Table of Contents

Contents List of Illustrations and Tables Preface Acknowledgments 1. What Is Trauma? 2. Critical Aspects of Treatment Returning to the Pain Developmentally Sequenced Treatment Involvement of Child's Caregivers Direct, Open Approach Intense, Fun Style Multidimensional Strategy Hidden Trauma-Reactive Behaviors Therapist's Responses to Children's Experiences Summary 3. Traumagenic States to Be Considered in Treatment Planning Self-Blame Powerlessness Loss and Betrayal Fragmentation of Bodily Experience Stigmatization Eroticization Destructiveness Dissociative/Multiple Disorder Attachment Disorder Summary 4. Guidelines for Evaluation and Treatment Planning Clarifying Needs, Expectations, and the Therapist's Role Physical Examination Comprehensive Background Information Parent Interviews Collateral Interviews Child Assessment Written Report Summary 5. Basic Treatment Process Communication Sorting Out Education Perspective Summary 6. Explaining Therapy to the Child Explanatory Metaphors Summary 7. Self-Blame Responsibility Creative Support for INMF Privacy versus Secrecy Religious Support Summary 8. Powerlessness Empowering Process From Victim to Survivor Summary 9. Destructive/Abusive Behaviors Protection Control Underlying Issues Community Members as Clinical Helpers Dual Focus for Victim-Victimizing Child Summary 10. Body Integrity Body Awareness Emotions Related to Body Trauma Education Related to Body Trauma Child's Perspective of Body Trauma Summary 11. The Dissociatively Disordered Child Dissociative Disorders Multiple Personality Disorder Diagnosing Dissociative Disorders Treating the Dissociatively Disordered Summary 12 Attachment Disturbance Loss and Disruption Reunification Impaired Attachment Summary 13 Social Rehabilitation The Socially Inept Child The Eroticized Child The Agitated Child The Socially Inhibited Child Summary 14. Integration of Traumatizing Events Clarifying Why Returning to the Pain Is Necessary Restructuring the Traumatizing Event as a Victorious Survivor Dealing Directly with Traumatizing Events Experiencing Mastery Summary 15. Open-Door Termination 16. Crisis Intervention in Large-Scale Disasters Authority: Who's in Charge? Obtain Current Information Assessment and Interventions Resources Post-Disaster Follow Up Summary 17. Techniques and Exercises 18. Theoretical, Developmental, and Experiential Foundations: A Personal Story Bibliography Appendix A: Resources Appendix B: Behavioral Checklist to Help Aid Identification of MPD in Children and Adolescents Appendix C: How to Recognize Why a Child's Behavior Activity and Learning Ability Changes Appendix D: The Children's Garden Attachment Model Appendix E: Child/Therapist Work Chart Parent/Caregiver Work Chart Appendix F: Parent/Child Supervision Guideline Appendix G: Songs Index About the Author

About the Author

Beverly James is a clinical social worker who has specialized in evaluating and treating traumatized children for the past twelve years. She has authored a number of articles and coauthored Treating Sexually Abused Children and Their Families. Currently director of the James Institute in Kona, Hawaii, her training skills have brought her national and international recognition.

Reviews

Ann M. Jernberg, Ph.D. Clinical Director, The Theraplay Institute, Chicago Exactly what those of us who work with abused children have been longing for. Beverly James carefully delineates what step in treatment follows what other step, and cautions us about what will happen if we are impatient or act from our own agenda.

Joyce C. Mills, Ph.D. Co-author of "Therapeutic Metaphors for Children and the Child Within" Like the weavers of ancient times, Beverly James has masterfully taken the beautiful 'yarns' entrusted to her care and woven them into the strong fabric of this book...a book which deals with the quintessential element of humankind: attachment. A must for all who work with children and families, offering theory, technique and intervention infused with heart, compassion and spirit.

Mark D. Everson, Ph.D. Co-Director, Program for the Study and Treatment of Childhood Sexual Abuse University of North Carolina, Chapel Hill Whether you are seeing your first or 500th case of child maltreatment, Beverly James' book is an outstanding treatment resource. It offers an innovative, insightful, and compassionate approach to helping children work through their traumatic experiences. You heard it here first -- this book is sure to become a classic in the field.