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E-raamat: Treating Trauma and Traumatic Grief in Children and Adolescents, Second Edition

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, (Rowan University School of Osteopathic Medicine, United States), (Pittsburgh; Drexel University College of Medicine, United States)
  • Formaat: 356 pages
  • Ilmumisaeg: 29-Dec-2016
  • Kirjastus: Guilford Press
  • Keel: eng
  • ISBN-13: 9781462528448
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Treating Trauma and Traumatic Grief in Children and Adolescents, Second EditionSuurem pilt
  • Formaat: 356 pages
  • Ilmumisaeg: 29-Dec-2016
  • Kirjastus: Guilford Press
  • Keel: eng
  • ISBN-13: 9781462528448
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This authoritative guide has introduced many tens of thousands of clinicians to trauma-focused cognitive-behavioral therapy (TF-CBT), a leading evidence-based treatment for traumatized children and their parents or caregivers. Preeminent clinical researchers provide a comprehensive framework for assessing posttraumatic stress disorder (PTSD), other trauma-related symptoms, and traumatic grief in 3- to 18-year-olds; building core coping skills; and directly addressing and making meaning of children's trauma experiences. Implementation is facilitated by sample scripts, case examples, troubleshooting tips, and reproducible client handouts. Purchasers get access to a Web page where they can download and print the reproducible materials in a convenient 8 1/2" x 11" size. TF-CBT is listed in SAMHSA's National Registry of Evidence-Based Programs and Practices.

New to This Edition
*Incorporates a decade's worth of advances in TF-CBT research and clinical practice.
*Updated for DSM-5.
*Chapter on the model's growing evidence base.
*Chapter on group applications.
*Expanded coverage of complex trauma, including ways to adapt TF-CBT for children with severe behavioral or affective dysregulation.

See also the edited volume Trauma-Focused CBT for Children and Adolescents: Treatment Applications for more information on tailoring TF-CBT to children's varying developmental levels and cultural backgrounds.


This is the authoritative guide to conducting trauma-focused cognitive-behavioral therapy (TF-CBT), a systematic, evidence-based treatment for traumatized children and their families. Provided is a comprehensive framework for assessing posttraumatic stress disorder, depression, anxiety, and other symptoms; developing a flexible, individualized treatment plan; and working collaboratively with children and parents to build core skills in such areas as affect regulation and safety. Specific guidance is offered for responding to different types of traumatic events, with an entire section devoted to grief-focused components. Useful appendices feature resources, reproducible handouts, and information on obtaining additional training. TF-CBT has been nationally recognized as an exemplary evidence-based program.

See also the edited volume Trauma-Focused CBT for Children and Adolescents: Treatment Applications for more information on tailoring TF-CBT to children's varying developmental levels and cultural backgrounds.

Arvustused

"This manual represents the gold standard for synthesizing the best research and clinical practice into a coherent treatment model. Especially notable is the attention to ongoing developments in the field, such as the interest in a grief-related diagnosis. The authors are acutely sensitive to the needs of front-line clinicians working with complicated cases in various settings. They have expanded the original model in a way that is considerate of real-world challenges by offering therapists practical suggestions for adapting the core TF-CBT techniques to make them their own."--Robin F. Goodman, PhD, private practice, New York City; Executive Director, A Caring Hand organization and bereavement program

"Developed by three of our most important child trauma researchers, TF-CBT represents a state-of-the-art approach for understanding and treating this underserved population. This second edition couldnt be more timely for clinicians who work with children, adolescents, and families. The effectiveness of the approach is demonstrated in the authors' clinical research studies as well as studies from other laboratories across the world, and the inclusion of multiple clinical examples renders the book usable for clinicians of all backgrounds and training."--Terence M. Keane, PhD, National Center for PTSD, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine

"Covering every aspect of TF-CBT--including the critical role of the therapeutic relationship and the flexible use of treatment procedures--this book provides a complete understanding of our most effective treatment for children and youth with trauma-related problems. Practitioners will greatly appreciate the extensive case examples and excellent clinical materials. I have never read a treatment manual in which every point made was so thoroughly grounded in the most recent scientific research. From start to finish, the authors combine the best science and clinical experience with a laser focus on tailoring treatment to the individual needs of each child and family. This book is evidence-based practice at its best. It should be read and studied by every therapist working with traumatized children and youth."--Benjamin E. Saunders, PhD, Professor and Associate Director, National Crime Victims Research and Treatment Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina

"Impressive. The authors interweave theory, research, and clinical insights to show how clinicians can engage traumatized children and their families in the process of change and recovery. The second edition includes extensive new research on both trauma- and grief-focused components and continues to provide a rich set of reproducible handouts. I recommend this book not only for clinicians working with traumatized youth, but also as a text that should be used at universities and colleges around the world."--Tine K. Jensen, PhD, Department of Psychology, University of Oslo, Norway

"This outstanding second edition lays out both basic and sophisticated strategies, component by component. The authors reference the latest empirical findings from clinical trials, present useful case vignettes, and describe clinical complexities that clinicians of all levels of experience may face in practice."--Lisa Amaya-Jackson, MD, MPH, UCLADuke National Center for Child Traumatic Stress, Duke University School of Medicine -

