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Books > Medicine > Other branches of medicine > Accident & emergency medicine > Trauma & shock
Developmental Trauma offers a comprehensive introduction to the research findings that help us understand the effects on human development of early childhood trauma and adaptation to stress. It explains how DTD differs from PTSD and emerges from a toxic seed planted at the beginning of an individual's lifespan development. This important volume examines relational traumas and adverse childhood experiences, such as exposure to family and community violence, polyvictimization (multiple repeated childhood traumas), and disruptions to parent-child bonds, which lay the foundation for future relationships. The volume considers how DTD affects self-regulation capacities, identity development, self-esteem, and faith in oneself and others andincreases the likelihood of comorbidities including ADHD and autism spectrum disorders. Individuals with indications of developmental trauma face lifelong challenges in their ability to develop and maintain trusting relationships, to build and utilize healthy coping strategies, and to adjust to school and, eventually, the workplaceUniquely, Daniel Cruz goes beyond individual levels of analysis that focus almost exclusively on patients and explores toxic stress embedded in social systems and institutional policies and procedures that cause individuals to suffer, experience psychiatric and medical problems, and that lead to social and economic adversities such as poverty, homelessness, and involvement in criminal activity. Key topics explored include institutional betrayal, such as sexual assaults and workplace bullying, and judicial betrayal when failures from the legal system do not adequately protect victims of trauma, for example in cases of domestic violence. Developmental Trauma is for students of child and adolescent psychology, developmental psychology, clinical psychology, primary care and health psychology, education, social work, and urban studies. It is relevant for graduate students in applied fields such as clinical and counseling psychology, and those working with diverse children, and public health and policy.
This fascinating book explores how traumatic experience interacts with unconscious phantasy based in folklore, the supernatural and the occult. Drawing upon trauma research, case study vignettes, and psychoanalytic theory, it explains how therapists can use literature, the arts, and philosophy to work with clients who feel cursed and manifest self-sabotaging states. The book examines the challenges that can arise when working with this client population and illustrates how to work through them while navigating potent transferences and projective identifications. It's an important read for students, psychotherapists, and counselors in the mental health field.
Project of a multidisciplinary range of clinicians. The interventions include group, individual and family modalities and the addition of creative arts combines verbal and nonverbal approaches. Provides a model for other clinicians and administrators and emphasizes the relational aspects of therapeutic practices, a team, and the importance of education and support in order to create an empowering and non-threatening environment.
Project of a multidisciplinary range of clinicians. The interventions include group, individual and family modalities and the addition of creative arts combines verbal and nonverbal approaches. Provides a model for other clinicians and administrators and emphasizes the relational aspects of therapeutic practices, a team, and the importance of education and support in order to create an empowering and non-threatening environment.
This book will prepare social workers, psychologists, and counselors for psychosocial work with individuals and groups who are experiencing distress and trauma resulting from historical and current sociopolitical oppression and violence. Sociopolitical oppression is a sustained, systematic catastrophe, which results from social targeting and discrimination such as racism, sexism and misogyny, homophobia, and anti-immigrant fervor. The consequences are profound and debilitating. In some ways, they are similar to reactions to a single event disaster (e.g., hurricane, earthquake, terrorist attack) but even more insidious because the social targeting and harassment have been ongoing and will continue. As a guide for direct clinical practice, this book offers new models for understanding the nature and consequences of sociopolitical disasters as well as guiding a range of interventions – clinical, psychoeducational, advocacy, and social justice – for use on a micro, mezzo, and macro level. Drawing on indigenous and BIPOC knowledge and scholarship and using case studies from around the world, it criticizes while also adapting and integrating knowledge and theory from the fields of disaster mental health, psychosocial capacity building, trauma therapy, psychodynamic theory, cognitive behavioral theories, and theories of resilience and positive psychology, linking them to an understanding of historical and social oppression, social justice, and intergroup conflict and reconciliation. The book offers critiques of dominant Western, Eurocentric visions of personhood and models of intervention and questions assumptions about the roles of "client" and "worker," proposing more egalitarian, collaborative relationships and extensive use of training of trainers. It will prepare graduate students and practitioners across the helping professions for work that promotes the collective and individual strength and efficacy of affected people, while also responding directly to vulnerability, stress, and trauma.
Contains discussion of topics including the Holocaust, slavery, white guilt and the war in Ukraine. Accessibly written, current and engaging. Primarily psychoanalytic perspective but also includes discussion of history, morality and politics.
