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AN EVIDENCE-BASED TEXT FOR UNDERSTANDING AND TREATING MST FROM MULTIPLE PERSPECTIVES The incidence of sexual assault and harassment experienced by members of the U.S. Armed Forces has reached epidemic proportions. Its victims often suffer from devastating, lifelong consequences to their careers, health, relationships, and psychological well-being. This authoritative resource is written for mental health clinicians to help in understanding and treating military sexual trauma (MST). Based on a solid foundation of research and clinical expertise, it addresses the complex circumstances of victims of sexual abuse in the military and how clinicians can meet the unique challenges of treating these clients. The book describes how MST differs from other forms of military trauma such as combat, and discusses its prevalence, neurobiology, and social contexts as well as unique stressors of betrayal, injustice, struggles with issues of reporting and disclosure, and impact on relationships and sexuality. It reviews current evidence-based interventions and offers insights on treating specific symptoms within MST, such as PTSD, anxiety, substance abuse, sleep disorders, and sexual dysfunction. Chapters discuss how a variety of psychotherapies can be used to treat MST, including prolonged exposure, cognitive processing, EMDR, Seeking Safety, acceptance and commitment therapy, and somatic experiencing, as well as the Warrior Renew MST group therapy program. Clinicians who work with veterans and active duty personnel will find this book an essential guide to working with MST survivors. KEY FEATURES: Presents a comprehensive clinician's resource with contributions from top experts in the field on the topic of MST Describes how MST differs from other forms of trauma, necessitating specialized treatment Provides an overview of MST as well as information on evidence-based and emerging treatments
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Now revised and expanded with 50% new content reflecting important clinical refinements, this manual presents a widely used evidence-based therapy approach for adult survivors of chronic trauma. Skills Training in Affective and Interpersonal Regulation (STAIR) Narrative Therapy helps clients to build crucial social and emotional resources for living in the present and to break the hold of traumatic memories. Highly clinician friendly, the book provides everything needed to implement STAIR--including 68 reproducible handouts and session plans--and explains the approach's theoretical and empirical bases. The large-size format facilitates photocopying; purchasers also get access to a Web page where they can download and print the reproducible materials. First edition title: Treating Survivors of Childhood Abuse: Psychotherapy for the Interrupted Life. New to This Edition *Reorganized, simplified sessions make implementation easier. *Additional session on emotion regulation, with a focus on body-based strategies. *Sessions on self-compassion and on intimacy and closeness in relationships. *Chapter on emerging applications, such as group and adolescent STAIR, and clinical contexts, such as primary care and telemental health. *Many new or revised handouts--now downloadable. *Updated for DSM-5 and ICD-11.
Authored by “the” foremost expert on providing EMDR therapy to the military/veteran population! Based on the profound expertise of the author—an EMDR therapist, consultant, and trainer who brings 33 years of military experience to his therapeutic work—this is a “how-to” manual on the unique treatment needs of active duty and veteran populations and how to help them using EMDR therapy. Following an examination of the defining characteristics and philosophy of military culture as they bear on effective therapeutic treatment, the book comprehensively applies the EMDR model to the active military/veteran population with a variety of presenting issues. Considering the clinical challenges of treating a population with repeated exposure to life-threatening experiences, moral injury, sexual assault, and other potentially debilitating trauma, the book addresses skill development, specific to EMDR treatment in detail. This go-to manual covers all the steps and processes of EMDR treatment from introducing EMDR therapy to the client to developing a sense of safety in the treatment arena. Allowing therapists trained in EMDR therapy to appropriately assess and address the clinical needs of the veteran by treating clients with both PTSD and traumatic brain injury; along with moral injury, military sexual trauma (MST), or suicidal ideation by recognizing and addressing avoidance and building motivation for treatment and treatment pitfalls. Case examples address clinical “stuck” points and a variety of treatment options when addressing a broad range of symptoms. The EMDR AIP model is incorporated into each case illustrating the veteran’s treatment goal, presenting symptoms, targeted memories, and clinical decision points in treatment. The print version of the book is also available in ebook format. Key Features: Addresses step-by-step EMDR skill development specific to this population Incorporates the EMDR eight-phase approach Delivers abundant case examples enhanced with clinical treatment options Includes a paradigm for evaluating the military and veteran’s initial clinical presentation Discusses treatment for clients with PTSD, traumatic brain injury, moral injury, sexual trauma, and suicidal ideation Considers the treatment needs of the military family · Includes a variety of helpful patient handouts
This authoritative update presents current findings on—and clinically and ethically sound responses to—the epidemic of sexual assault in the military. It examines in powerful detail how military culture enables a pervasive subculture of sexual violence, from consistently devaluing women to blaming victims and denying them justice. The author’s dual attachment/trauma theory lens attends to a wide range of outcomes such as unit members closing ranks against survivors and the continuing impact of assault trauma on veterans’ lives. And the book’s second half critiques standard forms of treating military sexual trauma in favor of individualized therapy addressing the physical, psychological, and neurological aspects of trauma and recovery. This important volume covers: · Theory and history of sexual violence as a weapon of war. · Legal and health considerations in the aftermath of military sexual assault. · Critical distinctions between military and civilian legal response to sexual assault. · Variations in symptomology among survivors. · Specific barriers to services for male and LGBT survivors. · New and emerging treatment options for military sexual trauma/PTSD. This Second Edition of Understanding and Treating Military Sexual Trauma follows its predecessor as an essential reference on its subject for mental health clinicians treating sexual trauma in the military as well as trauma researchers, sociologists, women’s health practitioners, and university students whose focus is women’s studies, public policy, public health, social work, psychology, sociology, or political science.
