Overview

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 post-traumatic interventions, cognitive-behavioural 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.

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9781572306875

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Reviews

Precise and relevant, a comprehensive review of the history, theory, and treatment of PTSD....I find this an essential text in my graduate counseling course.--James Halpern, PhD, Department of Psychology, State University of New York at New Paltz Wilson, Friedman, and Lindy define the theory of PTSD treatment with authority and clarity. Readers will appreciate how well the volume integrates the scientific, intellectual, and ethical principles for choosing effective clinical interventions. As much a 'why to' as a 'how to' book, this is a volume to be owned by all serious PTSD scholars and practitioners.--Frank M Ochberg, MD, former Associate Director, National Institute of Mental Health The perennial request of trauma practitioners is 'Give me something I can use--something practical!' This text defines the major themes of recovery across populations and relates these goals to specific interventions and techniques. Adding the areas of attachment/intimacy and interpersonal relationships and self/identity and life course development to the 'basic three' of PTSD (intrusion, avoidance, physiological symptoms) fills in previously missing gaps. This is one of the first volumes to address PTSD treatment from a non-unitary perspective, acknowledging that traumatic responses exist on a continuum and presenting treatment goals that apply to all aspects of the disorder. It is a great step forward and a 'must read.'--Mary Beth Williams, PhD, LCSW, CTS, coauthor of Life after Trauma The construct of PTSD and its underlying theory have been challenged by recent advances in research and practice. This book makes a daring attempt to redraw the picture, representing a sort of conceptual avant-garde. Using the construct of allostatic load, the book offers new theory and clinical approaches. The reader will find novelty, excitement, controversy, and much food for thought.--Arieh Y. Shalev, MD, Department of Psychiatry, Hadassah University Hospital, Israel - An authoritative volume that should be on the required reading list for any serious course on trauma, stress, posttraumatic stress disorder (PTSD), victimology, or abnormal psychology or clinical psychology practicum....It broadens the reader's perceptions of psychopathology and provides a much-needed lens for understanding both catastrophic trauma and the inevitable, pervasive, smallerbut commontrauma that goes unrecognized in everyday life.[Chapters] are informed by the latest theory and clinical research and describe a broad array of effective interventions and fine-tuned treatment goals. --Psychiatric Services, 01/15/2004ƒƒ This scholarly and lucid book offers a comprehensive, 'state-of-the-art' schema for the treatment of multiple aspects of psychological trauma....Will positively affect trauma research and treatment over the next decade. --International Journal of Group Psychotherapy, 01/15/2004

Precise and relevant, a comprehensive review of the history, theory, and treatment of PTSD....I find this an essential text in my graduate counseling course. --James Halpern, PhD, Department of Psychology, State University of New York at New Paltz Wilson, Friedman, and Lindy define the theory of PTSD treatment with authority and clarity. Readers will appreciate how well the volume integrates the scientific, intellectual, and ethical principles for choosing effective clinical interventions. As much a 'why to' as a 'how to' book, this is a volume to be owned by all serious PTSD scholars and practitioners. --Frank M Ochberg, MD, former Associate Director, National Institute of Mental Health The perennial request of trauma practitioners is 'Give me something I can use--something practical!' This text defines the major themes of recovery across populations and relates these goals to specific interventions and techniques. Adding the areas of attachment/intimacy and interpersonal relationships and self/identity and life course development to the 'basic three' of PTSD (intrusion, avoidance, physiological symptoms) fills in previously missing gaps. This is one of the first volumes to address PTSD treatment from a non-unitary perspective, acknowledging that traumatic responses exist on a continuum and presenting treatment goals that apply to all aspects of the disorder. It is a great step forward and a 'must read.' --Mary Beth Williams, PhD, LCSW, CTS, coauthor of Life after Trauma The construct of PTSD and its underlying theory have been challenged by recent advances in research and practice. This book makes a daring attempt to redraw the picture, representing a sort of conceptual avant-garde. Using the construct of allostatic load, the book offers new theory and clinical approaches. The reader will find novelty, excitement, controversy, and much food for thought. --Arieh Y. Shalev, MD, Department of Psychiatry, Hadassah University Hospital, Israel