This book will prepare social workers, psychologists, and counselors for psychosocial work with individuals and groups who are experiencing distress and trauma resulting from historical and current sociopolitical oppression and violence. Sociopolitical oppression is a sustained, systematic catastrophe, which results from social targeting and discrimination such as racism, sexism and misogyny, homophobia, and anti-immigrant fervor. The consequences are profound and debilitating. In some ways, they are similar to reactions to a single event disaster (e.g., hurricane, earthquake, terrorist attack) but even more insidious because the social targeting and harassment have been ongoing and will continue. As a guide for direct clinical practice, this book offers new models for understanding the nature and consequences of sociopolitical disasters as well as guiding a range of interventions – clinical, psychoeducational, advocacy, and social justice – for use on a micro, mezzo, and macro level. Drawing on indigenous and BIPOC knowledge and scholarship and using case studies from around the world, it criticizes while also adapting and integrating knowledge and theory from the fields of disaster mental health, psychosocial capacity building, trauma therapy, psychodynamic theory, cognitive behavioral theories, and theories of resilience and positive psychology, linking them to an understanding of historical and social oppression, social justice, and intergroup conflict and reconciliation. The book offers critiques of dominant Western, Eurocentric visions of personhood and models of intervention and questions assumptions about the roles of "client" and "worker," proposing more egalitarian, collaborative relationships and extensive use of training of trainers. It will prepare graduate students and practitioners across the helping professions for work that promotes the collective and individual strength and efficacy of affected people, while also responding directly to vulnerability, stress, and trauma.
• Builds on the author’s own theoretical concept, ‘The Transgenerational Atmosphere’ from their first book. • Looks at the impact of collective trauma including pandemics, natural disasters, terrorism, war, and the potential long-term psychological effects. • Explores COVID-19 as an instance of Mass Trauma, and reflects on the crisis through a psychoanalytic lens, using clinical material from during the pandemic itself. • Offers a unique approach through the diarizing of the authors’ own clinical experiences and responses to the pandemic.
• Builds on the author’s own theoretical concept, ‘The Transgenerational Atmosphere’ from their first book. • Looks at the impact of collective trauma including pandemics, natural disasters, terrorism, war, and the potential long-term psychological effects. • Explores COVID-19 as an instance of Mass Trauma, and reflects on the crisis through a psychoanalytic lens, using clinical material from during the pandemic itself. • Offers a unique approach through the diarizing of the authors’ own clinical experiences and responses to the pandemic.
Posttraumatic Joy presents the major themes and ideas of Nietzsche’s corpus from a continental and psychoanalytic perspective with a particular bent toward how they might illuminate ways of coping with and living beyond trauma and suffering. Through a series of transcribed and edited lectures—originally delivered as a part of the "Nietzsche for Clinicians" workshop run through the Center for Psychological Humanities and Ethics at Boston College—this work traces the genesis of such fundamental psychoanalytic concepts as repression, the death drive, and the Oedipus complex to the works of one of philosophy’s most audacious and original thinkers. Reading Nietzsche not as a philosopher in the traditional sense, but as a proto-psychoanalyst, a precursor to Freud and Lacan, this work explores his understanding of the origins of morality, the value of sublimation, the movement from mourning to melancholia—or, in Nietzsche’s terms, from trauma to tragedy—and the possibility of a life lived in affirmation and self-overcoming. This interdisciplinary book will be of interest to scholars and practitioners whose work intersects with continental philosophy and theoretical and philosophical psychology. This includes any psychotherapist, social worker, psychoanalyst, or pastoral counselor with an interest in understanding the deeply psychological philosophy of one of history’s greatest thinkers.
Life Events and Emotional Disorder Revisited explores the variety of events that can occur, their inherent characteristics and how they affect our lives and emotions, and in turn their impact on our mental health and wellbeing. The book focuses on current social problems nationally and internationally, showing the reach of life events research including those linked to Covid-19. It also discusses trauma experiences and how they fit in the life events scheme. To underpin the various life event dimensions identified (such as loss, danger and humiliation), the authors have developed an underlying model of human needs, jeopardised by the most damaging life events. This includes attachment, security, identity and achievement. The book brings together classic research findings with new advances in the field of life events research, culminating in a new theoretical framework of life events, including new discussions on trauma, on positive events and an online methodology for measuring them. Additionally, it draws out the clinical implications to apply the research for improved practice. The book will be of interest to researchers, clinicians and students in psychology, psychiatry and psychotherapy in broadening their understanding of how life events impact on individuals and how this can be applied to enhance clinical practice and stimulate future research.
