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.

From leading authority John Briere, this book provides a comprehensive treatment approach for survivors of childhood trauma who numb or avoid emotional distress by engaging in substance abuse, risky sexual activities, self-injury, suicidality, bingeing and purging, or other self-harming behaviors. Briere shows how to help clients identify and manage the triggers of these "distress reduction behaviors," learn to regulate intrusive emotional states, and safely process trauma- and attachment-related memories. Emphasizing the therapeutic relationship, Briere's approach draws on elements of psychodynamic, interpersonal, and cognitive-behavioral therapy; mindfulness training; and dialectical behavior therapy. The book combines cutting-edge clinical and experimental research with clearly described interventions, case examples, and reproducible handouts and forms. Purchasers get access to a Web page where they can download and print the reproducible materials in a convenient 8 1/2" x 11" size.

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.

Bringing together the latest research and theory about a child's inner world and the impact of the world around them, this is a guide to understanding and responding to the emotional needs of traumatised children. Founded on the principle that traumatised children do not have a secure sense of self and therefore cannot relate to the outside world without becoming overwhelmed, this book brings psychoanalytic and psychodynamic understandings of child psychology together with current neuroscience and trauma theory. At the heart of the book is an attachment-informed assessment model and guidance for treatment. Professionals working therapeutically with traumatised children, including therapists, psychologists, psychiatrists, mental health workers, social workers and residential care workers, will benefit from the wealth of knowledge and valuable practice guidance presented in this book.

Traumatic events are more than a narrative or singular event in a person's life; the body remembers traumatic events and can experience them over and over, even after many years have passed. This book shows how trauma-sensitive yoga can be used in individual therapy and in groups to overcome trauma, by calming the nervous system and helping people to come out of dissociative states. The book also shows teachers how to detect when certain postures trigger anxiety, and offers ways to support healing in general yoga classes. Drawing on her experience as both trauma therapist and yoga teacher, the author focuses on the body-mind connection and presents asanas and breathing exercises that can help traumatised patients re-engage and take control of their bodies.

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.

Children with a history of significant neglect and/or physical, sexual, and/or emotional abuse are at higher risk for developing long-term emotional, behavioral, and mental health concerns, which have implications past childhood and into adulthood. Early trauma impacts individuals' health in ways that reach far past the obvious and immediate damage. It correlates with higher incidences of various mental health disorders, it can alter brain structures, and it can make individuals more susceptible to a variety of diseases, including cancer, cardiovascular disorders, fibromyalgia, and diabetes, among others. The research collected in this compendium offers vital guideposts to professionals across a wide spectrum of disciplines. It provides a foundation for ongoing research into this area of study, which is so vital for the well-being of our children and their futures. Understanding the long-term effects of childhood trauma is now integral to the daily clinical practice of professionals from many fields, including educators, social workers, mental health professionals, family and substance abuse counselors, police, caregivers, and criminal justice service providers. The boundaries between social workers and other professionals are blurred or nonexistent. This insightful book provides a nuanced look at the outcomes of childhood trauma and provides a greater understanding to help build more effective cross-disciplinary intervention strategies.

Traumatic brain injury (TBI) is a leading cause of death and disability in children and adolescents around the world and represents a global public health issue. Major improvements in the medical treatment of the initial injury have increased survival rates resulting in the focus shifting to consider the subsequent and longer-term cognitive, emotional and behavioral consequences for the recovering child or adolescent. These disabilities, if left untreated, continue into adulthood with consequent economic and societal costs. This book reviews the research into the consequences of TBI emphasizing the translation of new understanding into effective treatments and interventions, and identifying promising areas for further study. This will be essential reading for neuropsychologists, neurologists, psychiatrists, clinical psychologists and pediatricians.

This book explores the impact of trauma and dissociation on physical health throughout the lifespan. Important chronic conditions, such as cardiovascular disease and chronic pain, are examined. In addition, trauma in childbearing women is considering, specifically examining the short- and long-term effects of the birth experience itself. Dissociationa (TM)s effect on long-term health is also described, and how it might manifest in patients in health care settings.

This book was based on a special issue of Journal of Trauma & Dissociation.

Since the attacks of September 11, 2001, disaster preparedness and response has developed into a discrete subspecialty in medicine, and the paramount health care initiative of the U.S. Government. The mental health component of disaster response is a serious subject of study, as trauma is associated with a substantial and long-lasting psychologic burden, both on an individual and community level. The psychopathologies associated with disaster are also quite broad, varying from several different types of post-traumatic stress and anxiety disorders to acute variations of grief-associated depression. This book is the definitive reference on mental health and disasters, focused on the assessment and treatment of the full spectrum of psychopathologies associated with many different types of individual disasters. The logistics for utilizing pre-existing community-based mental health services, as well as the development of new programs, are covered in depth. Case studies and perspectives for improving care, incorporating lessons from Hurricane Katrina and 9/11, are included in detail.

