Chronic childhood trauma, such as prolonged abuse or family violence, can severely disrupt a person's development, basic sense of self, and later relationships.

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Chronic childhood trauma, such as prolonged abuse or family violence, can severely disrupt a person's development, basic sense of self, and later relationships. Adults with this type of history often come to therapy with complex symptoms that go beyond existing criteria for PTSD. This important book brings together prominent authorities to present the latest thinking on complex traumatic stress disorders and provide practical guidelines for conceptualization and treatment. Evidence-based assessment procedures are detailed, and innovative individual, couple, family, and group therapies are described and illustrated with case vignettes and session transcripts.

"Courtois and Ford present an essential, comprehensive work for clinicians and researchers. Evidence-based practice recommendations for psychotherapeutic and pharmacologic treatment are presented-carefully adapted for those suffering from complex traumatic stress disorders-and a range of treatment models are clearly described. Rich clinical material, and attention to management of the therapeutic alliance, therapist self-care, and other key challenges in working with these clients, make this a most useful and innovative resource."
-Josef I. Ruzek, PhD, Acting Director, Dissemination and Training Division, National Center for PTSD

"This is the single best source for clinical expertise in complex traumatic stress disorders. Leading clinicians and researchers share a rich array of individual, couple, family, and group therapy models that illustrate basic treatment principles and best practices. Informed by recent research, the contributors cover the developmental and neurobiological background against which to frame essential assessment and treatment issues. Chapters on such pragmatic topics as vicarious traumatization and risk management offer advice on reducing stress for therapists working with these challenging cases."
-Frank W. Putnam, MD, Departments of Pediatrics and Psychiatry, Cincinnati Children's Hospital Medical Center

"Treatments based on a traditional conceptualization of PTSD are frequently insufficient to address the diverse, long-lasting, and pervasive effects of complex trauma. This book offers a comprehensive review of treatment considerations, assessment measures, best practices, and evidence-based treatment approaches specifically tailored for psychotherapy with people who have experienced prolonged abuse and neglect by caregivers. An indispensable guide for any mental health professional who works with trauma survivors."
-Pamela C. Alexander, PhD, Senior Research Scientist, Wellesley Centers for Women

Edited by Christine A. Courtois, PhD, private practice, Washington, DC, and Julian D. Ford, PhD, Department of Psychiatry, University of Connecticut Health Center, Farmington, Connecticut

476 Pages, Size: 6 1/8" x 9 1/4"

Foreword, Judith L. Herman

Introduction, Christine A. Courtois and Julian D. Ford

I. Overview

1. Defining and Understanding Complex Trauma and Complex Traumatic Stress Disorders, Julian D. Ford and Christine A. Courtois

2. Neurobiological and Developmental Research: Clinical Implications, Julian D. Ford

3. Best Practices in Psychotherapy for Children and Adolescents, Julian D. Ford and Marylene Cloitre

4. Best Practices in Pychotherapy for Adults, Christine A. Courtois, Julian D. Ford, and Marylene Cloitre

5. Assessment of the Sequelae of Complex Trauma: Evidence-Based Measures, John Briere and Joseph Spinazzola

6. Attachment and Abuse History, and Adult Attachment Style, Daniel Brown

7. Treating Dissociation, Kathy Steele and Onno van der Hart

8. Cultural Competence, Laura S. Brown

9. Therapeutic Alliance and Risk Management, Philip J. Kinsler, Christine A. Courtois, and A. Steven Frankel

10. Living and Working Self-Reflectively to Address Vicarious Trauma, Laurie Anne Pearlman and James Caringi

II. Individual Treatment Approaches and Strategies

11. Contextual Therapy, Steven N. Gold

12. Cognitive-Behavioral Therapy, Christie Jackson, Kore Nissenson, and Marylene Cloitre

13. Contextual Behavior Trauma Therapy, Victoria M. Follette, Katherine M. Iverson, and Julian D. Ford

14. Experiential and Emotion-Focused Therapy, Diana Fosha, Sandra Paivio, Kari Gleiser, and Julian D. Ford

15. Sensorimotor Psychotherapy, Janina Fisher and Pat Ogden

16. Pharmacotherapy, Lewis A. Opler, Michelle S. Grennan, and Julian D. Ford

III. Systemic Treatment Approaches and Strategies

17. Internal Family Systems Therapy, Richard C. Schwartz, Mark F. Schwartz, and Lori Galperin

18. Couple Therapy, Susan M. Johnson and Christine A. Courtois

19. Family Systems Therapy, Julian D. Ford and William Saltzman

20. Group Therapy, Julian D. Ford, Roger D. Fallot, and Maxine Harris

Conclusion: The Clinical Utility of a Complex Traumatic Stress Disorders Framework, Julian D. Ford and Christine A. Courtois

