Treating Traumatized Children

Contents List of Illustrations and Tables Preface Acknowledgments 1. What Is Trauma? 2. Critical Aspects of Treatment Returning to the Pain Developmentally Sequenced Treatment Involvement of Child's Caregivers Direct, Open Approach Intense, Fun Style Multidimensional Strategy Hidden Trauma-Reactive Behaviors Therapist's Responses to Children's Experiences Summary 3. Traumagenic States to Be Considered in Treatment Planning Self-Blame Powerlessness Loss and Betrayal Fragmentation of Bodily Experience Stigmatization Eroticization Destructiveness Dissociative/Multiple Disorder Attachment Disorder Summary 4. Guidelines for Evaluation and Treatment Planning Clarifying Needs, Expectations, and the Therapist's Role Physical Examination Comprehensive Background Information Parent Interviews Collateral Interviews Child Assessment Written Report Summary 5. Basic Treatment Process Communication Sorting Out Education Perspective Summary 6. Explaining Therapy to the Child Explanatory Metaphors Summary 7. Self-Blame Responsibility Creative Support for INMF Privacy versus Secrecy Religious Support Summary 8. Powerlessness Empowering Process From Victim to Survivor Summary 9. Destructive/Abusive Behaviors Protection Control Underlying Issues Community Members as Clinical Helpers Dual Focus for Victim-Victimizing Child Summary 10. Body Integrity Body Awareness Emotions Related to Body Trauma Education Related to Body Trauma Child's Perspective of Body Trauma Summary 11. The Dissociatively Disordered Child Dissociative Disorders Multiple Personality Disorder Diagnosing Dissociative Disorders Treating the Dissociatively Disordered Summary 12 Attachment Disturbance Loss and Disruption Reunification Impaired Attachment Summary 13 Social Rehabilitation The Socially Inept Child The Eroticized Child The Agitated Child The Socially Inhibited Child Summary 14. Integration of Traumatizing Events Clarifying Why Returning to the Pain Is Necessary Restructuring the Traumatizing Event as a Victorious Survivor Dealing Directly with Traumatizing Events Experiencing Mastery Summary 15. Open-Door Termination 16. Crisis Intervention in Large-Scale Disasters Authority: Who's in Charge? Obtain Current Information Assessment and Interventions Resources Post-Disaster Follow Up Summary 17. Techniques and Exercises 18. Theoretical, Developmental, and Experiential Foundations: A Personal Story Bibliography Appendix A: Resources Appendix B: Behavioral Checklist to Help Aid Identification of MPD in Children and Adolescents Appendix C: How to Recognize Why a Child's Behavior Activity and Learning Ability Changes Appendix D: The Children's Garden Attachment Model Appendix E: Child/Therapist Work Chart Parent/Caregiver Work Chart Appendix F: Parent/Child Supervision Guideline Appendix G: Songs Index About the Author