Terence M. Keane - Böcker

In 1997 the National Institute of Mental Health assembled a working group of international experts to address the mental health consequences of torture and related violence and trauma; This book, dedicated to those who experience the horrors of torture and those who work to end it, is based on that report.

With traumatic stress an increasing global challenge, the U.N., the NGO community and goverments must take into account the psychological aftermath of large-scale catastrophes and individual or group violence. This volume addresses this global perspective, and as such it provides a conceptual framework for interventions in the wake of abuse, torture, war, and disaster on individual, local, regional, and international levels. To be useful to both practitioners and policy makers, the book identifies model programmes that can be implemented at every level. These programmes vary in target and intensity to include social policy, safety programmes, public education, coordination, capacity building, training, self-help, counselling, and clinical intervention. A core group of chapters covers the general concepts of traumatic stress, intervention, and social deprivation, while others focus on specific traumatic events like refugees and child abuse in peacetime, each addressing the scope of the problem, reactions to the traumatic stressor, intervention issues, and recommendations. One whole chapter is devoted to caregiver reactions.Special features of the book are the integration of cultural, gender, poverty, and marginalization issues into each discussion, as well as the contributions of internationally noted academic and professional experts. U.N. and NGO personnel provided input and feedback on each chapter to provide the best working guidelines available for those responding to trauma around the world.

With traumatic stress an increasing global challenge, the U.N., the NGO community and goverments must take into account the psychological aftermath of large-scale catastrophes and individual or group violence. This volume addresses this global perspective, and as such it provides a conceptual framework for interventions in the wake of abuse, torture, war, and disaster on individual, local, regional, and international levels. To be useful to both practitioners and policy makers, the book identifies model programmes that can be implemented at every level. These programmes vary in target and intensity to include social policy, safety programmes, public education, coordination, capacity building, training, self-help, counselling, and clinical intervention. A core group of chapters covers the general concepts of traumatic stress, intervention, and social deprivation, while others focus on specific traumatic events like refugees and child abuse in peacetime, each addressing the scope of the problem, reactions to the traumatic stressor, intervention issues, and recommendations. One whole chapter is devoted to caregiver reactions.Special features of the book are the integration of cultural, gender, poverty, and marginalization issues into each discussion, as well as the contributions of internationally noted academic and professional experts. U.N. and NGO personnel provided input and feedback on each chapter to provide the best working guidelines available for those responding to trauma around the world.

The sexual exploitation of a child by one who has been recognized as a representative of God is a sinister assault on that person’s psychosocial and spiritual well-being. Many survivors of such abuse present with a range of symptoms consistent with Posttraumatic Stress Disorder as well as common co-occurring problems, including substance abuse, affective lability, and relational conflicts. Yet there are additional themes, particularly the impact of the abuse and institutional betrayal on the family, profound alteration in individual spirituality, and changes in individual and family religious practices, which differentiate this abuse from other traumas.Understanding the profound and multidimensional effects of clergy perpetrated sexual abuse and the betrayal of trust by religious leaders on individuals, families and communities requires the collective wisdom of many voices. This book brings together the perspectives of survivors, practitioners and scholars to examine this unique form of interpersonal violence from theoretical, clinical and spiritual perspectives with consideration given to future research needs.This book was published as a special issue of the Journal of Child Sex Abuse.

The sexual exploitation of a child by one who has been recognized as a representative of God is a sinister assault on that person’s psychosocial and spiritual well-being. Many survivors of such abuse present with a range of symptoms consistent with Posttraumatic Stress Disorder as well as common co-occurring problems, including substance abuse, affective lability, and relational conflicts. Yet there are additional themes, particularly the impact of the abuse and institutional betrayal on the family, profound alteration in individual spirituality, and changes in individual and family religious practices, which differentiate this abuse from other traumas.Understanding the profound and multidimensional effects of clergy perpetrated sexual abuse and the betrayal of trust by religious leaders on individuals, families and communities requires the collective wisdom of many voices. This book brings together the perspectives of survivors, practitioners and scholars to examine this unique form of interpersonal violence from theoretical, clinical and spiritual perspectives with consideration given to future research needs.This book was published as a special issue of the Journal of Child Sex Abuse.

