With traumatic stress an increasing global challenge, the U.N., the NGO community and governments must take into account the psychological aftermath of large-scale catastrophes and individual or group violence. This volume addresses this global perspective, and provides a conceptual framework for interventions in the wake of abuse, torture, war, and disaster on individual, local, regional, and international levels. To be useful to both practitioners and policymakers, the book identifies model programs that can be implemented at every level.

With traumatic stress an increasing global challenge, the U.N., the NGO community and governments must take into account the psychological aftermath of large-scale catastrophes and individual or group violence. This volume addresses this global perspective, and provides a conceptual framework for interventions in the wake of abuse, torture, war, and disaster on individual, local, regional, and international levels. To be useful to both practitioners and policymakers, the book identifies model programs that can be implemented at every level.

Now in an extensively revised third edition with 65% new material, this is the authoritative reference on posttraumatic stress disorder (PTSD). Contributors examine the breadth of current knowledge on the mechanisms by which stressful events can alter psychological processes, brain function, and individual behavior. Risk and protective factors across development and in specific populations are explored. Reviewing the state of the science of assessment and treatment, the volume covers early intervention and evidence-based individual, couple/family, and group therapies. Conceptual and diagnostic issues are addressed and key questions for the next generation of researchers are identified. New to This Edition *Thoroughly revised to reflect the accelerating pace of scientific and clinical progress; includes a range of new authors. *Chapters on new topics: treatment of PTSD with comorbid disorders, and postmortem brain banking. *New chapters on previously covered topics, including DSM-5 and ICD-11 diagnostic criteria, the psychoneurobiology of resilience, and challenges in implementing clinical best practices. *New or updated discussions of such timely issues as treatment of refugees, telemental health, and technology-based interventions.

A handy, easy-to-read reference for the diagnosis and treatment of posttraumatic and acute stress disorders, this important 6th edition has been revised and updated extensively, offering a wealth of new information in a concise format of 6 sections. The new DSM-5 diagnostic criteria for PTSD and Acute Stress Disorder (ASD) are discussed, in depth, in Chapters 2 and 6, respectively. In addition, updated tables listing instruments for assessing diagnosis and symptom severity are cited and annotated in seven appendices, as in previous editions. Chapters 3-5 have been revised to keep pace with the ever-expanding literature on treatment of PTSD. This is especially true in Chapter 4 where, in addition to a focus on evidence-based cognitive-behavioral therapy, CBT and other individual psychosocial treatments (e.g. eye movement desensitization and reprocessing, EMDR), the growing literature is presented on couples, family, group and school-based treatments for adults, children and adolescents. Chapter 5 reviews the pathophysiology of PTSD and evidence-based pharmacotherapy for the disorder. Chapter 6 addresses both normal acute stress reactions and clinically significant ASD, as well as effective interventions for each. A comprehensive, sophisticated, practical reference for all clinicians, Posttraumatic and Acute Stress Disorders, 6th Edition is an invaluable resource designed to guide the best clinical attention for individuals suffering from posttraumatic an d acute stress disorders.

Bringing together over 40 leading experts in disaster mental health, this essential volume presents practical clinical guidelines grounded in the best science available. The focus is on what first-responders, clinicians, and policymakers need to know about effective intervention in the immediate, intermediate, and long-term aftermath of large-scale traumatic events. Vital lessons learned from a variety of mass traumas and natural disasters are incorporated into this book's thorough review of strategies for helping specific victim and survivor populations. Of crucial importance, the authors clearly summarize the empirical evidence supporting each intervention and provide other guidance based on experience and consensus recommendations.

Humans are remarkably resilient in the face of crises, traumas, disabilities, attachment losses and ongoing adversities. To date, most research in the field of traumatic stress has focused on neurobiological, psychological and social factors associated with trauma-related psychopathology and deficits in psychosocial functioning. Far less is known about resilience to stress and healthy adaptation to stress and trauma. This book brings together experts from a broad array of scientific fields whose research has focused on adaptive responses to stress. Each of the five sections in the book examines the relevant concepts, spanning from factors that contribute to and promote resilience, to populations and societal systems in which resilience is employed, to specific applications and contexts of resilience and interventions designed to better enhance resilience. This will be suitable for clinicians and researchers who are interested in resilience across the lifespan and in response to a wide variety of stressors.

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.

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.

This authoritative book will be of interest to anyone involved in studying the mental health consequences of large-scale traumatic events or in measuring the effectiveness of postdisaster interventions. The book considers disasters from different perspectives and translates their chaotic aftermath into feasible research ideas and approaches. Contributing authors, all experienced researchers and practitioners, present a wide range of methods and strategies used in epidemiology, program evaluation, and public mental health planning in the aftermath of natural or technological disasters and terrorism. Descriptions of exemplary studies bring to life the associated logistical and scientific challenges and show how these challenges can be addressed using high-quality research designs.