Multiplex CBT for Traumatized Multicultural Populations: Treating PTSD and Related Disorders

With trauma-related disorder representing a major public health issue, and considering the increasingly diverse populations being treated for trauma, there is a great need for appropriate treatments. This manual provides detailed guidance for delivering culturally adapted Cognitive Behavioural Therapy (CBT) for the treatment of PTSD and other trauma-related disorders. Offering a unique approach that emphasises the somatic and sensorial aspects of experiencing and emotion regulation, this book is also appropriate for diverse populations with a varied range of education levels. This treatment is proven to be well received and effective for a wide range of groups, including Cambodian and Vietnamese refugees, Spanish-speaking populations, Afghan, Egyptian, Syrian, and Turkish populations, and even South African tribal groups. Written in a clear and accessible way to allow the treatment to be understood and utilised by a wide-range of mental health practitioners, students, and trainees working with multicultural populations, refugees and immigrants.

Table of Contents:
Introduction; Session 1: Education about Trauma-Related Disorder and Introduction of Emotion Regulation Techniques; Session 2: Applied Stretching and the Toe-to-Head Muscle Relaxation with Visualization; Session 3: Review of the Toe-to-Head Muscle Relaxation with Visualization and the Introduction of the Anxiety Protocol; Session 4: Education about Trauma and Introduction of the Trauma-Recall Protocol; Session 5: Education about Trauma-Related Disorder, Modification of Catastrophic Cognitions, and Teaching Emotional Distancing; Session 6: Interoceptive Exposure with Re-association I: Head Rotation; Session 7: Interoceptive Exposure with Re-association II: Hyperventilation; Session 8: Education about Breathing and Its Use for Relaxation; Session 9: Sleep Disturbance; Session 10: Worry and Generalized Anxiety Disorder; Session 11: Anger and Anger Protocol; Session 12: Somatic Complaints I and Review; Session 13: Somatic Complaints II and Review; Session 14: Cultural Syndromes and Final Review; Appendix A: Stretching Handout; Appendix B: Toe-to-Head Relaxation with Visualization; Appendix C: Anxiety Protocol; Appendix D: Trauma-Recall Protocol; Appendix E: Anger Protocol; Appendix F: Worry Questionnaire; Appendix G: 'Thinking a Lot' Questionnaire; Index.

About the Author :
Devon E. Hinton, M.D, Ph.D., is a psychiatrist and an Associate Clinical Professor of Psychiatry at Massachusetts General Hospital, and at the Department of Global Health and Social Medicine, Harvard Medical School.

Review :
'Dr. Devon Hinton's new book Multiplex CBT for Traumatized Multicultural Populations: Treating PTSD and Related Disorders is an innovative, timely and invaluable contribution to the clinical literature. In this book, mental health problems are thoroughly understood by not only bridging mind and body issues but by also embedding patients into their social and cultural contexts. The interventions described benefit from patients' cultural backgrounds which makes clinical interventions more applicable to ethnic minorities and refugee communities. Furthermore, Multiplex CBT describes a systematic set of evidence-based affect regulation strategies, including somatic affect regulation interventions that are illustrated in simple and concrete terms. The broadness and depth of Dr Hinton's multiplex conceptual model is only matched by the richness and clarity of its therapeutic tools.' Martin J. La Roche, Ph.D., Director of Mental Health Training, Boston Children's Hospital at Martha Eliot; Associate Professor in Psychology, Harvard Medical School 'This book distills Devon E. Hinton's excellent research on Cognitive-Behavioral Therapy for PTSD into a hands-on approach designed specifically for clinicians working with refugees and minoritized ethnoracial groups. The material also covers clear explanations about the role in PTSD of emotion regulation, negative affect, traumatic associations and triggers, and catastrophic cognitions. Specific examples based on the author's first-hand experience with various cultural groups provide useful suggestions for every CBT step. A helpful balance between psychological and somatic approaches is maintained throughout, grounding usual CBT techniques in step-by-step instructions for mindfulness, visualization, and relaxation exercises. Based on findings from multiple treatment trials with diverse cultural communities, this book is a necessary adjunct for any therapist caring for people living with PTSD.' Roberto Lewis-Fernandez, M.D., Professor of Clinical Psychiatry, Columbia University; Director, New York State Center of Excellence for Cultural Competence and the Hispanic Treatment Program