Afterword, Bessel A. van der Kolk

John Briere, PhD, Department of Psychiatry and Psychology and Psychological Trauma Clinic, LAC-USC Medical Center, Keck School of Medicine, University of Southern California, Los Angeles, California
Daniel Brown, PhD, Department of Psychology, Harvard Medical School, Cambridge, Massachusetts
Laura S. Brown, PhD, private practice, Seattle, Washington
James Caringi, PhD, MSW, School of Social Work, University of Montana, Missoula, Montana
Marylene Cloitre, PhD, Institute for Trauma and Resilience and Department of Child and Adolescent Psychiatry, New York University, New York, New York
Christine A. Courtois, PhD, private practice, Washington, DC
Roger D. Fallot, PhD, Community Connections, Washington, DC
Janina Fisher, PhD, Center for Integrative Healing, Watertown, Massachusetts
Victoria M. Follette, PhD, Department of Psychology, University of Nevada, Reno, Nevada
Julian Ford, PhD, Department of Psychiatry, University of Connecticut Health Center, Farmington, Connecticut
Diana Fosha, PhD, AEDP Institute, New York, New York
A. Steve Frankel, PhD, JD, Department of Psychology, University of Southern California, Los Angeles, California, and Public Interest and Social Issues, Golden Gate University School of Law, San Francisco, California
Lori Galperin, LCSW, Castlewood Treatment Center, Ballwin, Missouri
Kari Gleiser, PhD, AEDP Institute, New York, New York, and private practice, Hanover, New Hampshire
Steven N. Gold, PhD, Center for Psychological Studies and Trauma Resolution Integration Program, Nova Southeastern University, Fort Lauderdale, Florida
Michelle S. Grennan, MA, Clinical Psychology Doctorate Program, Long Island University, Brooklyn, New York
Maxine Harris, PhD, Community Connections, Washington, DC
Judith L. Herman, MD, Department of Psychiatry, Cambridge Hospital, Harvard Medical School, Cambridge, Massachusetts
Katherine M. Iverson, PhD, Department of Psychology, University of Nevada, Reno, Nevada
Christie Jackson, PhD, Institute for Trauma and Resilience, New York University, New York, New York
Susan M. Johnson, EdD, Department of Psychology, University of Ottawa, and Ottawa Couple and Family Institute, Ottawa, Ontario, Canada
Philip J. Kinsler, PhD, Department of Psychiatry, Dartmouth Medical School, Hanover, New Hampshire, and private practice, Lyme, New Hampshire
Kore Nissenson, PhD, private practice, New York, New York
Pat Ogden, PhD, Sensorimotor Psychotherapy Institute, Boulder, Colorado
Lewis A. Opler, PhD, MD, Department of Psychiatry, College of Physicians and Surgeons, Columbia University, New York, New York, and Department of Psychiatry, New York University School of Medicine, New York, New York
Sandra Paivio, PhD, Department of Psychology, University of Windsor, Windsor, Ontario, Canada
Laurie Anne Pearlman, PhD, Trauma Research, Education, and Training Institute, New Britain, CT
William Saltzman, PhD, UCLA Trauma Psychiatry Program, University of California, Los Angeles, California, and Department of Counseling and Psychological Services, California State University, Long Beach, California
Mark F. Schwartz, ScD, Departments of Psychiatry and Neurology, St. Louis University School of Medicine, St. Louis, Missouri, and Castlewood Treatment Center, Ballwin, Missouri
Richard C. Schwartz, PhD, Center for Self Leadership, Oak Park, Illinois
Joseph Spinazzola, PhD, Trauma Center at Justice Resource Institute, Brookline, Massachusetts
Kathy Steele, MN, CS, Metropolitan Counseling Services, Atlanta, Georgia
Onno van der Hart, PhD, Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands
Bessel A. van der Kolk, MD, Trauma Center at Justice Resource Institute, Brookline, Massachusetts

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