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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.
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