Vietnam still haunts the American conscience. Not only did nearly 58,000 Americans die there, but--by some estimates--1.5 million veterans returned with war-induced Post-Traumatic Stress Disorder (PTSD). This psychological syndrome, responsible for anxiety, depression, and a wide array of social pathologies, has never before been placed in historical context. Eric Dean does just that as he relates the psychological problems of veterans of the Vietnam War to the mental and readjustment problems experienced by veterans of the Civil War.

Employing a multidisciplinary approach that merges military, medical, and social history, Dean draws on individual case analyses and quantitative methods to trace the reactions of Civil War veterans to combat and death. He seeks to determine whether exuberant parades in the North and sectional adulation in the South helped to wash away memories of violence for the Civil War veteran. His extensive study reveals that Civil War veterans experienced severe persistent psychological problems such as depression, anxiety, and flashbacks with resulting behaviors such as suicide, alcoholism, and domestic violence. By comparing Civil War and Vietnam veterans, Dean demonstrates that Vietnam vets did not suffer exceptionally in the number and degree of their psychiatric illnesses. The politics and culture of the times, Dean argues, were responsible for the claims of singularity for the suffering Vietnam veterans as well as for the development of the modern concept of PTSD.

This remarkable and moving book uncovers a hidden chapter of Civil War history and gives new meaning to the Vietnam War.

Aiming to fulfill the need for a multifaceted approach to post-traumatic stress disorder (PTSD), this guide addresses the importance of the stressor, places paramount the person of the victim and provides treatment procedures. The 11 authors weave a care paradigm that begins with a position: the persona of the victim organises and preserves his or her reality and the trauma makes this more so. The book provides a formula for accepting, understanding and treating the individual and helps the therapist inspect and nurture the trauma victim's self and ego skills.

Thriving After Trauma addresses readers who have experience trauma or loss due to a variety of experience - whether accident, abuse, or injury. Shari Botwin shows readers, through personal stories, how many who have experienced the worst kinds of trauma have managed to move on and thrive beyond their experiences. Often, those who live through trauma come away with feelings of shame, guilt, anger, and despair. These are common, even normal, responses in the immediate aftermath. Left unaddressed, though, those feelings may develop into substance abuse problems, eating disorders, depression, or anxiety. Learning how to move on, to pick up and live life again, takes effort and guidance. Botwin guides readers through the stories of others who have gone on to live fulfilling, happy lives, and provides tips and tools for healing and moving on. Letting go of the shame, guilt, anger and fear associated with tragic events is crucial to reclaiming a full life. Strategies such as, journaling, mindfulness, cognitive-behavioral restructuring, and healthy relationships to aid in recovery are explored and explained, so readers can adopt those strategies that work best for them. It is not the trauma itself that results in so many people developing self-destructive tendencies and life threatening illnesses. It is the lack of having a way to digest and make sense of the trauma-related feelings that can lead one to mental illness, disconnection, and in some cases, even death. Readers will learn how to live with the trauma versus how to get over the trauma, so they can move forward healthfully and mindfully.

The concept of moral injury emerged in the past decade as a way to understand how traumatic levels of moral emotions generate moral anguish experienced by some military service members. Interdisciplinary research on moral injury has included clinical psychologists (Litz et al., 2009; Drescher et al., 2011), theologians (Brock & Lettini, 2012; Graham, 2017), ethicists (Kinghorn, 2012), and philosophers (Sherman, 2015). This project articulates a new key concept-moral orienting systems- a dynamic matrix of meaningful values, beliefs, behaviors, and relationships learned and changed over time and through formative experiences and relationships such as family of origin, religious and other significant communities, mentors, and teachers. Military recruit training reengineers pre-existing moral orienting systems and indoctrinates a military moral orienting system designed to support functioning within the military context and the demands of the high-stress environment of combat, including immediate responses to perceived threat. This military moral orienting system includes new values and beliefs, new behaviors, and new meaningful relationships. Recognizing the profound impact of military recruit training, this project challenges dominant notions of post-deployment reentry and reintegration, and formulates a new paradigm for first, understanding the generative circumstances of ongoing moral stress that include moral emotions like guilt, shame, disgust, and contempt, and, second, for responding to such human suffering through compassionate care and comprehensive restorative support. This project calls for more effective participation of religious communities in the reentry and reintegration process and for a military-wide post-deployment reentry program comparable to the encompassing physio-psycho-spiritual-social transformative intensity experienced in recruit-training boot camp.

