Trauma Practice

by Baranowsky, Anna B., Ph.D.; Gentry, J. Eric, Ph.D.; Schultz, D. Franklin, Ph.D.

• ISBN13: 9780889372894
• ISBN10: 0889372896
• Format: Paperback
• Copyright: 2005-02-01
• Publisher: Hogrefe & Huber Pub

Summary

Written to help guide clinicians through the maze of trauma treatment, this practical manual is effectively a structured tool-kit of techniques and protocols to assist therapists in their challenging work with trauma survivors. With an emphasis upon cognitive-behavioral interventions, it provides resources and guidance for any psychotherapist working with any client. The manual is divided into three main sections, corresponding to Herman's (1992) Triphasic Model-Safety & Stabilization, Remembrance & Mourning, and Reconnection. For each of the three phases, it presents an array of techniques, protocols, and interventions, described clearly, thoroughly, and in a structured, easy-to-follow manner, in the four categories of cognitive, behavioral, body-oriented, and emotional/relational. This book promises to become an essential resource in trauma practice.

Author Biography

Anna B. Baranowsky is the Founder and director of Traumatology Institute (Canada).

Table of Contents

Acknowledgments	vi
About the Authors	vii
Introduction: Trauma Practice: Tools for Stabilization and Recovery	1	(1)
Purpose of this Book	1	(1)
Self-of-the Therapist	1	(1)
Core Objectives	2	(1)
Book Description	2	(1)
Supportive Texts and other Recommended Readings	3	(2)
Foundations of the Trauma Practice Model	5	(12)
Behavioral Therapy	5	(3)
Cognitive Therapy	8	(1)
Cognitive Behavioral Therapy	9	(1)
Cognitive Behavioral Therapy Research	9	(3)
Expert Guidelines	9	(1)
ISTSS Practice Guidelines	9	(3)
Psychophysiology of Trauma	12	(1)
Tri-Phasic Model (Herman, 1992)	13	(1)
Safety and Stabilization	13	(1)
Remembrance and Mourning	13	(1)
Reconnection	13	(1)
Necessary Ingredients for Trauma Recovery	13	(1)
Body, Cognition, Behavior and Emotion/Relation	14	(1)
Post-Trauma Response	14	(3)
Safety and Stabilization	17	(32)
What is Safety?	17	(2)
Body	19	(8)
Titration Part I: Braking and Acceleration	19	(3)
Progressive Relaxation	22	(1)
Autogenics	23	(2)
Diaphragmatic Breathing	25	(1)
5-4-3-2-1 Sensory Grounding and Containment	25	(1)
Postural Grounding	26	(1)
Anchoring Part I: Collapsing Anchors	26	(1)
Cognition	27	(10)
Anchoring Part II: Safety	27	(2)
Safe Place Visualization	29	(1)
Positive Self-Talk and Thought Replacement/Transformation	30	(4)
Flashback Journal	34	(2)
Thought Stopping	36	(1)
Buddha's Trick	36	(1)
Behavior	37	(6)
Rituals	37	(1)
Contract for Safety and Self-Care	38	(2)
Safety Net Plan	40	(2)
Timed and Metered Expression Strategies	42	(1)
Emotion/Relation	43	(6)
Transitional Objects	43	(1)
Support Systems	43	(3)
Drawing Icon and Envelope (Emotional Containment)	46	(1)
Internal Vault (Emotional Containment)	46	(1)
Higher Power Box aka God Box	47	(2)
Remembrance and Mourning	49	(16)
Body	49	(4)
Titration Part II: Braking and Acceleration	49	(1)
Layering	50	(2)
Comfort in One Part	52	(1)
A Time-Line Approach	52	(1)
Biofeedback	53	(1)
Cognition	53	(4)
Downward Arrow Technique	54	(1)
Cognitive Continuum	54	(1)
Calculating True Danger	54	(1)
Looped Tape Scripting	55	(1)
Cognitive Processing Therapy	56	(1)
A Story-Book Approach	56	(1)
A Written Narrative Approach	57	(1)
Behavior	57	(6)
Skills Building Methods	57	(1)
Behavior Change Rehearsal Exercise	57	(1)
Imaginal and In-Vivo Exposure	58	(1)
Stress Inoculation Training	59	(4)
Systematic Desensitization	63	(1)
Emotion/Relation	63	(2)
Assertiveness Training	63	(2)
Reconnection	65	(4)
Body	65	(1)
Centering	65	(1)
Cognition	66	(1)
Victim Mythology	66	(1)
Letter to Self	66	(1)
Behavior	67	(1)
Self-Help and Self-Development	67	(1)
Emotion/Relation	67	(2)
Memorials	67	(2)
In Closing	69	(2)
Afterword: Compassion Fatigue: The Crucible of Transformation	71	(14)
Introduction	71	(1)
Compassion Fatigue: The Crucible of Transformation	71	(14)
Compassion Fatigue	72	(2)
Accelerated Recovery Program for Compassion Fatigue	74	(1)
Compassion Fatigue Specialist Training: Training-as-Treatment	75	(1)
Treatment and Prevention: Active Ingredients	75	(4)
The Crucible of Transformation	79	(2)
Conclusion	81	(4)
References	85	(4)
Appendix: Training Opportunities	89