Principles of Trauma Therapy
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Principles of Trauma Therapy
A Guide to Symptoms, Evaluation, and Treatment

  • John Briere - University of Southern California
  • Catherine Scott - University of Southern California, Keck School of Medicine, Los Angeles


© 2006 | 312 pages | SAGE Publications, Inc
"This is a phenomenal compilation of clinical, biological, neuropsychiatric, and psychotherapeutic information on the subject of trauma. The authors move from the very basic subject of "what trauma is" to the most complicated subjects of etiology and intervention.  The usefulness of the book is greatly enhanced by the many case examples. This is a major contribution, both for those who treat and for theoreticians....  a must for every clinician!"

"This is a phenomenal compilation of clinical, biological, neuropsychiatric, and psychotherapeutic information on the subject of trauma. The authors move from the very basic subject of "what trauma is" to the most complicated subjects of etiology and intervention.  The usefulness of the book is greatly enhanced by the many case examples. This is a major contribution, both for those who treat and for theoreticians....  a must for every clinician!" —Marcia Goin, MD, PhD, Psychoanalyst; Past-president, American Psychiatric Association; Professor of Clinical Psychiatry, Keck School of Medicine, University of Southern California, Los Angeles, CA

"This book is an excellent teaching tool —almost what one would expect from a course with details printed in different fonts and useful checklists for clinical work. I appreciate the choice of either reading individual chapters one at a time, each one with recommended reading sections at the end, or the benefits of reading the book as a whole...Of special value in this book is the chapter dedicated to the psychopharmacology of trauma, as special attention is given to the most up-to-date research in the field of psychobiology" —CONTEMPORARY PSYCHOLOGY

Principles of Trauma Therapy provides a creative synthesis of cognitive-behavioral, relational/psychodynamic, and psychopharmacologic approaches to the "real world" treatment of acute and chronic posttraumatic states.  Grounded in empirically-supported trauma treatment techniques, and adapted to the complexities of actual clinical practice, it is a hands-on resource for both front-line clinicians in public mental health and those in private practice.  Trauma-related disturbance can be complex, requiring careful assessment and multimodal, symptom-focused treatment.  This book describes assessment approaches and specific interventions not only for the cognitive and emotional processing of trauma memories, but also for the treatment of problems related to affect dysregulation, identity/self-disturbance, cognitive distortions, negative relational schema, and avoidance responses such as substance abuse, dissociation, and tension-reduction behavior.  A special chapter on trauma psychopharmacology, accessible to both prescribing and nonprescribing clinicians, outlines the indications and limitations of psychoactive medication in the treatment of trauma survivors.  

Written by trauma researcher and clinician John Briere, Ph.D., and medical director of the USC Psychological Trauma Clinic, Catherine Scott, M.D., this book articulates a nonpathologizing, phenomenological perspective on trauma and recovery - one that emphasizes both specific therapeutic techniques and the general, but critical, role of the therapeutic relationship.

Intended Audience: This is an essential resource for practicing clinicians interested in the area of trauma. It also serves as an ideal supplemental text for graduate students studying psychotherapy, clinical psychology, and traumatic stress in the fields of Psychology, Psychiatry, and Social Work.
 
INTRODUCTION
 
PART I: TRAUMA, EFFECTS, AND ASSESSMENT
 
Ch 1. What is Trauma:
Major Types of Trauma  
The Problem of Combined and Cumulative Traumas  
 
Ch 2. The Effects of Trauma
What Makes Trauma Responses More Likely, More Intense, or More Complicated  
Types of Posttraumatic Responses  
 
Ch 3. Assessing Trauma and Posttraumatic Outcomes
Assessment in the Clinical Interview  
Psychological Tests  
 
PART II: CLINICAL INTERVENTIONS
 
Ch 4: Central Issues in Trauma Treatment
A Basic Philosophy of Trauma, Recovery, and Growth  
Central Treatment Principles  
Gender Issues  
Cultural Issues  
Therapist Countertransference  
 
Ch 5: Psychoeducation
 
Handouts and Other Media
General Focus  
Constraints  
 
Ch 6: Distress Reduction and Affect Regulation Training
Dealing With Acute Intrusion - Grounding  
Intervening in Chronic Affect Dysregulation  
 
Ch 7: Cognitive Interventions
Cognitive Reconsiderations  
Cognitive Processing  
Developing a Coherent Narrative  
Cognitive Changes Arising From Non-Overwhelming Emotional Activation During Treatment  
Insight  
Ch 8: Emotional Processing  
Reexperiencing as Trauma Processing  
The Therapeutic Window  
Constraints on Trauma Processing  
The Components of Trauma Processing  
Processing "Hot Spots"  
Emotional Processing and Substance Abuse: Suggested modifications  
Emotional Processing From Another Perspective: A Note on EMDR  
Sequence and Session-Level Structure  
 