Infused with clinical wisdom, this book describes a supportive group treatment approach for survivors just beginning to come to terms with the impact of interpersonal trauma. Focusing on establishing safety, stability, and self-care, the Trauma Information Group (TIG) is a Stage 1 approach within Judith Herman's influential stage model of treatment. Vivid sample transcripts illustrate ways to help group participants deepen their understanding of trauma, build new coping skills, and develop increased compassion for themselves and for one another. In a large-size format for easy photocopying, the volume provides everything needed to implement the TIG, including session-by-session guidelines and extensive reproducible handouts and worksheets. Purchasers get access to a companion website where they can download and print the reproducible materials from the book, as well as an online-only set of handouts and worksheets in Spanish. See also The Trauma Recovery Group, by Michaela Mendelsohn, Judith Lewis Herman, et al., which presents a Stage 2 treatment approach for clients who are ready to work on processing and integrating traumatic memories.

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.

The second edition of this groundbreaking work incorporates f new neuroscientific and psychological research related to human development, traumatic stress, disorders of attachment, and information processing, and its implications for EMDR practice., The book delivers critical new neurobiological research on procedural and emotional learning, early-acquired relational patterns, inter-corporality, and empathy. Drawing from contemporary neuroscience's increased understanding of emotions and the significance of mirror neurons, the book demonstrates the importance of affective resonance and its effect on neuroplasticity as a prerequisite for any enduring change in cognition, behavior, and emotion. The second edition also examines in further depth the relationship between stress, trauma, and immune function in regard to immunoinflammmatory illnesses and the implications for their treatment. An additional 20 syndromes are examined, in addition to the 11 syndromes discussed in the first edition. New to the Second Edition: Delivers groundbreaking neuroscientific and psychological research related to human development, traumatic stress, attachment disorders, and information processing Underscores the importance of emotion as fundamental for change Addresses the dominance of right hemispheric communications that foster procedural and emotional learning Examines the implicit nature of early-acquired relational patterns, inter-corporality, and empathy Covers the relationship between stress, trauma, and immune function regarding immunoflammatory illnesses and their treatment Key Features: Provides a neurobiological foundation that informs our understanding of human development, attachment disorders, and information processing Examines biological underpinnings of EMDR regarding successful treatment outcomes for attachment disorders, stress, and dissociation Explicates disorders as outcomes of chronically dysregulated, evolutionarily based, biological action systems Illustrates EMDR's sensorial input to the brain as a neural catalyst that can help to repair dysfunctional neural circuitry Includes illustrative neural maps Includes free ebook with purchase of print

When Trauma Survivors Return to Work: Understanding Emotional Recovery explains how managers and co-workers can learn to foster the process of emotional recovery for traumatized employees returning to the workplace. No other resource teaches managers and co-workers how to treat fellow co-workers returning to the workplace after experiencing a violent accident, rape, a burglary, or armed robbery. Or what to say to those who have just been told they have a terminal illness. Or how to treat an employee whose close family member has committed suicide. It is not helpful for co-workers to deny such traumatic events or remain silent, which is what happens. Or for managers to avoid directly communicating with traumatized employees. Is there a short and simple way to teach managers and co-workers how to be truly helpful to such wounded people? The answer is Dr. Barski-Carrow's illuminating, example-filled book, When Trauma Survivors Return to Work: Understanding Emotional Recovery.

This issue will focus on both adult and pediatric spine trauma. Featured articles are as follows: Pharmacologic Treatment of SCI; Classification of Adult Subaxial Cervical Trauma; Classification and Management of Pediatric Craniocervical Injuries; Classification and Management of Pediatric Subaxial Injuries; Classification of Adult Thoracolumbar Injuries; Management of Pediatric Thoracolumber Injuries; Treatment of Odontoid Fractures in the Aging Population; Treatment of Facet Fractures in the Cervical Spine; and many more!

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.

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.

