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The emotional and behavioral symptoms associated with PTSD have been widely studied, but until recently, much less was known about neuropsychological aspects of the disorder. This volume brings together leading experts to synthesize current knowledge on how trauma affects the brain. Integrating compelling insights from neurobiology with clinical and cognitive perspectives, the book presents cutting-edge theoretical advances with major implications for assessment and treatment. Clearly written and well documented, the volume explores the emergence of neuropsychological dysfunction in specific trauma populations: children, adults, older adults, and victims of closed-head injury. Coverage encompasses a range of chronic problems with memory, attention, and information processing, including biases in the ways that PTSD sufferers attend to and remember emotionally relevant information, as well as how they encode and retrieve trauma-related memories. Throughout, authors back up their arguments with salient empirical research, highlighting key findings from functional neuroimaging and electrophysiology. Methodological dilemmas and controversies are also addressed, such as the challenges of studying a disorder with frequent psychiatric and medical comorbidities. Timely and authoritative, this comprehensive work provides vital knowledge for trauma specialists and other researchers and clinicians, including neuropsychologists, clinical psychologists, and psychiatrists. It will also be of interest to advanced students in these areas.
The prevalence of adult cognitive disorders will dramatically rise over the next 25 years due to the aging population. Clinical research on adult cognitive disorders has rapidly evolved, including evidence of new adult cognitive disorders and greater insight into the clinical presentation, mechanism, diagnosis, and treatment of established diseases. The Oxford Handbook of Adult Cognitive Disorders is an up-to-date, scholarly, and comprehensive volume covering most diseases, conditions, and injuries resulting in impairments in cognitive function in adults. Topics covered include normal cognitive and brain aging, the impact of medical disorders and psychiatric illnesses on cognitive function, adult neurodevelopmental disorders, and various neurological conditions. This Handbook also provides a section on unique perspectives and special considerations for clinicians and clinical researchers, covering topics such as cognitive reserve, genetics, diversity, and neuroethics. Readers will be able to draw upon this volume to facilitate clinical practice (including differential diagnosis, treatment recommendations, assessment practices), and to obtain an in-depth review of current research across a wide spectrum of disorders, provided by leaders in their fields. The Oxford Handbook of Adult Cognitive Disorders is a one-of a kind resource appropriate for both clinicians and clinical researchers, from advanced trainees to seasoned professionals.
The nosological roots of post-traumatic stress disorder (PTSD) may be traced back to th~American Psychiatric Association's DSM-I entry of gross stress reaction, as published in 1952. Yet the origins of the current enthusi asm with regard to post-traumatic stress can be traced back to 1980, which marked the emergence of the term post-traumatic stress disorder in the DSM III. This reflected the American Psychiatric Association's acknowledgment of post-traumatic stress as a discrete, phenomenologically unique, and reli able psychopathological entity at a time in American history when such recognition had important social, political, and psychiatric implications. Clearly, prior to DSM-I the lack of a generally accepted terminology did little to augment the disabling effects that psychological traumatization could engender. Nor did the subsequent provision of an official diagnostic label alone render substantial ameliorative qualities. Nevertheless, the post Vietnam DSM-III recognition of PTSD did herald a dramatic increase in research and clinical discovery. The American Red Cross acknowledged the need to establish disaster mental health services, the American Psychological Association urged its members to form disaster mental health networks, and the Veterans Administration established a national study center for PTSD.
Neurobiology of PTSD outlines the basic neural mechanisms that mediate complex responses and adaptations to psychological trauma; describes how these biological processes are impaired in individuals with posttraumatic stress disorder (PTSD); and discusses how the environmental exposure to trauma interacts with the brain to create the syndrome of PTSD.
In World War I, they spoke of shell shock. By World War II, the term was battle fatigue. Modern understanding of trauma psychology has evolved to give the concept a non-military name: posttraumatic stress disorder. As such, it has been at the heart of civil and criminal cases from workers' compensation to murder. PTSD and Forensic Psychology brings its topic into real-world focus by examining posttraumatic stress as a clinical entity and taking readers through the evaluation process for court cases involving the PTSD syndrome. This timely reference differentiates between PTSD and disorders that may be mistaken for it, and demonstrates its legal application in seeking civil damages and mounting a criminal defense. An evidence-based framework for conducting a trial-worthy evaluation and guidelines for establishing strong cases and refuting dubious ones further illustrate the protocols and challenges surrounding the status of PTSD in legal settings. For maximum usefulness, the book offers courtroom advice for expert witnesses as well as "practice points" at the end of each chapter. Featured topics include: History of the PTSD concept and its relation to the law. PTSD as syndrome: symptoms, diagnosis, treatment. PTSD and other traumatic disability syndromes. PTSD in the civil litigation and criminal justice systems. PTSD as an insanity defense and in claims of diminished capacity. PTSD cases: evaluation, interpretation, testimony. This thorough yet concise analysis makes PTSD and Forensic Psychology the ideal training tool for beginning mental health expert witnesses, as well as a concise practical review and reference source for seasoned forensic psychologists. It will also serve as a useful practice and teaching guide for attorneys, medical rehabilitation professionals, military personnel, psychotherapists, researchers, and educators in the fields of clinical and forensic psychology, criminology, traumatic stress studies, and mental health law.
Posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI) can each cause significant functional impairment--and these "invisible injuries" frequently co-occur. Events that lead to traumatic brain injury are often also psychologically traumatic. This authoritative volume brings together leading experts in PTSD and mTBI to explore the nature, consequences, and management of these interacting conditions. Presenting cutting-edge research and clinical practices, the book meets a growing need among mental health practitioners in both civilian and military contexts. The volume focuses on the complexities of caring for patients with comorbid PTSD and mTBI, whether caused by war-zone experiences, motor vehicle accidents, domestic violence or other interpersonal assaults, or sports concussions. Contributors examine the biological and psychosocial mechanisms underlying both disorders as well as potential ways they may affect each other. Commonly associated problems that may further complicate recovery--chronic pain and substance abuse--are also discussed in detail. Reviewing empirically based best practices in assessment and treatment, chapters offer recommendations for tailoring interventions to different patients' needs. Important topics include how to deal with dilemmas in evaluation and what treatment strategies work best for addressing overlapping symptoms. The book also considers ways to improve the structure and cost-effectiveness of providing care in this challenging area. Throughout, scientific controversies and unanswered questions are highlighted and promising directions for future research identified. Synthesizing knowledge from multiple disciplines, this is an essential reference for mental health practitioners and trauma specialists--including neuropsychologists, clinical psychologists, psychiatrists, and social workers--as well as graduate students and trainees.
This volume brings together the leaders in the field of PTSD research to present an up-to-date summary and understanding of this complex disorder. All of our current knowledge and controversies concerning the diagnosis, epidemiology, course, pathophysiology and treatment are described in detail. The evidence for efficacy for each of the different forms of psychotherapy and pharmacotherapy is reviewed. Particular attention is paid to at-risk groups, including minorities, and coverage of PTSD throughout the world is reviewed as well. The authors present state-of-the-art findings in genetics, epigenetics, neurotransmitter function and brain imaging to provide the most current and comprehensive review of this burgeoning field.
"Rauch and McLean bridge the gap between neuroscience research and the treatment of PTSD patients. Individuals with PTSD have developed automatic associations between specific stimuli and traumatic events. As a result, these individuals experience intense fear when exposed to the stimuli, even though the original threat is no longer present. This book presents prolonged exposure therapy (PE), a specific manualized exposure therapy program for PTSD. A variant of exposure therapy, PE is a cognitive behavioral approach designed to reduce pathological anxiety and related emotions by helping patients approach relatively safe but distress-provoking thoughts, memories, situations, and stimuli, with the goal of reducing unhelpful emotional reactions to those stimuli. Informed by extensive research but written for clinicians, the book explains how neuroscience can guide our application of the three key components of PE: (1) psychoeducation about the nature of trauma, (2) in vivo exposure to trauma reminders, and (3) imaginal exposure to the memory of the traumatic event followed by processing of the imaginal and other exposures"--
This accessible book provides an overview of trauma-informed care and related neuroscience research across populations. The book explains how trauma can alter brain structure, identifies the challenges and commonalities for each population, and provides emergent treatment intervention options to assist those recovering from acute and chronic traumatic events. In addition, readers will find information on the risk factors and self-care suggestions related to compassion fatigue, and a simple rubric is provided as a method to recognize behaviours that may be trauma-related. Topics covered include: children and trauma adult survivors of trauma military veterans and PTSD sexual assault, domestic violence and human trafficking compassion fatigue. Trauma-Informed Care draws on the latest findings from the fields of neuroscience and mental health and will prove essential reading for researchers and practitioners. It will also interest clinical social workers and policy makers who work with people recovering from trauma.
This handbook celebrates the abundantly productive interaction of neuropsychology and medicine. This interaction can be found in both clinical settings and research l- oratories, often between research teams and clinical practitioners. It accounts for the rapidity with which awareness and understanding of the neuropsychological com- nents of many common medical disorders have recently advanced. The introduction of neuropsychology into practice and research involving conditions without obvious neurological components follows older and eminently successful models of integrated care and treatment of the classical brain disorders. In the last 50 years, with the growing understanding of neurological disorders, neuropsychologists and medical specialists in clinics, at bedside, and in laboratories together have contributed to important clinical and scienti c advances in the und- standing of the common pathological conditions of the brain: stroke, trauma, epilepsy, certain movement disorders, tumor, toxic conditions (mostly alcohol-related), and degenerative brain diseases. It is not surprising that these seven pathological con- tions were the rst to receive attention from neuropsychologists as their behavioral symptoms can be both prominent and debilitating, often with serious social and economic consequences.