INTRODUCTION
PART I: TRAUMA, EFFECTS, AND ASSESSMENT
Ch 1. What is Trauma:
Major Types of Trauma
The Problem of Combined and Cumulative Traumas
Ch 2. The Effects of Trauma
What Makes Trauma Responses More Likely, More Intense, or More
Complicated
Types of Posttraumatic Responses
Ch 3. Assessing Trauma and Posttraumatic Outcomes
Assessment in the Clinical Interview
Psychological Tests
PART II: CLINICAL INTERVENTIONS
Ch 4: Central Issues in Trauma Treatment
A Basic Philosophy of Trauma, Recovery, and Growth
Central Treatment Principles
Gender Issues
Cultural Issues
Therapist Countertransference
Ch 5: Psychoeducation
Handouts and Other Media
General Focus
Constraints
Ch 6: Distress Reduction and Affect Regulation Training
Dealing With Acute Intrusion - Grounding
Intervening in Chronic Affect Dysregulation
Ch 7: Cognitive Interventions
Cognitive Reconsiderations
Cognitive Processing
Developing a Coherent Narrative
Cognitive Changes Arising From Non-Overwhelming Emotional
Activation During Treatment
Insight
Ch 8: Emotional Processing
Reexperiencing as Trauma Processing
The Therapeutic Window
Constraints on Trauma Processing
The Components of Trauma Processing
Processing "Hot Spots"
Emotional Processing and Substance Abuse: Suggested
modifications
Emotional Processing From Another Perspective: A Note on EMDR
Sequence and Session-Level Structure
Ch 9: Increasing Relational Functioning and Other
Self-Capacities
Relational Disturbance
Identity Problems
Ch 10: Treating the Effects of Acute Trauma
Acute Traumatic Stress
Brief Review of the Acute Trauma Intervention Literature
Intervention Strategies
Ch 11: Biology and Psychopharmacology of Trauma
The Psychobiology of Trauma
Principles of Trauma Psychopharmacology
Medications for PTSD
Antipsychotics for Trauma-Related Psychosis
Sleep Medications
Medication, Pregnancy, and Lactation
Ch 12: Conclusions
References
Appendix I: The Brief Interview for Posttraumatic Stress Disorders
(BIPD)
Appendix 2: The Initial Trauma Review (ITR)
Appendix 3: Breath Training Protocol
John N. Briere, PhD, is Associate Professor of Psychiatry and
Psychology at the Keck School of Medicine, University of Southern
California, where he consults and teaches in the ER, burn unit, and
inpatient psychiatry, and Center Director of the USC Adolescent
Trauma Training Center’s National Child Traumatic Stress Network. A
past president of the International Society for Traumatic Stress
Studies, he is recipient of the Robert S. Laufer Memorial Award for
Scientific Achievement from ISTSS, and the Award for Outstanding
Contributions to the Science of Trauma Psychology from the American
Psychological Association’s Division 56, and has been designated
Highly Cited Researcher (Behavioral Sciences) by the Institute for
Scientific Information. He is author of a number of books,
articles, and psychological tests in the areas of trauma and
interpersonal violence, and has a long-standing interest in the
clinical applications of meditation, mindfulness, and compassion.
His website is johnbriere.com.
Catherine Scott, MD, is Assistant Clinical Professor of Psychiatry
and the Behavioral Sciences at the University of Southern
California Keck School of Medicine. Her educational background
includes Harvard College, Columbia University College of Physicians
and Surgeons, and psychiatric residency training at Cornell and
USC. She was formerly Medical Director of the Psychological Trauma
Program at Los Angeles County + USC Medical Center, and the
Associate Medical Director of the Psychiatric Emergency Service at
Los Angeles County + USC Medical Center, where she taught and
supervised resident physicians and medical students in the
assessment and treatment of trauma-related disorders arising from
sexual and physical violence, torture, child abuse, and other forms
of interpersonal violence. Although continuing to teach, Dr. Scott
stepped down from administrative duties in order to pursue writing
and research projects. Her clinical and research interests include
human rights, women’s issues, and the remediation of sexual
violence and its effects.
"This groundbreaking book takes trauma therapy to a new stage of
development, brilliantly integrating the diverse findings of
cognitive behaviorists, relational and attachment theorists, and
neurobiologists. The authors understand that therapy is an
intimate relationship between two people -- the (often distrusting
and fearful) patient who wishes relief from pain and the (often
frustrated but empathic) therapist who would like to provide that
relief. The authors generate in the reader a respect for the
biological underpinnings of trauma and the power of early
attachment dynamics, showing us how to accept these realities while
building the structures that will help the patient achieve symptom
relief. The clarity of the text, particularly given the
complexity of the material, combines with the wisdom and warmth of
the authors to produce a "must read" for any therapist working with
trauma patients."
*Constance Dalenberg, Ph.D.,*
"The authors have provided a definitive resource on the treatment
of all types of trauma, especially important as society faces
more and more traumatic events. This book admirably meets its goal
as a hands-on, practical guide for clinicians working with adult
and older adolescent trauma survivors. The material is cutting
edge, encompassing a wide range of interventions, including a very
comprehensive chapter on psychopharmacology. It includes discussion
of techniques and principles for which an evidence base has
developed, as well as other techniques developed from clinical
experience. This book will serve as an essential reference for all
clinicians treating the traumatized, as well as a textbook for
courses on the treatment of trauma."
*Christine A. Courtois, PhD*
"This is a phenomenal compilation of clinical, biological,
neuropsychiatric, and psychotherapeutic information on the subject
of trauma. The authors move from the very basic subject of "what
trauma is" to the most complicated subjects of etiology and
intervention. The usefulness of the book is greatly enhanced
by the many case examples. This is a major contribution, both for
those who treat and for theoreticians.... a must for every
clinician!"
*Marcia Goin, MD, PhD*
"This book bridges the divide between CBT oriented,
evidence based practitioners and those who endorse a more
relationship based approach to chronic traumas. The
authors offer a components based model for the delivery
of trauma therapy that clearly illustrates how these two approaches
can be compatible. As Briere and Scott demonstrate, the
science and the art of therapy are both honored when there
is systematic application of treatment components in the
context of specific client needs. This book is just what is needed
to advance our field."
*Lucy Berliner, MSW*
"The chapter on psychopharmacology stands out in two ways.
First, the integrative discussion of the psychology and
biology of post-trauma outcome provides essential understanding for
all who work with survivors, regardless of discipline.
Second, the clarity and scope of this work provides both an
accessible primer for practitioners new to trauma and a
comprehensive pharmacology update for more experienced
clinicians."
*James High, MD*
"This book is an excellent teaching tool —almost what one would
expect from a course with details printed in different fonts and
useful checklists for clinical work. I appreciate the choice
of either reading individual chapters one at a time, each one with
recommended reading sections at the end, or the benefits of reading
the book as a whole...Of special value in this book is the chapter
dedicated to the psychopharmacology of trauma, as special attention
is given to the most up-to-date research in the field of
psychobiology" —CONTEMPORARY PSYCHOLOGY
*CONTEMPORARY PSYCHOLOGY*
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