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An innovative somatic and attachment-based treatment for working with children and adolescents who suffer from complex trauma and neglect "[This] is a ground-breaking new approach to treating traumatized children, based on the combination of keen clinical observation, sensory integration, and a deep understanding of the latest advances in the neuroscience of trauma."—Bessel van der Kolk, MD, best-selling author of The Body Keeps the Score The SMART (Sensory Motor Arousal Regulation Treatment) program addresses three key processes that can be derailed by developmental trauma--somatic regulation, trauma processing, and attachment-building--and uses movement and sensation to target the neurological structures that support emotional and behavioral regulation. Transforming Trauma in Children and Adolescents teaches therapists the eight key skills required for SMART mastery and provides seven regulation tools for clients, helping children and adolescents manage their feelings and attend to developmental tasks like making friends, participating at school, learning to play with others, and developing a sense of self that includes--but isn't defined by--the trauma they've experienced. Enriched with case studies and recommended adaptations, the book includes resources for parents and other caregivers who want to provide ongoing supportive care outside the clinical setting.
Packed with practical clinical tools, this guide explains how to plan and organize individualized interventions that promote resilience, strengthen child-caregiver relationships, and restore developmental competencies derailed by chronic, multiple stressors. Includes more than 45 reproducibles.
This book outlines both the theory and application of regulation intervention strategies for children with complex trauma history. National statistics identify that 1:7 children in the United States are subjected to child abuse or neglect. The age group with the highest reported incidences are in the 1-3 year old age group. The primary perpetrators of this abuse are the child’s caregivers. This age is closely associated with the critical period of development in the areas of the brain, the child’s physiology and their social/emotional well being. When primary attachment is disrupted, delays and disruptions across many domains occur. When the perpetrator of their trauma is the same person who should be ensuring their safety, a child develops behaviors in an attempt to make sense of their world. The behaviors serve a purpose. Behavioral approaches which rely on positive and negative consequences do not adequately address the cause of the behavior and are therefore ineffective. Other existing trauma interventions rely on the individual to cognitively process information. However, when dysregulated, retrieval of information from the frontal lobe of the brain is not physiologically possible. All these approaches also intervene on the assumption that the child knows what normal regulation feels like. Most of these children however have only known chaos and fear novelty. This attachment based intervention model incorporates neurological, physiological, observational and practical regulation intervention strategies for anyone working with children with complex trauma history. It is able to be applied in home, school, community and in therapy environments. When a child feels regulated and safe, the effectiveness of the child’s trauma treatment can be enhanced.
One of the few books on the treatment of psychological trauma in children that provides specific, in-depth individual, group, and family therapy interventions for complex psychological trauma, Treating Complex Trauma in Children and Their Families: An Integrative Approach focuses on the treatment of 6-12 year-old children and their relevant family members. Renowned authors Cheryl B. Lanktree and John N. Briere use their evidence-based, yet flexible treatment model, Integrative Treatment of Complex Trauma for Children (ITCT-C), as they address the use of play therapy, attachment processing, mindfulness, and other approaches, as well as interventions with family/caretaker and community systems. The authors emphasize a culturally sensitive, destigmatizing, and empowering perspective that supports both recovery and posttraumatic growth. Clinical examples and specific tools illustrate how assessment is used to guide individualized and developmentally-appropriate interventions.
With contributions from prominent experts, this pragmatic book takes a close look at the nature of complex psychological trauma in children and adolescents and the clinical challenges it presents. Each chapter shows how a complex trauma perspective can provide an invaluable unifying framework for case conceptualization, assessment, and intervention amidst the chaos and turmoil of these young patients' lives. A range of evidence-based and promising therapies are reviewed and illustrated with vivid case vignettes. The volume is grounded in clinical innovations and cutting-edge research on child and adolescent brain development, attachment, and emotion regulation, and discusses diagnostic criteria, including those from DSM-IV and DSM-5. See also Drs. Ford and Courtois's edited volume Treating Complex Traumatic Stress Disorders in Adults, Second Edition, and their authored volume, Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach.
This insightful guide provides a pragmatic roadmap for treating adult survivors of complex psychological trauma. Christine Courtois and Julian Ford present their effective, research-based approach for helping clients move through three clearly defined phases of posttraumatic recovery. Two detailed case examples run throughout the book, illustrating how to plan and implement strengths-based interventions that use a secure therapeutic alliance as a catalyst for change. Essential topics include managing crises, treating severe affect dysregulation and dissociation, and dealing with the emotional impact of this type of work. The companion Web page offers downloadable reflection questions for clinicians and extensive listings of professional and self-help resources. See also Drs. Courtois and Ford's edited volumes, Treating Complex Traumatic Stress Disorders (Adults) and Treating Complex Traumatic Stress Disorders in Children and Adolescents, which present research on the nature of complex trauma and review evidence-based treatment models.
