Forthcoming in 2012
Relational Integrative Treatment of Complex Trauma:
A Clinician's Guide
Christine A. Courtois & Julian Ford, co-authors
Guilford Press
Treating Complex Traumatic Stress Disorders in Children and Adolescents
Julian Ford & Christine A. Courtois, c0-editors
Recently Published
Now, almost 20 years later. this bestselling text is fully updated,
offering the most current studies and findings on incest typologies, dynamics, and treatment strategies. Drawing on
cutting-edge research on incest and other forms of child abuse, it includes att enti on to their neurological, attachment, affective, and dissociative sequelae. Courtois—a veteran practitioner an expert in complex traumatic stress disorders resulting from chronic child abuse—presents a comprehensive revision to this
classic treatment manual for therapists.
Table of Contents: Part I: Incest Characteristics and Dynamics • 1. Incest: If You Think the Word Is Ugly . . . • 2. Incest Characteristics and Categories • 3. The Dynamics of Child Sexual Abuse and the
Incestuous Family • 4. Parent-Child Incest • 5. Incest Among Other
Relati ves and Quasi-Family • Part II : Symptoms, Aftereffects, and Diagnosis • 6. Incest Symptoms, Aftereffects, and Secondary Elaborations • 7. Theories Pertaining to Aftereffects and Treatment • 8. Presenting Concerns and Diagnosis • Part III: Incest Therapy • 9. Philosophy, Process, and Goals of Incest Therapy • 10. Treatment Strategies and Techniques
• 11. The Effects of Abuse Dynamics on the Therapy Process
• 12. Group Treatment • 13. Special Populations • 14. Special Problems and Issues in Treatment • 15. Special Family Issues
• Appendices: A: Incest History Questi onnaire • B: Books and Audiovisual Materials for Incest Survivors C: Workbooks
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Treating Complex Traumatic Stress Disorders: An Evidence Based Guide
Christine A. Courtois PhD (Editor) and Julian D. Ford (Editor) with Foreword by Judith Lewis Herman and Afterword by Bessel A. van der Kolk
Table of Contents:
Foreword, Judith Lewis Herman
Introduction, Christine A. Courtois and Julian D. Ford
I. Overview
1. Defining and Understanding Complex Trauma and Complex Traumatic
Stress Disorders, Julian D. Ford and Christine A. Courtois
2. Neurobiological and Developmental Research: Clinical Implications,
Julian D. Ford
3. Best Practices in Psychotherapy for Children and Adolescents, Julian
D. Ford and Marylene Cloitre
4. Best Practices in Pychotherapy for Adults, Christine A. Courtois,
Julian D. Ford, and Marylene Cloitre
5. Assessment of the Sequelae of Complex Trauma: Evidence-Based
Measures, John Briere and Joseph Spinazzola
6. Attachment and Abuse History, and Adult Attachment Style, Daniel Brown
7. Treating Dissociation, Kathy Steele and Onno van der Hart
8. Cultural Competence, Laura S. Brown
9. Therapeutic Alliance and Risk Management, Philip J. Kinsler,
Christine A. Courtois, and A. Steven Frankel
10. Living and Working Self-Reflectively to Address Vicarious Trauma,
Laurie Anne Pearlman and James Caringi
II. Individual Treatment Approaches and Strategies
11. Contextual Therapy, Steven N. Gold
12. Cognitive-Behavioral Therapy, Christie Jackson, Kore Nissenson, and
Marylene Cloitre
13. Contextual Behavior Trauma Therapy, Victoria M. Follette, Katherine
M. Iverson, and Julian D. Ford
14. Experiential and Emotion-Focused Therapy, Diana Fosha,Sandra Paivio,
Kari Gleiser, and Julian D. Ford
15. Sensorimotor Psychotherapy, Janina Fisher and Pat Ogden
16. Pharmacotherapy, Lewis A. Opler, Michelle S. Grennan, and Julian D. Ford
III. Systemic Treatment Approaches and Strategies
17. Internal Family Systems Therapy, Richard C. Schwartz, Mark F.
Schwartz, and Lori Galperin
18. Couple Therapy, Susan M. Johnson and Christine A. Courtois
19. Family Systems Therapy, Julian D. Ford and William Saltzman
20. Group Therapy, Julian D. Ford, Roger D. Fallot, and Maxine Harris
Conclusion: The Clinical Utility of a Complex Traumatic Stress Disorders
Framework, Julian D. Ford and Christine A. Courtois
Afterword, Bessel A. van der Kolk
Excerpt from the book's introduction:
[begin excerpt]
Psychological trauma was originally considered to be an abnormal
experience (i.e., "outside the range of normal human experience" in DSM-
III (American Psychiatric Association, 1980), but as epidemiological
evidence accumulated to demonstrate that a niajority of adults (e.g..