This book is a dialectic and multi-perspective examination of classed traumas in late modernity. The primary anchoring question is whether and how class becomes a condition of possibility for coping with traumas. What does it mean to experience deindustrialization, crises, or domestic violence from a specific class position? Do the coping mechanisms differ along the lines of class, gender, race, age, or ethnicity? The text negotiates such questions, travelling back and forth from psychoanalysis to sociology and from the global to the local, while critically engaging with memories, narratives, and myths engraved into social and personal histories. Through a dialogic quest for what is silenced, and what is salient within oral, written, and visual testimonies, it foregrounds what the upper classes prefer to neglect: the traumatizing core of the new class divide. Rather than idealizing or vilifying the dominated, this study calls for an exploration of practices, narrations, and spaces whereby alienation and integration co-exist antagonistically, producing hybrid and fragmented, but also potentially transformative, subjectivities. This book will be of interest to scholars of humanities and social sciences, primarily for those studying social stratification and inequalities, sociology of emotions, identity theory, trauma and memory, political psychoanalysis, labour history, and ethnography.
This book offers new insight into how individuals utilize resilience in the face of structural and social injustice. By drawing on qualitative research methods to foreground the voices of Holocaust survivors and Latinx immigrants to the United States, Critical Resilience and Thriving in Response to Systematic Oppression illustrates the role of cultural values, spirituality, and perseverance in the face of severe institutionalized oppression. Using this to extend current understandings of resilience, the text posits critical resilience as a response to embedded social inequalities and goes on to offer a nuanced reconceptualization of overcoming such hardship, not only as overcoming adversity but as recognizing strengths despite ongoing injustice. It synthesizes feminist and critical theories to elaborate on the framework of critical resilience and thriving. Highlighting the importance of qualitative research on the strengths and resources of oppressed groups, this volume will be of interest to students, scholars, and researchers with an interest in trauma studies, qualitative methods, and personal development, as well as in mental health research.
As the new UN IPCC climate report issued on August 9 states, humanity is in the midst of a civilization-changing event. The book will offer hope, inspiration, and a positive path forward to billions of people in North America, the EU, and worldwide who already are, or are certain in the near future, to experience severe mental health and psycho-social-spiritual problems due to being directly impacted by climate change-related disasters, emergencies, and toxic stresses. It will also offer hope, inspiration, and a positive path forward to the millions who are experiencing intersectional traumas, vicarious (or secondary) trauma, and eco-grief (or eco-anxiety) resulting from seeing climate impacts from afar or worrying about what the future holds for their children and them. The book will challenge the thinking and approaches that dominate the mental health, disaster management, and human services fields today by describing why individually-focused clinical treatment, disaster mental health, and direct service programs--which are crisis and illness, not wellness and resilience focused--are woefully incapable of preventing or healing climate change-generated individual and collective traumas. It will also describe a proven empowering and hopeful alternative: a public health and prevention science approach to organizing community-based, culturally-tailored, population-level wellness and resilience building initiatives for relentless adversities in every community and region of North America and worldwide. The book will offer a practical how-to guide that civic, community, and government leaders can use to organize, fund, facilitate, evaluate, and continually improve community-based mental wellness and resilience initiatives that prevent and heal individual and collective traumas and help people find meaning, purpose, and realistic hope even as the global climate emergency worsens.
Reconstructing Meaning After Trauma: Theory, Research, and Practice informs actual therapeutic work with clients who present with traumas or other life disruptions by providing clinicians with information on the construction of meaning. It includes material on diverse mechanisms of clinical change and positive-promoting processes. The book covers identifiable treatments and specific lines of research in assisting clients in developing new meaning, such as posttraumatic growth (after sexual assault, diagnosis, and treatment of cancer, destructive natural phenomena, such as hurricanes, and refugee experiences), and finding benefit (in the context of loss-loss of health, or loss of a loved one).