This volume presents an innovative psychobiological framework for understanding and treating PTSD. A major emphasis is the need to reformulate diagnostic criteria and treatment goals to reflect emerging knowledge about the complex pathways by which trauma disrupts people's lives. Within a holistic, organismic framework, the editors identify 65 PTSD symptoms contained within five (rather than the traditional three) symptom clusters, and spell out 80 target objectives for treatment. Expert contributors then provide detailed presentations of core therapeutic approaches, including acute posttraumatic interventions, cognitive-behavioral approaches, pharmacotherapy, group psychotherapy, and psychodynamic techniques, as well as approaches to working with specific populations, including children, refugees, and the dually diagnosed. The concluding section reviews and synthesizes all case material presented, examining which symptoms are addressed by each of the core approaches, which treatment goals are met, and which clients can most effectively be helped. Combining cutting-edge theoretical exposition with clear-cut recommendations for practice, this is an ideal resource for clinicians, students, and researchers.

The results of aggression against humans can be hideously obvious, but may also be entirely concealed from casual inspection. Often, only exploration of the hidden recesses of the mind via psychiatric evaluation, or radiologic exploration of the inner recesses of the body can reveal the evidence of such violence. This book focuses on the latter.

A Radiologic Atlas of Abuse, Torture, Terrorism, and Inflicted Trauma combines the lifetime experience of two distinguished radiologists and a renowned odontologist to provide an unprecedented collection of radiographs depicting the results of violence on the human body.

Victims of aggression range from the tiniest infant to entire populations. Hopefully you will never encounter every situation covered in this book. However, should you come across any, you will want A Radiologic Atlas of Abuse, Torture, Terrorism, and Inflicted Trauma within reach.

The past decade has seen more and more clinicians involved in the assessment and treatment of abused and traumatized children. They have contributed to an impressively large body of literature on the impact of abuse and trauma at all ages, the focus of which has been the short and long-term sequelae apparent in the child's behavior, emotional experience, and social interaction. But there have been few efforts to investigate the ways in which abuse and trauma damage the intrapsychic systems and structures that often guide, direct, and inform the child's manifest adjustment and functioning. The need to redress the balance was the major impetus for this book.
Kelly offers a clinical paradigm for the personality assessment of abused or traumatized children via projective instruments--the TAT and Rorschach--and shows how various projective measures and indices can be utilized as sensitive barometers of changes in self, object, and ego functioning following therapeutic interventions and other corrective experiences. But further, integrating the tenets of trauma theory and those of psychoanalytic theory, he sets this clinical paradigm in a meaningful theoretical context, and draws on both theory and clinical experience to develop a comprehensive psychological composite of the child who has been maltreated.
Part I provides an overview of theoretical models relevant to the assessment and diagnosis of the maltreated child. Contemporary psychoanalytic theory serves as one frame and is discussed first, with particular emphasis on object relations and ego functions. Equal attention is devoted to developmental psychology as another frame.
Part II reviews relevant research. The Mutality of Autonomy Scale (MOA) and the Social Cognition and Object Relations Scale (SCORS) are introduced as examples of reliable and valid instruments readily employed to assess the impact of abuse or trauma on a child's object relations functioning. Additional Rorschach indices--boundary disturbance measures, thought disorder indices, trauma markers, and defensive functions measures--are discussed as measures of the impact on different facets of ego functioning. These various projective measures can be utilized as sensitive barometers of changes in self, object, and ego functioning following therapeutic interventions and other corrective experiences.
Part III includes a variety of extended clinical illustrations.
Seven cases of boys and girls subjected to varying degrees of abuse and trauma are presented to demonstrate the clinical utility of projective material for assessment, diagnosis, and treatment planning. For the clinician who takes the idiographical-phenomenological approach, appropriate given the uniqueness of each situation of abuse or trauma and the frequent brevity and barrenness of the protocol, such material can open a window onto a rich vista of the child's psychological terrain. The resulting map can point the way to wise decisions about type, timing, and level of therapeutic intervention, the resolution of such process issues as transference and countertransference, plus additional questions.
Two cases of adult women who were abused as children and find themselves continuing to struggle with enduring unresolved issues vis a vis their own children are also presented. These cases underscore the value of TAT and Rorschach material, and object relations measures, in assessing and understanding the abusive and potentially abusive parent.