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

Presents evidence-based spine trauma management in a concise, user-friendly format Representing the collective efforts of a multinational, multidisciplinary panel of spine and spinal cord trauma masters, this beautifully illustrated evidence-based textbook does more than provide multiple treatment options -- it offers unique access to insights from recognized spine experts and a thoughtful yet practical review of the most relevant literature and clinical evidence available in the field today. Each chapter centers on pertinent questions and objective reviews of state-of-the-art procedures that guide readers from an evaluation of the evidence through practical recommendations they can easily apply to their own practices. Features: Succinct outline format -- easy to read and reference 138 detailed evidentiary tables appear throughout the text An innovative new classification system for spine trauma developed by The Spine Trauma Study Group, composed of 50 internationally recognized spine experts High-quality radiographs and full-color drawings and photographs complement the text Practical recommendations for the treatment of many common spinal injuries, including odontoid fractures, central cord injuries, and thoraco-lumbar flexion distraction injuries --in-depth information on everything from intensive care to rehabilitation An accompanying DVD contains 15 narrated videos -- over one hour of footage -- of actual procedures by the authors Spine and Spinal Cord Trauma: Evidence-Based Management is an invaluable reference for orthopaedic surgeons, neurosurgeons, residents and fellows in those specialties, and allied health professionals who care for spine injury patients.

Mild traumatic brain injury can happen to anyone, anytime; in cars, sports, or workplace accidents, falls, or through physical assault, including domestic violence and shaken-baby syndrome. The National Center for Injury Prevention and Control estimates that 1.4 million Americans sustain a traumatic brain injury (TBI) each year, and that at least 5.3 million Americans currently have long-term or lifelong need for help to perform activities of daily living as a result of a TBI.

"Brainlash" provides the tools and facts to make the recovery process more intelligible-- and to support the wide range of people affected by MTBI. For patients, family members, physicians and other health care providers, attorneys, health insurance companies, employers and others, it covers options and services, health and vocational issues, medicolegal topics, psychological and emotional implications, and more

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.

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.

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.

History Flows through Us introduces a new dialogue between leading historians and psychoanalysts and provides essential insights into the nature of historical trauma. The contributors - German historians, historians of the Holocaust and psychoanalysts of different disciplinary backgrounds - address the synergy between history and psychoanalysis in an engaging and accessible manner. Together they develop a response to German history and the Holocaust that is future-oriented and timely in the presence of today's ethnic hatreds. In the process, they help us to appreciate the emotional and political legacy of history's collective crimes. This book illustrates how history and the psyche shape one another and the degree to which history flows through all of us as human beings. Its innovative cross-disciplinary approach draws on the work of the historian and psychoanalyst Thomas Kohut. The volume includes an extended dialogue with Kohut in which he reflects on the study of German history and the Holocaust at the intersection of history and psychoanalysis. This book demonstrates that the fields of history and psychoanalysis are each concerned with the role of empathy and with the study of memory and narrative. History Flows through Us will appeal to general readers, students and professionals in cultural history, Holocaust and trauma studies, sociology, psychoanalysis, psychotherapy and psychology.

An exhilarating journey into the unfathomable depths of the human mind, from the acclaimed author of Let Me Not Be Mad. What does it take to care for a stranger? Really care. The Case for Love is a reflection on a career treating patients with brain trauma - people whose thoughts and feelings are largely unknowable - and how and why those treatments failed. It is a reconstruction of three haunting cases in which the patients were tragically misunderstood - and an attempt through the power of the imagination to understand and make amends. It then describes the author's abandonment of his career and his tumultuous quest for healing and redemption. It is also a story of intimate relationships, pets, fatherhood and heartbreak, culminating in a moment of psychedelic transcendence and rebirth. It is about the overpowering need for connection - and how, increasingly, we are trapped in ourselves. It is a meditation on empathy and an act of atonement. It is a unique, hybrid work of clinical case study and pure invention that destroys the boundary between fact and fiction in order to bring us face-to-face with the shocking, liberating truth. __________ Praise for Let Me Not Be Mad 'Imagine a gonzo Oliver Sacks communing with Edward St Aubyn's Patrick Melrose, R.D. Laing and the spirit of Kafka's 'The Country Doctor', and you still won't quite have the flavour of this wild and strikingly original book' William Fiennes 'Stunning: clever, troubling, restless, honest, dishonest; one of the best portraits of madness and clinical practice I've read' Olivia Laing 'A perfectly extraordinary - not to mention extraordinarily perfect - tense Hitchcockian psychodrama. I have rarely read a more haunting and enthralling account of a descent into madness. An important, profound and fascinating book' Stephen Fry 'Blackly comic, warmly compassionate, a unique take on the human mind offering uncomfortable universal truths' Stewart Lee 'A slow-burn belter of a book ... terrific ... so finely described, the result has the terse force of a classic short story' Roddy Doyle 'Exhilarating ... dazzling ... a miraculous feat' Guardian

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.

*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.