of white supremacy, we will all continue to bear its scars. My Grandmother's Hands is an extraordinary call to action for all of us to recognize that racism affects not only the mind, but also the body, and introduces an alternative view of what we can do to grow beyond our racial divides.

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.

In the post-Daubert era, forensic science disciplines are increasingly informed by robust, statistically-sound experimental research. The educational value of the well-documented case study, however, remains as important as ever. Emphasizing known contextual information, this volume serves as a case-driven guide to skeletal trauma analysis through the unique perspective of each chapter s authors. Both forensic anthropologists and pathologists contribute skeletal trauma cases covering a range of topics including child abuse, blunt force trauma, descents from height, plane crashes, sharp force trauma and dismemberment, gunshot wounds, blast trauma, and burned body interpretation. Several chapters also include a discussion of potentially confounding taphonomic influences such as animal scavenging, water immersion, burning, and extended postmortem intervals. Detailed descriptions with multiple supporting images allow the practitioner s skeletal trauma interpretation to be compared to the answer as it pertains to the known circumstances surrounding the traumatic events of each case.

This groundbreaking new book brings together policy, evidence, practice, service development and children's narrative to provide a far-reaching overview of this vulnerable and traumatised group. It combines powerfully written, moving scenarios and draws on evidence-based research to fully illustrate concepts and present practical ideas for change to interventions and services resulting in effective, sustainable practice. Theory and practice are interwoven, offering real solutions for anyone working with children. Everyone has a role and many opportunities to make a difference - at home, school and in the community. Any professional working with children will be inspired and educated by this outstanding, passionate text. The messages are universal and prove that approaches can no longer be thought of as mutually exclusive in today's complex life circumstances. 'I have learned over the last 2 to 3 years that no matter how hard life gets, there is always a way, and a very easy way, and that you should always take day by day. There might be a time when your day is bad, coz sometimes it goes wrong, but that will only change if we look for the help/support that is out there! And little steps will amaze you, how helpful they are.' SARAH PAYNE, aged 18 'Many children's stories that we will encounter are not nice, far from it; they have been brought out by abhorrent acts, and the feelings they instil are unpalatable. This is how they are meant to be. What I am seeking is connectedness and understanding, not sympathy or pity. Hearts and minds together can bring change; we desperately need both...Traumatised children's fragility and determination go hand in hand; we inevitably mirror both, as we constantly struggle to move with them from Despair to Hope.' Panos Vostanis, in the Preface

As a therapist, Gretchen Schmelzer has watched far too many people quit during treatment for trauma recovery. They find it too difficult or frightening, or they decide that it's just too late for them. Schmelzer wrote Journey Through Trauma specifically for survivors to help them understand the terrain of the healing process and stay on the path. She begins by laying out three important assumptions that support a survivor's healing: that it is possible, that it requires courage and that it cannot be done alone. Traumas that happen more than once - child abuse, sexual abuse, domestic violence, gang violence, war - are all relational traumas. They are traumas that happen inside a relationship and therefore must be healed inside a relationship, whether that relationship is with a therapist or within a group. She then guides readers through the five phases that every survivor must negotiate: Preparation, Unintegration, Identification, Integration and Consolidation. She creates a mental map of the healing process that helps survivors recognize where they are in their journey to health, see where the hard parts occur and persevere in the process of getting well. Since the cycle of healing repeated trauma is not linear, the survivor comes to understand that circling back around to a previous stage actually means progress as well as facing new challenges. Ultimately, the healing journey is one of trust, as survivors come to trust their capacity to rely on help from others and to trust themselves and the work they have done.

Addiction and trauma are two of the most common and difficult issues that people face. In this motivating book, leading expert Lisa Najavits explains the link between addiction and trauma and presents science-based self-help strategies that you can use no matter where you are in your recovery. Every chapter features inspiring words from people who have "been there," plus carefully designed reflection questions, exercises, and other practical tools. Learn how you can: *Build coping skills so that the future is better than the past. *Keep yourself safe and find support. *Set your own goals and make a plan to achieve them at your own pace. *Choose compassion over self-blame and shame. *Move toward your best self--the person you want to be. If you are a family member or friend seeking to support a loved one--or a helping professional--this book is also for you. Now in a convenient large-size format, the revised edition features added materials for professional and peer counselors. First edition title: Recovery from Trauma, Addiction, or Both. Mental health professionals, see also the author's Seeking Safety: A Treatment Manual for PTSD and Substance Abuse, which presents an evidence-based treatment approach developed specifically for PTSD and substance abuse.

