Family-Focused Trauma Intervention Using Metaphor and Play with Victims of Abuse and Neglect

by Pernicano, Patricia

• ISBN13: 9780765707727
• ISBN10: 0765707721
• Format: Hardcover
• Copyright: 2010-03-18
• Publisher: Jason Aronson, Inc.

Summary

Treatment of abuse and neglect needs to be family-focused in order to reduce troubling symptoms, address family risk and relapse potential, treat cross-generational patterns, and remediate attachment deficits. Family-Focused Trauma Intervention translates issues central to abuse and neglect recovery into metaphorical stories and family-based interventions. Each chapter provides a summary of an issue or theme; one or more pertinent stories; and examples of parallel family, group, and individual interventions. These stories and family-focused interventions, which may be used within any theoretical framework, provide a wide variety of practitioners with a needed bridge between theory and practice. Book jacket.

Author Biography

Pat Pernicano, PsyD, is director of clinical services at Providence Self Sufficiency Ministries, where she provides programmatic direction and clinical supervision for Family Preservation Reunification, Providence House Group Home, and Chafee Independent Living.

Table of Contents

Acknowledgments	p. xi
Introduction	p. 1
Impact of Trauma and Overview of Treatment	p. 7
FTSD	p. 9
Story: A Bear of a Different Color	p. 11
Treatment Interventions	p. 15
Bear Drawing Activity	p. 15
Bear Body-Tracing Activity	p. 15
Bear Trauma Narrative	p. 15
Alternate Trauma Narrative: A Night at the Movies	p. 16
Changing the Story	p. 17
Handout: Use Your Common Senses	p. 18
Handout: Magic Remote	p. 20
Take-It-Home Discussion Questions	p. 21
Symptoms of PTSD	p. 22
Story: Lucky the Junkyard Dog	p. 23
Treatment Interventions	p. 26
Family Activity: Match Game	p. 26
Parent Group Discussion	p. 26
PTSD Guided Imagery	p. 26
Take-It-Home Discussion Questions	p. 27
Handout: The Lucky Family Match Game	p. 28
Sibling Abuse	p. 29
Story: Stick Together	p. 30
Treatment Interventions	p. 33
Desert and Oasis Activity	p. 33
Take-It-Home Discussion Questions	p. 33
Residual Effects of Trauma	p. 33
Story: Thyme to Heal	p. 35
Treatment Interventions	p. 38
Family Drawing	p. 38
Take-It-Home Discussion Questions	p. 38
Eastablishing Appropriate Roles and Boundaries in Families	p. 39
Age-Appropriate Expectations	p. 41
Story: Velma Crowe's Sticky Situation	p. 42
Treatment Interventions	p. 47
Stick, Babies, Stick!	p. 47
Role Reverse (Parenting Group)	p. 47
Bird School for Velma	p. 48
Take-It-Home Discussion Questions	p. 48
The Fight of Fight or Flight: Self-Control and Modulation of Affect	p. 49
Self-Control	p. 51
Story: Keep Your Lion on a Leash!	p. 53
Treatment Interventions	p. 56
Lion Drawing Activity	p. 56
Leashing Activity	p. 56
Cool Down the Volcano!	p. 56
Take-It-Home Discussion Questions	p. 58
Power and Control	p. 58
Story: The Nearsighted Tyrant	p. 59
Treatment Interventions	p. 63
Focusing Activity	p. 63
Take-It-Home Discussion Questions	p. 64
Reducing Hyperactivity arid Agitation	p. 65
Treatment Interventions	p. 66
The Turtle Technique	p. 66
Up, Up, and Away: Guided Imagery for Stress Reduction	p. 68
Darcie's Dots	p. 69
Flight: Avoidance, Withdrawal, and Dissociation	p. 71
Dissociation	p. 72
Story: The Mouse Who Became Invisible	p. 73
Treatment Interventions	p. 76
Speak (Squeak) Up!	p. 76
Take-It-Home Discussion Questions	p. 77
Avoidance and Denial	p. 77
Story: The Hidey Hole	p. 78
Treatment Interventions	p. 80
Buried Secrets	p. 80
Family Mural: Heads in the Holes	p. 80
Take-It-Home Discussion Questions	p. 80
Depersonalization	p. 81
Story: Time for a Thaw	p. 82
