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The Trauma Story is at the heart of the medical and mental health care of persons who have survived violence. Over the past 30 years the Harvard Program in Refugee Trauma (HPRT) has cared for over 10,000 sufferers of extreme violence. HPRT through its scientific research has discovered the four major dimensions of the Trauma Story: 1) The "brutal" facts. 2) Cultural meaning of trauma. 3) Revelation. 4) Listener-Storyteller relationship that exist in all trauma narratives. The importance of the Trauma Story as an element of "self-healing" has also been revealed. The TSAT is a new journal approach for eliciting the trauma story and building on the survivor's resiliency. The TSAT allows the listener to enter into an empathic dialog and discover their implications of their story for healing. This approach emerged from the new book Healing Invisible Wounds: Path to Hope and Recovery in a Violent World. The TSAT can be used by all health care and mental health practitioners.
The world is witnessing a rapid rise in the number of victims of human trafficking and of migrants—voluntary and involuntary, internal and international, authorized and unauthorized. In the first two decades of this century alone, more than 65 million people have been forced to escape home into the unknown. The slow-motion disintegration of failing states with feeble institutions, war and terror, demographic imbalances, unchecked climate change, and cataclysmic environmental disruptions have contributed to the catastrophic migrations that are placing millions of human beings at grave risk. Humanitarianism and Mass Migration fills a scholarly gap by examining the uncharted contours of mass migration. Exceptionally curated, it contains contributions from Jacqueline Bhabha, Richard Mollica, Irina Bokova, Pedro Noguera, Hirokazu Yoshikawa, James A. Banks, Mary Waters, and many others. The volume’s interdisciplinary and comparative approach showcases new research that reveals how current structures of health, mental health, and education are anachronistic and out of touch with the new cartographies of mass migrations. Envisioning a hopeful and realistic future, this book provides clear and concrete recommendations for what must be done to mine the inherent agency, cultural resources, resilience, and capacity for self-healing that will help forcefully displaced populations.
Practicing Oral History among Refugees and Host Communities provides a comprehensive and practical guide to applied oral history with refugees, teaching the reader how to use applied, contemporary oral history to help provide solutions to the ‘mega-problem’ that is the worldwide refugee crisis. The book surveys the history of the practice and explains its successful applications in fields from journalism, law and psychiatry to technology, the prevention of terrorism and the design of public services. It defines applied oral history with refugees as a field, teaching rigorous, accessible methodologies for doing it, as well as outlining the importance of doing the same work with host communities. The book examines important legal and ethical parameters around this complex, sensitive field, and highlights the cost-effective, sustainable benefits that are being drawn from this work at all levels. It outlines the sociopolitical and theoretical frameworks around such oral histories, and the benefits for practitioners’ future careers. Both in scope and approach, it thoroughly equips readers for doing their own oral history projects with refugees or host communities, wherever they are. Using innovative case studies from seven continents and from the author’s own work, this manual is the ideal guide for oral historians and those working with refugees or host communities.
Trauma is defined as a sudden, potentially deadly experience, often leaving lasting, troubling memories. Traumatology (the study of trauma, its effects, and methods to modify effects) is exploding in terms of published works and expanding in terms of scope. Originally a narrow specialty within emergency medicine, the field now extends to trauma psychology, military psychiatry and behavioral health, post-traumatic stress and stress disorders, trauma social work, disaster mental health, and, most recently, the subfield of history and trauma, with sociohistorical examination of long-term effects and meanings of major traumas experienced by whole communities and nations, both natural (Pompeii, Hurricane Katrina) and man-made (the Holocaust, 9/11). One reason for this expansion involves important scientific breakthroughs in detecting the neurobiology of trauma that is connecting biology with human behavior, which in turn, is applicable to all fields involving human thought and response, including but not limited to psychiatry, medicine and the health sciences, the social and behavioral sciences, the humanities, and law. Researchers within these fields and more can contribute to a universal understanding of immediate and long-term consequences–both good and bad–of trauma, both for individuals and for broader communities and institutions. Trauma encyclopedias published to date all center around psychological trauma and its emotional effects on the individual as a disabling or mental disorder requiring mental health services. This element is vital and has benefited from scientific and professional breakthroughs in theory, research, and applications. Our encyclopedia certainly will cover this central element, but our expanded conceptualization will include the other disciplines and will move beyond the individual.
This volume presents an innovative psychobiological framework for understanding and treating PTSD. A major emphasis is the need to reformulate diagnostic criteria and treatment goals to reflect emerging knowledge about the complex pathways by which trauma disrupts people's lives. Within a holistic, organismic framework, the editors identify 65 PTSD symptoms contained within five (rather than the traditional three) symptom clusters, and spell out 80 target objectives for treatment. Expert contributors then provide detailed presentations of core therapeutic approaches, including acute posttraumatic interventions, cognitive-behavioral approaches, pharmacotherapy, group psychotherapy, and psychodynamic techniques, as well as approaches to working with specific populations, including children, refugees, and the dually diagnosed. The concluding section reviews and synthesizes all case material presented, examining which symptoms are addressed by each of the core approaches, which treatment goals are met, and which clients can most effectively be helped. Combining cutting-edge theoretical exposition with clear-cut recommendations for practice, this is an ideal resource for clinicians, students, and researchers.
This best-selling book is an easy-to-read introduction to the ideas and practices of narrative therapy. It uses accessible language, has a concise structure and includes a wide range of practical examples. What Is Narrative Practice? covers a broad spectrum of narrative practices including externalisation, re-membering, therapeutic letter writing, rituals, leagues, reflecting teams and much more. If you are a therapist, health worker or community worker who is interesting in applying narrative ideas in your own work context, this book was written with you in mind.
Originally published by Viking Penguin, 2014.
Adapting cognitive-behavioral therapy (CBT) to meet the needs of 3- to 6-year-olds with posttraumatic stress disorder (PTSD), this book provides an evidence-based framework for assessment and treatment. Step-by-step instructions are provided for conducting graduated exposure in a safe, developmentally appropriate fashion. Case examples and sample dialogues illustrate how to implement each component of therapy, engage both children and parents, and motivate them to complete treatment successfully. The treatment is suitable for children exposed to any type of trauma. In a large-size format for easy photocopying, the book contains dozens of reproducible handouts and forms. Purchasers get access to a Web page where they can download and print the reproducible materials.
New edition of the Narrative Exposure Therapy manual, an effective, short-term, culturally universal intervention for trauma victims - including the latest insights and new treatments for dissociation and social pain. Narrative Exposure Therapy (NET) is a successful and culturally universal intervention for the treatment of survivors of multiple and severe traumatic events, such as organized violence, torture, war, rape, and childhood abuse. Field tests in contexts of ongoing adversity and disaster areas, as well as controlled trials in various countries, have shown that three to six sessions can be sufficient to provide considerable relief. The new edition of the clearly structured and easy-to-follow NET manual now includes the latest insights and new treatments for dissociation and social pain. The first part of the book describes the theoretical background. The second part shows how to use the NET approach step by step, with practical advice and tools, including how to deal with special issues (such as dealing with challenging moments, defense mechanisms for the therapist, and ethical issues). Appendices include an informed consent form, checklists for the therapist, and FAQs.
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.