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Assessing Psychological Trauma and PTSD

Since the initial publication of this volume, the field of traumatic stress studies has continued to grow at an unprecedented rate. The revised and expanded second edition now brings readers fully up to date on the most widely used approaches to assessing psychological trauma and PTSD. Written by leading authorities, the volume has been extensively rewritten and restructured to reflect the latest findings and best practices, and features seven entirely new chapters. Scholarly yet accessible, this is an indispensable sourcebook for clinicians, researchers, and students. The volume begins by addressing issues in classification and diagnosis, summarizing current understandings of PTSD and including two new chapters on complex PTSD and acute stress disorder. Contributors then provide a thorough review of available assessment tools and techniques. Information is provided on the background, current status, source, and recommended uses of: * standardized self-report measures * structured clinical interviews * the Peritraumatic Disassociative Experiences Questionnaire * the Impact of Events Scale - revised * epidemiological measures * the Rorschach * specialized instruments for military populations. The neuropsychobiology of PTSD - among the field's most dynamic areas of inquiry - is covered in an important new section that highlights emerging applications of neuroimaging and pharmacological probes. The volume also delineates guidelines for conducting assessments in specific contexts and with different populations, including new chapters on dual diagnosis and the relationship of trauma to physical health problems. Gender and developmental factors in assessment are addressed, and recommendations provided for working with traumatized children and adult survivors of childhood abuse. Finally, a new concluding chapter offers crucial guidance on conducting forensic assessments for trauma and serving as an expert witness. This comprehensive, authoritative volume meets a key need for anyone providing treatment services or conducting research in the area of trauma and PTSD, including psychiatrists, clinical psychologists, clinical social workers, and students in these fields. It is an invaluable text for courses in stress and trauma, abuse and victimization, or abnormal psychology, as well as clinical psychology practica. Deane Aiken, National Center for PTSD; Yale University, New Haven, CT John Briere, Keck School of Medicine, University of Southern California, Los Angeles, CA Richard A. Bryant, University of Ne
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Table of Contents

Introduction, John P. Wilson and Terence M. KeaneI. Understanding and Assessing Trauma and PTSD1. PTSD and Complex PTSD: Symptoms, Syndromes, and Diagnoses, John P. Wilson2. Assessing Acute Stress Disorder, Richard A. BryantII. Assessment Methods3. Standardized Self-Report Measures of Civilian Trauma and PTSD, Fran H. Norris and Jessica Hamblen 4. Structured Clinical Interview Techniques for PTSD, Daniel S. Weiss5. Systematic Assessment of Posttraumatic Dissociation: The Structured Clinical Interview for DSM-IV Dissociative Disorders, Marlene Steinberg6. The Peritraumatic Dissociative Experiences Questionnaire, Charles R. Marmar, Thomas J. Metzler, and Christian Otte7. The Impact of Event Scale-Revised, Daniel S. Weiss 8. The Role of the Rorschach in the Assessment and Treatment of Trauma, Toni Luxenberg and Patti Levin9. Epidemiological Methods for Assessing Trauma and PTSD, William E. Schlenger, B. Kathleen Jordan, Juesta M. Caddell, Lori Ebert, and John A. Fairbank10. The Assessment of Military-Related PTSD, Terence M. Keane, Amy E. Street, and Jane StaffordIII. Psychobiology11. Psychophysiological Assessment of PTSD, Scott P. Orr, Linda J. Metzger, Mark W. Miller, and Danny G. Kaloupek12. Assessing Neuropsychological Concomitants of Trauma and PTSD, Jeffrey A. Knight and Casey T. Taft13. Neuroimaging Studies in PTSD, Joan Kaufman, Deane Aikins, and John Krystal14. Psychobiological Laboratory Assessment of PTSD, Matthew J. FriedmanIV. Physical Health, Substance Use Disorder, and Bereavement15. Trauma, PTSD, and Physical Health: Clinical Issues, Todd C. Buckley, Bonnie L. Green, and Paula P. Schnurr16. Assessment of Trauma, PTSD, and Substance Use Disorder: A Practical Guide, Lisa M. Najavits17. Assessing Traumatic Bereavement, Beverley Raphael, Nada Martinek, and Sally WoodingV. Psychosocial Development and Gender Issues18. Assessing Traumatic Experiences in Children, Kathleen O. Nader19. Psychological Assessment of Child Abuse Effects in Adults, John Briere20. Gender Issues in the Assessment of PTSD, Rachel Kimerling, Annabel Prins, Darrah Westrup, and Tina LeeVI. Assessing Traumatic Injury in Litigation21. Forensic/Clinical Assessment of Psychological Trauma and PTSD in Legal Settings, John P. Wilson and Thomas A. Moran