A complete guide to an innovative, research-based brief treatment specifically developed for service members and veterans, this book combines clinical wisdom and in-depth knowledge of military culture. Adaptive disclosure is designed to help those struggling in the aftermath of traumatic war-zone experiences, including life threat, traumatic loss, and moral injury, the violation of closely held beliefs or codes. Detailed guidelines are provided for assessing clients and delivering individualized interventions that integrate emotion-focused experiential strategies with elements of cognitive-behavioral therapy (CBT). Reproducible handouts can be downloaded and printed in a convenient 8 1/2" x 11" size.
Now revised and expanded, this state-of-the-science guide is edited and written by leading authorities. The volume covers the full range of effective treatments for posttraumatic stress disorder (PTSD) and helps clinicians gain competency for working with service members and veterans.
Sexual assault is a traumatic event from which many survivors never fully recover. They may develop a range of disorders, including post-traumatic stress disorder, depression, poor self-esteem, interpersonal difficulties and sexual dysfunction. This volume provides insight into the effects of rape and explores a treatment approach that assists in the healing process.
Healing Sexually Betrayed Men and Boys: Treatment for Sexual Abuse, Assault, and Trauma is the new authoritative source for treatment of sexually victimized men and boys. Male victims and survivors of sexual trauma lived in shadow until the turn of the 21st century, when scandal after scandal about the sexual abuse of boys and men shed light on their suffering. These men and boys require different treatment roadmaps than their female counterparts. Yet there is little in the professional literature to help a clinician work with sexually traumatized boys and men. Richard B. Gartner is a seasoned psychologist/psychoanalyst who has worked therapeutically with sexually abused men for over three decades. He is a clinician, advocate, teacher, lecturer, and nationally and internationally recognized expert on the subject. Dr. Gartner’s classic book, Betrayed as Boys: Psychodynamic Treatment of Sexually Abused Men, is one of the few written to guide clinicians. Now, nearly two decades after writing that groundbreaking volume, he follows up on his earlier work. Healing Sexually Abused Men and Boys, together with its companion volume, Understanding the Sexual Betrayal of Boys and Men, is a thorough, comprehensive guide to learning about and healing male victims and survivors. Dr. Gartner has invited a group of experts to write about specific problems faced by these boys and men. Specialists from the psychoanalytic, psychodynamic, trauma, and legal worlds fill in the details about a wide range of interconnected subjects related to the complex reverberations of male sexual trauma. Healing Sexually Betrayed Men and Boys covers such diverse topics as: therapy with young sexually traumatized boys; the aftermath for men who were raped as adults ; covert seduction of boys and its aftereffects; treatment for substance addictions and sexual compulsions; couples work with male survivors and their partners or spouses; bodywork with male survivors; treatment for male veterans who suffered sexual trauma in the military; profiling sexual predators and working with survivors who have also been sexual predators. This book is a valuable resource for clinicians at every level of training. With strategies for how survivors can build support networks and descriptions of clinical, familial, and community-based treatments, Healing Sexually Betrayed Men and Boys is essential reading for clinicians of all theoretical persuasions who work with male sexual abuse survivors. Filling in gaps in the relatively scant literature on the subject, it will also help sexually abused or assaulted men themselves understand what is available to them.
With both personal and professional insight from a range of contributors, this informative guide highlights the use of art therapy in a range of settings to support military veterans. Offering a wealth of knowledge on this approach and the variety of current programs available, this is an invaluable resource for all therapists looking to provide support for this population. Chapters explore the use of art therapy in a range of different settings, including museum programs, open studio therapy and assisted living environments, as well as large group therapy at treatment facilities for active-duty service members. It also offers rare insight into the effectiveness of art therapy in supporting veterans who are processing military sexual trauma, moral injury and countertransference, filling essential gaps in knowledge within this area. As demand for this practice continues to grow, Art Therapy with Veterans provides inspiration for future programs and therapists looking to support military communities.