Die Bezeichnung „Komplexe Posttraumatische Belastungsstörung“ steht für ein Spektrum von Störungsbildern, das typischerweise als Folge chronischer und kumulativer Traumatisierungen auftritt. Menschen mit komplexen Traumafolgestörungen befinden sich häufig in einem festgefahrenen Muster von Kontrollverlust, Hilflosigkeit und Abhängigkeit. Eine Therapie, die auf einzelne Symptome wie z.B. Depression oder eine „einfache“ Posttraumatische Belastungsstörung fokussiert, wird ihnen häufig nicht gerecht. Der vorliegende Band stellt ein psychodynamisches therapeutisches Vorgehen für diese Patientengruppe vor. Es hat zum Ziel, die Selbstheilungstendenzen zu fördern und so eine gesunde Weiterentwicklung der Person zu ermöglichen. Nach einer Beschreibung des Konzepts der Komplexen Posttraumatischen Belastungsstörung wird auf Störungstheorien und -modelle sowie das diagnostische Vorgehen eingegangen. Ausführlich erläutern die Autoren anschließend die Therapie. Ein zentraler Aspekt der Behandlung ist es, mithilfe gezielter Interventionen die Wiederaufnahme des Traumaverarbeitungs-prozesses zu fördern. Dazu gehören z.B. Imaginationen zur Emotionsregulierung, die Benennung, Validierung und Differenzierung von Gefühlen und die Förderung der Selbstfürsorge. Ebenso werden Voraussetzungen und Methoden für die Traumaexposition illustriert. Ein abschließendes Kapitel geht auf die Wirksamkeit der Behandlungsmethode ein.
Trauma and Recovery
Author: Judith L. Herman
Publisher: Basic Books
A revised and updated edition of the groundbreaking work that changed the way we think about and treat traumatic events and trauma victims. When Trauma and Recovery was first published in 1992, it was hailed as a groundbreaking work. In the intervening years, it has become the basic text for understanding trauma survivors. By placing individual experience in a broader political frame, Judith Herman argues that psychological trauma can be understood only in a social context. Drawing on her own research on incest, as well as on a vast literature on combat veterans and victims of political terror, she shows surprising parallels between private horrors like child abuse and public horrors like war. A new epilogue reviews what has changed--and what has not changed--over two decades. Trauma and Recovery is essential reading for anyone who seeks to understand how we heal and are healed.
This book purports to be a guide to the study, treatment and postwar care of those neurotic disturbances which are incidental to war. The greatest stress in this work falls on the discussion of those principles of psychopathology necessary to make these neuroses intelligible and to furnish a rational basis for therapy. This was regarded as the prime objective, for without this knowledge no intelligent program for treatment, prophylaxis, and postwar care can be formulated. In addition, an attempt is made to discuss the forensic aspects of the traumatic neuroses, since so many of them become government charges for a long postwar period. Treatment is discussed at length only in connection with several chronic cases which terminated successfully. This is in no way to be construed as indicating that therapy in these chronic cases is universally successful. (PsycINFO Database Record (c) 2004 APA, all rights reserved)
Persuasion and Healing
Author: Jerome D. Frank, Julia B. Frank
Publisher: JHU Press
"Anyone treating patients or engaging in clinical research to develop new drug or psychosocial treatments should take a few hours to absorb, once again, the brilliance of Persuasion and Healing." -- American Journal of Psychiatry
Sexual assault is a traumatic event from which many survivors never fully recover. They may develop a range of disorders, including post-traumatic stress disorder, depression, poor self-esteem, interpersonal difficulties and sexual dysfunction. This volume provides insight into the effects of rape and explores a treatment approach that assists in the healing process.
Culture and diversity are both challenge and opportunity. This volume looks at what psychologists are and can be doing to help society meet the challenges and grasp the opportunities in education, at work, and in clinical practice. The increasingly international and globalized nature of modern societies means that psychologists in particular face new challenges and have new opportunities in all areas of practice and research. The contributions from leading European experts cover relevant intercultural issues and topics in areas as diverse as personality, education and training, work and organizational psychology, clinical and counselling psychology, migration, and international youth exchanges. As well as looking at the new challenges and opportunities that psychologists face in dealing with people from increasingly varied cultural backgrounds, perhaps more importantly they also explain and discuss how psychologists can deepen and acquire the intercultural competencies that are now needed in our professional lives.