About the Author

John P. Wilson, PhD, is Professor of Psychology at Cleveland State University, a Fulbright Scholar, and a widely recognized international expert on PTSD. He is cofounder and past president of the International Society for Traumatic Stress Studies (ISTSS), a Diplomate and Fellow of the American Academy of Experts in Traumatic Stress, and a Fellow of the American Institute of Stress. Dr. Wilson is the coeditor of Countertransference in the Treatment of PTSD and Treating Psychological Trauma and PTSD.Terence M. Keane, PhD, is Professor and Vice Chairman of Research in Psychiatry at the Boston University School of Medicine. He is also Chief of Psychology and Director of the National Center for PTSD at the VA Boston Healthcare System. Past president of the ISTSS, he has published six books and over 160 articles on the assessment and treatment of PTSD. His contributions to the field have been recognized by many honors, including the Robert Laufer Award for Outstanding Scientific Achievement from ISTSS, a Fulbright Scholarship, and an Outstanding Research Contribution Award and the Distinguished Service Award from the Division of Public Service Psychologists of the American Psychological Association. Dr. Keane is a Fellow of the American Psychological Association and the American Psychological Society and has lectured and conducted workshops internationally.


"The essence of knowledge comes from accurate description and measurement, and there is no field whose current acceptance is more indebted to systematic, reliable research than the study of traumatic events. This second edition is an invaluable handbook and guide for anyone planning to investigate this domain. The breadth of topics covered also makes it a useful resource for students seeking to deepen their knowledge of trauma assessment. The addition of chapters about neuroimaging and psychobiology, and about the assessment of PTSD in legal settings, enhances the breadth and utility of this essential text."--Alexander C. McFarlane, MD, Department of Psychiatry, University of Adelaide, Australia"In the rapidly developing field of psychological trauma and PTSD, the second edition of this authoritative book is a most important contribution. Thoroughly revised, updated, and expanded, the book is an invaluable resource for seasoned and novice researchers, clinicians, and graduate students. Authors clearly operationalize relevant constructs related to traumatization and PTSD, and detail the psychometrics and appropriate uses of major measurement instruments. Among the many features of the second edition, the new section on psychobiological assessment is particularly noteworthy."--Onno van der Hart, PhD, Department of Clinical Psychology, Utrecht University, The Netherlands; past president, International Society for Traumatic Stress Studies"In this second edition of this classic work, the editors have assembled expert and comprehensive coverage of most of the issues inherent in assessing the wide-ranging effects of traumatic events. Relevant methodological issues are treated in a sophisticated yet clear and accessible manner. A research-based clinical approach to the assessment of traumatic stress reactions is complemented with critical surveys of useful assessment tools and experimental measures. Careful application of the wisdom contained in this text will ensure that research and clinical practice relating to PTSD remains evidence-based and continues to bring benefit to patients."--William Yule, PhD, Department of Psychology, Institute of Psychiatry, King's College London, UK"Because trauma affects people in highly variable but pervasive ways, thorough and reliable assessment across multiple domains of functioning is indispensable to clinical decision making, treatment planning, and therapeutic progress monitoring. In this excellent second edition, Wilson and Keane have once again assembled a 'who's who' of leading researchers in assessment to cover the latest evidence-based assessment tools and strategies designed to evaluate trauma survivors across the lifespan and across all domains of functioning. The result is a cutting-edge, scholarly, and useful volume. It is a 'must read' for trauma professionals across the spectrum of subspecialties, as well as clinical trainees and graduate students."--Brett Litz, PhD, Department of Psychiatry, Boston University School of Medicine; National Center for PTSD, VA Boston Healthcare System

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