Treating Psychological Trauma and PTSD

Overview

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...
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Overview

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.
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Editorial Reviews

Doody's Review Service
Reviewer: Michelle Field-Chez, MD (Rush University Medical Center)
Description: This is an edited book compiled with many authorities in the field of PTSD. The book provides a psychobiological framework for both the clinician and the researcher on the symptoms and subsequent interventions for this disease.
Purpose: The purpose is to expand the basic groupings of symptoms that originally defined PTSD. Secondly, the author would like to identify areas of research, treatment, and clinical outcomes that are not being defined currently within the field. Thirdly, the author would like to broaden the treatment approaches, given the broader definition of symptoms of the disease and also its fluctuating course. Finally, the author is looking towards a new theoretical paradigm of the disease related to the allostasis of the organism. Allostasis is defined as how the organism deals with wear and tear in life, and its attempts to remain whole during the trauma.
Audience: This book is for clinicians, researchers, and graduate students ranging from many backgrounds including abnormal psychology, stress and trauma, abuse and victimization, and clinical psychology.
Features: The book begins with the new paradigm for the theory of PTSD, broader definitions of symptoms, and treatment based on this model. The book continues to the various modalities of treatment. Special populations are highlighted including children, those with dual diagnosis, and those with mental illness in relationship. Finally, case histories are offered. The graphs and charts are excellent.
Assessment: This is an excellent book. The editors have selected wonderful contributors with varied backgrounds who are all experts in their particular fields, but all with an additional focus on PTSD. The theory of the allostatic load is fascinating and original and has great promise for the diagnosis, treatment, prevention, and research of this affliction.
From the Publisher

"Precise and relevant, a comprehensive review of the history, theory, and treatment of PTSD....I find this an essential text in my graduate counseling course."--James Halpern, PhD, Department of Psychology, State University of New York at New Paltz

"Wilson, Friedman, and Lindy define the theory of PTSD treatment with authority and clarity. Readers will appreciate how well the volume integrates the scientific, intellectual, and ethical principles for choosing effective clinical interventions. As much a 'why to' as a 'how to' book, this is a volume to be owned by all serious PTSD scholars and practitioners."--Frank M Ochberg, MD, former Associate Director, National Institute of Mental Health

"The perennial request of trauma practitioners is 'Give me something I can use--something practical!' This text defines the major themes of recovery across populations and relates these goals to specific interventions and techniques. Adding the areas of attachment/intimacy and interpersonal relationships and self/identity and life course development to the 'basic three' of PTSD (intrusion, avoidance, physiological symptoms) fills in previously missing gaps. This is one of the first volumes to address PTSD treatment from a non-unitary perspective, acknowledging that traumatic responses exist on a continuum and presenting treatment goals that apply to all aspects of the disorder. It is a great step forward and a 'must read.'"--Mary Beth Williams, PhD, LCSW, CTS, coauthor of Life after Trauma

"The construct of PTSD and its underlying theory have been challenged by recent advances in research and practice. This book makes a daring attempt to redraw the picture, representing a sort of conceptual avant-garde. Using the construct of allostatic load, the book offers new theory and clinical approaches. The reader will find novelty, excitement, controversy, and much food for thought."--Arieh Y. Shalev, MD, Department of Psychiatry, Hadassah University Hospital, Israel

Psychiatric Services

"An authoritative volume that should be on the required reading list for any serious course on trauma, stress, posttraumatic stress disorder (PTSD), victimology, or abnormal psychology or clinical psychology practicum....It broadens the reader's perceptions of psychopathology and provides a much-needed lens for understanding both catastrophic trauma and the inevitable, pervasive, smaller--but common--trauma that goes unrecognized in everyday life.[Chapters] are informed by the latest theory and clinical research and describe a broad array of effective interventions and fine-tuned treatment goals."--Psychiatric Services
International Journal of Group Psychotherapy

"This scholarly and lucid book offers a comprehensive, 'state-of-the-art' schema for the treatment of multiple aspects of psychological trauma....Will positively affect trauma research and treatment over the next decade."--International Journal of Group Psychotherapy

4 Stars! from Doody
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Product Details

  • ISBN-13: 9781572306875
  • Publisher: Guilford Publications, Inc.
  • Publication date: 9/28/2001
  • Edition number: 1
  • Pages: 480
  • Product dimensions: 6.00 (w) x 9.00 (h) x 1.19 (d)

Meet the Author


John P. Wilson, PhD, is Professor of Psychology at Cleveland State University. An internationally recognized expert on PTSD, he is the past president of the International Society for Traumatic Stress Studies. He is the coeditor of [ital]Assessing Psychological Trauma and PTSD[/ital] (with Terence M. Keane) and [ital]Countertransference in the Treatment of PTSD[/ital] (with Jacob D. Lindy).
Matthew J. Friedman, MD, PhD, is Executive Director of the National Center for PTSD, based at the VA Medical Center in White River Junction, Vermont. He is also Professor of Psychiatry and Pharmacology at Dartmouth Medical School. His eight books and more than 100 scientific and clinical publications include [ital]Effective Treatments for PTSD: Practice Guidelines from the International Society for Traumatic Stress Studies[/ital] (coedited with Edna B. Foa and Terence M. Keane).
Jacob D. Lindy, MD, is a training and supervising analyst at the Cincinnati Psychoanalytic Institute. For 27 years he has adapted psychoanalytic clinical theory to the special circumstances of the trauma survivor. He is the past president of the International Society for Traumatic Stress Studies and has just completed 5 years as Director of the Cincinnati Psychoanalytic Institute. His publications include [ital]Countertransference in the Treatment of PTSD[/ital] (coedited with John P. Wilson).
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Read an Excerpt

