Much has been learned about PTSD in the past two decades, yet many questions remain about the complex pathways by which trauma disrupts people's lives. This authoritative volume presents an innovative psychobiological framework to help clinicians and researchers better understand the myriad difficulties facing patients and navigate the array of available intervention approaches. Incorporating the latest theory and clinical research, the book provides a crucial reformulation of diagnostic criteria and treatment goals. It then brings together leading treatment experts to describe and illustrate their respective approaches, facilitating the selection and implementation of the most effective interventions for individual patients.
The book first delineates a holistic, organismic model of PTSD. Particular attention is given to how the concept of allostatic load has enabled contemporary investigators to gain a more dynamic view of human stress responses and how they may go awry. Aided by clearly presented tables and charts, the volume elucidates the process by which traumatic experiences can give rise to 65 symptoms contained within five symptom clusters. Augmenting the traditional domains of PTSD symptomatology/m-/physiological disturbances, traumatic memory, and avoidance/m-/are two additional clusters dealing with frequently encountered problems with self and identity and with attachment, intimacy, and personal relationships. Contributors then provide detailed presentations of core therapeutic approaches: acute posttraumatic interventions, cognitive-behavioral approaches, pharmacotherapy, group psychotherapy, and psychodynamic techniques, as well as approaches for special populations. The concluding section reviews and synthesizes all case material presented, examining which symptoms are addressed by each modality, which treatment objectives are met, and which clients are likely to be helped.
"Precise and relevant, a comprehensive review of the history, theory, and treatment of PTSD....I find this an essential text in my graduate counseling course."--James Halpern, PhD, Department of Psychology, State University of New York at New Paltz
"Wilson, Friedman, and Lindy define the theory of PTSD treatment with authority and clarity. Readers will appreciate how well the volume integrates the scientific, intellectual, and ethical principles for choosing effective clinical interventions. As much a 'why to' as a 'how to' book, this is a volume to be owned by all serious PTSD scholars and practitioners."--Frank M Ochberg, MD, former Associate Director, National Institute of Mental Health
"The perennial request of trauma practitioners is 'Give me something I can use--something practical!' This text defines the major themes of recovery across populations and relates these goals to specific interventions and techniques. Adding the areas of attachment/intimacy and interpersonal relationships and self/identity and life course development to the 'basic three' of PTSD (intrusion, avoidance, physiological symptoms) fills in previously missing gaps. This is one of the first volumes to address PTSD treatment from a non-unitary perspective, acknowledging that traumatic responses exist on a continuum and presenting treatment goals that apply to all aspects of the disorder. It is a great step forward and a 'must read.'"--Mary Beth Williams, PhD, LCSW, CTS, coauthor of Life after Trauma
"The construct of PTSD and its underlying theory have been challenged by recent advances in research and practice. This book makes a daring attempt to redraw the picture, representing a sort of conceptual avant-garde. Using the construct of allostatic load, the book offers new theory and clinical approaches. The reader will find novelty, excitement, controversy, and much food for thought."--Arieh Y. Shalev, MD, Department of Psychiatry, Hadassah University Hospital, Israel