Treating Psychological Trauma and PTSD

Front Cover
John P. Wilson, Matthew J. Friedman, Jacob D. Lindy
Guilford Press, 2004 M01 13 - 467 pages
This volume presents an innovative psychobiological framework for understanding and treating PTSD. A major emphasis is the need to reformulate diagnostic criteria and treatment goals to reflect emerging knowledge about the complex pathways by which trauma disrupts people's lives. Within a holistic, organismic framework, the editors identify 65 PTSD symptoms contained within five (rather than the traditional three) symptom clusters, and spell out 80 target objectives for treatment. Expert contributors then provide detailed presentations of core therapeutic approaches, including acute posttraumatic interventions, cognitive-behavioral approaches, pharmacotherapy, group psychotherapy, and psychodynamic techniques, as well as approaches to working with specific populations, including children, refugees, and the dually diagnosed. The concluding section reviews and synthesizes all case material presented, examining which symptoms are addressed by each of the core approaches, which treatment goals are met, and which clients can most effectively be helped. Combining cutting-edge theoretical exposition with clear-cut recommendations for practice, this is an ideal resource for clinicians, students, and researchers.

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Contents

Treatment Goals for PTSD
3
A Holistic Organismic Approach to Healing Trauma and PTSD
28
CLINICAL TREATMENT OF PTSD
57
An Overview of Clinical Considerations and Principles in the Treatment of PTSD
59
Allostatic versus Empirical Perspectives on Pharmacotherapy for PTSD
94
An Allostatic Approach to the Psychodynamic Understanding of PTSD
125
Acute Posttraumatic Interventions
139
CognitiveBehavioral Approaches to PTSD
159
CrossCultural Treatment of PTSD
255
Treatment Methods for Childhood Trauma
278
Treatment of PTSD in Families and Couples
335
Treatment of PTSD in Persons with Severe Mental Illness
354
CASE HISTORY ANALYSIS AND PRACTICAL CONSIDERATIONS
383
Case History Analysis of the Treatments for PTSD Lessons Learned
385
Practical Considerations in the Treatment of PTSD Guidelines for Practitioners
409
Respecting the Trauma Membrane Above All Do No Harm
432

Group Psychotherapy for PTSD
183
CLINICAL TREATMENT APPROACHES FOR SPECIAL TRAUMA POPULATIONS
203
Treatment of Persons with Complex PTSD and Other TraumaRelated Disruptions of the Self
205
Dual Diagnosis and Treatment of PTSD
237

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About the author (2004)

John P. Wilson, PhD, is Professor of Psychology at Cleveland State University.

Matthew J. Friedman, MD, PhD, is Executive Director of the National Center for PTSD, based at the VA Medical Center in White River Junction, Vermont.

Jacob D. Lindy, MD, is a training and supervising analyst at the Cincinnati Psychoanalytic Institute.

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