As researchers have developed increasingly more effective interventions aimed at relieving trauma symptoms, trauma therapists have come to understand that the success of these approaches is highly contingent on personal factors. Whether affected by natural disaster or sexual assault, by trauma-related symptoms like PTSD, substance abuse, or depression, each victim of psychological trauma has undergone a uniquely personal experience. Recovery too is highly variable and deeply dependent upon an individual's distinctive history and cultural context. This book examines several current clinical approaches to trauma focused treatment. Rather than describe theoretical approaches in isolation, the editors have integrated these interventions into a broader clinical context. Chapter authors emphasize basic therapeutic skills such as empathic listening, instilling resilience, and creating meaning, in the service of empirically-supported, highly efficacious trauma interventions. Throughout, they focus on the real-life challenges that arise in typical therapy sessions to deepen our understanding and application of evidence based interventions. [instead of and eschew the "manualized" approach that has characterized much of the clinical literature over the years.}This book is intended for all clinical mental health professionals who work with trauma survivors, particularly those who seek to broaden their understanding of the way various approaches interact to inform a holistic understanding of trauma treatment.

In 1997 the National Institute of Mental Health assembled a working group of international experts to address the mental health consequences of torture and related violence and trauma; This book, dedicated to those who experience the horrors of torture and those who work to end it, is based on that report.

Events that lead to traumatic brain injury are often also psychologically traumatic. Addressing a growing need among mental health practitioners, this authoritative book brings together experts in both posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI). Chapters present empirically based best practices for conceptualization, assessment, and intervention. The book also addresses the biological and psychosocial mechanisms by which PTSD and mTBI complicate each other; management of commonly associated conditions, including chronic pain and substance abuse; special considerations in military contexts; and possible ways to improve the structure and cost-effectiveness of providing care in this challenging area.

Now in an extensively revised third edition with 65% new material, this is the authoritative reference on posttraumatic stress disorder (PTSD). Contributors examine the breadth of current knowledge on the mechanisms by which stressful events can alter psychological processes, brain function, and individual behavior. Risk and protective factors across development and in specific populations are explored. Reviewing the state of the science of assessment and treatment, the volume covers early intervention and evidence-based individual, couple/family, and group therapies. Conceptual and diagnostic issues are addressed and key questions for the next generation of researchers are identified. New to This Edition*Thoroughly revised to reflect the accelerating pace of scientific and clinical progress; includes a range of new authors.*Chapters on new topics: treatment of PTSD with comorbid disorders, and postmortem brain banking.*New chapters on previously covered topics, including DSM-5 and ICD-11 diagnostic criteria, the psychoneurobiology of resilience, and challenges in implementing clinical best practices.*New or updated discussions of such timely issues as treatment of refugees, telemental health, and technology-based interventions.

Now in an extensively revised third edition with 65% new material, this is the authoritative reference on posttraumatic stress disorder (PTSD). Contributors examine the breadth of current knowledge on the mechanisms by which stressful events can alter psychological processes, brain function, and individual behavior. Risk and protective factors across development and in specific populations are explored. Reviewing the state of the science of assessment and treatment, the volume covers early intervention and evidence-based individual, couple/family, and group therapies. Conceptual and diagnostic issues are addressed and key questions for the next generation of researchers are identified. New to This Edition*Thoroughly revised to reflect the accelerating pace of scientific and clinical progress; includes a range of new authors.*Chapters on new topics: treatment of PTSD with comorbid disorders, and postmortem brain banking.*New chapters on previously covered topics, including DSM-5 and ICD-11 diagnostic criteria, the psychoneurobiology of resilience, and challenges in implementing clinical best practices.*New or updated discussions of such timely issues as treatment of refugees, telemental health, and technology-based interventions.