Since the attacks of September 11, 2001, disaster preparedness and response has developed into a discrete subspecialty in medicine, and the paramount health care initiative of the US Government. The mental health component of disaster response is a serious subject of study, as trauma is associated with a substantial and long-lasting psychologic burden, both on an individual and community level. The psychopathologies associated with disaster are also quite broad, varying from several different types of post-traumatic stress and anxiety disorders to acute variations of grief-associated depression. This book is the definitive reference on mental health and disasters, focused on the assessment and treatment of the full spectrum of psychopathologies associated with many different types of individual disasters. The logistics for utilizing pre-existing community-based mental health services, as well as the development of new programs, are covered in depth. Case studies and perspectives for improving care, incorporating lessons from Hurricane Katrina and 9/11, are included in detail.

Current research and clinical observations suggest pronounced gender-based differences in the ways people respond to traumatic events. Most notably, women evidence twice the rate of PTSD as men following traumatic exposure. This important volume brings together leading clinical scientists to analyze the current state of knowledge on gender and PTSD. Cogent findings are presented on gender-based differences and influences in such areas as trauma exposure, risk factors, cognitive and physiological processes, comorbidity, and treatment response. Going beyond simply cataloging gender-related data, the book explores how the research can guide us in developing more effective clinical services for both women and men. Incorporating cognitive, biological, physiological, and sociocultural perspectives, this is an essential sourcebook and text.

Stress and Trauma provides a well-written, accessible overview of traumatic stress studies. It reviews the full range of clinical disorders that may result from extreme stress, with particular emphasis on the most common disorder - post-traumatic stress disorder (PTSD).
The book reviews research on the prevalence of trauma and the prevalence of relevant disorders following trauma. It goes on to look at psychological theories of stress and trauma, the biology of stress and trauma reactions, and the factors prior to, during and after traumatic events that place people at particular risk for the development of psychological problems.
The book goes on to look at treatment of trauma-related psychological problems, and covers the use of medication and a range of psychological treatments.
Different types of therapy are described and research findings on these approaches are reviewed.
Stress and Trauma will provide a valuable overview of the area for advanced Undergraduates, early post-graduate training, and mental health professionals seeking an update of recent developments.

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Grounded in research and accumulated clinical wisdom, this book describes a range of ways to integrate mindfulness and other contemplative practices into clinical work with trauma survivors. The volume showcases treatment approaches that can be tailored to this population's needs, such as mindfulness-based stress reduction (MBSR), acceptance and commitment therapy (ACT), dialectical behavior therapy (DBT), mindfulness-based cognitive therapy (MBCT), and mindful self-compassion (MSC), among others. Featuring vivid case material, the book explores which elements of contemplative traditions support recovery and how to apply them safely. Neurobiological foundations of mindfulness-oriented work are examined. Treatment applications are illustrated for specific trauma populations, such as clients with chronic pain, military veterans, and children and adolescents.

Now in paperback, this bestselling classic presents seminal theory and research on posttraumatic stress disorder (PTSD). Together, the leading editors and contributors comprehensively examine how trauma affects an individual's biology, conceptions of the world, and psychological functioning. Key topics include why certain people cope successfully with traumatic experiences while others do not, the neurobiological processes underlying PTSD symptomatology, enduring questions surrounding traumatic memories and dissociation, and the core components of effective interventions. A highly influential work that laid the foundation for many of the field's continuing advances, this volume remains an immensely informative and thought-provoking clinical reference and text. A new preface to the paperback edition situates the book within the context of contemporary research developments.

A practice oriented reference book on standards of chronic wound treatment engaging recent knowledge on wound healing dynamics and physiology including cofactors as psyche, nutrition, age and general condition. The treatment modalities of chronic wounds have developed significantly over the past twenty years from just dry dressings to moist wound healing methods. In order to address the variety of chronic wounds, assessment on metabolism, vascular and malignant causes is required prior to defining a topical therapy. By clear and concise summarizing, the latest regarding complex professional information on chronic wounds, such as on pathophysiology, research and therapy is understandably presented. The well illustrated book presents therapeutic concepts of treatment a" e.g. a classification of wound stages a" information on the newest products and devices in wound management. This handbook is suitable for basic education as well as extended education and P.D.R. book for solving specific problems.

It deals not only with traditional aspects of therapy with these challenging patients, but also with special problems that may arise, including aggression and impulsivity, alcohol and drug abuse, chronic pain, sex and relationships, and vocational and forensic issues.