Identity Transformation and Posttraumatic Growth Following Traumatic Brain Injury and Posttraumatic Stress Disorder provides an autoethnographic qualitative study that portrays the author's recovery from a devastating life changing event - a car crash resulting in the hybrid diagnosis of TBI and PTSD, leading to PTG and identity transformation over a ten-year recovery period. In so doing, the text offers a comprehensive literature review on TBI, PTSD, PTG, and disability culture. Throughout, the author explores whether growth (PTG) and distress (PTSD), and whether TBI and PTSD can co-exist. Having lost her ability to read and write, the author had to learn how to learn, to heal and to have faith again. As a licensed trauma therapist and researcher, she collected self-observational data by writing her actual behaviors, thoughts and emotions in real time, both in a field and a process journal, even before she could write in full sentences. The many symptoms and co-morbidities of TBI, PTSD and the tenets of PTG are portrayed as they evolved in recovery showing the behavior and characteristics of each. The text refers to actual journal entries, medical records, and clinical notes from rehabilitation specialists, alternating between her clinical analysis and interpretation. The findings show that tragedy and suffering can lead to growth and positive change (PTG) after TBI, even though the precipitating trauma and psychological distress (PTSD) may persist for years. Changes are seen in self-perception, interpersonal relationships, and philosophies of life. This chronicled account of the author's emergent recovery from patient to doctor is intended to benefit neuro-rehabilitation service providers (neuropsychologists, primary care physicians, speech-language pathologists) and also mental health clinicians who can see the evolution of Posttraumatic Growth for what is now the new next step for many in PTSD recovery.
Presents complex material and practical applications about the neuroscience of resiliency and trauma with innovation, clarity, simplicity, and accessibility to the reader. Presents easy-to-use applications based on cutting edge neuroscience to mobilize individuals and communities from a resiliency-focused and trauma-informed perspective, simply, creatively and with innovation. Demonstrates how the simple, clear and innovative methods based on cutting edge neuroscience and somatic approaches have been integrated into projects around the world from Dalai Lama's vision of creating a curriculum for children to civil rights leaders wanting to change systemic racism. This book gives readers tools and ideas to not only help themselves but also to transform their communities.
The Adult Attachment Project Picture System (AAP) has served as a prominent assessment tool for adults and adolescents internationally for over 20 years. This book introduces the AAP and illustrates the powerful potential for implementing the AAP in clinical practice for assessment, client conceptualization, treatment planning, analysis, and as a therapeutic guide. Chapters discuss the full scope of incomplete pathological mourning for attachment trauma, including for the first time in the field Failure to Mourn and Preoccupation with Personal Suffering. Seasoned clinical researchers and psychotherapists provide a snapshot of their clients' unique attachment characteristics and defensive exclusion strategies as assessed by the AAP, and discuss how to use this information in treatment, as well as how to present the AAP results to their clients. This book introduces readers to how the AAP can be used with adolescents, adults, and couples, and in custody evaluation and foster care.
Primatology, Ethics and Trauma offers an analytical re-examination of the research conducted into the linguistic abilities of the Oklahoma chimpanzees, uncovering the historical reality of the research. It has been 50 years since the first language experiments on chimpanzees. Robert Ingersoll was one of the researchers from 1975 to 1983. He is well known for being one of the main carers and best friend of the chimpanzee, Nim Chimpsky, but there were other chimpanzees in the University of Oklahoma's Institute for Primate Studies, including Washoe, Moja, Kelly, Booee, and Onan, who were taught sign language in the quest to discover whether language is learned or innate in humans. Antonina Anna Scarna's expertise in language acquisition and neuroscience offers a vehicle for critical evaluation of those studies. Ingersoll and Scarna investigate how this research failed to address the emotional needs of the animals. Research into trauma has made scientific advances since those studies. It is time to consider the research from a different perspective, examining the neglect and cruelty that was inflicted on those animals in the name of psychological science. This book re-examines those cases, addressing directly the suffering and traumatic experiences endured by the captive chimpanzees, in particular the female chimpanzee, Washoe, and her resultant inability to be a competent mother. The book discusses the unethical nature of the studies in the context of recent research on trauma and offers a specific and direct psychological message, proposing to finally close the door on the language side of these chimpanzee studies. This book is a novel and groundbreaking account. It will be of interest to lay readers and academics alike. Those working as research, experimental, and clinical psychologists will find this book of interest, as will psychotherapists, linguists, anthropologists, historians of science and primatologists, as well as those involved in primate sanctuary and conservation.
