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Treating Trauma and Traumatic Grief in Children and Adolescents

by ; ;
Edition:
1st
ISBN13:

9781593853082

ISBN10:
1593853084
Format:
Hardcover
Pub. Date:
6/23/2006
Publisher(s):
The Guilford Press
List Price: $42.00

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Summary

"Clearly organized and accessible, the book provides a comprehensive framework for assessing posttraumatic stress disorder (PTSD), depression, anxiety, and other trauma-related symptoms, and for devising a flexible, individualized treatment plan. While the primary theory underlying the model is cognitive-behavioral, the authors also give significant emphasis to developmental factors, the importance of the family system, and humanistic values. Sample scripts, case examples, and troubleshooting tips help the therapist engage children, adolescents, and their parents, and work collaboratively to build and consolidate core skills in such areas as affect regulation and safety. Particular attention is given to ways to tailor treatment to the needs of culturally diverse clients and those with challenging clinical presentations and complex family situations. Useful appendices feature resources, reproducible handouts, and information on obtaining additional training." "This authoritative guide is a vital addition to the clinical libraries of child psychologists and psychiatrists, social workers, and professionals in related fields. It is also a reference for researchers and graduate students interested in child therapy and PTSD."--BOOK JACKET.

Author Biography

Judith A. Cohen, MD, is a board-certified child and adolescent psychiatrist and Medical Director of the Center for Traumatic Stress in Children and Adolescents, Allegheny General Hospital, Pittsburgh. With Dr. Mannarino, she has received funding to assess and treat traumatized children since 1986 from the National Institute of Mental Health (NIMH), the Substance Abuse and Mental Health Services Administration (SAMHSA), and the U.S. Department of Justice. A recipient of the American Professional Society on the Abuse of Children (APSAC) Outstanding Professional Award and the American Academy of Child and Adolescent Psychiatry Rieger Award for Scientific Achievement, Dr. Cohen is Associate Editor of the Journal of Traumatic Stress.

Anthony P. Mannarino, PhD, a licensed clinical psychologist, is Director of the Center for Traumatic Stress in Children and Adolescents, Allegheny General Hospital. He has been a leader in the child traumatic stress field for over 25 years. He has received many honors for his work, including the Betty Elmer Outstanding Professional Award, the APSAC Outstanding Article Award for papers published in Child Maltreatment, and the SAMHSA Model Program Award. Dr. Mannarino is a past president and board member of APSAC.

Esther Deblinger, PhD, is codirector of the CARES (Child Abuse Research Education and Service) Institute and Professor of Psychiatry at the University of Medicine and Dentistry of New Jersey (UMDNJ)-School of Osteopathic Medicine. Her research has been funded by the Foundation of UMDNJ, National Center on Child Abuse and Neglect (NCCAN), and NIMH. Dr. Deblinger coauthored a professional book on the treatment of child sexual abuse as well as several children's books on body safety. Her work over the past 20 years has been recognized with awards from SAMHSA and the state of New Jersey's Office of the Child Advocate.

