Simple and Complex Post-Traumatic Stress Disorder: Strategies for Comprehensive Treatment in Clinical Practice

by Williams; Mary Beth

• ISBN13: 9780789002983
• ISBN10: 0789002981
• Format: Nonspecific Binding
• Copyright: 2002-10-07
• Publisher: Routledge

Summary

This unique book, by the authors of the classic Handbook of Post-Traumatic Therapy, provides the "how to" of clinical practice techniques in a variety of settings with a variety of clients. It addresses concerns about the efficacy of critical incident stress debriefing, examines the value of a variety of innovative treatment methods, and explores the differences between treating complex PTSD and the aftermath of a one-time traumatic event. Book jacket.

Table of Contents

About the Editors	xiv
Contributors	xv
Preface: Trauma in the New Millennium	xix
Purpose of the Book	xx
Chapter Organization	xxi
SECTION I: INTRODUCTION
A Short History of PTSD from the Military Perspective	3	(6)
Charles M. Flora
Assessment and Diagnosis of PTSD in Adults: A Comprehensive Psychological Approach	9	(14)
William F. Flack Jr.
Brett T. Litz
Frank W. Weathers
Sherry A. Beaudreau
Introduction	9	(1)
Diagnosis versus Assessment	10	(1)
Taking a Psychosocial History	11	(2)
Methods of Assessment	13	(4)
Using Assessment Results in Making Clinical Recommendations	17	(2)
Summary	19	(4)
Approaches to the Treatment of PTSD	23	(24)
Bessel A. van der Kolk
Onno van der Hart
Jennifer Burbridge
Introduction	23	(3)
The Symptomatology of PTSD	26	(7)
Principles of Treatment	33	(6)
Group Psychotherapy	39	(1)
Concluding Remarks	40	(7)
Psychopharmacological Treatment in PTSD	47	(28)
Ronald Albucher
Michelle Van Etten-Lee
Israel Liberzon
Introduction	47	(3)
Antidepressants	50	(9)
Buspirone	59	(1)
Lithium	59	(1)
Anticonvulsants	60	(1)
Benzodiazepines	61	(1)
Neuroleptics or Antipsychotic Agents (``Major Tranquilizers'')	62	(1)
Adrenergic Agents	63	(1)
Opiate Antagonists	64	(1)
Conclusion	64	(11)
SECTION II: TREATMENT OF PTSD IN GENERAL
Cognitive-Behavioral Treatment of PTSD	75	(24)
Lori A. Zoellner
Edna B. Foa
Lee A. Fitzgibbons
The Efficacy of Psychosocial Treatments	76	(4)
Theoretical Considerations in Cognitive-Behavioral Therapy	80	(1)
Treatment Overview	80	(5)
Case Illustration	85	(7)
Summary	92	(1)
Appendix: Common Reactions to Assault Handout	93	(6)
Short-Term Treatment of Simple and Complex PTSD	99	(20)
Louis Tinnin
Lyndra Bills
Linda Gantt
Introduction	99	(1)
The History of Video-Assisted Trauma Therapy	99	(4)
Principles of Time-Limited Trauma Therapy	103	(3)
Applications of Video-Assisted Trauma Therapy	106	(3)
Description of Treatment Procedures	109	(8)
Conclusion	117	(2)
Life After Trauma: Finding Hope by Challenging Your Beliefs and Meeting Your Needs	119	(18)
Dena Rosenbloom
Mary Beth Williams
Introduction	119	(1)
Impacts of Trauma	120	(2)
The Meanings of Traumatic Events and Coping	122	(3)
Working Through Traumatic Events	125	(1)
Testing Beliefs	126	(2)
Discerning the Meaning of Trust	128	(1)
Getting Control	129	(1)
Believing in Yourself and Others	130	(1)
Feeling Close to Yourself; Getting Close to Others	131	(2)
Conclusion	133	(4)
SECTION III: GROUP TREATMENTS
The Development of a Group Treatment Model for Post-Traumatic Stress Disorder	137	(28)
Gordon Turnbull
Tosin Clairmonte
Stuart Johnson
Colina Hanbury-Aggs
Bo Mills
Walter Busuttil
Adrian West
Introduction	137	(1)
Post-Traumatic Stress Disorder	138	(1)
Etiological Theories	139	(4)
The PTSD Group Treatment Programme	143	(1)
The Development of the Tradition of Group Approaches	144	(1)
Assessment	145	(1)
Efficiency	146	(1)
Biopsychosocial Strategy	147	(2)
Technique	149	(9)
Discussion	158	(1)
Group Program for Complex PTSD	159	(1)
Conclusion	159	(6)
Developing and Maintaining a Psychoeducational Group for Persons Diagnosed As DID/MPD/DDNOS	165	(50)
