Overview

This forward-thinking volume outlines several approaches to therapeutic treatment for individuals who have experienced complex childhood and adult trauma, providing a novel framework for helping patients with a number of  challenging symptoms, with clinical hypothesis testing and solid therapeutic relationships as a vital foundation. Responding to the intense disagreement and competition among clinicians championing their own approaches, the book identifies the strengths and limitations of multiple therapeutic approaches, addressing the need for qualified clinicians to be versed in multiple theories and techniques in order to alleviate suffering in their clients. Among the topics discussed: How to choose specific therapeutic methods and when to shift techniques The neurobiology of trauma and management of fear Cultural and ethnic considerations in trauma treatment Addressing avoidance and creating a safe therapeutic environment Management of dissociation, substance abuse, and anger Treating Complex Trauma: Combined Theories and Methods serves as a practical guide for clinicians looking to expand their knowledge of approaches for treating complex trauma. It aims to provide clinicians with options for different therapeutic methods, along with the necessary context for them to select the most effective approach in their treatments. ""For the first time in the professional literature we are finally afforded a clear, cogent, and detailed explication of complex trauma and the multifaceted parameters of treatment.  Dr. Tamara McClintock Greenberg provides perspicacious insight and clinical wisdom only a seasoned career therapist can yield.  Offering sophisticated and nuanced distinctions between complex trauma and PTSD, she shows how treatment is necessarily contextual and tailored to the unique clinical and personality dynamics of the sufferer that is thoroughly client specific within the therapeutic dyad.  She dispenses with simplistic and supercilious attitudes that embarrassingly boast a uniform or manualized treatment to trauma, instead carefully taking into consideration polysymptomatic, neurobiological, and socialcultural differences that inform the interpersonal, emotional, and safety milieu from the beginning of treatment to stabilization, the working-through process, and then onto successful recovery.  This is a must-read book for those in training and senior clinicians alike."" --Jon Mills, PsyD, PhD, ABPP, Faculty, Postgraduate Programs in Psychoanalysis & Psychotherapy, Adelphi University, NY; author of Treating Attachment Pathology ""Dr. Greenberg has written an invaluable book on treating complex trauma. She delves into multiple approaches, assessing what techniques the client can tolerate at a given therapeutic stage. She covers how to maintain consistency and connection through a flexible approach and avoid pitfalls. This is a must read for clinicians wishing to treat clients with complex PTSD."" --Louann Brizendine, MD, Clinical Professor UCSF; author of The Female Brain

Full Product Details

Author:   Tamara McClintock Greenberg
Publisher:   Springer Nature Switzerland AG
Imprint:   Springer Nature Switzerland AG
Edition:   1st ed. 2020
Weight:   0.518kg
ISBN:  

9783030452841

ISBN 10:   3030452840
Pages:   215
Publication Date:   04 August 2020
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Hardback
Publisher's Status:   Active
Availability:   Manufactured on demand  
We will order this item for you from a manufactured on demand supplier.

