It is becoming increasingly clear that the brain has an important role in the control and integration of the responses to injury and infection. This is the first volume to look in depth at the way the brain responds to trauma and subsequently integrates and influences behavioral, metabolic, neurohumoral, cardiovascular, and immune functions. It is well established that some of these responses, such as fever and neuroendocrine changes are directly influenced by the central nervous system. These, and other more recent advances, provide new insights into this area and provide a basis for more effective understanding and clinical management of trauma patients. The authors, all international authorities in their fields, discuss established and recent data from experimental and clinical studies and consider the implications of these findings for the treatment of the trauma patient. This book will serve as an excellent reference for professionals who deal with trauma or who work in accident and emergency medicine, neuroscience, neuroimmunology and physiology.

This is the first comprehensive volume to be published on the subject of electrical trauma in humans. Many of the world's leading experts describe the basic mechanisms of tissue injury in victims of electrical trauma, the complex and varied manifestations of electrical trauma, and state-of-the-art clinical treatment protocols. Promising new therapies still in the research stage are also discussed and assessed. The volume describes the basic physiochemical mechanisms responsible for tissue damage and explains the complex and variable ways in which electrical trauma manifests itself. An understanding of these underlying processes provides the basis for a rational and consistent approach to treatment which is highlighted in this volume. Electrical Trauma serves as a new and important source of information from a variety of perspectives that contributes to the understanding of the electrical injury problem. It is suitable for clinicians in plastic surgery, intensive care and burn units and for those with an academic and research interest in the mechanisms and causes of electrical trauma.

This book describes the underlying mechanisms and pathophysiological processes that relate to various childhood injuries, and brings together experimental and empirical data that determine the rational management of injury in childhood. It also deals with the wider issues of service organization and rehabilitation. The book describes the most common causes and types of injury encountered in the young, including trauma, head injury, near drowning and burns. It also deals with essential aspects of effective hospital management of injury, including trauma scoring, life support and nutritional support. It is intended for trainees and consultants in pediatrics, pediatric surgery, accident and emergency medicine, anesthesia, and intensive care, and it will also serve as a source book for medical and nonmedical researchers.

Are horrific experiences indelibly fixed in a victim's memory? Or does the mind protect itself by banishing traumatic memories from consciousness? How victims remember trauma is the most controversial issue in psychology today, spilling out of consulting rooms and laboratories to capture headlines, rupture families, provoke legislative change, and influence criminal trials and civil suits. This book, by a clinician who is also a laboratory researcher, is the first comprehensive, balanced analysis of the clinical and scientific evidence bearing on this issue--and the first to provide definitive answers to the urgent questions at the heart of the controversy.

Synthesizing clinical case reports and the vast research literature on the effects of stress, suggestion, and trauma on memory, Richard McNally arrives at significant conclusions, first and foremost that traumatic experiences are indeed unforgettable. Though people sometimes do not think about disturbing experiences for long periods of time, traumatic events rarely slip from awareness for very long; furthermore, McNally reminds us, failure to think about traumas--such as early sexual abuse--must not be confused with amnesia or an inability to remember them. In fact, the evidence for repressed memories of trauma--or even for repression at all--is surprisingly weak.

A magisterial work of scholarship, panoramic in scope and nonpartisan throughout, this unfailingly lucid work will prove indispensable to anyone seeking to understand how people remember trauma.

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.

Much has been learned about PTSD in the past two decades, yet many questions remain about the complex pathways by which trauma disrupts people's lives. This authoritative volume presents an innovative psychobiological framework to help clinicians and researchers better understand the myriad difficulties facing patients and navigate the array of available intervention approaches. Incorporating the latest theory and clinical research, the book provides a crucial reformulation of diagnostic criteria and treatment goals. It then brings together leading treatment experts to describe and illustrate their respective approaches, facilitating the selection and implementation of the most effective interventions for individual patients. The book first delineates a holistic, organismic model of PTSD. Particular attention is given to how the concept of allostatic load has enabled contemporary investigators to gain a more dynamic view of human stress responses and how they may go awry. Aided by clearly presented tables and charts, the volume elucidates the process by which traumatic experiences can give rise to 65 symptoms contained within five symptom clusters. Augmenting the traditional domains of PTSD symptomatology/m-/physiological disturbances, traumatic memory, and avoidance/m-/are two additional clusters dealing with frequently encountered problems with self and identity and with attachment, intimacy, and personal relationships. Contributors then provide detailed presentations of core therapeutic approaches: acute posttraumatic interventions, cognitive-behavioral approaches, pharmacotherapy, group psychotherapy, and psychodynamic techniques, as well as approaches for special populations. The concluding section reviews and synthesizes all case material presented, examining which symptoms are addressed by each modality, which treatment objectives are met, and which clients are likely to be helped.

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.

