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. Courtois and Ford's edited volume Treating Complex Traumatic Stress Disorders (Adults) and their authored volume, Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach.
"Describing evidence-based models for treatment of complex trauma in children, this book is interwoven with contemporary knowledge about psychobiology and is richly illustrated with extended clinical examples. In addition to a focus on individual treatment, some chapters address the systems within which traumatized children live and are treated. There is a repeated focus throughout the chapters on attachment, self-regulation, and engaging families in treatment. The book provides an excellent foundation for clinicians working with this population."--Laurie Anne Pearlman, PhD, past president, Trauma Research, Education, and Training Institute, Inc. "This volume comprehensively examines complex trauma in children and adolescents, from its neurobiological impact to the development and dissemination of evidence-based treatments. Newer therapies currently being tested are also discussed; case examples illustrate the use of each modality. Clinical challenges related to self-regulation, dissociation, impaired caregiver attachment, and intergenerational trauma are addressed. Written with clarity and detail, each chapter will benefit both trainees and seasoned mental health and medical practitioners. This book fosters needed synergy between scientific inquiry and real-world clinical applications in this important field."--Alesia O. Hawkins, PhD, Department of Family and Community Medicine, University of Illinois College of Medicine at Rockford "It's all here, including insights into neuroscience, family dynamics, assessment, and--most centrally--intervention. Clinicians and advanced students of psychiatry, psychology, and social work will consider this book a tremendous resource. Chapters on betrayal trauma, multitraumatized children, and treatment approaches are particularly useful for psychotherapists. The list of authors reads as a 'who's who' in the field. If you've ever wondered what to do to help a severely traumatized child, this book is for you."--Lisa Aronson Fontes, PhD, University Without Walls, University of Massachusetts Amherst "I have used this book in both advanced undergraduate- and graduate-level courses. It provides an excellent overview of the neurobiological consequences of early and ongoing trauma, as well as best practices for assessment and intervention to help children and families. The blend of chapters on the consequences of trauma for early development with those on evidence-based treatments and practices specific to complex trauma is very helpful to students in training to enter a variety of clinical and behavioral health fields. This book has been an excellent companion reader in my trauma-focused intervention course."--Carla Smith Stover, PhD, Department of Mental Health Law and Policy, University of South Florida
Julian D. Ford, PhD, ABPP, a clinical psychologist, is Professor of Psychiatry, Psychology, and Law at the University of Connecticut, where he is also Director of the Center for Trauma Recovery and Juvenile Justice. He has served on the Steering Committee of the National Child Traumatic Stress Network, as Associate Editor of the Journal of Trauma and Dissociation and the European Journal of Psychotraumatology, as Co-Chair of the Presidential Task Force on Child Trauma for Division 56 (Trauma Psychology) of the American Psychological Association (APA), and as a board member and Vice President of the International Society for Traumatic Stress Studies (ISTSS). With Christine A. Courtois, Dr. Ford is a recipient of the Print Media Award from the International Society for the Study of Trauma and Dissociation (ISSTD) for their coedited volume on treating complex traumatic stress disorders in adults; he has also published several other books on trauma-related topics. Dr. Ford developed and conducts research on the Trauma Affect Regulation: Guide for Education and Therapy (TARGET) psychosocial intervention for adolescents, adults, and families. Christine A. Courtois, PhD, ABPP, a counseling psychologist in private practice in Washington, DC, is National Clinical Training Director of Elements Behavioral Health; cofounder and past Clinical and Training Director of The CENTER: Posttraumatic Disorders Program, in Washington, DC; chair of APA's Guideline Development Panel for Posttraumatic Stress Disorder; past president of APA Division 56; and past founding Associate Editor of the Division's journal, Psychological Trauma: Theory, Research, Practice, and Policy. She is a recipient of the Outstanding Contributions to Professional Practice Award from APA Division 56, the APA Award for Distinguished Professional Contributions to Applied Psychology as a Professional Practice, the Lifetime Achievement Award from ISSTD, and the Sarah Haley Award for Clinical Excellence from ISTSS, among other honors. She has published numerous books (four of them coedited or coauthored with Dr. Ford), book chapters, and articles on trauma-related topics.
I. Complex Trauma in Childhood and Adolescence 1. Relational Trauma, Brain Development, and Dissociation, Allan N. Schore 2. Childhood Trauma, Brain Connectivity, and the Self, Ruth A. Lanius, Robyn Bluhm, & Paul A. Frewen 3. Relational Trauma and Disorganized Attachment, Pamela C. Alexander 4. Betrayal Trauma, Laura A. Kaehler, Rebecca Babcock, Anne P. DePrince, & Jennifer J. Freyd 5. Cumulative Trauma in Childhood, Damion Grasso, Carolyn Greene, & Julian D. Ford 6. The Translational Evidence Base, Ruth R. DeRosa, Lisa Amaya-Jackson, & Christopher M. Layne 7. Clinical Assessment and Diagnosis, Julian D. Ford, Kathleen Nader, & Kenneth E. Fletcher II. Individual Psychotherapy Models 8. Integrative Treatment of Complex Trauma, Cheryl Lanktree & John Briere 9. Dissociation-Focused Therapy, Sandra Wieland & Joyanna Silberg 10. Trauma-Focused Cognitive-Behavioral Therapy, Matthew Kliethermes, Rachel Wamser Nanney, Judith A. Cohen, & Anthony P. Mannarino 11. Eye Movement Desensitization and Reprocessing, Debra Wesselmann & Francine Shapiro 12. Dialectical Behavior Therapy with Adolescents, Ruth R. DeRosa & Jill H. Rathus III. Systemic Approaches to Treatment 13. The Neurosequential Model of Therapeutics, Bruce D. Perry & Christine L. Dobson 14. Developmental Trauma Therapy Models, Julian D. Ford, Margaret E. Blaustein, Mandy Habib, & Richard Kagan 15. The Sanctuary Model, Sandra L. Bloom 16. Child-Parent Psychotherapy and Historical Trauma, Amy Klatzkin, Alicia F. Lieberman, & Patricia Van Horn 17. Parent-Child Interaction Therapy, Anthony J. Urquiza & Susan Timmer 18. Trauma Systems Therapy, Carryl P. Navalta, Adam D. Brown, Amanda Nisewaner, B. Heidi Ellis, & Glenn N. Saxe 19. Conclusion, Julian D. Ford & Christine A. Courtois Index