Esther Deblinger - Böcker

Traumafokuserad kbt (tf-kbt) är den behandling som har starkast forskningsstöd vid ptsd hos barn och unga, från 3 till 18 år. Behandling av trauma och traumatisk sorg hos barn och ungdomar beskriver metoden och ger terapeuter de verktyg som behövs för att bedöma och behandla ptsd, andra traumarelaterade symtom och traumatisk sorg.

Att involvera barnets omsorgspersoner är centralt i behandlingen. Metoden ger goda resultat även för barn som vuxit upp i familjehem, på institution eller i krigsdrabbade länder. Författarna beskriver också anpassningar vid komplex ptsd och behandling i grupp.

Denna andra utgåva speglar de senaste framstegen inom forskningen om tf-kbt och den kliniska praktiken. Patientdialoger, fallexempel, konkret metodstöd med tips för att undvika fallgropar, nedladdningsbara informationsblad och ett appendix med resurser för behandlare gör boken extra kliniskt användbar.

Boken lämpar sig väl som kurslitteratur och som handbok för yrkesverksamma som möter traumatiserade barn och deras omsorgspersoner.

Innehållet är fackgranskat och anpassat till svenska förhållanden av Poa Samuelberg, leg. psykolog, leg. psykoterapeut, specialist i klinisk psykologi, utredare vid Barnafrid – nationellt kunskapscenter om våld mot barn, projektledare för regeringsuppdraget Trauma på kartan och certifierad utbildare i tf-kbt.

Boken är skriven av metodens grundare. De är pionjärer när det gäller förståelse för och behandling av trauma hos barn – med särskilt fokus på barn som utsatts för sexuella övergrepp. 

Judith A. Cohen är barn- och ungdomspsykiater, medicinsk chef för Center for Traumatic Stress in Children and Adolescents vid Allegheny General Hospital i Pittsburg och professor i psykiatri vid Drexel University College of Medicine. Anthony P. Mannarino är professor i psykiatri vid Drexel University College of Medicine, chef för Center for Traumatic Stress in Children and Adolescents och vice ordförande för den psykiatriska avdelningen vid Allegheny General Hospital. Han är en ledande forskare inom området traumatisk stress hos barn. Esther Deblinger är professor i psykiatri vid Rowan University School of Osteopathic Medicine i Stratford samt medgrundare och en av cheferna för CARES (Child Abuse Research Education and Service) Institute.

Sagt om boken:

”Boken är en skattkista fylld med kunskap om traumatisering respektive traumatisk sorg hos barn, sammanlänkad med klinisk expertis. Med varmt hjärta och barnasinne erbjuder författarna handfast, hoppfull vägledning så att terapeuter kan ta ut riktning och hålla fokus i en stundtals svårnavigerad terräng. Behandling av trauma och traumatisk sorg hos barn och ungdomar ger oss goda förutsättningar att påbörja en bergsbestigning i tf-kbt, tillsammans med modiga barn och deras omsorgspersoner. Det ökar möjligheterna för att barn och unga i Sverige ska kunna erbjudas likvärdig tillgång till bedömning och evidensbaserad behandling vid ptsd.”Ur bokens förord av Poa Samuelberg

Children who have been sexually abused not only often experience PTSD symptoms as a direct result of the trauma, but also develop unhealthy emotional responses and may engage in age-inappropriate sexual behaviors. In addition, parents also suffer from the trauma and thus are often in need of emotional support and guidance in responding to their children's needs. Based on over 25 years of research supported by grants from the National Institute of Mental Health (NIMH), the National Center on Child Abuse and Neglect (NCCAN), and other funding sources, Child Sexual Abuse describes a premier empirically supported treatment approach for children, adolescents, and non-offending parents/caregivers impacted by child sexual abuse. Developed to provide support and to alleviate symptoms and problem behaviors in children and adolescents, trauma-focused CBT for child sexual abuse incorporates treatment components that provide children and their caregivers with education and coping skills training, while simultaneously addressing the trauma. The book describes the nuts and bolts of treatment including trauma narration and processing that helps to alleviate children's distress and feelings of shame associated with the abuse. Parents are also taught effective behavior management skills, and treatment often culminates with a focus on parent-child communication and enhancing safety and future development. This highly effective treatment model can be adapted to be delivered in school-based, residential, home and/or group settings.