Providing the information and guidance clinicians need to understand and assess psychological trauma and its effects, this book presents a step-by-step approach to conducting careful, appropriate, and accurate trauma assessments. From the initial screening, to the selection and administration of more in-depth measures for particular clients, to evaluating results and making a diagnosis, the author helps readers maximize their time and resources and brings much-needed clarity to what can be a confusing and difficult process. Instruments covered include self-report measures and structured interviews of trauma and trauma responses for adults and children. Detailed profiles of 36 measures recommended by the author--many not previously described in the clinical literature, and many available at low or no cost--identify each instrument's suggested uses, special features, format, and psychometric properties, as well as how it can be obtained.

Just as the prevalence of incest and child sexual abuse was a well-kept secret until recently, the phenomenon of multiple personality disorder (MPD) - recently re-labelled dissociative identity disorder DID - has been minimized. In her practice as a psychologist, Margo Rivera has found this to be no coincidence.

Confirming that the root of most severe dissociative conditions lies in severe trauma, most commonly child abuse, Rivera first discusses the general historical and social contexts of dissociation and proceeds through clinical theory, case vignettes, and recorded personal experience to provide practical guidance to assessment and treatment. Rivera covers such topics as 'therapeutic frame, ' 'transference and countertransference, ' and how to understand and make use of these concepts. She discusses the controversies around 'False Memory Syndrome' and ritual abuse, issues which currently divide professionals treating trauma survivors.

Rivera makes a unique contribution to the treatment of lesbian and gay abuse survivors. She theorizes that all sexuality is a social construct, subject to change over an individual's lifetime, a reality that is nowhere more clear than in those with MPD who may experience themselves as alternately heterosexual female, homosexual male, lesbian, and heterosexual male.

Insightful and provocative, this important therapeutic guide will be of interest to professionals who treat trauma survivors as well as to their clients.

Adult and adolescent survivors of childhood abuse and other traumas often struggle with addictive disorders, yet most helping professionals are ill equipped to deal with dual problems. Providing the tools professionals need to help this population, this book systematically integrates mental health paradigms with disease models of addiction and combines psychotherapeutic techniques with 12-step recovery practices. The result is an easy-to-replicate model for the effective assessment and treatment of this often difficult-to-treat population.

Originally published in 1994, this was the first volume to look in depth at the way the brain responds to trauma and subsequently integrates and influences behavioural, metabolic, neurohumoral, cardiovascular and immune functions. At the time, the role of the brain in the control and integration of the responses to injury and infection was becoming increasingly clear. It had been established that some of these responses, such as fever and neuroendocrine changes, responded to the direct influence of the central nervous system. These, and other advances, provided fresh insights into this area and formed a basis for the more effective understanding and clinical management of trauma patients. In this volume, the authors, all international authorities in their fields, discuss data from experimental and clinical studies and considered the implications of these findings for the treatment of the trauma patient.

Treatment is designed to enhance the natural healing process that begins soon after traumatic shock ends. Several practical features, such as a Trauma Response Protocol and the Everstine Trauma Response Index, are included.

This is the first comprehensive volume to be published on the subject of electrical trauma in humans. Many of the world's leading experts describe the basic mechanisms of tissue injury in victims of electrical trauma, the complex and varied manifestations of electrical trauma, and state-of-the-art clinical treatment protocols. Promising new therapies still in the research stage are also discussed and assessed. The volume describes the basic physiochemical mechanisms responsible for tissue damage and explains the complex and variable ways in which electrical trauma manifests itself. An understanding of these underlying processes provides the basis for a rational and consistent approach to treatment which is highlighted in this volume. Electrical Trauma serves as a new and important source of information from a variety of perspectives that contributes to the understanding of the electrical injury problem. It is suitable for clinicians in plastic surgery, intensive care and burn units and for those with an academic and research interest in the mechanisms and causes of electrical trauma.

Serving to bridge the gap between differing approaches to psychology, this new text provides some of the most compelling evidence yet for the subjective presence and objective efficacy of the mental image. In this day and age of "dissociation" between physiological psychologists and other psychologists, between cognitive scientist and mentalist, between researchers and practitioners, mental imagery and its psychophysiology pose some intellectually "sticky" problems - and some promising resolutions - that should bind together differing disciplines within psychology.

Rich in clinical examples, this book offers a fresh perspective on the roles of shame and guilt in psychological distress and presents a step-by-step framework for treatment. Martha Sweezy explains how the principles of Internal Family Systems (IFS) therapy are ideally suited to helping trauma survivors and other clients who struggle with debilitating shame to understand and heal psychic parts wounded in childhood. Annotated case illustrations show and explain IFS techniques in action. Other useful features include boxed therapeutic exercises, decision trees, and pointers to help therapists avoid or overcome common pitfalls.

Providing over 150 single best answer questions, this comprehensive question and answer guide provides candidates with the practice material necessary to successfully pass trauma examinations such as the ATLS or EMST. * The only SBA practice question title specifically for trauma examination revision * Detailed answer explanations ensure thorough understanding of trauma procedures * Written by a team of knowledgeable authors in trauma and surgery who all have first-hand experience of trauma examinations Get Through Trauma Examinations is essential reading and revision material for postgraduate candidates preparing for these specialist courses and exams, as well as nurses, doctors, and other healthcare workers using these practices on a daily basis.

