Table of Contents

Contents

• Foreword
• Preface
• Acknowledgments
• Chapter 1. Concepts of Traumatization: The Role of Boundaries
• The Concept of Boundaries
• The Role of Boundaries in Trauma
• Boundaries and Childhood
• Conclusion
• Chapter 2. Trauma, Instinct, and the Brain: The Fight/Flight/Freeze Response
• Brain Responses to Stress
• Fighting, Fleeing, or Freezing
• Conclusion
• Chapter 3. The Whiplash Syndrome I: Symptoms in Search of a Meaning
• The History of Whiplash
• The Clinical Syndrome
• Physical Forces and Structural Injury
• The Pathophysiology of Whiplash
• Conclusion
• Chapter 4. The Whiplash Syndrome II: A Model for Traumatization
• Memory Mechanisms in Trauma
• Somatic Responses to Stress
• The Meaning of Speed
• The Physiology of Traumatization
• Conclusion
• Chapter 5. Trauma and Brain Plasticity
• The History of Post-Traumatic Stress Disorder in Psychiatry
• The Developing Brain
• The Development of Character
• Brain Plasticity in Trauma
• Objective Measures of Brain Change in Trauma
• The Permanence of Post-Traumatic Stress Disorder
• Conclusion
• Chapter 6. Diseases of Traumatic Stress
• The Pathophysiology of Stress
• Stress versus Trauma
• The Hypothalamic/Pituitary/Adrenal Axis
• Stress, Post-Traumatic Stress Disorder, and Immune Function
• The Diseases of Trauma
• Morbidity and Mortality
• Conclusion
• Chapter 7. Trauma Reenactment
• Introduction
• The Roots of Reenactment
• Clinical Features
• Gender Differences
• The Anniversary Syndrome
• Reenactment Through Risk-Taking
• Conclusion
• Chapter 8. Somatic Dissociation
• Examples of Dissociation
• Memory in Dissociation
• Cognitive and Emotional Features
• Dissociative Physical Symptoms
• Conversion and Dissociation
• The Autonomic Nervous System in Post-Traumatic Stress Disorder
• The Concept of Boundaries
• Somatic Dissociation and Disease
• Conclusion
• Chapter 9. Sources of Trauma
• The Definition of Traumatic Stress
• Expose to Combat
• Child Abuse
• Societal Trauma
• Medical Trauma
• The Role of Past Trauma
• Awareness During Anesthesia
• Pediatric Medical Trauma
• Childhood Medical Trauma
• Conclusion
• Chapter 10. Trauma Therapy: Future Directions
• Counseling and Verbal/Cognitive Therapy
• Exposure and Desensitization Techniques
• Somatically Based Therapies
• Eye Movement Desensitization and Reprocessing
• Somatic Experiencing
• The “Power Therapies”
• Pharmacotherapy of Post-Traumatic Stress Disorder
• Conclusion
• Chapter 11. Case Histories: The Somatic Spectrum of Trauma
• A State of Vulnerability
• Somatic Representations of Prior Trauma
• Medical and Forensic Retraumatization
• Multiple Chemical Sensitivities
• The Mysterious Piriformis
• Disorders of Speech in Trauma
• Spasmodic Torticollis: An Aberration of the Orienting Reflex
• Dissociation and Reflex Sympathetic Dystrophy
• Comments
• Postscript
• Notes
• Index
• Reference Notes Included