Violence is an epidemic that negatively impacts children across their lifespan. Reports indicate 2.1 million youth have experienced physical abuse during their lifetimes, disrupting the healthy development of children from the toddler years through adolescence, and most cases involve parents. Some parents lack the skills to effectively parent and use physical discipline as a strategy to control their children's problem behaviors. They may use increasing force if children continue to be noncompliant, which places many children at-risk for harm.Combined Parent-Child Cognitive Behavioral Therapy (CPC-CBT), created by Melissa K. Runyon and Esther Deblinger and outlined in this guide, provides an evidence-based intervention aimed at empowering families to develop optimistic outlooks on parenting and peaceful home environments, and to decrease stress experienced both by parents and children. CPC-CBT incorporates elements from empirically supported CBT models for families who have experienced physical abuse, sexual abuse, and domestic violence; additionally, CPC-CBT draws on concepts from developmental theory, learning theory, family systems theory, and motivational interviewing. The target population includes children (ages 3-17 years) and their parents/caregivers who have already engaged in or are at-risk for physically abusive behavior towards their children. This manual is for clinicians, clinical supervisors, administrators, and others who are considering the implementation of CPC-CBT in their agencies with families at-risk for child physical abuse.

Featuring a wealth of clinical examples, this book facilitates implementation of Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT) in a range of contexts. It demonstrates how assessment strategies and treatment components can be tailored to optimally serve clients' needs while maintaining overall fidelity to the TF-CBT model. Coverage includes ways to overcome barriers to implementation in residential settings, foster placements, and low-resource countries. Contributors also describe how to use play to creatively engage kids of different ages, and present TF-CBT applications for adolescents with complex trauma, children with developmental challenges, military families struggling with the stresses of deployment, and Latino and Native American children. See also Cohen et al.'s authoritative TF-CBT manual, Treating Trauma and Traumatic Grief in Children and Adolescents, Second Edition.

This authoritative guide has introduced many tens of thousands of clinicians to Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), a leading evidence-based treatment for traumatized children and their parents or caregivers. Preeminent clinical researchers provide a comprehensive framework for assessing posttraumatic stress disorder (PTSD), other trauma-related symptoms, and traumatic grief in 3- to 18-year-olds; building core coping skills; and directly addressing and making meaning of children's trauma experiences. Implementation is facilitated by sample scripts, case examples, troubleshooting tips, and reproducible client handouts. Purchasers get access to a webpage where they can download and print the reproducible materials in a convenient 8 1/2" x 11" size. TF-CBT is listed in SAMHSA's National Registry of Evidence-Based Programs and Practices.New to This EditionIncorporates a decade's worth of advances in TF-CBT research and clinical practice. Updated for DSM-5. Chapter on the model's growing evidence base. Chapter on group applications. Expanded coverage of complex trauma, including ways to adapt TF-CBT for children with severe behavioral or affective dysregulation. See also the edited volume Trauma-Focused CBT for Children and Adolescents: Treatment Applications for more information on tailoring TF-CBT to children's varying developmental levels and cultural backgrounds.

This authoritative guide has introduced many tens of thousands of clinicians to Trauma-Focused Cognitive-Behavioral Therapy (TF-CBT), a leading evidence-based treatment for traumatized children and their parents or caregivers. Preeminent clinical researchers provide a comprehensive framework for assessing posttraumatic stress disorder (PTSD), other trauma-related symptoms, and traumatic grief in 3- to 18-year-olds; building core coping skills; and directly addressing and making meaning of children's trauma experiences. Implementation is facilitated by sample scripts, case examples, troubleshooting tips, and reproducible client handouts that can also be downloaded and printed.New to This EditionIncorporates a decade's worth of advances in TF-CBT research and clinical practice. Updated for DSM-5. Chapter on the model's growing evidence base. Chapter on group applications. Expanded coverage of complex trauma, including ways to adapt TF-CBT for children with severe behavioral or affective dysregulation. See also the edited volume Trauma-Focused CBT for Children and Adolescents: Treatment Applications for more information on tailoring TF-CBT to children's varying developmental levels and cultural backgrounds.

Die in den USA entwickelte "Trauma Focused Cognitive Behavioral Therapy" (TF-CBT), ein verhaltenstherapeutischer Ansatz zur Bearbeitung von Traumata und Trauer bei Kindern und Jugendlichen: Der Therapieansatz wird sehr anschaulich, anhand konkreter Beispiele und direkt auf die Therapiesituation bezogen dargestellt: Arbeitsblätter, Beispieldialoge und spezifische Problem-Lösung-Gegenüberstellungen ermöglichen eine schnelle Umsetzung in die Praxis. Durch den modularen Aufbau des Buches können die 19 Komponenten des Programms, u.a. Auswirkungen von Trauma und Trauer, Psychoedukation, Elternfertigkeiten, Entspannung, Förderung künftiger Sicherheit, Rückschau und Beendigung der Behandlung, schnell erfasst und gezielt vertieft werden. Eine Bereicherung für alle Therapeuten und Psychiater, die mit traumatisierten Kindern und Jugendlichen arbeiten.