Principles of Trauma Therapy provides a creative synthesis of cognitive-behavioral, relational/psychodynamic, and psychopharmacologic approaches to the "real world" treatment of acute and chronic posttraumatic states. Grounded in empirically-supported trauma treatment techniques, and adapted to the complexities of actual clinical practice, it is a hands-on resource for both front-line clinicians in public mental health and those in private practice.
"This volume is a welcome and excellent resource for all clinicians working with severely traumatized children." Francine Shapiro, PhD Founder, EMDR Humanitarian Assistance Programs "Over the past 15 years, Ms. Gomez has developed highly original and brilliant interventions for working with these very difficult to treat children. This book will be an enormous great gift to our field." Dr. Susan Coates Clinical Professor of Psychology in Psychiatry College of Physicians and Surgeons Columbia University This is the first book to provide a wide range of leading-edge, step-by-step strategies for clinicians using EMDR therapy and adjunct approaches with children with severe dysregulation of the affective system. Written by an author internationally known for her innovative work with children, the book offers developmentally appropriate and advanced tools for using EMDR therapy in treating children with complex trauma, attachment wounds, dissociative tendencies, and compromised social engagement. The book also presents the theoretical framework for case conceptualization in EMDR therapy and in the use of the Adaptive Information Processing model with children. Principles and concepts derived from the Polyvagal Theory, affective neuroscience, attachment theory, interpersonal neurobiology, developmental neuroscience and the neurosequential model of therapeutics, which can greatly support and expand our understanding of the AIP model and complex trauma, are presented. The text also offers an original and pioneering EMDR therapy-based model to working with parents with abdicated caregiving systems. The model is directed at assisting parents in developing the ability for mentalization, insightfulness, and reflective capacities linked to infantís development of attachment security. A unique and innovative feature of this book is the masterful integration of strategies from other therapeutic approaches, such as Play therapy, Sandtray therapy, Sensorimotor psychotherapy, Theraplay and Internal Family Systems (IFS), into a comprehensive EMDR treatment maintaining appropriate adherence to the AIP model and EMDR therapy methodology. Key Features: Provides creative, step-by-step, ìhow-toî information about the use of EMDR therapy with children with complex trauma from an internationally known and innovative leader in the field Explores thoroughly the eight phases of EMDR therapy in helping children with attachment wounds, dissociative tendencies and high dysregulation Incorporates adjunct approaches into a comprehensive EMDR therapy while maintaining fidelity to the AIP model and EMDR therapy methodology Contains an original EMDR therapy-based model for helping parents with abdicated caregiving systems to develop metalizing and reflective capacities
This handbook presents the current evidence-based psychological treatments for trauma related disorders in childhood and adolescence and in addition provides clearly structured, up-to-date information on the basic principles of traumatic stress research and practice in that age group, covering epidemiology, developmental issues, pathogenetic models, diagnostics, and assessment. Each of the chapters on treatment, which form the core of the book, begins with a summary of the theoretical underpinnings of the approach, followed by a case presentation illustrating the treatment protocol session by session, an analysis of special challenges typically encountered in implementing this treatment, and an overview of the current evidence base for the treatment approach. A special section considers modern treatments in particular settings, such as schools, hospitals, and juvenile justice systems, and the concluding chapters provide an integrative discussion on how to treat traumatized children and adolescents and an outlook. The book will be invaluable for clinical child and adolescent psychologists, child and adolescent psychiatrists, psychotherapists, and other mental health professionals working with traumatized children and adolescents.
Featuring a wealth of clinical examples, this book facilitates implementation of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) in a range of contexts. It demonstrates how assessment strategies and treatment components can be tailored to optimally serve clients' needs while maintaining overall fidelity to the TF-CBT model. Coverage includes ways to overcome barriers to implementation in residential settings, foster placements, and low-resource countries. Contributors also describe how to use play to creatively engage kids of different ages, and present TF-CBT applications for adolescents with complex trauma, children with developmental challenges, military families struggling with the stresses of deployment, and Latino and Native American children. See also Cohen et al.'s authoritative TF-CBT manual, Treating Trauma and Traumatic Grief in Children and Adolescents, Second Edition.