Principles of Trauma Therapy: A Guide to Symptoms, Evaluation, and Treatment

John Briere and Catherine Scott′s Principles of Trauma Therapy, Third Edition is both comprehensive in scope and highly practical in application. This best selling text provides a creative synthesis of cognitive-behavioral, relational, affect regulation, mindfulness, and psychopharmacologic approaches to the "real world" treatment of acute and chronic posttraumatic states. Grounded in empirically-supported trauma treatment techniques and adapted to the complexities of actual clinical practice, this book is a hands-on resource for front-line clinicians, those in private practice, and graduate students of public mental health.

Table of Contents:
Acknowledgments Introduction to the Third Edition Part I: Trauma, Effects, and Assessment 1. What Is Trauma? Single Versus Multiple Traumatic Events In DSM-5 Major Types of Trauma 2. The Psychological Effects of Trauma (John Briere, Catherine Scott, & Janelle Jones) What Makes Trauma Responses More Likely, More Intense, or More Complicated? Types Of Posttraumatic Response Trauma- and Stressor-related Disorders Disorders and Symptoms Typically Related to Trauma Exposure Generic Symptoms Sometimes Associated with Trauma Exposure Trauma Syndromes in Non-Western Cultures Complex Posttraumatic Presentations 3. Assessing Trauma and Posttraumatic Outcomes (John Briere, Erin Eadie, & Catherine Scott) Assessment In The Clinical Interview Assessing the Sociocultural Environment Assessing Current and Past Exposure to Discrimination and Maltreatment (SDM) Evaluating the Effects of Trauma Structured Interviews Psychological Tests Trauma-Specific Tests Recommendations for Assessment through Telehealth Platforms Part II: Clinical Interventions 4. Central Issues in Trauma Treatment A Basic Philosophy of Trauma, Recovery, and Growth Central Treatment Principles 5. Psychoeducation Handouts Books Verbal Information During Therapy General Focus Constraints 6. Distress Reduction and Emotional Regulation Training Dealing with Acute Intrusion Intervening in Chronic Emotional Dysregulation Meditation and Yoga 7. Cognitive Interventions Cognitive processing Developing a Coherent Narrative Cognitive Changes Arising from Non-overwhelming Emotional Activation Cognitive Interventions and Insight Addressing the Cognitive Impacts of Social Maltreatment 8. Trigger Management Steps of Trigger Management Intervening in Triggers and Triggered States Intervening in DRBs 9. Emotional Processing Reexperiencing as Trauma Processing The Components of Trauma Processing Written Homework Written Exposure Therapy (WET) Eye Movement Desensitization and Reprocessing (EMDR; Shapiro, 2018) The Therapeutic Window Emotional Processing and Substance Use Sequence and Session-Level Structure of Memory Processing 10. Increasing Identity and Relational Functioning Identity Problems Relational Disturbance 11. Mindfulness in Trauma Treatment What Is Mindfulness? Research The Mindful Therapist 12. Treating the Effects of Acute Trauma (Sarah Stoycos, Heidi Ardern, John Briere, & Catherine Scott) Research on Acute Traumatic Stress Intervening in Acute Posttraumatic Stress: An Overview Central Components of Treatment for Acute Trauma Special Issue: Trauma Work in Acute Medical Contexts 13. Remote Treatment of Trauma: Teletherapy Principles Acceptable Teletherapy Platforms Teletherapy Guidance for Major Professional Groups Articles and Guides on Teletherapy Practice Teletherapy Principles Part III: Psychobiology and Psychopharmacology of Trauma 14. Psychobiology of Posttraumatic Stress (Catherine Scott, John Briere, & Janelle Jones) The Hypothalamic-Pituitary-Adrenal (HPA) Axis and the Adrenergic System The Endocannabinoid (eCB) System Other Biological Correlates of PTSD Findings From Neuroimaging Studies Integrating Biological Models with Psychological Trauma Theory 15. Psychopharmacology of Trauma (Catherine Scott, Janelle Jones, & John Briere) Psychotherapy and Psychopharmacology Medications for PTSD Special Topic: Repurposed Drugs and Drug-assisted Psychotherapy 16. Conclusions Appendix 1: Trauma Exposure Review (TER) Appendix 2: Social Discrimination and Maltreatment Scale, Short Form (SDMS-SF) Appendix 3: Mindfulness-based Breath Training (MBBT) Handout Appendix 4: A Brief Urge/Emotion Surfing Exercise Appendix 5: ReGAIN handout References Index About the Authors