The Haunted Self
Author: Onno van der Hart, Ellert R. S. Nijenhuis, Kathy Steele
Publisher: W. W. Norton & Company
They typically have a wide array of symptoms, often classified under different combinations of comorbidity, which can make assessment and treatment complicated and confusing for the therapist. Many patients have substantial problems with daily living and relationships, including serious intrapsychic conflicts and maladaptive coping strategies. Their suffering essentially relates to a terrifying and painful past that haunts them. Even when survivors attempt to hide their distress beneath a facade of normality—a common strategy—therapists often feel besieged by their many symptoms and serious pain. Small wonder that many survivors of chronic traumatization have seen several therapists with little if any gains, and that quite a few have been labeled as untreatable or resistant. In this book, three leading researchers and clinicians share what they have learned from treating and studying chronically traumatized individuals across more than 65 years of collective experience. Based on the theory of structural dissociation of the personality in combination with a Janetian psychology of action, the authors have developed a model of phase-oriented treatment that focuses on the identification and treatment of structural dissociation and related maladaptive mental and behavioral actions. The foundation of this approach is to support patients in learning more effective mental and behavioral actions that will enable them to become more adaptive in life and to resolve their structural dissociation. This principle implies an overall therapeutic goal of raising the integrative capacity, in order to cope with the demands of daily life and deal with the haunting remnants of the past, with the “unfinished business” of traumatic memories. Of interest to clinicians, students of clinical psychology and psychiatry, as well as to researchers, all those interested in adult survivors of chronic child abuse and neglect will find helpful insights and tools that may make the treatment more effective and efficient, and more tolerable for the suffering patient.
Provides clinical descriptions diagnostic guidelines and codes for all mental and behavioural disorders commonly encountered in clinical psychiatry. The book was developed from chapter V of the Tenth Revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). The clinical descriptions and diagnostic guidelines were finalized after field testing by over 700 clinicians and researchers in 110 institutes in 40 countries making this book the product of the largest ever research effort designed to improve psychiatric diagnosis. Every effort has been made to define categories whose existence is scientifically justifiable as well as clinically useful. The classification divides disorders into ten groups according to major common themes or descriptive likeness a new feature which makes for increased convenience of use. For each disorder the book provides a full description of the main clinical features and all other important but less specific associated features. Diagnostic guidelines indicate the number balance and duration of symptoms usually required before a confident diagnosis can be made. Inclusion and exclusion criteria are also provided together with conditions to be considered in differential diagnosis. The guidelines are worded so that a degree of flexibility is retained for diagnostic decisions in clinical work particularly in the situation where provisional diagnosis may have to be made before the clinical picture is entirely clear or information is complete. ... As befitting a publication of considerable influence the amount of work that went into preparing ICD-10 has been formidable... - The International Journal of Social Psychiatry
Handbook of Behaviorism
Author: William O'Donohue, Richard Kitchener
Handbook of Behaviorism provides a comprehensive single source that summarizes what behaviorism is, how the various "flavors" of behaviorism have differed between major theorists both in psychology and philosophy, and what aspects of those theories have been borne out in research findings and continue to be of use in understanding human behavior.
"EACPR, European Association for Cardiovascular Prevention and Rehabilitation -- European Society of Cardiology."
Caring for Victims of Torture
Author: James M. Jaranson, Michael K. Popkin
Publisher: American Psychiatric Pub
Since its beginnings in the 1970s, the field of torture rehabilitation has grown rapidly. A growing awareness about the practice of torture (more than 100 countries today practice government-sanctioned torture) and its effects on victims is leading to an increasing number of dedicated treatment centers. The health care professionals on the staffs of these centers need the best, most up-to-date information and advice they can get. This book delivers it. Caring for Victims of Torture contains all the collective wisdom of some of the most respected international experts in the treatment of victims of government torture -- all distinguished physicians -- including pioneers in the field of traumatic stress. Contributors discuss the most recent advances in knowledge about government-sanctioned torture and offer practical approaches to the diagnosis and treatment of torture victims. Organized into six main sections, this annotated volume provides an overview of the history and politics of torture and rehabilitation; guidance in identifying and defining the sequelae of torture; a framework for assessment and treatment; specific treatment interventions; and a discussion of ethical implications. In the final section, physicians working in the field offer firsthand accounts and address how they are trying to balance politics with caregiving. Focusing on the physician's role, this book is chiefly a clinical guide. But for advanced-level students, it serves as a thorough, up-to-date text and reference work. Religious leaders, lawyers, politicians, human rights advocates, and torture victims themselves will find it a valuable resource as well.
This volume disproves the belief that certain psychotherapies are more effective in treating certain psychological problems than other therapies.
An innovative and highly effective brief therapy for suicidal patients – a complete treatment manual. Attempted suicide is the main risk factor for suicide. The Attempted Suicide Short Intervention Program (ASSIP) described in this manual is an innovative brief therapy that has proven in published clinical trials to be highly effective in reducing the risk of further attempts. ASSIP is the result of the authors’ extensive practical experience in the treatment of suicidal individuals. The emphasis is on the therapeutic alliance with the suicidal patient, based on an initial patient-oriented narrative interview. The four therapy sessions are followed by continuing contact with patients by means of regular letters. This clearly structured manual starts with an overview of suicide and suicide prevention, followed by a practical, step-by-step description of this highly structured treatment. It includes numerous checklists, handouts, and standardized letters for use by health professionals in various clinical settings.