Table of Contents

Chapter One The Need for Utilizing Multiple Approaches for Complex PTSD: No Theory Has It All Introduction: Complex Clients Need Multiple Approaches What is Trauma and Who Gets to Define It? Difficulties in the Study of Complex Trauma PTSD vs. cPTSD: Important Distinctions Therapeutic Efficacy and the Therapeutic Alliance Multiple Treatments, Equal Efficacy Commonalities Among All Approaches The Therapy Relationship and Clinical Hypothesis Testing Negotiating the Beginning of Therapy Conclusion References   Chapter Two: How Trauma Stokes Fear: Considerations in Beginning of Therapy             The Neurobiology of Trauma             Evidence for Intergenerational Trauma Effects             Fear: Known, Unknown, and Acted Out             Clinical Hypothesis Testing and Introducing the Concept of Fear             The Unhelpful Link between cPTSD and Personality Disorders             How Trauma Can Lead to Incorrect Diagnoses             Assessing Character Style             Managing Fear in the Beginning of Therapy             Conclusion             Initial Goals in the Beginning of Therapy for People with cPTSD             References   Chapter Three: Nurturing the Therapeutic Alliance: Mentalizing and Emotional Safety             Characteristics of Therapists Who Have Good Outcomes                         -The Effective Therapist Has Sophisticated Interpersonal Skills -The Effective Therapist Has an Ability to Explain A Client’s Distress and Takes the Client’s Unique Experience into Account - The Effective Therapist Is Persuasive About Treatment Ideas And Monitors Progress in An Authentic Way - The Effective Therapist Can Deal with Difficult Material While Communicating Hope and Optimism - The Effective Therapist Is Keenly Aware of Their Own Psychology - The Effective Therapist Stays Aware of Relevant Research and Strives to Continually Improve   Trust and the Mentalizing Therapist             Normalizing and Managing Shame             Creating Safety Though Respecting Avoidance             How Much Should We Encourage the Processing of Memories?             Conclusion             Interventions for Mentalizing and Maintaining Emotional Safety References   Chapter Four: The Therapeutic Alliance and Maintaining Physical Safety                         Trauma, Suicidal Ideation and Deaths of Despair The Alarming Epidemic of Suicide Avoidance and Therapist Feelings About Suicidal Clients Risk Factors for Suicide   The Trauma of a Suicidal Crisis Clinical Management of Suicidality Crisis Response Plans Conclusion Interventions for Managing Suicidality References   Chapter Five: Dissociation: Controversies and Clinical Strategies             Normal vs. Trauma Related Dissociation Assessing Excessive Dissociation Controversies Regarding Dissociation: TM vs. SCM A Combined Model of Dissociation? Dissociation of Trauma in the Mental Health Field Treating Dissociative Disorders Conclusion Interventions for Working with Dissociative Clients References   Chapter Six: The Need to Numb: Substance Abuse and Therapeutic Management   Substance Use Problems: Evolving Social Perceptions and Reality The Increase in Problematic Substance Use  Links Between Trauma and Substance Use Combined Vulnerability: Psychological and Biological Models Assessing Substance Use Treatment Approaches for cPTSD and Substance Use Treatment Approaches Specifically for Substance Use     Conclusion Interventions for Helping People with Excessive Substance Use References   Chapter Seven: When Trauma is in the Body: Managing Physical Concerns Effects of Trauma on the Body Links Between Childhood Adversity and Physical Illness Proposed Mechanisms Explaining the Trauma Illness Connection Relationships and the Buffer Against Illness Research on the Decrease of Physical Symptoms in Therapy Treating People Who are Somatically Focused Conclusion Interventions for Helping People who Are Physically Focused References   Chapter Eight: When Fight Impulses Dominate: Managing Anger                         Anger and Clinical Avoidance Links Between Aggression and Trauma Anger as a Result of Feeling Over-Responsible Mind, Body and Brain: The Neuropsychology of Anger Anger And Problems Regarding Ideas of Transference When the Therapist is the Focus of Anger Treating Anger and Aggression Conclusion Interventions for Treating Angry and Aggressive Clients References   Chapter Nine: Sociocultural Consideration in Trauma Treatment   Culture and the Culture of Avoidance: Thinking about Differences Between Therapist and Client Trauma, Microaggressions and Race and Class Trauma, Microaggressions and LGBT Persons Stereotypes and Stereotype Threats Talking about Differences Conclusion References   Chapter Ten: Vicarious Trauma and Self Care for the Trauma Therapist               Compassion Fatigue and the Impact of Vicarious Trauma             Too Much Empathy? The Risk of Burnout and Potential Consequences             Therapist Vulnerabilities Countertransference and the Importance of Therapist’s Emotions Over-Responsibility and the Trappings of the Super Therapist Therapist Self-Care Conclusion Self-Care Interventions References  

Reviews

The merits of this book are many, the most important being to make a serious and pervasive disorder such as complex trauma more understandable and therefore more treatable, providing clinicians with a wide framework of concepts and therapeutic tools, and a sustained example of how to build one's own personal toolbox for these often difficult, long and challenging psychotherapies. (Monica Luci, Psychoanalytic Psychotherapy, May 28, 2021)

Author Information

Tamara McClintock Greenberg, Psy.D., M.S., is a clinical psychologist in private practice in San Francisco, CA, where she specializes in treating adults with depression, anxiety, relationship issues, trauma, and those who are coping with medical illness, either as a patient or affected family member. She has been practicing psychology in San Francisco since 1997. As a Full Clinical Professor of Psychiatry at the University of California, San Francisco, Tamara spent over 12 years seeing medical patients and their families in the UCSF hospitals and clinics and has spent the last 22 years supervising psychiatry residents, psychology interns and students in a number of different training centers. Tamara received a post-doctorate master’s degree in Clinical Psychopharmacology from Alliant University/California School of Professional Psychology in 2004, her Doctorate Degree in Clinical Psychology from Argosy University/Minnesota School of Professional Psychology, Minneapolis, MN in 1997. She received the Jacob Markovitz Memorial Scholarship toward her graduate school studies. Her APA-approved predoctoral internship was at the Veterans Affairs Medical Center in North Chicago, IL from 1996-1997. She has been licensed as a clinical psychologist in the state of California since 1999 (PSY 16206). Her publishing has focused on care taking, health psychology, psychodynamic psychology, women’s issues and trauma, with the aim of helping people navigate complex physical and/or psychological issues. Tamara has written for multiple publications, including The Huffington Post, Psych Central, Psychology Today, The Good Men Project, Maria Shriver’s website, The San Francisco Chronicle, and has been quoted as an expert in Forbes, USA Today, Newsweek, Next Avenue (PBS), The Washington Post and more. She has been interviewed by numerous radio stations, including several NPR stations and affiliates. Tamara lives in San Francisco with her husband and two pugs, Roscoe and Rufus.

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