Treatment Interventions	p. 84
The Family Berg	p. 84
Take-It-Home Discussion Questions	p. 84
Reducing Worry, Fear, and Anxiety	p. 85
Letting Go	p. 86
Story: The Burden Bag	p. 87
Treatment Interventions	p. 90
No Fishing!	p. 90
Take-It-Home Discussion Questions	p. 90
Anxiety Reduction and Containment	p. 91
Story: Wrap It Up!	p. 92
Treatment Interventions	p. 94
Wrap It Up like a Spider	p. 94
The Smooth Stone	p. 94
Handout: Web Worksheet	p. 95
Take-It-Home Discussion Questions	p. 96
Disrupted Attachment: Coping with Loss and Renewing Trust	p. 97
Attachment and Trust	p. 99
Story: Run Away Ralph	p. 100
Treatment Interventions	p. 102
Attachment Hide and Seek	p. 102
Very Special Delivery	p. 102
The Power of Attraction	p. 103
Parent Promises	p. 104
Take-It-Home Discussion Questions	p. 105
Building Positive Attachment	p. 105
Treatment Intervention	p. 105
Stick with It!	p. 105
Changing Depressed Mood	p. 107
Mood Management	p. 108
Story: The Black Cloud	p. 109
Treatment Interventions	p. 113
Lighten Your Cloud	p. 113
Handout: Cloud Worksheet	p. 114
Take-It-Home Discussion Questions	p. 115
Empathy: Caring for Yourself and Others	p. 117
Heartbreak	p. 118
Story: The Girl with the Plastic Heart	p. 119
Treatment Interventions	p. 122
Heart to Heart	p. 122
Walking in Each Other's Shoes	p. 122
Make It Better	p. 123
The Blessing	p. 123
Take-It-Home Discussion Questions	p. 124
Responsibility and Accountability	p. 125
Externalizing Blame	p. 127
Treatment Interventions	p. 127
Get Ready to Get Mad!	p. 127
The Mad List	p. 127
Handout: Your Mad List	p. 128
Your Day in Court	p. 129
Handout: Your Day in Court	p. 130
Taking Responsibility	p. 132
Story: No More Blame Game	p. 133
Treatment Interventions	p. 136
Give Up the Game	p. 136
Take-It-Home Discussion Questions	p. 137
Blaming the Victim	p. 137
Story: First Things First	p. 138
Treatment Interventions	p. 140
A Helping Hand	p. 140
Healing a Broken Heart	p. 140
Hamburger Hurter	p. 140
Telling the Child's Story: The Child's Point of View	p. 141
The Transformer	p. 144
Take-It-Home Discussion Questions	p. 145
Handout: What Want Wrong in Our Casserole?	p. 146
Safety and Protection	p. 147
Knowing Who to Trust	p. 148
Story: The Hungry Alligator and the Mean Snake	p. 149
Treatment Interventions	p. 152
Safe and Sound	p. 152
Who's Who?	p. 153
Red Light, Green Light	p. 153
DOs and DON'Ts: Family Rules	p. 154
A Day Away from the Zoo	p. 154
Warning! Warning!	p. 155
Take-It-Home Discussion Questions	p. 155
Handout: Family Risk List	p. 157
The Family Journey: Pathways to Change	p. 159
Moving in a New Direction	p. 160
Story: Gold in the Desert	p. 161
Treatment Interventions	p. 163
Alphabet Journey	p. 163
Water Out of a Rock	p. 163
The Family Journey Mural	p. 164
Family Match Game	p. 164
Take-It-Home Discussion Questions	p. 165
Handout: Family Match Game	p. 166
Coming to Terms with Out-of-Home Care	p. 169
Out-of-Home Placement	p. 170
Story: The Good Enough Elf	p. 172
Treatment Interventions	p. 176
The Send Off	p. 176
Take-It-Home Discussion Questions	p. 176
Impact of Neglect	p. 176
Story: The Bruised Orchid	p. 177
Treatment Interventions	p. 179
Orchid Activity	p. 179
Take-It-Home Discussion Questions	p. 179
Self-Acceptance and Hope	p. 181
Lowering Defenses	p. 182
Story: Polly's Plight	p. 183
Treatment Interventions	p. 187
Peeling Your Onion Feelings	p. 187
Peeling Away Memories	p. 187
The Family Cake	p. 187
Handout: The “Onion” Worksheet	p. 188
Handout: Feelings Words	p. 189
A Tough Nut to Crack	p. 190
Take-It-Home Discussion Questions	p. 190
Appendix: Squiggles Stories	p. 191
References	p. 193
Index	p. 197
About the Author	p. 199
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