Primatology, Ethics and Trauma offers an analytical re-examination of the research conducted into the linguistic abilities of the Oklahoma chimpanzees, uncovering the historical reality of the research. It has been 50 years since the first language experiments on chimpanzees. Robert Ingersoll was one of the researchers from 1975 to 1983. He is well known for being one of the main carers and best friend of the chimpanzee, Nim Chimpsky, but there were other chimpanzees in the University of Oklahoma's Institute for Primate Studies, including Washoe, Moja, Kelly, Booee, and Onan, who were taught sign language in the quest to discover whether language is learned or innate in humans. Antonina Anna Scarna's expertise in language acquisition and neuroscience offers a vehicle for critical evaluation of those studies. Ingersoll and Scarna investigate how this research failed to address the emotional needs of the animals. Research into trauma has made scientific advances since those studies. It is time to consider the research from a different perspective, examining the neglect and cruelty that was inflicted on those animals in the name of psychological science. This book re-examines those cases, addressing directly the suffering and traumatic experiences endured by the captive chimpanzees, in particular the female chimpanzee, Washoe, and her resultant inability to be a competent mother. The book discusses the unethical nature of the studies in the context of recent research on trauma and offers a specific and direct psychological message, proposing to finally close the door on the language side of these chimpanzee studies. This book is a novel and groundbreaking account. It will be of interest to lay readers and academics alike. Those working as research, experimental, and clinical psychologists will find this book of interest, as will psychotherapists, linguists, anthropologists, historians of science and primatologists, as well as those involved in primate sanctuary and conservation.
Writers at War addresses the most immediate representations of the First World War in the prose of Ford Madox Ford, May Sinclair, Siegfried Sassoon and Mary Borden; it interrogates the various ways in which these writers contended with conveying their war experience from the temporal and spatial proximity of the warzone and investigates the multifarious impact of the war on the (re)development of their aesthetics. It also interrogates to what extent these texts aligned with or challenged existing social, cultural, philosophical and aesthetic norms. While this book is concerned with literary technique, the rich existing scholarship on questions of gender, trauma and cultural studies on World War I literature serves as a foundation. This book does not oppose these perspectives but offers a complementary approach based on close critical reading. The distinctiveness of this study stems from its focus on the question of representation and form and on the specific role of the war in the four authors' literary careers. This is the first scholarly work concerned exclusively with theorising prose written from the immediacy of the war. This book is intended for academics, researchers, PhD candidates, postgraduates and anyone interested in war literature.
This volume studies the manifestations of female trauma through the exploration of multiple wounds, inflicted on both body and mind (Caruth 1996, 3) and the soul of Irish women from Northern Ireland and the Republic within a contemporary context, and in literary works written at the turn of the twenty-first century and beyond. These artistic manifestations connect tradition and modernity, debunk myths, break the silence with the exposure of uncomfortable realities, dismantle stereotypes and reflect reality with precision. Women's issues and female experiences depicted in contemporary fiction may provide an explanation for past and present gender dynamics, revealing a pathway for further renegotiation of gender roles and the achievement of equilibrium and equality between sexes. These works might help to seal and heal wounds both old and new and offer solutions to the quandaries of tomorrow.
Writers at War addresses the most immediate representations of the First World War in the prose of Ford Madox Ford, May Sinclair, Siegfried Sassoon and Mary Borden; it interrogates the various ways in which these writers contended with conveying their war experience from the temporal and spatial proximity of the warzone and investigates the multifarious impact of the war on the (re)development of their aesthetics. It also interrogates to what extent these texts aligned with or challenged existing social, cultural, philosophical and aesthetic norms. While this book is concerned with literary technique, the rich existing scholarship on questions of gender, trauma and cultural studies on World War I literature serves as a foundation. This book does not oppose these perspectives but offers a complementary approach based on close critical reading. The distinctiveness of this study stems from its focus on the question of representation and form and on the specific role of the war in the four authors' literary careers. This is the first scholarly work concerned exclusively with theorising prose written from the immediacy of the war. This book is intended for academics, researchers, PhD candidates, postgraduates and anyone interested in war literature.
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.
The number of individuals diagnosed with posttraumatic stress disorder has increased in the past decade, not only in the military and veteran population but within the civilian population as well. Traditional treatments such as pharmacotherapy and psychotherapy have provided less-than-ideal results proving to be less effective when used alone to treat the disorder. Complementary and Alternative Medicine for PTSD supplements these traditional treatments, using new and effective techniques to fill the therapeutic void. The alternative therapies covered include acceptance and commitment therapy, acupuncture, alternative pharmacology, canine assistive therapy, family focused interventions, internet and computer-based therapy, meditation techniques, mobile applications, recreational therapy, resilience training, transracial magnetic stimulation, virtual reality exposure therapy, and yoga. Each chapter delivers the most up-to-date understanding of neurobiology, best practices, and key points for clinicians and patients considering inclusion of these treatments in patient care. COL David Benedek and LTC Gary Wynn offer insight into the future of complementary and alternative medicine, shining a light onto how these techniques fit into clinical practice to create the most beneficial treatments for the patient. This book is both an essential resource and practical guide to everyday clinical interactions. It is a necessary addition to the medical library for students and senior clinicians alike. |
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