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Review
"Courtois and Ford present an essential, comprehensive work for clinicians and researchers. Evidence-based practice recommendations for psychotherapeutic and pharmacological treatment are presented--carefully adapted for those suffering from complex traumatic stress disorders--and a range of treatment models are clearly described. Rich clinical material, and attention to management of the therapeutic alliance, therapist self-care, and other key challenges in working with these clients, make this a most useful and innovative resource."--Josef I. Ruzek, PhD, Director, Dissemination and Training Division, National Center for PTSD "This is the single best source for clinical expertise in complex traumatic stress disorders. Leading clinicians and researchers share a rich array of individual, couple, family, and group therapy models that illustrate basic treatment principles and best practices. Informed by recent research, the contributors cover the developmental and neurobiological background against which to frame essential assessment and treatment issues. Chapters on such pragmatic topics as vicarious traumatization and risk management offer advice on reducing stress for therapists working with these challenging cases."--Frank W. Putnam, MD, Professor of Psychiatry, University of North Carolina at Chapel Hill "Treatments based on a traditional conceptualization of PTSD are frequently insufficient to address the diverse, long-lasting, and pervasive effects of complex trauma. This book offers a comprehensive review of treatment considerations, assessment measures, best practices, and evidence-based treatment approaches specifically tailored for psychotherapy with people who have experienced prolonged abuse and neglect by caregivers. An indispensable guide for any mental health professional who works with trauma survivors."--Pamela C. Alexander, PhD, Senior Research Scientist, Wellesley Centers for Women"A valuable addition to the libraries of both novice and experienced clinicians who treat patients with disorders as varied as reactive attachment disorder, borderline personality disorder, depression, dissociative disorders, and post-traumatic stress disorder....An unparalleled contribution to the existing literature on assessment and intervention with survivors of complex trauma. There are few existing compilations that have collected such a wide variety of treatment approaches from such prominent authors, and it is probable that this is the most comprehensive and current review to date. While multiple evidence-based treatment strategies are given attention in this book, it is detailed enough so that the reader is able to make an informed decision about whether to pursue an approach. In addition, several chapters describe essential understanding required for working with any survivor of complex trauma regardless of the particular intervention style....One of the book's highlights is its thoughtful and comprehensive summary of assessment tools for the clinician treating survivors of complex traumatic stress....Courtois and Ford have assembled an impressive volume of empirically-informed assessment and treatment approaches that 'honor and support the resilience of trauma survivors as they carry on with their lives and enrich the lives of their families and communities.'" (Trauma Psychology Newsletter (APA Division 56) 2009-02-07)"This book is likely to appeal to clinicians who are eager to learn more about the area of complex traumatic stress and novel approaches to treating associated problems. The text is well-written and organized, making it easy to follow." (Journal of Contemporary Psychotherapy 2009-02-07)"Will surely become a classic textbook on complex traumatic stress. This book is appropriate for students, clinicians, and academics alike. Because the concept of complex trauma is still evolving, this text can educate and inform students in training as well as seasoned clinicians....The authors of the book are leaders in the field of trauma and they artfully illustrate the nuances of the disorder as well as subsequent treatment through rich case examples....In our current mental health climate, there exists a psychiatric debate about formally establishing Complex PTSD as a disorder. In such a climate this book documents the current knowledge and evidence supporting the disorder and will surely help to shift the paradigm of how complex trauma is understood, assessed for, and ultimately healed from." (Clinical Social Work Journal 2009-02-07)"Editors Courtois and Ford unite to provide a thorough, stimulating, and current text on treating a very challenging population of individuals with complex trauma....This is an important and highly relevant book, addressing a complex problem, organizing what empirical support there is for the many approaches which are currently utilized and expanded for this population. Even if you do not work with traumatized individuals, there is much to learn from this book. It can be therapeutically