Treating Complex Trauma in Adolescents and Young Adults 1st Edition by John N Briere, Cheryl B Lanktree ISBN 1452263825 9781412981446

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ISBN 10: 1452263825
ISBN 13: 9781412981446
Author: John N Briere, Cheryl B Lanktree

Treating Complex Trauma in Adolescents and Young Adults 1st Edition Table of contents:

1. Introduction

Background

The MCAVIC-USC Experiment

Overview of ITCT-A

SECTION I: COMPLEX TRAUMA OUTCOMES AND ASSESSMENT

2. Complex Trauma in Adolescence and Young Adulthood

Risk and Endangerment

Environmental Risks

Self-Endangerment

Longer-Term Trauma Outcomes

Summary of Lasting Outcomes of Complex Trauma in Adolescents

3. Assessment

Evaluation of Current Safety

Evaluation of Trauma Exposure History

Initial Trauma Review for Adolescents (ITR-A)

Information From Caretakers

Evaluation of Trauma-Relevant Symptoms

Interview-Based Assessment

Psychological Testing

Specific Psychological Tests

Assessing the Caretaker

Overall Assessment Sequence for ITCT-A

ITCT-A Assessment Locator

4. Completing and Using the Assessment-Treatment Flowchart for Adolescents (ATF-A)

Assessment-Treatment Flowchart

An Example of an ATF-A

SECTION II: OVERVIEW OF TREATMENT

5. Central Aspects of ITCT-A

The Primacy of the Therapeutic Relationship

Customization

Age

Gender

Sociocultural Matrix

Affect Regulation Capacity

Advocacy and System Intervention

6. From Assessment to Intervention: The Problems-to-Components Grid (PCG)

7. Sequence and Session-Level Structure of ITCT-A

SECTION III: TREATMENT COMPONENTS

8. Relationship Building and Support

Safety

Visible Willingness to Understand and Accept

Active Relatedness (Including Emotional Connection)

Patience

Managing Countertransference

9. Safety Interventions

Suicide Assessment and Prevention

Child Protection or Law Enforcement Services for Victims of Intrafamilial Abuse

Assistance in Separating From Gangs

Working With Prostitution Issues

Safety Plans in Cases of Ongoing Child Abuse, Exploitation, or Domestic Violence

Intervening in Substance Abuse

Self-Mutilatory Behavior

Supporting Safer Sexual Behavior

Referral to Shelters and Programs

10. Psychoeducation

Handouts

Books and Other Materials

Verbal Information During Therapy

General Focus of Psychoeducation

11. Distress Reduction and Affect Regulation Training

Acute Distress Reduction

Grounding

Relaxation

Increasing General Affect Regulation Capacity

Identifying and Discriminating Emotions

Identifying and Countering Thoughts That Underlie Negative Emotional States

Meditation

Instructions (Paraphrase as Needed)

Resistance to Tension-Reduction Behaviors

Affect Regulation Learning During Trauma Processing

12. Cognitive Processing

Cognitive Reconsideration

Development of a Coherent Narrative

Cognitive Changes Arising From Nonoverwhelming Emotional Activation During Treatment

13. Trigger Identification and Intervention

The Trigger Grid

Identifying Triggers

Identifying Triggered States

Problem-Solving Triggered States

14. Titrated Exposure

The Therapeutic Window

Intensity Control

Constraints on Therapeutic Exposure

The Components of Titrated Exposure

Exposure

Activation

Disparity

Counterconditioning

Desensitization/Resolution

15. Relational Processing

16. Interventions for Identity Issues

17. Family Therapy

ITCT-A Family Therapy Interventions

Family Therapy Module

Session 1: Assessment of Family Functioning, Family Therapy Goals, and Planning

Session 2: Effective Communication and Expression of Feelings

Session 3: Roles and Boundaries

Session 4: Exploration of Trauma Exposures

Session 5: Enhancing Family Relationships, Increasing Support Network, and Further Trauma Processing

Session 6: Goals for the Future, Reinforcing Treatment Gains

18. Interventions With Caretakers

Support, Education, and Parenting Skills

Caretaker Groups

Caretaker Therapy

19. Group Sessions

Screening and Assessment

Group Rules/Session Guidelines

Gender Composition

Age Composition

Special Issues in ITCT-A Groups

Group Leaders

Group Structure and Focus

Within-Session Structure

Termination Issues

Postgroup Interactions

Final Assessment

Examples of ITCT-A Groups

Conclusion

20. ITCT-A Treatment Outcome Results

Methods

Participants

Assessment

Absence of Comparison Group

Results

Participants

Symptomatology as a Function of Demographics and Pre- Versus Post-Treatment Status

Discussion

21. Three Case Examples

Rose

Assessment-Treatment Flowchart–Adolescent Version (ATF-A)

Anthony

Assessment-Treatment Flowchart–Adolescent Version (ATF-A)

Alicia

Assessment-Treatment Flowchart–Adolescent Version (ATF-A)

22. Summary

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Tags: John N Briere, Cheryl B Lanktree, Treating Complex Trauma, Adolescents