About the Author :
John N. Briere, PhD is Professor Emeritus of Psychiatry and the Behavioral Sciences at the Keck School of Medicine, University of Southern California, and is past director of the Psychological Trauma Program at Los Angeles County + USC Medical Center. A past president of the International Society for Traumatic Stress Studies (ISTSS), he is recipient of the Award for Outstanding Contributions to the Science of Trauma Psychology from the American Psychological Association, the Robert S. Laufer Memorial Award for Scientific Achievement from ISTSS, the Presidential Award for Contribution to Methods from the Association for Scientific Advancement in Psychological Injury and Law, and the William N. Friedrich Lecturer: Outstanding Contribution to the Field of Child Psychology from the Mayo Clinic. A long-term student of Buddhist psychology, he has been Remote Faculty at the Institute for Meditation and Psychotherapy since 2013. Catherine Scott, MD, is Assistant Clinical Professor of Psychiatry and the Behavioral Sciences at the Keck School of Medicine of the University of Southern California. Her academic background includes Harvard College, Columbia University College of Physicians and Surgeons, and psychiatric residency training at both Cornell and USC. Previously, Dr. Scott served as Medical Director of the Psychological Trauma Program at Los Angeles County + USC Medical Center, and the Associate Medical Director of the Psychiatric Emergency Service at Los Angeles County + USC Medical Center. In that capacity she taught and supervised resident physicians and medical students in the assessment and treatment of trauma-related disorders arising from sexual and physical violence, torture, child abuse, and other forms of interpersonal violence. She continues to practice as well as teach residents at USC, and serves as an expert witness in the areas of trauma and posttraumatic stress. Her clinical and research interests include women’s issues, treatment of adult survivors of child abuse, human rights, and the remediation of sexual violence and its effects.

Review :
An eloquent, inspiring and classic text—now updated. Principles of Trauma Therapy is that rare book that has changed the field, helping bring trauma awareness into the mainstream and educating a generation of trauma therapists, researchers, and policy makers. It is eminently practical, with realistic guidance for day-to-day clinical work while embracing a wide range of theoretical orientations. Kudos to Briere and Scott for this gem of a book to help trauma survivors! Essential reading for clinicians assessing and treating traumatic stress. These master clinicians have made the complexity of traumatic stress accessible, and their approach is applicable to treating diverse clients.  Their revised edition includes important and extensive updates, such as guidance for navigating clients’ experiences of social injustice within the context of relational treatment, a new chapter on the neurobiology of posttraumatic stress, and an introduction to the new mindfulness based ReGAIN procedure for deescalating activated states. This book, Principles of Trauma Therapy: A Guide to Symptoms, Evaluation, and Treatment, has been a mainstay in clinical and more generic training courses in traumatic stress studies since its original publication. This third edition continues this tradition. It contains a great deal of clinical wisdom based both on the latest empirical findings as well as clinical experience and consensus. It recognizes expanded types of trauma and the complexity of consequences and incorporates the latest information on new areas of emphasis, including diversity and other contextual issues. The heart of the book, a detailed outline and description of the average treatment trajectory, is especially useful. An essential guide for all who work with the traumatized. Bravo to the authors! If I were to advise the young scholar on a source for the development of a foundation of knowledge in trauma therapy, I could ask them to read a list of 50+ worthy candidate tomes, each containing a piece of the puzzle, or, alternatively, I could point them to this one text.  The astounding breadth, complexity, and practicality of this work, combined with the compassion and openness of its authors, radiates from every page. This book should be in the library of every trauma expert.