Ch 9: Increasing Relational Functioning and Other Self-Capacities
Relational Disturbance  
Identity Problems  
 
Ch 10: Treating the Effects of Acute Trauma
Acute Traumatic Stress  
Brief Review of the Acute Trauma Intervention Literature  
Intervention Strategies  
Ch 11: Biology and Psychopharmacology of Trauma  
The Psychobiology of Trauma  
Principles of Trauma Psychopharmacology  
Medications for PTSD  
Antipsychotics for Trauma-Related Psychosis  
Sleep Medications  
Medication, Pregnancy, and Lactation  
 
Ch 12: Conclusions
 
References
 
Appendix I: The Brief Interview for Posttraumatic Stress Disorders (BIPD)
 
Appendix 2: The Initial Trauma Review (ITR)
 
Appendix 3: Breath Training Protocol

"This groundbreaking book takes trauma therapy to a new stage of development, brilliantly integrating the diverse findings of cognitive behaviorists, relational and attachment theorists, and neurobiologists.  The authors understand that therapy is an intimate relationship between two people -- the (often distrusting and fearful) patient who wishes relief from pain and the (often frustrated but empathic) therapist who would like to provide that relief.  The authors generate in the reader a respect for the biological underpinnings of trauma and the power of early attachment dynamics, showing us how to accept these realities while building the structures that will help the patient achieve symptom relief.  The clarity of the text, particularly given the complexity of the material, combines with the wisdom and warmth of the authors to produce a "must read" for any therapist working with trauma patients."

Constance Dalenberg, Ph.D.,
Director, Trauma Research Institute, Alliant International University, San Diego; Author: Countertransference and the Treatment of Trauma

"The authors have provided a definitive resource on the treatment of all types of trauma, especially important as society faces more and more traumatic events. This book admirably meets its goal as a hands-on, practical guide for clinicians working with adult and older adolescent trauma survivors. The material is cutting edge, encompassing a wide range of interventions, including a very comprehensive chapter on psychopharmacology. It includes discussion of techniques and principles for which an evidence base has developed, as well as other techniques developed from clinical experience. This book will serve as an essential reference for all clinicians treating the traumatized, as well as a textbook for courses on the treatment of trauma."

Christine A. Courtois, PhD
Psychologist, Independent Practice, Washington, DC; Author: Healing the incest wound: Adult survivors in therapy and Recollections of sexual abuse: Treatment principles and guidelines

"This is a phenomenal compilation of clinical, biological, neuropsychiatric, and psychotherapeutic information on the subject of trauma. The authors move from the very basic subject of "what trauma is" to the most complicated subjects of etiology and intervention.  The usefulness of the book is greatly enhanced by the many case examples. This is a major contribution, both for those who treat and for theoreticians....  a must for every clinician!"

Marcia Goin, MD, PhD
Psychoanalyst; Past-president, American Psychiatric Association; Professor of Clinical Psychiatry, Keck School of Medicine, University of Southern California, Los Angeles, CA

"This book bridges the divide between CBT oriented, evidence based practitioners and those who endorse a more relationship based approach to chronic traumas. The authors offer a components based model for the delivery of trauma therapy that clearly illustrates how these two approaches can be compatible. As Briere and Scott demonstrate, the science and the art of therapy are both honored when there is systematic application of treatment components in the context of specific client needs. This book is just what is needed to advance our field."

Lucy Berliner, MSW
Director, Harborview Center for Sexual Assault & Traumatic Stress, Seattle, WA

"The chapter on psychopharmacology stands out in two ways.  First, the integrative discussion of the psychology and biology of post-trauma outcome provides essential understanding for all who work with survivors, regardless of discipline.  Second, the clarity and scope of this work provides both an accessible primer for practitioners new to trauma and a comprehensive pharmacology update for more experienced clinicians."

James High, MD
Psychiatrist, Private Practice, Santa Monica, CA; Clinical Professor of Psychiatry, Keck School of Medicine, University of Southern California, Los Angeles, CA
Key features

Unlike most books on trauma currently available, this book will provide specific, practical information on trauma-based therapy, calling on the most current information available in the trauma literature. The philosophy underlying this book is anchored in practicality, clinical reality, and the awareness that theory, alone, is rarely that helpful to the practicing clinician.


Sample Materials & Chapters

Chapter 1

Chapter 3

Chapter 5


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ISBN: 9780761929208