A complete guide to an innovative, research-based brief treatment specifically developed for service members and veterans, this book combines clinical wisdom and in-depth knowledge of military culture. Adaptive disclosure is designed to help those struggling in the aftermath of traumatic war-zone experiences, including life threat, traumatic loss, and moral injury, the violation of closely held beliefs or codes. Detailed guidelines are provided for assessing clients and delivering individualized interventions that integrate emotion-focused experiential strategies with elements of cognitive-behavioral therapy (CBT). Reproducible handouts can be downloaded and printed in a convenient 8 1/2" x 11" size.

Forced to contend with unprecedented levels of psychological trauma during World War II, the United States military began sponsoring a series of nontheatrical films designed to educate and even rehabilitate soldiers and civilians alike. Traumatic Imprints traces the development of psychiatric and psychotherapeutic approaches to wartime trauma by the United States military, along with links to formal and narrative developments in military and civilian filmmaking. Offering close readings of a series of films alongside analysis of period scholarship in psychiatry and bolstered by research in trauma theory and documentary studies, Noah Tsika argues that trauma was foundational in postwar American culture. Examining wartime and postwar debates about the use of cinema as a vehicle for studying, publicizing, and even what has been termed "working through" war trauma, this book is an original contribution to scholarship on the military-industrial complex.

Some people heal naturally after they experience a traumatic event, but some trauma lasts and can develop into PTSD, with symptoms like depression, anxiety, panic, flashbacks, difficulty sleeping, or losing interest in life. You may find yourself on the sidelines, disengaged from your own life, with little sense of who you are and how to relate to others. The body, heart, and mind are all profoundly affected by trauma; in this way it can live on, causing a serious disconnect and a state of imbalance in which you're always in survival mode. How do you move on? This book is designed to target the most common symptoms of post-traumatic stress and PTSD, providing mindfulness-based practices to help relieve your symptoms and increase self-compassion. Offering meditations for re-connection with your body, heart, mind, and life, this guide presents a unique, evidence-based way to heal the disconnects and help you re-engage. Instead of getting stuck reliving your trauma or worrying about it happening again, these mindful meditations will ground you in the present moment and enable you to better cope with unpleasant thoughts and feelings as they arise-and then let them go. With Meditations for Healing Trauma, you'll explore your experience of post-traumatic stress and learn how the healing power of mindfulness can free you from suffering and bring back connection and balance to your life every day. This book will help you cultivate a wise mind and heart for regaining peace and well-being in the present moment- anytime, anyplace.

*The gold-standard trauma treatment, now available directly to consumers. *A self-help version of the approach in the bestselling professional manual, Cognitive Processing Therapy for PSTD (9781462528646; over 50,000 in print). *This straightforward, encouraging, self-paced program brings science-based relief to those “stuck” in painful emotions and memories. *Worksheets (also available to download), progress-monitoring tools, and additional resources make this a comprehensive, valuable package. *From renowned, award-winning clinician-researchers.

With more than 60% new material reflecting advances in evidence-based treatments and the evolving roles of military mental health providers, the authoritative resource in the field is now in a significantly revised third edition. The volume provides research-based roadmaps for prevention and intervention with service members and veterans in a wide range of settings. Up-to-date information about military procedures and guidelines is included throughout. Grounded in current knowledge about stress and resilience, chapters describe best practices in treating such challenges as depression, anxiety disorders, posttraumatic stress disorder, and substance use disorders. Also addressed are operational functions of psychologists in personnel assessment and selection, counterintelligence, and other areas. New to This Edition *Chapters on new topics: the spectrum of military stress reactions, concussion management, military sexual assault, embedded/expeditionary psychological practice, and security clearance evaluations. *Fully rewritten chapters on evidence-based treatments, behavioral health in primary care, and disaster mental health. *Incorporates major shifts in how and where military mental health services are delivered.

