Childhood Maltreatment

by Wekerle, Christine; Miller, Alec L.; Wolfe, David A.; Spindel, Carrie B.

• ISBN13: 9780889373143
• ISBN10: 0889373140
• Edition: 1st
• Format: Paperback
• Copyright: 2006-06-30
• Publisher: Hogrefe & Huber Pub

Summary

The serious consequences of child abuse or maltreatment are among the most challenging things therapists encounter. In recent years there has been a surge of interest, and of both basic and clinical research, concerning early traumatization. This volume in the series Advances in Psychotherapy Evidence-Based Pracice integrates results from the latest research showing the importance of early traumatization into a compact and practical guide for practitioners. Advances in biological knowledge have highlighted the potential chronicity of effects of childhood maltreatment, demonstrating particular life challenges in managing emotions, forming and maintaining healthy relationships, healthy coping, and holding a positive outlook of oneself. Despite the resiliency of many maltreated children, adolescent and young adult well-being is often compromised. This text first overviews our current knowledge of the effects of childhood maltreatment on psychiatric and psychological health, then provides diagnostic guidance, and subsequently goes on to profile promising and effective evidence-based interventions. Consistent with the discussions of treatment, prevention programming that is multi-targeted at issues for maltreated individuals is highlighted. This text helps the practitioner or student to know what to look for, what questions need to be asked, how to handle the sensitive ethical implications, and what are promising avenues for effective coping.

Author Biography

Alec L. Miller is currently Associate Professor of Psychiatry and Behavioral Sciences; Chief of Child and Adolescent Psychology; Director of Adolescent Depression and Suicide Program; Director of Clinical Services at PS 8 School-Based Mental Health Program at Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY. Christine Wekerle is Associate Professor of Education, Psychology, and Psychiatry at the University of Western Ontario (UWO).

Table of Contents

Dedication	v
Acknowledgments	vi
Description	1	(16)
Terminology	6	(4)
Definition	10	(2)
Epidemiology	12	(3)
Course and Prognosis	15	(2)
Theories and Models of the Effects of Childhood Maltreatment	17	(3)
PTSD Symptomatology Model	17	(1)
Social Cognitive Information Processing Models	18	(2)
Diagnosis and Treatment Indications	20	(12)
Psychiatric Impairment and Specific Disorders Associated with Childhood Maltreatment	21	(11)
Mood Disorders	21	(1)
Suicidal/Self-Harm Behaviors	21	(1)
Anxiety Disorders	22	(1)
Posttraumatic Stress Disorder (PTSD)	23	(2)
Dissociation	25	(1)
Behavioral Problems and Disorders	26	(2)
Substance Use Disorders	28	(1)
Eating Disorders	29	(2)
Personality Disorders	31	(1)
Asymptomatic Victims	31	(1)
Treatment: Intervening with Childhood Maltreatment Victims	32	(20)
Methods of Treatment	33	(1)
Trauma-Focused Cognitive Behavior Therapy (TF-CBT)	33	(1)
Mechanisms of Action: Components of Trauma-Focused Cognitive Behavioral Treatment	34	(6)
Child-Treatment: Coping Skills Training	35	(1)
Child-Treatment: Cognitive Processing	35	(1)
Child-Treatment: Gradual Exposure	36	(1)
Child-Treatment: Psychoeducation	37	(1)
Parent-Treatment	37	(1)
Parent-Treatment: Orientation	37	(1)
Parent-Treatment: Coping Skills Training	38	(1)
Parent-Treatment: Gradual Exposure	39	(1)
Parent-Treatment: Psychoeducation	40	(1)
Efficacy and Prognosis	40	(1)
Empirical Support of TF-CBT for Childhood Sexual Abuse	40	(1)
Empirical Support for TF-CBT for Childhood Physical Abuse	41	(1)
Variations and Combinations of Methods	41	(8)
Dialectical Behavior Therapy	41	(8)
Problems and Issues in Carrying Out the Treatments	49	(3)
Individual Problems	50	(1)
Family Problems	50	(2)
Case Vignette	52	(4)
Further Reading	56	(1)
References	57	(3)
Appendix: Tools and Resources	60