Overview

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.

Full Product Details

Author:   John N. Briere ,  Catherine Scott
Publisher:   SAGE Publications Inc
Imprint:   SAGE Publications Inc
Dimensions:   Width: 15.20cm , Height: 1.80cm , Length: 22.80cm
Weight:   0.400kg
ISBN:  

9780761929215

ISBN 10:   0761929215
Pages:   312
Publication Date:   20 July 2006
Audience:   Professional and scholarly ,  Professional & Vocational
Replaced By:   9781412981439
Format:   Paperback
Publisher's Status:   Out of Print
Availability:   In Print  
Limited stock is available. It will be ordered for you and shipped pending supplier's limited stock.

Table of Contents

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

Reviews

""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., ""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 ""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 ""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 ""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 ""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 -- Nicole Ruysschaert * CONTEMPORARY PSYCHOLOGY *

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., 20051222 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 20051222 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 20051222 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 20051222 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 20051222 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 -- Nicole Ruysschaert CONTEMPORARY PSYCHOLOGY 20071008

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., 20051222 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 20051222 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 20051222 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 20051222 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 20051222 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 -- Nicole Ruysschaert CONTEMPORARY PSYCHOLOGY 20071008

Author Information

John N. Briere, PhD is Professor Emeritus of Psychiatry and the Behavioral Sciences at the Keck School of Medicine, University of Southern California, and is past director of the Psychological Trauma Program at Los Angeles County + USC Medical Center. A past president of the International Society for Traumatic Stress Studies (ISTSS), he is recipient of the Award for Outstanding Contributions to the Science of Trauma Psychology from the American Psychological Association, the Robert S. Laufer Memorial Award for Scientific Achievement from ISTSS, the Presidential Award for Contribution to Methods from the Association for Scientific Advancement in Psychological Injury and Law, and the William N. Friedrich Lecturer: Outstanding Contribution to the Field of Child Psychology from the Mayo Clinic. A long-term student of Buddhist psychology, he has been Remote Faculty at the Institute for Meditation and Psychotherapy since 2013. Catherine Scott, MD, is Assistant Clinical Professor of Psychiatry and the Behavioral Sciences at the Keck School of Medicine of the University of Southern California. Her academic background includes Harvard College, Columbia University College of Physicians and Surgeons, and psychiatric residency training at both Cornell and USC. Previously, Dr. Scott served as Medical Director of the Psychological Trauma Program at Los Angeles County + USC Medical Center, and the Associate Medical Director of the Psychiatric Emergency Service at Los Angeles County + USC Medical Center. In that capacity she taught and supervised resident physicians and medical students in the assessment and treatment of trauma-related disorders arising from sexual and physical violence, torture, child abuse, and other forms of interpersonal violence. She continues to practice as well as teach residents at USC, and serves as an expert witness in the areas of trauma and posttraumatic stress. Her clinical and research interests include women’s issues, treatment of adult survivors of child abuse, human rights, and the remediation of sexual violence and its effects.

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