Plum and Posner's Diagnosis and Treatment of Stupor and Coma, 5th edition, is a major update of the classic work on diagnosing the cause of coma, with the addition of completely new sections on treatment of comatose patients, by Dr. Jan Claassen, the Director of the Neuro-ICU at Columbia New York Presbyterian Hospital. The first chapter of the book provides an up-to-date review on the brain mechanisms that maintain a conscious state in humans, and how lesions that damage these mechanisms cause loss of consciousness or coma. The second chapter reviews the neurological examination of the comatose patient, which provides the basis for determining whether the patient is suffering from a structural brain injury causing the coma, or from a metabolic disorder of consciousness. The third and fourth chapters review the pathophysiology of structural lesions causing coma, and the specific disease states that result in coma. Chapter five is a comprehensive treatment of the many causes of metabolic coma. Chapter 6 review psychiatric causes of unresponsiveness and how to identify and treat them. Chapters 7 and 8 review the overall emergency treatment of comatose patients, followed by the treatment of specific causes of coma. Chapter 9 examines the long term outcomes of coma, including the minimally conscious state and the persistent vegetative state, and how they can be distinguished, and their implications for eventual useful recovery. Chapter 10 reviews the topic of brain death and the standards for examination of a patient that are required to make the determination of brain death. The final chapter 11 is by J.J. Fins, a medical ethicist who was invited by the other authors to write an essay on the ethics of diagnosis and treatment of patients who, by definition, have no way to approve of or communicate about their wishes. While providing detailed background for neurological and neurosurgical specialists, the practical nature of the material in this book has found its greatest use among Internists, Emergency Medicine, and Intensive Care specialists, who deal with comatose patients frequently, but who may not have had extensive neurological training.

Grounded in the updated Posttraumatic Stress Disorder Prevention and Treatment Guidelines of the International Society for Traumatic Stress Studies (ISTSS), the third edition of this definitive work has more than 90% new content. Chapters describe PTSD assessment and intervention practices that have been shown to work and provide practical, real-world implementation guidance. Foremost authorities address the complexities of trauma treatment with adults, adolescents, and children in diverse clinical contexts. The book delves into common obstacles and ways to overcome them, when to stop trying a particular approach with a client, and what to do next. Special topics include transdiagnostic interventions for PTSD and co-occurring problems, dissemination challenges, and analyzing the cost-effectiveness of treatments. Prior edition editors: Edna B. Foa, Terence M. Keane, Matthew J. Friedman, and Judith A. Cohen. New to This Edition *Fully rewritten to reflect over a decade of clinical, empirical, and theoretical developments, as well as changes in DSM-5 and ICD-11. *Increased research-to-practice focus--helps the clinician apply the recommendations in specific clinical situations. *New chapters on previously covered treatments: early interventions, psychopharmacotherapy for adults and children, and EMDR therapy. *Chapters on additional treatments: prolonged exposure, cognitive processing therapy, cognitive therapy, combined psychotherapy and medication, e-mental health, and complementary and alternative approaches. *Chapters on cutting-edge topics, including personalized interventions and advances in implementation science.

Post-Traumatic Stress Disorder, or PTSD, has long been defined as a mental trauma that solely affects the individual. However, against the backdrop of contemporary Israel, what role do families, health experts, donors, and the national community at large play in interpreting and responding to this individualized trauma? In PTSD and the Politics of Trauma in Israel, Keren Friedman-Peleg sheds light on a new way of speaking about mental vulnerability and national belonging in contemporary Israel. Based on ethnographic fieldwork conducted at The Israel Center for Victims of Terror and War and The Israel Trauma Coalition between 2004 and 2009, Friedman-Peleg's rich ethnographic study challenges the traditional and limited definitions of trauma. In doing so, she exposes how these clinical definitions have been transformed into new categories of identity, thereby raising new dynamics of power, as well as new forms of dialogue.

The "BASIC Ph" model of coping and resiliency, developed by Prof. Mooli Lahad and Dr. Ofra Ayalon, was the first to describe coping as an on-going effort to manage life challenges. This is the first book to be published on this world-renowned approach, widely used as an effective resiliency assessment, intervention, and recovery model. Underpinning the model is the suggestion that every person has internal powers, or coping resources, which can be mobilized in stressful situations; the effort to survive coming from a healthy rather than a pathological instinct. The categorization of these coping resources gives the model its name: Belief, Affect, Social, Imagination, Cognition, Physical. This edited volume outlines the theory behind the "BASIC Ph" approach, presents practice-based and research-based interventions and explains their application during and in the wake of both natural and man-made disasters. With wide-ranging chapters from authoritative contributors, the book shows how the "BASIC Ph" model can be successfully applied in family, community, education, health, and business settings. This will be an invaluable text for professionals, academics, and students with an interest in trauma and coping with crisis and disaster.

Illustrating the power of play for helping children overcome a wide variety of worries, fears, and phobias, this book provides a toolkit of play therapy approaches and techniques. Coverage encompasses everyday fears and worries in 3- to 12-year-olds as well as anxiety disorders and posttraumatic problems. Leading practitioners describe their approaches step by step and share vivid illustrative case material. Each chapter also summarizes the research base for the interventions discussed. Key topics include adapting therapy to each child's developmental level, engaging reluctant or less communicative clients, and involving parents in treatment.