PART I Trauma-Focused Cognitive-Behavioral Therapy: Overview and Conceptual Framework
1 The Impact of Trauma and Grief on Children and Families
3(24)
What Constitutes Childhood Trauma?
3(4)
What Are Trauma Symptoms?
7(14)
Traumatic Grief in Children
21(3)
Trauma- and Grief-Focused Treatment
24(1)
Summary
25(2)
2 Assessment Strategies for Traumatized Children
27(14)
Evaluating Traumatic Exposure
28(1)
Assessing PTSD Symptoms
28(2)
Assessing Other Psychiatric Disorders
30(6)
Assessment of Childhood Traumatic Grief
36(2)
Providing Feedback to the Family about the Assessment
38(3)
3 The TF-CBT Model: How It Works
41(19)
Gradual Exposure and Phase-Based Treatment
42(2)
Development of the TF-CBT Model
44(2)
Individual Child, Individual Parent, and Conjoint Treatment Sessions
46(1)
Session Structure and Flexibility
47(1)
The Benefits of Parental Involvement in Treatment
48(3)
The Issue of Confidentiality and Encouraging Open Parent-Child Communication
51(2)
Parental Participation Dilemmas
53(1)
The Importance of Culture in the TF-CBT Model
54(1)
The Importance of Adjunctive Services When Needed
55(2)
General Considerations in Using This Book
57(2)
Summary
59(1)
4 Research on TF-CBT
60(21)
Summary
72(9)
5 The Role of the TF-CBT Therapist
81(14)
The Centrality of the Therapeutic Relationship
82(2)
The Importance of Therapist Judgment, Skill, and Creativity
84(2)
Therapist Qualifications and Training
86(2)
Troubleshooting
88(7)
PART II Trauma-Focused Components
Introduction to the TF-CBT Components
95(2)
6 Trauma-Focused Component
1. Trauma Psychoeducation
97(10)
Psychoeducation about the TF-CBT Model of Treatment
101(1)
Psychoeducation for Children Experiencing Traumatic Grief
102(1)
Troubleshooting
103(4)
7 Trauma-Focused Component
2. Parenting Skills
107(15)
Functional Analyses
108(2)
Praise
110(4)
Selective Attention
114(2)
Time-Out
116(1)
Contingency Reinforcement Programs
117(1)
Parenting Skills for Adolescents
118(1)
Troubleshooting
119(3)
8 Trauma-Focused Component
3. Relaxation Skills
122(16)
Focused Breathing/Mindfulness/Meditation
124(4)
Progressive Muscle Relaxation
128(3)
Relaxation for Children with Traumatic Grief
131(1)
Relaxation for Parents
132(1)
Other Relaxation Techniques
133(1)
Troubleshooting
134(4)
9 Trauma-Focused Component
4. Affective Expression and Modulation Skills
138(21)
Feeling Identification with Children
138(3)
Affective Expression with Parents
141(2)
Thought Interruption and Positive Imagery
143(2)
Positive Self-Talk
145(1)
Enhancing the Child's Sense of Safety
146(1)
Enhancing Problem-Solving and Social Skills
147(4)
Social Skills Building
151(1)
Managing Difficult Affective States
152(1)
Affective Modulation for Children with Traumatic Grief
153(1)
Affective Modulation for Parents
154(2)
Troubleshooting
156(3)
10 Trauma-Focused Component
5. Cognitive Coping and Processing Skills: The Cognitive Triangle
159(13)
Types of Inaccurate and Unhelpful Thoughts
164(2)
The Cognitive Triangle for Parents
166(2)
Enhancing the Surviving Parent's Sense of Safety
168(1)
Troubleshooting
169(3)
11 Trauma-Focused Component
6. Trauma Narration and Processing, Part I: Trauma Narration
172(21)
Introducing Trauma Narration and Processing
174(2)
The Trauma Narration Process
176(7)
Trauma Narration for Children with Traumatic Grief
183(2)
Sharing the Trauma Narrative with the Parent
185(4)
Troubleshooting
189(4)
12 Trauma-Focused Component
6. Trauma Narration and Processing, Part 2: Cognitive Processing
193(12)
Exploring and Correcting Inaccurate or Unhelpful Cognitions
194(5)
Cognitive Processing of Traumatic Death
199(2)
Cognitively Processing the Child's Trauma Narration with Parents
201(1)
Troubleshooting
202(3)
13 Trauma-Focused Component
7. In Vivo Mastery of Trauma Reminders
205(8)
Distinguishing between Innocuous and Reality-Based Fears
205(2)
Designing an Effective In Vivo Plan
207(4)
Troubleshooting
211(2)
14 Trauma-Focused Component
8. Conjoint Child--Parent Sessions
213(9)
Conjoint Child--Parent Sessions to Share Trauma Narration and Processing
214(4)
Other Activities for Conjoint Child-Parent Sessions
218(1)
Troubleshooting
219(3)
15 Trauma-Focused Component
9. Enhancing Future Safety and Development
222(10)
Personal Safety Skills Training
222(5)
Concepts to Incorporate into Safety Skills Training
227(4)
Troubleshooting
231(1)
16 Group Application of Trauma-Focused Components
232(11)
Practical and Clinical Benefits of Group TF-CBT
234(1)
Group TF-CBT Guidelines
235(3)
Troubleshooting
238(5)
PART III Grief-Focused Components
Introduction to the Grief-Focused Components
243(2)
17 Grief-Focused Component
1. Grief Psychoeducation
245(12)
Grief Psychoeducation for Children
245(3)
Exposure to Death in the Abstract
248(1)
Gradual but Direct Exposure to Personal Experience of Another's Death
249(1)
Grief Psychoeducation for Parents
250(3)
Troubleshooting
253(4)
18 Grief-Focused Component
2. Grieving the Loss and Resolving
257(15)
Ambivalent Feelings: "What I Miss and What I Don't Miss" Grieving the Loss: "What I Miss"
257(6)
Resolving Ambivalent Feelings: "What I Don't Miss"
263(3)
Grieving the Loss and Addressing Ambivalent Feelings: For Parents
266(3)
Troubleshooting
269(3)
19 Grief-Focused Component
3. Preserving Positive Memories
272(7)
Preserving Positive Memories for Children
272(3)
Preserving Positive Memories for Parents
275(1)
Troubleshooting
276(3)
20 Grief-Focused Component
4. Redefining the Relationship and Committing to Present Relationships
279(8)
Redefining the Relationship for Children
279(2)
Redefining the Relationship for Parents
281(3)
Concerns about the Ability to Raise Children Alone
284(1)
Troubleshooting
284(3)
21 Treatment Review and Closure
287(8)
Making Meaning of Trauma Experiences
288(2)
Preparing for Treatment Termination
290(2)
Troubleshooting
292(3)
Appendix 1 Handouts for Families 295(24)
Appendix 2 TF-CBT Implementation Resources: Books and Games to Use during Treatment 319(6)
Appendix 3 Additional Professional Resources 325(6)
References 331(12)
Index 343
Judith A. Cohen, MD, a board-certified child and adolescent psychiatrist, is Medical Director of the Center for Traumatic Stress in Children and Adolescents at Allegheny General Hospital in Pittsburgh, Pennsylvania, and Professor of Psychiatry at Drexel University College of Medicine. Since 1983, Dr. Cohen has conducted research on the assessment and treatment of traumatized children. With Anthony P. Mannarino and Esther Deblinger, she has developed and tested TF-CBT for children and their nonoffending parents. She has served on the boards of directors of the American Professional Society on the Abuse of Children (APSAC) and the International Society for Traumatic Stress Studies (ISTSS), and is a recipient of the Sarah Haley Memorial Award for Clinical Excellence from ISTSS, the Outstanding Professional Award from APSAC, and the Rieger Award for Scientific Achievement from the American Academy of Child and Adolescent Psychiatry (AACAP). She is coauthor of the treatment guidelines for treating posttraumatic stress disorder (PTSD) published by ISTSS and principal author of the practice parameters for treating PTSD in children and adolescents published by AACAP. Dr. Cohen consults on the treatment of childhood traumatic grief to Sesame Workshop and the Tragedy Assistance Program for Survivors. With Anthony P. Mannarino and Esther Deblinger, Dr. Cohen is coauthor of Treating Trauma and Traumatic Grief in Children and Adolescents, Second Edition, and coeditor of Trauma-Focused CBT for Children and Adolescents: Treatment Applications.