Kessler, Sonnega, Bromet, Hughes, & Nelson, 1995) and a substantial
minority of children (e.g., Costello, Erklani, Fairbank, & Arnold. 2002)
are exposed to traumatic events,
There has been a shift to defining psychological trauma without any
qualifications about its normality or abnormality. Generally, people
who have not experienced traumatic events do not expect trauma to occur
in their (or their families' or communities') 1ives, but once
psychological trauma has occurred, he or she is both more likely
objectively to experience subsequent traumatic events and more prone
subjectively to expect trauma to he a possibility. With the increasing
diffusion of virtually instantaneous information through the many forms
of electronic and other media--not only in Westernized societies but
also in socioeconomicallyu nderdeveloped countries--pcople's awareness
of traumatic events has been greatly heightened, even if these events
never happen to them or to anyone they know personally (e.g., the
Silver, Holman, McIntosh, Palm, & Gil-Rivas [2002] national U.S. survey
on the effects of the September 11, 2001, terrorist incidents).
[end excerpt]
Here's another excerpt by the same authors:
[begin excerpt]
Another unfortunate reality concerning complex trauma is related to its
interpersonal nature. The closer the relationship between
perpetraror(s) and victim(s) and their group memberships (e.g., in a
family, religion, gender, political party, institution, chain of
command, the more likely they arc to face conditions of divided
loyalty. As a self-protective strategy, the group may coalesce around
silencing, secrecy, and denial. As a result, victims do not receive the
help they expect and need when the victimization is disclosed or
otherwise exposed. This circumstance has been labeled the second injury
(Symonds,1975) or betrayal trauma (DePrince & Freyd, 2007). A lack of
response or protection--or victim blaming--is betrayal of the victim's
trust and the helper's responsibility that can severely exacerbate
traumatic victimization. In the worst case scenario, a caregiver
directly and repeatedly abuses a vulnerable child or does not respond or
protect the child from abuse by others. Young children exposed to
betrayal trauma by caregivers often develop a disorganized/dissociative
attachment style in childhood and an adult attachment style described as
fearful/avoidant/dissociative (Lyons-Ruth, Dutra, Schuder & Bianchi,
2006). Children, more than adults, are prone to use dissociation to
cope with such overwhelming circumstances (Putnam, 2003), and it is now
hypothesized that this style transforms the personality, preventing the
integration of the traumatization across all aspects of the child's and
later the adult's self. The result is a person who maintains a "front"
or an "as if" or "apparently normal" personality that seems functional
but is numb to and even unaware of the trauma, and an "emotional"
personality that is incapacitated psychosocially by the knowledge of the
trauma (see Steele & van der Hart, Chapter 7, this volume).
[end excerpt]
Reviews:
"Courtois and Ford present an essential, comprehensive work for
clinicians and researchers. Evidence-based practice recommendations for
psychotherapeutic and pharmacologic treatment are presented-carefully
adapted for those suffering from complex traumatic stress disorders-and
a range of treatment models are clearly described. Rich clinical
material, and attention to management of the therapeutic alliance,
therapist self-care, and other key challenges in working with these
clients, make this a most useful and innovative resource."
--Josef I. Ruzek, PhD, Acting Director, Dissemination and Training
Division, National Center for PTSD
"This is the single best source for clinical expertise in complex
traumatic stress disorders. Leading clinicians and researchers share a
rich array of individual, couple, family, and group therapy models that
illustrate basic treatment principles and best practices. Informed by
recent research, the contributors cover the developmental and
neurobiological background against which to frame essential assessment
and treatment issues. Chapters on such pragmatic topics as vicarious
traumatization and risk management offer advice on reducing stress for
therapists working with these challenging cases."
--Frank W. Putnam, MD, Departments of Pediatrics and Psychiatry,
Cincinnati Children's Hospital Medical Center
"Treatments based on a traditional conceptualization of PTSD are
frequently insufficient to address the diverse, long-lasting, and
pervasive effects of complex trauma. This book offers a comprehensive
review of treatment considerations, assessment measures, best practices,
and evidence-based treatment approaches specifically tailored for
psychotherapy with people who have experienced prolonged abuse and
neglect by caregivers. An indispensable guide for any mental health
professional who works with trauma survivors."
