Clinical Work With Traumatized Young Children

Presenting crucial knowledge and state-of-the-art treatment approaches for working with young children affected by trauma, this book is an essential resource for mental health professionals and child welfare advocates. Readers gain an understanding of how trauma affects the developing brain, the impact on attachment processes, and how to provide effective help to young children and their families from diverse backgrounds. Top experts in the field cover key evidence-based treatments -- including child -- parent psychotherapy, attachment-based treatments, and relational interventions -- as well as interventions in pediatric, legal, and community settings. Special sections give in-depth attention to deployment-related trauma in military families and the needs of children of substance-abusing parents.

Dissociation in Traumatized Children and Adolescents presents a series of unique and compelling case studies written by some of the foremost international experts in the study of dissociation in young people. In the new edition, chapters have been updated to include discussion of the most recent findings in trauma and neuroscience as well as Joyanna Silberg’s popular affect-avoidance model. In addition, Sandra Wieland’s incisive commentaries on each case study have been updated. Each chapter presents a detailed narrative of a therapist's work with a child or adolescent interspersed with the therapist's own thought process, and every therapist explains the theory and research behind her clinical decisions. The case studies present many aspects of working with traumatized children—attachment work, trauma processing, work with the family, interactions with the community, psychoeducation related to dissociation, and encouragement of communication between the dissociated parts—and provide a frank analysis of the difficulties clinicians encounter in various therapeutic situations. While the book is exceptional in its clear and detailed descriptions of theory related to dissociation in children, most importantly, it illustrates how theory can be translated into successful therapeutic interactions.

Featuring in-depth case presentations from master clinicians, this volume highlights the remarkable capacity of traumatized children to guide their own healing process. The book describes what posttraumatic play looks like and how it can foster resilience and coping. Demonstrated are applications of play, art, and other expressive therapies with children who have faced such overwhelming experiences as sexual abuse or chronic neglect. The contributors discuss ways to facilitate forms of expression that promote mastery and growth, as well as how to intervene when play becomes stuck in destructive patterns. They share effective strategies for engaging hard-to-reach children and building trusting therapeutic relationships.

Recent years have seen significant advances in knowledge about the effects of exposure to psychological trauma on young children from birth to age 5. This volume brings together leading experts to address practical considerations in working with traumatized young children and their caregivers. State-of-the-art assessment and treatment approaches are presented, together with innovative service delivery models. With a focus on building cross-disciplinary collaboration to better serve this vulnerable population, this is an indispensable resource for all mental health and human service professionals working with children at risk. In a new preface to the paperback edition, editor Joy D. Osofsky reflects on critical lessons learned in the aftermath of Hurricane Katrina.

Explains the neurological, emotional, and behavioral impacts of violence and trauma experienced by newborns, infants, children, and teenagers. Traumatic events known as adverse childhood experiences (ACEs) can affect children physically, mentally, and emotionally, sometimes with long-term health and behavioral effects. Abuse, neglect, exposure to community and domestic violence, and household dysfunction all have the potential to alter brain development and behavior, but few people are able to recognize or respond to trauma in children. Given the prevalence of childhood exposure to violence—with one in four children ages 5 to 15 living in households with only moderate levels of safety and nurturance and infants and children ages 0 to 3 comprising the highest percentage of those maltreated—it is imperative that students and professionals alike be able to identify types and consequences of violence and trauma. This book provides readers with the information they need in order to know how to detect and prevent ACEs and to help children who have lived through them.

Dissociation in Traumatized Children and Adolescents presents a series of unique and compelling case studies written by some of the foremost international experts in the study of dissociation in young people. In the new edition, chapters have been updated to include discussion of the most recent findings in trauma and neuroscience as well as Joyanna Silberg’s popular affect-avoidance model. In addition, Sandra Wieland’s incisive commentaries on each case study have been updated. Each chapter presents a detailed narrative of a therapist's work with a child or adolescent interspersed with the therapist's own thought process, and every therapist explains the theory and research behind her clinical decisions. The case studies present many aspects of working with traumatized children—attachment work, trauma processing, work with the family, interactions with the community, psychoeducation related to dissociation, and encouragement of communication between the dissociated parts—and provide a frank analysis of the difficulties clinicians encounter in various therapeutic situations. While the book is exceptional in its clear and detailed descriptions of theory related to dissociation in children, most importantly, it illustrates how theory can be translated into successful therapeutic interactions.

Trauma and Play Therapy synthesizes new developments in the study of children’s trauma recovery to assist clinicians in combining play therapy with other powerful ways of addressing the needs of hurt children. The TraumaPlayTM model, formerly known as Flexibly Sequential Play Therapy, equips practitioners to manage and adapt aspects of the play therapy place and process in order to help children tell their stories while draining the emotional toxicity from traumatic experiences. Chapters explore the neurobiological and developmental foundations of play therapy as well as strategies for navigating children’s trauma in relation to specific aspects of play therapy such as sensory integration, metaphor, and humor. Enriched by a tapestry of illustrative case examples and tools for therapists, this is a vital new book for clinicians working at the intersection of play and children’s trauma.

This handbook presents the current evidence-based psychological treatments for trauma related disorders in childhood and adolescence and in addition provides clearly structured, up-to-date information on the basic principles of traumatic stress research and practice in that age group, covering epidemiology, developmental issues, pathogenetic models, diagnostics, and assessment. Each of the chapters on treatment, which form the core of the book, begins with a summary of the theoretical underpinnings of the approach, followed by a case presentation illustrating the treatment protocol session by session, an analysis of special challenges typically encountered in implementing this treatment, and an overview of the current evidence base for the treatment approach. A special section considers modern treatments in particular settings, such as schools, hospitals, and juvenile justice systems, and the concluding chapters provide an integrative discussion on how to treat traumatized children and adolescents and an outlook. The book will be invaluable for clinical child and adolescent psychologists, child and adolescent psychiatrists, psychotherapists, and other mental health professionals working with traumatized children and adolescents.