Contents
I. Theory, Models, and Clinical Paradigms of Treatment
1. Treatment Goals for PTSD, John D. Wilson, Matthew J. Friedman, and Jacob D. Lindy
2. A Holistic, Organismic Approach to Healing Trauma and PTSD, John P. Wilson, Matthew J. Friedman, and Jacob D. Lindy
II. Clinical Treatment of PTSD
3. An Overview of Clinical Considerations and Principles in the Treatment of PTSD, John P. Wilson
4. Allostatic versus Empirical Perspectives on Pharmacotherapy for PTSD, Matthew J. Friedman
5. An Allostatic Approach to the Psychodynamic Understanding of PTSD, Jacob D. Lindy and John P. Wilson
6. Acute Posttraumatic Interventions, Beverley Raphael and Matthew Dobson
7. Cognitive-Behavioral Approaches to PTSD, Lori A. Zoellner, Lee A. Fitzgibbons, and Edna B. Foa
8. Group Psychotherapy for PTSD, David W. Foy, Paula P. Schnurr, Daniel S. Weiss, Melissa S. Wattenberg, Shirley M. Glynn, Charles R. Marmar, and Fred D. Gusman
III. Clinical Treatment Approaches for Special Trauma Populations
9. Treatment of Persons with Complex PTSD and Other Trauma-Related Disruptions of the Self, Laurie Anne Pearlman
10. Dual Diagnosis and Treatment of PTSD, Alexander C. McFarlane
11. Cross-Cultural Treatment of PTSD, J. David Kinzie
12. Treatment Methods for Childhood Trauma, Kathleen Nader
13. Treatment of PTSD in Families and Couples, Laurie Harkness and Noka Zador
14. Treatment of PTSD in Persons with Severe Mental Illness, Kim T. Mueser and Stanley D. Rosenberg
IV. Case History Analysis and Practical Considerations
15. Case History Analysis of the Treatments for PTSD, Jacob D. Lindy, John P. Wilson, and Matthew J. Friedman
16. Practical Considerations in the Treatment of PTSD: Guidelines for Practitioners, John P. Wilson, Matthew J. Friedman, and Jacob D. Lindy
17. Respecting the Trauma Membrane: Above All, Do No Harm, Jacob D. Lindy and John P. Wilson
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Table of Contents


Contents
I. Theory, Models, and Clinical Paradigms of Treatment
1. Treatment Goals for PTSD, John D. Wilson, Matthew J. Friedman, and Jacob D. Lindy
2. A Holistic, Organismic Approach to Healing Trauma and PTSD, John P. Wilson, Matthew J. Friedman, and Jacob D. Lindy
II. Clinical Treatment of PTSD
3. An Overview of Clinical Considerations and Principles in the Treatment of PTSD, John P. Wilson
4. Allostatic versus Empirical Perspectives on Pharmacotherapy for PTSD, Matthew J. Friedman
5. An Allostatic Approach to the Psychodynamic Understanding of PTSD, Jacob D. Lindy and John P. Wilson
6. Acute Posttraumatic Interventions, Beverley Raphael and Matthew Dobson
7. Cognitive-Behavioral Approaches to PTSD, Lori A. Zoellner, Lee A. Fitzgibbons, and Edna B. Foa
8. Group Psychotherapy for PTSD, David W. Foy, Paula P. Schnurr, Daniel S. Weiss, Melissa S. Wattenberg, Shirley M. Glynn, Charles R. Marmar, and Fred D. Gusman
III. Clinical Treatment Approaches for Special Trauma Populations
9. Treatment of Persons with Complex PTSD and Other Trauma-Related Disruptions of the Self, Laurie Anne Pearlman
10. Dual Diagnosis and Treatment of PTSD, Alexander C. McFarlane
11. Cross-Cultural Treatment of PTSD, J. David Kinzie
12. Treatment Methods for Childhood Trauma, Kathleen Nader
13. Treatment of PTSD in Families and Couples, Laurie Harkness and Noka Zador
14. Treatment of PTSD in Persons with Severe Mental Illness, Kim T. Mueser and Stanley D. Rosenberg
IV. Case History Analysis and Practical Considerations
15. Case History Analysis of the Treatments for PTSD, Jacob D. Lindy, John P. Wilson, and Matthew J. Friedman
16. Practical Considerations in the Treatment of PTSD: Guidelines for Practitioners, John P. Wilson, Matthew J. Friedman, and Jacob D. Lindy
17. Respecting the Trauma Membrane: Above All, Do No Harm, Jacob D. Lindy and John P. Wilson
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