Treating Children With Dissociative Disorders

This book provides a comprehensive overview of research into dissociation in children and adolescents and challenges conventional ideas about complex behaviours. Offering a new perspective to those who are unfamiliar with dissociation in children, and challenging prevalent assumptions for those who are experienced in the field, the editors encourage the professional to ask questions about the child’s internal experiences beyond a diagnosis of the external symptoms. Chapters bring together a range of international experts working in the field, and interweave theories, practice, and challenging and complex case material, as well as identifying mistakes that therapists can avoid while working with children who dissociate. Filled with practical tools and examples, this book is a vital resource for professionals to enrich their practice with children who dissociate.

"Anyone who works with troubled children and their families should not miss this book. Healing the Fractured Child weaves together comprehensive theory and neurobiology that substantiate practical treatment guidelines for children and their families. The complexity of symptoms, diagnoses, assessment, use of medication, and a variety of innovative treatment approaches for stabilization, trauma processing and integration are explored and come to life through the clear, practical and touching clinical illustrations peppered throughout the book. Fran Waters has drawn on her vast clinical experience and thorough knowledge of current perspectives on dissociation and child therapy to write an integrative, readable, and immensely useful masterpiece, a gift to the field of child psychology and psychotherapy and to the many therapists, children and parents who will benefit from her wisdom." --Pat Ogden PhD, Founder, Sensorimotor Psychotherapy Institute; Author, Sensorimotor Psychotherapy Interventions for Trauma and Attachment "A skillfully written, comprehensive and remarkable volume. Well-grounded in theory and full of rich, practical applications and detailed case examples. Water's outstanding work will expand clinicians' capacity to understand and assess dissociation as well as to effectively accompany children in their healing journeys. An essential resource for therapists of all orientations working with trauma and dissociation." Ana M. GÛmez, MC, LPC, Author of EMDR Therapy and Adjunct Approaches with Children: Complex Trauma, Attachment and Dissociation "Healing the Fractured Child" provides an invaluable source of information for all professionals and non-professionals interested in childhood dissociation. Based on her many years of experience in this field, Waters takes us from an explanation of dissociation and related theories to the behaviors which may be noticed by a parent, teacher or doctor, through the assessment quagmire and the challenges of parenting, to the important work of emotional regulation and the identification of self-states, bringing in consideration of where medication can or cannot assist and describing the hard work of trauma processing, to integration, possible relapse, and back again to even stronger internal integration. The intricately described clinical examples provide a plethora of ideas for working with these children and offer readers the encouragement and hope so important for working with children who experienced trauma. Sandra Wieland, Ph.D., R.Psych. Illuminates the most promising treatments available for dissociative children Written by one of the nation's leading practitioners in the field of childhood trauma, abuse, and dissociation, this comprehensive resource fills a void in the literature to provide in-depth knowledge of current interventions for treating dissociation in youth. It describes a detailed, careful assessment process and creative, evidence-supported techniques for helping children and their families to heal from chaotic, traumatizing experiences. With both a theoretical and practical focus, the book offers proven strategies for successfully treating children and adolescents with varying degrees of dissociation and co-morbid symptoms. It also integrates adjunct therapies in environments beyond those of traditional psychotherapy, such as school, and describes how their strategies can be used effectively to augment therapy and understand dissociative children. Based on a model integrating five prominent therapeutic modalities, and underscoring the importance of attachment style, the book focuses on the neurobiology of trauma, a high co-morbidity of symptoms, specialized clinical interventions, psychopharmacology, and family intervention techniques. Also addressed are adjunct therapies in art, and EMDR. In addition, the book provides a window into the effects of traumatic events such as medical illness that may be overlooked, and safe techniques with dissociative youth who are exhibiting dangerous behaviors. Rich clinical examples demonstrate the various phases of treatment and offer a window into the internal world of dissociative children. This resource provides mental health clinicians, and other health professionals with a wealth of tools to effectively treat this troubled client population. Key Features: Describes theoretical conceptualization and specialized integrative techniques to treat dissociative children effectively Integrates psychotherapy with EMDR, art therapy, neurobiology and psychopharmacology Distills current research on neurobiology of trauma and how to intervene with specially designed treatment strategies Provides in-depth knowledge of the latest creative interventions for treatment across degrees and ages of dissociation, and co-morbid symptoms Sensitizes the therapist to often overlooked traumatic events, e.g. medical illness, that can exacerbate symptoms

The Child Survivor is a practical compendium of therapeutic tools for working with children and adolescents who have been exposed to ongoing developmental trauma.