*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.

*Authoritative work on helping adults heal, edited by a renowned expert. *Research is growing for the use of expressive arts to access and regulate powerful emotions and support recovery. *Practical features include case examples and suggestions for tailoring therapies to individual needs. *Covers a broad range of approaches--art, music, movement, writing, play, and more.

*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.

Many DBT clients suffer from posttraumatic stress disorder (PTSD), but until now the field has lacked a formal, tested protocol for exactly when and how to treat trauma within DBT. Combining the power of two leading evidence-based therapies--and designed to meet the needs of high-risk, severely impaired clients--this groundbreaking manual integrates DBT with an adapted version of prolonged exposure (PE) therapy for PTSD. Melanie S. Harned shows how to implement the DBT PE protocol with DBT clients who have achieved the safety and stability needed to engage in trauma-focused treatment. In a convenient large-size format, the book includes session-by-session guidelines, rich case examples, clinical tips, and 35 reproducible handouts and forms that can be downloaded and printed for repeated use.

*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.

Yoga and Resilience is part of a larger series put out by the Yoga Service Council in collaboration with the Omega Institute. To date, there have been three texts published: Best Practices for Yoga in Schools, Best Practices for Yoga with Veterans, and Best Practices for Yoga in the Criminal Justice System. This body of work takes a unique and groundbreaking approach of co-creation, calling on a diverse array of leading experts in the fields of trauma and yoga, to collaborate and distill best practices that will inform the fields of mental health, trauma-informed yoga, yoga service, and yoga more generally. Contributors and authors met during two symposia and engaged in an ongoing collaborative process resulting in the current text. Yoga and Resilience: Empowering Practices for Survivors of Sexual Trauma: Supports a holistic approach to ameliorating the impacts of traumatic stress, and specifically the impacts of sexual trauma. Serves as a resource to survivors, yoga teachers and practitioners, yoga service providers, trauma practitioners, and agency administrators among others. Presents a foundational understanding of sexual trauma and illuminates current best practices for integrating trauma-informed yoga and mindfulness practices into work with persons and systems impacted by sexual trauma. Explores an approach that moves beyond trauma-informed practice to a focus on resilience and universal inclusivity. Provides concrete tools to serve survivors better and to ensure that teachers and administrators not only seek to minimize harm but also combat sexual violence and its perpetration within yoga contexts. Contributors to the book: Keyona Aviles, Jacoby Ballard, Lisa Boldin, Maya Breuer, Regine Clermont, Colleen DeVirgiliis, Alexis Donahue, Pamela Stokes Eggleston, Jennifer Cohen Harper, Dani Harris, Nan Herron, Daniel Hickman, Diana Hoscheit, Beth Jones, Sue Jones, James Jurgensen, Mark A. Lilly, Jana Long, Anneke Lucas, Amanda J.G. Napior, Amina Naru, Emanuel "Manny" Salazar, Austin K. Sanderson, Lidia Snyder, Nicole Steward, Rosa Vissers, Kimberleigh Weiss-Lewit, Ann Wilkinson

This volume focuses on the role that religion and spirituality can play in recovery from post-traumatic stress disorder (PTSD) and other forms of trauma, including moral injury. Religious texts, from the Bible to Buddhist scriptures, have always contained passages that focus on helping those who have experienced the trauma of war. Many religions have developed psychological, social, behavioral, and spiritual ways of coping and healing that can work in tandem with clinical treatments today in assisting recovery from PTSD and moral injury. In this book the authors review and discuss systematic research into how religion helps people cope with severe trauma, including trauma caused by natural disasters, intentional interpersonal violence, or combat experiences during war. They delve into the impact that spirituality has in both the development of and recovery from PTSD. Beyond reviewing research, they also use case vignettes throughout to illustrate the very human story of recovery from PTSD, and how religious or spiritual beliefs can both help or hinder depending on circumstance. A vital work for any mental health or religious professionals who seek to help people dealing with severe trauma and loss.

Social Aspects of Memory presents a compelling study of how ordinary people remember war. Whilst the book focuses on the cities of Sarajevo and East Sarajevo during the 1992-1995 war in Bosnia-Herzegovina, Jeftic also presents narratives from other war-torn cities and countries around the world. This book adopts a unique approach, by looking at how perpetrators and victims (as well as new generations who may not remember the war directly) manage in the aftermath of war. Jeftic explores how our memories of war and violence are formed, and how we can learn to reconcile those memories, individually and as a collective. Drawing on the author's own extensive empirical research, the book explores the connections between memories for significant war events, transgenerational transmission of memories, bias for in-group wrongdoings and readiness for reconciliation between two groups. Giving a voice to underrepresented narratives and prioritising the importance of expression as a necessary catalyst for reconciliation, this book is essential reading for those interested in collective and transgenerational memory and memory studies, especially in relation to the aftermath of the 1992-1995 war in Bosnia-Herzegovina.