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Rebuilding Shattered Lives Treating Complex PTSD and Dissociative Disorders

ISBN: 9780470768747 | 0470768746

Edition: 2nd
Format: Paperback
Publisher: Wiley
Pub. Date: 4/26/2011

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Summary Table of Contents Author Biography

Children, adolescents, and adults who experience "developmentally adverse interpersonal trauma are at risk not only for posttraumatic stress disorder (PTSD) but also for other anxiety, affective, addictive, conduct, eating, psychotic personality disorders, as well as for retraumatization. Now in an updated Second Edition, this book describes the theoretical constructs of how complex trauma-related clinical syndromes evolve and present in adult patients, integrating theories concerning posttraumatic stress disorder, dissociation and personality ... MOREdevelopment. This book is an authoritative clinical guide to the treatment of patients with complex posttraumatic and dissociative disorders.

Praise for Rebuilding Shattered Lives, Second Edition "In this new edition of Rebuilding Shattered Lives, Dr. Chu distills the wisdom he has gained from many years spent building and directing an extraordinary therapeutic community in a major teaching hospital. Both beginners and experienced clinicians will benefit from this books unfailing clarity, balance, and pragmatism. An invaluable resource."-Judith L. Herman, MD, Director of Training for the Victims of Violence Program, Cambridge Health Alliance, Cambridge, MA "The need for this work is immense, as is the reward. Thank you, Dr. Chu, for continuing to share your sustaining insight and wisdom in this updated edition."- Christine A. Courtois, founder and principal, Christine A. Courtois PhD & Associates, PLC, Washington, DC; author of Healing the Incest Wound: Adult Survivors in Therapy and Recollections of Sexual Abuse Praise for the first edition: "Dr. James Chu charts a deliberate and thoughtful approach to the treatment of severely traumatized patients. Written in a straightforward style and richly illustrated with clinical vignettes, Rebuilding Shattered Lives is filled with practical advice on therapeutic technique and clinical management. This is a reassuring book that moves beyond the confusion and controversies to address the critical underlying issues and integrate traditional psychotherapy with more recent understanding of the effects of trauma and pathological dissociation." -Frank W. Putnam, MD A fully revised, proven approach to the assessment andtreatment of post-traumatic and dissociative disorders-reflecting treatment advances since 1998 Rebuilding Shattered Lives presents valuable insights into the rebuilding of adult psyches shattered in childhood, drawing on the authors extensive research and clinical experience specializing in treating survivors of severe abuse. The new edition includes: Developments in the treatment of complex PTSD More on neurobiology, crisis management, and psychopharmacology for trauma-related disorders Examination of early attachment relationships and their impact on overall development The impact of disorganized attachment on a childs vulnerability to various forms of victimization An update on the management of special issues This is an essential guide for every therapist working with clients who have suffered severe trauma.

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Foreword	p. ix
Introduction	p. xiii
The Nature and Effects of Childhood Abuse
Trauma and Dissociation: 30 Years of Study and Lessons Learned Along the Way	p. 3
Complex PTSD: The Effects of Chronic Trauma and Victimization	p. 20
Falling Apart: Dissociation and the Dissociative Disorders	p. 41
Derailed: Childhood Trauma, Attachment, and the Development of the Self	p. 65
The Memory Wars: The Nature of Traumatic Memories of Childhood Abuse	p. 78
Phase-Oriented Treatment for Complex PTSD
The Therapeutic Roller Coaster: Phase-Oriented Treatment for Complex PTSD	p. 109
Staying Safe: The Paradox of Self-Care	p. 129
Containment: Controlling Posttraumatic and Dissociative Symptoms	p. 147
The Therapeutic Dance: Relational Dilemmas in Treating Complex PTSD	p. 160
The �Impossible� Patient: Chronic Disempowerment	p. 175
Good Fences Make Good Neighbors: Maintaining the Treatment Frame	p. 191
Special Topics in Treatment of Complex Trauma-Related Disorders
The Rational Treatment of Dissociative Identity Disorder	p. 207
Managing Crisis: Acute Care and Hospitalization	p. 228
Psychopharmacology for Trauma-Related Disorders	p. 246
Controversies and Future Directions in the Field of Trauma and Dissociation	p. 255
Afterword: Why We Do This Work	p. 273
The Dissociative Experiences Scale (DES and DES-T)	p. 276
The Somatoform Dissociation Questionnaire (SDQ-20 and SDQ-5)	p. 282
The Multidimensional Inventory of Dissociation (MID)	p. 287
References	p. 299
Author Index	p. 327
Subject Index	p. 332
Table of Contents provided by Ingram. All Rights Reserved.

James A. Chu, MD, is Associate Clinical Professor of Psychiatry at Harvard Medical School and Consultant in Psychiatry at McLean Hospital in Belmont, Massachusetts, where he has established innovative clinical programs for the treatment of adults with trauma-related disorders.

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