Mary Beth Williams
Sandra Gindlesperger Nuss
Introduction	165	(2)
History of the Group	167	(1)
Composition and Structure of the Group	168	(2)
Group Process	170	(1)
Basic Principles in Conducting a Psychoeducational Support Group	171	(3)
Benefits of Support Group Participation for Members	174	(3)
Values of the Leaders	177	(1)
Areas of Concern and Ethical Issues in the Group	177	(3)
Countertransference and Vicarious Traumatization	180	(1)
A Retrospective Look at the Group: What Did It Accomplish?	181	(1)
Conclusions	182	(2)
Appendix: Group Handouts	184	(31)
SECTION IV: CHILDREN, STUDENTS, AND FAMILIES
Treatment Strategies for Traumatized Children	215	(26)
Mary W. Lindahl
Brief Overview of the Literature	215	(1)
Evaluation and Treatment Plan	216	(1)
Educating the Child and Family About Trauma	217	(1)
The Role of Parents	218	(1)
Telling the Story	219	(2)
Addressing the Symptoms	221	(2)
Does Trauma Have Meaning?	223	(3)
Issues of Development	226	(2)
Follow-Up and Healing	228	(2)
Conclusions	230	(11)
Provision of Trauma Services to School Populations and Faculty	241	(20)
J. Horenstein
Introduction	241	(2)
Primary Prevention	243	(5)
Secondary Prevention	248	(5)
Intervention Strategies: A Case Illustration	253	(1)
Tertiary Prevention	254	(2)
Final Thoughts	256	(5)
Traumatic Stress in Family Systems	261	(16)
Chrys J. Harris
Introduction	261	(4)
Assessing Family System Trauma	265	(3)
Treating Family System Trauma	268	(3)
Preventing Family System Trauma	271	(2)
Conclusions	273	(4)
Dealing with Trauma in the Classroom	277	(22)
Mitzi Mabe
Surveying the Social Landscape	278	(2)
The Way of Listening	280	(1)
Student-Defined Education: Embracing Mature Realities	281	(1)
Giving Audience to Pain: The Civil Balm of the Classroom	282	(1)
The Read Out: Addressing Community in the Academy	283	(4)
Ultimate Disengagement, Suicidal Ideation, and the Health of Grief	287	(2)
How to Develop a Class in Writing That Acknowledges the Impact of Trauma	289	(2)
The Read Out As a Strategy to Correct Abusive Relationships	291	(1)
Recognizing and Dismantling Obstacles: Supporting Teachers' Work	292	(1)
Conclusion	293	(6)
SECTION V: SPECIAL POPULATIONS
Police Hostage Situations	299	(12)
Lasse Nurmi
The Role of the Police Psychologist in Hostage Negotiations	299	(1)
Case Setting	300	(1)
The Situation	301	(1)
Purposes of Negotiation	301	(1)
Phases of the Negotiation Process	302	(4)
What Makes a Good Hostage Negotiator?	306	(1)
Lessons Learned	306	(2)
Conclusions	308	(3)
Law Enforcement and Trauma	311	(14)
James M. Horn
Introduction	311	(1)
The Nature of Trauma	312	(4)
The Oklahoma City Model	316	(4)
Help to Law Enforcement Through EAPs	320	(1)
Conclusion	321	(4)
Trauma Services to War Veterans	325	(26)
Charles M. Flora
Treating the War Veteran	325	(1)
Community Outreach	326	(4)
Psychotherapy for War Trauma	330	(15)
Summary and Conclusions	345	(6)
SECTION VI: MEDIA ISSUES
A Primer on Interviewing Victims	351	(10)
Frank Ochberg
Introduction	351	(2)
A Guide to Interviewing	353	(4)
Stages of Response	357	(2)
The Humanitarian Role of the Reporter	359	(1)
Secondary Traumatic Stress Disorder	360	(1)
Conclusions	360	(1)
Relating to Journalists As Trauma Clinicians and Researchers	361	(10)
Richard Hebert
Why Cooperate?	361	(2)
Recognizing Newsworthiness	363	(2)
Next Step: The News Release	365	(2)
How to Handle the Interview	367	(2)
Conclusions	369	(2)
Working with Survivors and the News Media	371	(16)
Janice Maxson
Roger Simpson
Introduction	371	(1)
Reporters and Advocates As Partners	372	(1)
Network Response Before a Crisis	373	(1)
After the Event	374	(3)
The Role of Intermediary	377	(2)
Coverage in the First Few Weeks	379	(2)
Long-Term Concerns	381	(2)
Conclusion	383	(4)
SECTION VII: CONCLUSION
Some Final Thoughts on Competence	387	(12)
Mary Beth Williams
John F. Sommer
Index	399