profitable. Well-written, it has an impressive list of contributors, and Ford has a hand in many of the chapters. This book is highly recommended and well-worth its asking price." (Child and Family Behavior Therapy 2009-02-07)"Presents a well-researched, comprehensive source for clinical expertise in the area of complex traumatic stress disorder—specifically PTSD." (EABP Newsletter 2009-02-07)"The book has a compelling philosophical unity about it - essentially humanistic, and broadly cognitive and behavioural. Among all this solid evidence-based theory and practice, I also felt uplifted by a sense of optimism....I heartily recommend this book to any psychological therapist or medical practitioner who is called upon to help those whose life experiences have resulted in intransigent mental health issues that may thus far have been diagnosed as a developmental disorder, personality disorder (particularly borderline), or post-traumatic stress disorder." (Healthcare, Counselling, and Psychotherapy Journal 2009-02-07)"This book is welcome as it pulls together theoretical and clinical approaches to understanding and helping people with difficulties following multiple and prolonged traumatic experiences....This book addresses important issues and was stimulating both academically and clinically....The book will be useful to most therapists, but especially those who regularly work with people whose main problems are associated with abusive or neglectful experiences in early childhood." (Journal of Behavioural and Cognitive Psychotherapy 2009-02-07)"A valuable addition to understanding and treating complex traumatic stress disorders, this book will enhance the knowledge and therapeutic toolbox of any practitioner working with clients who have had complex psychological traumas....I really appreciated the insights offered by the contributors and the wealth of experience and knowledge assembled by the editors." (Addiction Today 2010-02-14)"The first comprehensive overview on assessment and treatment of complex traumatic stress disorders. Both authors are experts in the field and have worked as clinicians with trauma survivors facing the clinical reality of complex manifestations of trauma....All the chapters are extremely well written and very informative. Each chapter makes a significant contribution to this important, fast-developing field....This important text is a clear contribution to the position that complex traumatic stress disorders can be conceptualized as a separate clinical entity....This book provides a complete overview over the current thinking regarding complex trauma disorders and should be required reading for all researchers and clinicians working with this population." (MIWatch.org 2009-02-07)
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About the Author
Christine A. Courtois, PhD, ABPP, a board-certified counseling psychologist, is retired from private practice in Washington, DC, and is a consultant/trainer on topics on trauma psychology and treatment. She cofounded and then served for 16 years as Clinical and Training Director of The CENTER: Posttraumatic Disorders Program, in Washington, DC. Dr. Courtois was chair of the Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder in Adults for the American Psychological Association (APA), released in 2017, and for guidelines on the treatment of complex trauma for several professional organizations. She has published a number of books (four of them coedited or coauthored with Julian Ford) and numerous book chapters and articles on trauma-related topics. Dr. Courtois is past president of APA Division 56 (Trauma Psychology) and past founding Associate Editor of the Division's journal, Psychological Trauma: Theory, Research, Practice, and Policy. She served two terms on the Board of Directors of the International Society for Traumatic Stress Studies (ISTSS). She has received the Award for Distinguished Contributions to Independent Practice from the APA, the Sarah Haley Award for Clinical Excellence from ISTSS, and, most recently, the Award for Distinguished Service and Contributions to the Profession of Psychology from the American Board of Professional Psychology.Julian D. Ford, PhD, a clinical psychologist, is Professor of Psychiatry, Psychology, and Law at the University of Connecticut, where he is also Director of the Center for Trauma Recovery and Juvenile Justice. He has served on the Steering Committee of the National Child Traumatic Stress Network, as Associate Editor of the Journal of Trauma and Dissociation and the European Journal of Psychotraumatology, as Co-Chair of the Presidential Task Force on Child Trauma for APA Division 56, and as a board member and Vice President of ISTSS, and has published several other books on trauma-related topics. Dr. Ford developed and conducts research on the Trauma Affect Regulation: Guide for Education and Therapy (TARGET) psychosocial intervention for adolescents, adults, and families. Dr. Ford and Dr. Courtois were awarded the Print Media Award from ISSTD for this volume.