--Pamela C. Alexander, PhD, Senior Research Scientist, Wellesley Centers
for Women
Recollections of Sexual Abuse: Treatment Principles and Guidelines
Christine A. Courtois PhD, 2002, 1999
http://www.wwnorton.com/NPB/nppsych/702812.html
Advance acclaim
"Recollections of Sexual Abuse is a clinical and academic tour de force, bringing the most recent contributions of the scientific literature to a sound and cogent discussion of the memory controversy. . . . Christine Courtois has dedicated her professional life to understanding and helping abuse survivors, and here she brings a new and rational perspective to their treatment."
—James A. Chu, M.D., Director, Trauma and Dissociative Disorders Program, McLean Hospital
"To the extent clinicians need information about treatment principles and guidelines this book can be highly recommended. If therapists follow the suggested guidelines, there will be better therapeutic outcomes and far fewer cases of false memories."
—Joseph de Rivera, Contemporary Psychology
Overview
Provides clinicians with treatment guidelines for working with delayed/repressed memories of sexual abuse.
This book has a two-fold purpose: (1) to provide the practicing clinician with information about the controversy surrounding delayed/repressed memory of sexual abuse and (2) to provide treatment principles and guidelines for working with these issues.
Since the eruption of the recovered memory controversy in 1992, the treatment of adults who report abuse as children (whether their memory has been relatively continuous or has been recovered) has become a high-risk area, as numerous lawsuits have been filed alleging false memory of abuse due to suggestive therapeutic practices. In this climate, clinicians have become fearful, cautious, and confused about how to practice responsibly with this population.
Since a large percentage of those seeking psychotherapy have a history of sexual abuse, all clinicians need a clear articulation of the current evolving standard of care for clients reporting memories of abuse. Drawing together material from many sources, this book provides state-of-the-art principles and guidelines for treatment when memories of past abuse are at issue. It covers available empirical and clinical data on human memory processes for normal and traumatic events and on the treatment of posttraumatic conditions in general and child sexual abuse in particular; the critiques and concerns voiced by cognitive psychologists who investigate memory and suggestibility issues; the recommendations made by a number of professional task forces and advisory committees charged with studying the issues involved in the controversy and making recommendations for practice; and the recommendations of expert clinicians and clinical researchers. Especially useful is Courtois’s application of the treatment decision model to a range of clinical scenarios, from continuous, corroborated memory of abuse to suspicions of abuse based on symptomatology. Speaking with authority and empathy, Courtois shows clinicians how to practice responsibly and safely while doing memory work. Her guidance is invaluable.
Partial Table of Contents
- Establishing the Context: The Recovered Memory/False Memory Controversy in Sociohistorical Perspective
- The Present Context: An Overview of the Recovered Memory/False Memory Controversy
- Trauma and Memory
- Child Sexual Abuse and Memory
- Evolving Standards of Practice and the Standard of Care: Philosophy and Principles of Practice
- The Evolving Consensus Model of Posttrauma Treatment
ISBN 10: 0-393-70281-2
1999 / 416 pages / hardcover
Healing the Incest Wound: Adult Survivors in Therapy
Christine A. Courtois PhD, 1996, 1988
http://www.wwnorton.com/NPB/nppsych/313565.html
Overview
A comprehensive guide to the dynamics of incest and to therapy for survivors.
Occasionally a book for psychotherapists instantly becomes a classic. Not only do clinicians recognize the excellence and importance of the book, but their clients respond enthusiastically to the accurate portrayal of their experiences and the model for healing. With the publication of Healing the Incest Wound, such a classic was born.
Incest is not a rare aberrant happening, but a common childhood experience for a substantial minority of children. Since incest is generally hidden and denied, the victims are left to cope with their reactions in an atmosphere that contradicts their reality. Yet all incest is not the same; for instance, one-time fondling by an uncle has different effects from rapes repeated over many years by a stepfather. The book describes these variations and the symptoms, short-term aftereffects, and long-term secondary elaborations of incest from four theoretical perspectives: traumatic stress, developmental, feminist, and loss. The author not only comprehensively discusses the salient issues of incest therapy but also illustrates these with numerous case studies, showing how incest survivors can heal and build a core of self-respect and dignity.
ISBN 10: 0-393-31356-5
1996 / 416 pages