Table of Contents: Identification, mandated reporting requirements, and referral for mental health evaluation and treatment / Jordan Greenbaum and Marianne Celano Psychosocial assessment in child maltreatment / Jeffrey N. Wherry, Ernestine C. Briggs-King, and Rochelle F. Hanson Trauma-focused cognitive behavioral therapy / Elisabeth Pollio, Melissa McLean, Leah E. Behl, and Esther Deblinger Parent-child interaction therapy in child welfare settings / Christopher Campbell, Mark Chaffin, and Beverly W. Funderburk SafeCare : a prevention and intervention program for child neglect and physical abuse / Shannon Self-Brown, Erin McFry, Angela Montesanti, Anna Edwards-Gaura, John Lutzker, Jenelle Shanley, and Daniel Whitaker Evidence-based practices for working with physically abusive families : alternatives for families : a cognitive behavioral therapy / David J. Kolko, Monica M. Fitzgerald, and Jessica L. Laubach Empowering families : combined parent-child cognitive behavioral therapy for families at risk for child physical abuse / Melissa K. Runyon and Colette McLean Early intervention for abused children in the school setting / Lisa H. Jaycox, Audra K. Langley, Bradley D. Stein, Sheryl H. Kataoka-Endo, and Marleen Wong Family foster care for abused and neglected children / Sigrid James Kinship care / Susan J. Kelley and Deborah M. Whitley The sanctuary model : rebooting the organizational operating system in group care settings / Sandra L. Bloom Cultural considerations for assessment and treatment in child maltreatment cases / Tatiana Davidson and Michael de Arellano Trauma systems therapy : an approach to creating trauma-informed child welfare systems / Adam Brown, Carryl P. Navalta, Erika Tullberg, and Glenn Saxe The abused student cornered : school bullying amidst trauma / Mona Patel Potter, Soonjo Hwang, and Jeff Q. Bostic Cognitive processing therapy with adolescents / Kathleen M. Chard and Rich Gilman Risk reduction through family therapy / Carla Kmett Danielson Children and adolescents with sexual behavior problems / Amanda M. Fannief, Judith V. Becker, and Amy L. Gambow Medical management of sexual abuse : a therapeutic approach / Martin A. Finkel Treatment of physical child abuse / Robert M. Reece, Ronald C. Savage, and Naomi Sugar Intervening with families when children are neglected / Diane Depanfilis Failure to thrive and maltreatment / Hans B. Kersten and David S. Bennett Innovation methods for implementing evidence-sponsored interventions for mental health treatment of child and adolescent victims of violence / Benjamin E. Saunders and Rochelle F. Hanson Statewide efforts for implementation of evidence-based programs / Jason M. Lang, Lucy Berliner, Monica M. Fitzgerald, and Robert P. Franks Creating a culture of wellness for providers in harm's way / Leslie Anne Ross The importance of therapist and family engagement in treatment implementation / Marcela M. Torres, Monica M. Fitzgerald, and Kimberly L. Shipman The roles of web-based technology in the dissemination and implementation of evidence-based treatments for child abuse / Nicholas C. Heck and Daniel W. Smith Education of emergency department physicians / Robert D. Sege, Genevieve Preer, and Kimberley A. Schwartz Education of physicians in residency training / Kathi Makoroff Education of community physicians / Amanda K. Fingarson, Emalee G. Flaherty, and Robert D. Sege Child abuse pediatricians : treating child victims of maltreatment / Brett Slingby and Christine Barron Training child psychiatry fellows to provide trauma-informed care / Sigalit Hoffman and John Sargent Psychopharmacology / Shannon W. Simmons and Michael W. Naylor Treatment implications of gene-environment interplay in childhood trauma / Ananda B. Amstadter, Erin C. Dunn, Ruth C. Brown, Erin C. Berenz, and Nicole R. Nugent Resilience and posttramatic growth in abused and neglected children / Michael Ungar Legal issues related to child maltreatment and its therapy / Donald C. Bross.

This second edition of the award-winning original text brings together in one volume the current thinking and conceptualizations on dissociation and the dissociative disorders. Comprised of ten parts, starting with historical and conceptual issues, and ending with considerations for the present and future, internationally renowned authors in the trauma and dissociation fields explore different facets of dissociation in pathological and non-clinical guises. This book is designed to be the most comprehensive reference book in the dissociation field and aims to provide a scholarly foundation for understanding dissociation, dissociative disorders, current issues and perspectives within the field, theoretical formulations, and empirical findings. Chapters have been thoroughly updated to include recent developments in the field, including: the complex nature of conceptualization, etiology, and neurobiology; the various manifestations of dissociation in clinical and non-clinical forms; and different perspectives on how dissociation should be understood. This book is essential for clinicians, researchers, theoreticians, students of clinical psychology psychiatry, and psychotherapy, and those with an interest or curiosity in dissociation in the various ways it can be conceived and studied.

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.

This Revised Edition of Attachment, Trauma and Multiplicity investigates the subject of Dissociative Identity Disorder. With brand new chapters on police work and attachment theory it has been fully updated to include new research and the latest understanding of patterns of attachment theory that lead to dissociation. With contributions from psychotherapists, psychiatrists, psychoanalysts and service users this book covers the background history and a description of the condition along with the issues of diagnoses and treatment. It also looks at: the phenomenon of DID the conflicting models of the human mind that have been found to try and understand DID the political conflict over the subject including problems for the police clinical accounts and personal writing of people with DID. Attachment, Trauma and Multiplicity, Second Edition will prove essential reading for therapists and mental health workers as well as being a valuable resource for graduates and researchers.