Table of Contents

PART I. TRAUMA-FOCUSED COGNITIVE-BEHAVIORAL THERAPY
CHAPTER 1. The Impact of Trauma and Grief on Children and Families
3(17)
What Constitutes Childhood Trauma?
3(2)
What Are Trauma Symptoms?
5(10)
The Impact of Traumatic Grief on Children
15(2)
Why Distinguish CTG from Other Forms of Grief?
17(1)
Phase-Oriented Treatment
18(1)
Summary
19(1)
CHAPTER 2. Assessment Strategies for Traumatized Children
20(12)
Evaluating Traumatic Exposure
20(1)
Assessing PTSD Symptoms
21(1)
Assessing Other Psychiatric Disorders
21(6)
Assessment of Childhood Traumatic Grief
27(3)
Providing Feedback to the Family about the Assessment
30(2)
CHAPTER 3. The TF-CBT Model: How It Works
32(14)
Development of the TF-CBT Model
33(2)
Individual Child and Conjoint Parent Treatment Model
35(5)
The Importance of Culture in the TF-CBT Model
40(1)
Optimizing Adaptive Functioning: The Importance of Adjunctive Services
41(2)
General Considerations in Using This Book
43(2)
Summary
45(1)
CHAPTER 4. The Role of the TF-CBT Therapist
46(11)
The Centrality of the Therapeutic Relationship
47(1)
The Importance of Therapist Judgment, Skill, and Creativity
48(2)
Therapist Qualifications and Training
50(1)
Troubleshooting
51(6)
PART II. TRAUMA-FOCUSED COMPONENTS
Introduction to the TF-CBT Components
57(2)
TRAUMA-FOCUSED COMPONENT 1. Psychoeducation
59(8)
Psychoeducation about the TF-CBT Model of Treatment
62(1)
Psychoeducation for Children Experiencing Traumatic Grief
63(1)
Troubleshooting
64(3)
TRAUMA-FOCUSED COMPONENT 2. Parenting Skills
67(8)
Praise
68(1)
Selective Attention
69(1)
Time-Out
70(1)
Contingency Reinforcement Programs
71(1)
Troubleshooting
72(3)
TRAUMA-FOCUSED COMPONENT 3. Relaxation
75(12)
Focused Breathing/Mindfulness/Meditaiion
76(4)
Progressive Muscle Relaxation
80(3)
Relaxation for Children with Traumatic Grief
83(1)
Relaxation for Parents
83(1)
Other Relaxation Techniques
84(1)
Troubleshooting
85(2)
TRAUMA-FOCUSED COMPONENT 4. Affective Expression and Moduiatwr 8?
Feeling Identification with Children
87(2)
Affective Expression with Parents
89(2)
Thought Interruption and Positive Imagery
91(1)
Positive Self-Talk
92(1)
Enhancing the Child's Sense of Safety
93(2)
Enhancing Problem-Solving and Social Skills
95(4)
Social Skills Building
99(1)
Managing Difficult Affective States
100(1)
Affective Modulation for Children with Traumatic Grief
101(1)
Affective Modulation for Parents
102(2)
Troubleshooting
104(3)
TRAUMA-FOCUSED COMPONENT 5. Cognitive Coping and Processing I: The Cognitive Triangle
107(12)
Types of Inaccurate and Unhelpful Thoughts
112(2)
The Cognitive Triangle for Parents
114(2)
Enhancing the Surviving Parent's Sense of Safety
116(1)
Troubleshooting
116(3)
TRAUMA-FOCUSED COMPONENT 6. Trauma Narrative
119(17)
Trauma Narrative for Children with Traumatic Grief
127(2)
Sharing the Trauma Narrative with the Parent
129(3)
Troubleshooting
132(4)
TRAUMA-FOCUSED COMPONENT 7. Cognitive Coping and Processing II: Processing the Traumatic Experience
136(11)
Exploring and Correcting Inaccurate or Unhelpful Cognitions
137(5)
Cognitive Processing of Traumatic Death
142(1)
Processing the Child's Trauma with Parents
143(2)
Troubleshooting
145(2)
TRAUMA-FOCUSED COMPONENT 8. In Vivo Mastery of Trauma Reminders
147(5)
Troubleshooting
150(2)
TRAUMA-FOCUSED COMPONENT 9. Conjoint Child–Parent Sessions
152(5)
Troubleshooting
155(2)
TRAUMA-FOCUSED COMPONENT 10. Enhancing Future Safety and Development
157(12)
PART III. GRIEF-FOCUSED COMPONENTS
Introduction to the Grief-Focused Components
169(2)
GRIEF-FOCUSED COMPONENT 1. Grief Psychoeducation
171(6)
Grief Psychoeducation for Children
171(1)
Grief Psychoeducation for Parents
172(2)
Troubleshooting
174(3)
GRIEF-FOCUSED COMPONENT 2. Grieving the Loss and Resolving
177(10)
Ambivalent Feelings about the Deceased: "What I Miss and What I Don't Miss" Grieving the Loss: "What I Miss"
177(2)
Resolving Ambivalent Feelings about the Deceased: "What I Don't Miss"
179(3)
Grieving the Loss and Addressing Ambivalent Feelings toward the Deceased: For Parents
182(3)
Troubleshooting
185(2)
GRIEF-FOCUSED COMPONENT 3. Preserving Positive Memories of the Deceased
187(5)
Preserving Positive Memories for Children
187(2)
Preserving Positive Memories for Parents
189(1)
Troubleshooting
190(2)
GRIEF-FOCUSED COMPONENT 4. Redefining the Relationship with the Deceased and Committing to Present Relationships
192(13)
Redefining the Relationship for Children
192(2)
Redefining the Relationship for Parents
194(2)
Concerns about Ability to Raise Children Alone
196(1)
Troubleshooting
196(3)
Treatment Review and Closure
199(4)
Troubleshooting
203(2)
APPENDIX 1. Handouts 205(24)
Domestic Violence Information Sheet for Parents
207(4)
Domestic Violence Information Sheet for Children
211(2)
Child Sexual Abuse Information Sheet for Parents
213(7)
Child Sexual Abuse Information Sheet for Children
220(3)
Relaxation Handout: How Stress and PTSD Affect Our Bodies
223(2)
Affective Modulation Handout: Ways to Feel Better Right Now
225(1)
Practicing the Cognitive Triangle during the Week
226(2)
The Circle of Life
228(1)
APPENDIX 2. Resources 229(10)
APPENDIX 3. Additional Training 239(1)
References 240(9)
Index 249


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