This book represents a genuinely innovative contribution to theory development, and it should encourage us to take a fresh look at PTSD, particularly in terms of its aetiology, symptomatology and treatment....This book embraces a wide range of treatments, both those that are well established and those that are innovative. -- Trauma <br> A strength of the volume is its emphasis on the need to utilize treatment modalities that are most relevant to a patient's presenting complaints, while recognizing that different modalities may become more salient for a given patient as treatment progresses....The volume would be of particular interest to advanced students and clinician's specializing in the treatment of PTSD and associated behavioral difficulties. Given its broad and inclusive view of the field, it could serve as a companion to the published treatment guidelines of the International Society for Traumatic Stress Studies. -- Journal of Psychosomatic Research <br> One of the great strengths of this publication is the level of diversity covered in the 17 chapters drawn from the depth of experience of professionals working at the coalface of clinical treatment of PTSD. By initially clearly defining the theory models and paradigms of treatment the editors have established a structure for the development of a most useful text for practitioners, a reference for researchers and guidelines for students. -- Journal of Trauma Practice <br> This scholarly and lucid book offers a comprehensive 'state of the art' schema for the treatment of multiple aspects of psychological trauma frompsychodynamic, cognitive-behavioral, and ego-supportive perspectives. It provides a much needed, well-articulated, and definitive presentation of concepts and treatment approaches that will serve as a guidepost for clinicians who wish to go beyond the management of PTSD symptoms. This volume articulates a healing process that includes all aspects of patients' functioning from stress responses to ego defenses to interpersonal relations to a renewed sense of vitality and meaningfulness in life. The book may also prove valuable in a much needed reconsideration of diagnoses of trauma-related disorders....this book is an outstanding up-to-date integration of current knowledge and practice that will be eminently useful to all clinicians, supervisees, and students of trauma. In addition, it will positively affect trauma research and treatment over the next decade. -- International Journal of Group Psychotherapy <br>., . a much needed resource that can be utilized by educators, researchers and clinicians. It consists of a series of papers that has been organized in a manner that flows smoothly....They have attempted, and done so eloquently, to piece together vital parts of working with PTSD. They have a complete understanding to the complexity and debt of PTSD and presented the information in a manner that serves helpful for those who are providing the treatment as well as for those who have been diagnosed. -- Social Work in Mental Health <br> With its broad and capacious view of the field, this book is a welcome companion volume to the recently published practice guidelines of the International Society for Traumatic StressStudies. -- American Journal of Psychiatry <br>., . an authoritative volume that should be on the required reading list for any serious course on trauma, stress, posttraumatic stress disorder (PTSD), victimology, or abnormal psychology or clinical psychology practicum. It provides a solid foundation for beginning and experienced clinicians who are interested in treating traumatized patients....It broadens the reader's perceptions of psychopathology and provides a much-needed lens for understanding both catastrophic trauma and the inevitable, pervasive, smaller--but common--trauma that goes unrecognized in everyday life. The broad spectrum and variability of symptoms are well addressed. The chapters in this book are informed by the latest theory and clinical research and describe a broad array of effective interventions and fine-tuned treatment goals....The contributors' clinical backgrounds in psychology, psychiatry, pharmacology, cognitive-behavioral approaches, and psychoanalysis provide a good basis for clarifying the nature of trauma so that sound guidelines for treatment can be articulated. Their collective effort in this volume provides a solid knowledge base for further syntheses of the material and greater consensus on guidelines for treating trauma-related conditions. I highly recommend this book. It is a vital contribution to the field of mental health in general and is on the cutting edge of expanding the practice guidelines for mainstream therapy of traumatized patients. -- Psychiatric Services <br>

Author Information

John P. Wilson, PhD, is Professor of Psychology at Cleveland State University. An internationally recognized expert on PTSD, he is the past president of the International Society for Traumatic Stress Studies. He is the coeditor of [ital]Assessing Psychological Trauma and PTSD[/ital] (with Terence M. Keane) and [ital]Countertransference in the Treatment of PTSD[/ital] (with Jacob D. Lindy). Matthew J. Friedman, MD, PhD, before retiring in 2022, was founder and Director of the National PTSD Brain Bank; Senior Advisor to the National Center for PTSD, where he served for 24 years as Executive Director; and Professor and Vice Chair for Research in the Department of Psychiatry at the Geisel School of Medicine at Dartmouth. He worked as a clinician and researcher for over 50 years, and has approximately 360 publications, including 29 books. Jacob D. Lindy, MD, is a training and supervising analyst at the Cincinnati Psychoanalytic Institute. For 27 years he has adapted psychoanalytic clinical theory to the special circumstances of the trauma survivor. He is the past president of the International Society for Traumatic Stress Studies and has just completed 5 years as Director of the Cincinnati Psychoanalytic Institute. His publications include [ital]Countertransference in the Treatment of PTSD[/ital] (coedited with John P. Wilson).

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