Ulrich Schnyder - Böcker

The introduction of a diagnosis of Post Traumatic Stress Disorder in the 1980 edition of the American Psychiatric Association's Diagnostic and Statistical Manual for Mental Disorders heralded the dawn of modern psychotraumatology. On the strength of the conceptual refinements offered by this new diagnosis, much consideration has been given to the challenge of effecting early intervention after trauma. To do so offered the prospect of preventing initial reactions developing into a debilitating chronic disorder with complicating co-morbidities.Some of the original proponents of early intervention protocols have continued to claim that such provision will mitigate the effects of traumatic events, prevent the onset of a traumatic stress syndrome, allow early detection of those who may require further help and help re-establish a homeostatic equilibrium. The evidence base for making these claims has never been made explicit. More recent clinical trials suggest a more qualified position ought to be taken with respect to what should reasonably and reliably claimed for early intervention techniques used to date. More alarming is the growing cluster of studies warning against certain types of intervention.The optimism which once prevailed with respect to what early intervention after trauma might achieve has, in recent years, been replaced by controversy and defensively entrenched posturing.This book aims to provide a comprehensive update on the accumulated experience in the field of early intervention after trauma and defines standards for service provision. It does so by reviewing the historical traditions and theoretical foundations for early interventions and links recommendations for psychological first aid to a substantial body of multidisciplinary evidence. The ultimate aim of this book is to reconstruct an informed evidence base for early intervention after trauma.

Each of the treatment chapters begins with a short summary of the theoretical underpinnings of the approach,presents a case illustrating the treatment protocol, addresses special challenges typically encountered in implementing this treatment, and ends with an overview of related outcomes and other research findings.

Each of the treatment chapters begins with a short summary of the theoretical underpinnings of the approach,presents a case illustrating the treatment protocol, addresses special challenges typically encountered in implementing this treatment, and ends with an overview of related outcomes and other research findings.

The second, completely revised and updated edition of this handbook presents the current evidence-based psychological treatments for trauma-related disorders in childhood and adolescence. In addition, it provides clearly structured, up-to-date information on the fundamental principles of traumatic stress research and practice in this age group, covering epidemiology, developmental issues, pathogenetic models, diagnostics, and assessment. Each of the chapters on treatment, which form the core of the book, begins with a summary of the theoretical underpinnings of the approach, followed by a case presentation illustrating the treatment protocol session by session, an analysis of special challenges typically encountered in implementing this treatment, and an overview of the current evidence supporting the treatment approach. An innovative new section has been added to address the needs of emerging populations, featuring four new chapters that delve into the treatment of preschoolers, forcibly displaced children and adolescents, sexual and gender minorities, and indigenous populations. A special section considers treatments in particular settings, such as schools, hospitals, and juvenile justice systems. The concluding chapter provides an integrative discussion on how to effectively treat traumatized children and adolescents and an outlook into future developments. This book will be invaluable for clinical child and adolescent psychologists, child and adolescent psychiatrists, psychotherapists, and other mental health professionals dedicated to the care of traumatized children and adolescents.

Each of the treatment chapters begins with a short summary of the theoretical underpinnings of the approach, presents a case illustrating the treatment protocol, addresses special challenges typically encountered in implementing this treatment, and ends with an overview of related outcomes and other research findings.

This handbook presents the current evidence-based psychological treatments for trauma related disorders in childhood and adolescence and in addition provides clearly structured, up-to-date information on the basic principles of traumatic stress research and practice in that age group, covering epidemiology, developmental issues, pathogenetic models, diagnostics, and assessment. Each of the chapters on treatment, which form the core of the book, begins with a summary of the theoretical underpinnings of the approach, followed by a case presentation illustrating the treatment protocol session by session, an analysis of special challenges typically encountered in implementing this treatment, and an overview of the current evidence base for the treatment approach. A special section considers modern treatments in particular settings, such as schools, hospitals, and juvenile justice systems, and the concluding chapters provide an integrative discussion on how to treat traumatized childrenand adolescents and an outlook. The book will be invaluable for clinical child and adolescent psychologists, child and adolescent psychiatrists, psychotherapists, and other mental health professionals working with traumatized children and adolescents.

106 schwerverletzte Unfallpatienten wurden über einen Zeitraum von 12 Monaten untersucht. Bei jedem Dritten fanden sich klinisch relevante psychische Symptome. Das Vollbild einer traumatischen Belastungsstörung trat jedoch nur selten auf. Es zeigte sich, daß die Entwicklung posttraumatischer psychischer Störungen kaum von objektiven Verletzungsmerkmalen abhängt, sondern in erster Linie vom subjektiven Erleben des Unfallereignisses und seiner Folgen. Psychosoziale Variablen bestimmen auch zu einem großen Teil die Dauer der unfallbedingten Arbeitsunfähigkeit. Die frühzeitige Identifikation von psychosozialen Risikopatienten sollte durch die Chirurgen erfolen. Konsiliar- und Liaisonpsychiatrische Dienste können jedoch einen wesentlichen Beitrag zur fachgerechten Behandlung und Rehabilitation schwerverletzter Unfallpatienten leisten. Die Arbeit wurde mit dem Roemer-Preis 1999 des Deutschen Kollegiums für Psychosomatische Medizin ausgezeichnet.