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Product details
Hardcover: 488 pages
Publisher: The Guilford Press; 1 edition (February 5, 2009)
Language: English
ISBN-10: 9781606230398
ISBN-13: 978-1606230398
ASIN: 1606230395
Product Dimensions:
6.1 x 1.3 x 9.2 inches
Shipping Weight: 2 pounds (View shipping rates and policies)
Average Customer Review:
4.4 out of 5 stars
22 customer reviews
Amazon Best Sellers Rank:
#436,071 in Books (See Top 100 in Books)
As a psychotherapist, I've struggled to treat various forms of Complex PTSD, in children & adults, for over 20 years, including borderline personality disorder, Reactive Attachment Disorder (RAD) and current forms of multi-deployment Combat PTSD.This recent collection of 20 articles from over 30 leading scholars, researchers and clinicians in the field will doubtless be the standard reference for Complex PTSD for many years. If you want to know more about how to understand, diagnose and treat Complex PTSD, START HERE! The articles are divided into three sections: overview, individual treatment approaches and strategies and - what a relief! - systemic treatment approaches and strategies. I say, "What a relief!", as often in reviews of treatment approaches, systemic approaches are given short shrift. And in my experience, systemic approaches are often VERY much needed, in some cases indispensible, for healing Complex PTSD, especially with children & teens, and especially with major problems with attachment - one sadly common hallmark of Complex PTSD. Each article has an extensive bibliography for those who want to know more.The "Overview" section covers a satisfyingly large number of topics, including current approaches to understanding & defining Complex PTSD, overviews on best Practices with children & teens and with adults, cultural issues, risk management/treatment alliance and compassion fatigue/vicarious traumatizing. I want to compliment the editors for this last article. Few areas of psychotherapy are more prone to therapist burnout via PTSD by association than Complex PTSD. I strongly recommend that all clinicians who work significantly in this area become competent in assessing their own risks to compassion fatigue and take regular steps to manage this.The "Individual Treatment Approaches and Strategies" section is refreshingly clear of biases toward one school. In addition to the standard Cognitive/Behavioral models, they also include articles on Experiential and Emotion-Focused Models, Sensorimotor Psychotherapy and - useful for clinicians to know --Pharmacotherapy. Each article presents an initial summary, the model's basic assumptions/theory, reviews the research, discusses specific clinical applications and presents a case example and/or transcript. While not lengthy, they provide enough information for clinicians to decide whether to pursue an approach further.The "Systemic Treatment Approaches and Strategies" section includes Richard Schwartz's "Internal Family Systems" as well as traditional multi-person "systems" treatments - Couple Therapy, Family Systems Therapy and Group Therapy. As with the individual treatment section, each section includes overview, basic assumptions, review of research, clinical applications and case example/transcript. Both the "Internal Family Systems" and the "Couple Therapy" articles are written by the field's giants - Schwartz and Susan Johnson & Christine Courtois. These two articles are gems for a moderate introduction. I found the family section more disappointing - particularly since so little has been "overviewed" in this field. But then this could be because my giants - Daniel Hughes (see Attachment-Focused Family Therapy and Building the Bonds of Attachment: Awakening Love in Deeply Troubled Children) and Heather Forbes & B. Bryan Post (See Beyond Consequences, Logic, and Control: A Love-Based Approach to Helping Attachment-Challenged Children With Severe Behaviors) - weren't even referenced. Nor did they reference the Grand Dame of RAD family approaches, albeit less therapy than parenting -- Nancy Thomas. (Her 2nd ed. of "When Love Is Not Enough: A Guide to Parenting Children with RAD" is a strong improvement, correcting parts in the 1st ed. which could be misinterpreted and lead families to become punishing.)I have three complaints, which are serious, but which don't take away the true importance of this collection. First is that by emphasizing treatments ONLY, they mention, but do not emphasize as much as, in my experience, as is desperately needed, the difficult relationship-building aspects. In my experience, building specific Complex-PTSD relationships is more important than particular treatment approaches. For information about building relationships, and about more on accessing client strengths & feedback, I recommend Psychotherapy Relationships that Work: Therapist Contributions and Responsiveness to Patients and The Heart and Soul of Change: Delivering What Works in Therapy (Be sure to get the 