Anthony P. Mannarino, PhD, is Director of the Center for Traumatic Stress in Children and Adolescents and Vice Chair of the Department of Psychiatry at Allegheny General Hospital in Pittsburgh, Pennsylvania,and Professor of Psychiatry at Drexel University College of Medicine. A leader in the field of child traumatic stress since the 1980s, Dr. Mannarino has conducted extensive research on the clinical course of traumatic stress symptoms in children and the development of effective treatment approaches for traumatized children and their families. He is the recipient of honors including the Child Maltreatment Article of the Year Award from the American Professional Society on the Abuse of Children (APSAC) and the Legacy Award from the Greater Pittsburgh Psychological Association. A past president of APSAC and of the Section on Child Maltreatment of the Society for Child and Family Policy and Practice (Division 37) of the American Psychological Association, he maintains an active clinical practice. With Judith A. Cohen and Esther Deblinger, Dr. Mannarino is coauthor of Treating Trauma and Traumatic Grief in Children and Adolescents, Second Edition, and coeditor of Trauma-Focused CBT for Children and Adolescents: Treatment Applications.

Esther Deblinger, PhD, is Professor of Psychiatry at Rowan University School of Osteopathic Medicine in Stratford,New Jersey, where she is also Cofounder and Codirector of the CARES (Child Abuse Research Education and Service) Institute. Dr. Deblinger has conducted extensive research on the mental health impact of child abuse and the treatment of posttraumatic stress disorder and other abuse-related difficulties. She has written numerous scientific articles and book chapters, as well as books for professionals and educational books for children. Dr. Deblinger is a frequent invited speaker at local, national, and international conferences and has served on the board of the American Professional Society on the Abuse of Children (APSAC). She is a recipient of honors including the Outstanding Research Career Achievement Award from APSAC and the Rosenberry Award from the Children's Hospital Colorado. In addition to her administrative, research, and teaching responsibilities, she remains active as a clinician and supervisor. With Judith A. Cohen and Anthony P. Mannarino, she is coauthor of Treating Trauma and Traumatic Grief in Children and Adolescents, Second Edition, and coeditor of Trauma-Focused CBT for Children and Adolescents: Treatment Applications.
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