2nd ed., 2010!).Second is that large areas of Complex PTSD are neglected or even completely ignored. For example, as someone who treats Combat PTSD with soldiers (and their families) who've experienced three and four deployments of a year or more, I'm finding that the worse the deployment, and more deployments appear to be creating symptom clusters highly typical of Complex PTSD. Another area: as someone who treats individuals with Asperger's/High Functioning Autism, I find that many AS/HFA teens, especially, because of problems they face - socially, educationally, vocationally, in managing feelings, cognitively - also appear to develop symptoms quite similar to the Complex PTSD cluster.Third is that I strongly wish that issues of addiction & various forms of self-medicating were more integrated into the Complex PTSD concept and into the treatment approaches. I find addictions/self-medicating distressingly common in Complex PTSD. And when present, addictions/self-medicating greatly complicates building treatment alliances and other relationships, the resources available to clients and finding approaches which integrate this into general Complex PTSD treatment.Again, though, I want to emphasize: if you work in this field, I'd recommend buying this book. Its rampant pluralism of approaches is just what Complex PTSD needs. Here, like nowhere else in my clinical experience, one size does NOT fit all. Not only are different treatment approaches needed, commonly different modalities, such as family & group, are also needed. Therefore, knowing several approaches helps the vital process of individualizing treatments.We can never know enough treatments for helping these people & their families. And "Treating Complex Traumatic Stress Disorders" can help us all find more approaches that can help us help more clients.
I am not a practitioner, but a well-educated, research-oriented consumer. This is a really thorough and comprehensive series of reviews of current treatment practices in the trauma field. Each chapter is a stand-alone review on a particular focus, and chapters are grouped together when they concern similar treatment modalities. It's quite a bit to wade through in a sitting, but if the reader were not interested in all types and areas of treatment, he/she could read just the chapters of interest. The summaries are generally quite good, with good background material, and lots of references for the ambitious to find more to read on the topic. I appreciated that they summarize research in the field, and acknowledge when good research studies are lacking. I'm sure a practitioner would take a great deal more out of this book, but even non-practitioners with an interest in the material will benefit from this excellent book. Overall, it is well written and interesting to read.
This is an excellent summary of current thinking about Complex PTSD edited by experts in the field, after they had interviewed hundreds of Complex PTSD clients and their therapists. I was sold when they started by stating that the relationship between therapist and client is more important than any technique used. Everybody who works with Complex PTSD survivors should read this book.
I bought this book for a master's level social work class. It's the first textbook I've ever read cover to cover.The first half gives in depth trauma theory, including the neurological components, multicultural treatment, and trauma theory development. This will either present you with new and necessary ideas, or a solid reminder of the foundation of trauma work. The second half consists of several chapters that outline specific types of trauma treatments, including transcripts from real therapy sessions. As a student, I appreciated reading about the variety of treatment methods that I can later pursue in post-grad training. I also think it would be good to know what other people are doing, even if I opt not to.One warning, this book is specifically catered to complex traumatic stress disorder, not PTSD. Although, it does point out the connections and similarities.
Very through on the topic, but for professionals. A little heard to read for the lay person.
This is an excellent book for a college student or anyone with a sincere interest in understanding and/or treating the results of childhood abuse, neglect and trauma. This book was recommended, but not required, for a trauma treatment class that I am taking. I am very glad that I purchased it. It provides a look into the mind and thinking patterns of the repeatedly traumatized child and the very real results of that traumatization in adults and how it impacts daily life.
An excellent book on a very important and timely issue.
Is complex PTSD real? Of course! No matter what DSM5 says, patients cPTSD and other complex traumatic stress disorders need our help! This book, as its title proclaims, is a guide for clinicians and covers most evidence-based interventions
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