Healing the Fractured Child: Diagnosis and Treatment of Youth with Dissociation

Description

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. Cover Title Copyright Contents Contributors Foreword References Preface Acknowledgments Introduction Share: Healing the Fractured Child: Diagnosis and Treatment of Youth With Dissociation Part I: Theory Chapter 1: The Star Theoretical Model: An Integrative Model for Assessing and Treating Childhood Dissociation Definition of Dissociation The Star Theoretical Model for Assessing and Treating Childhood Dissociation Summary Notes Part II: Assessment Chapter 2: What’s Going On With This Child? Recognizing Warning Signs of Dissociation in Traumatized Children and Adolescents Warning Signs Suggestive of Dissociation in Children Notes Chapter 3: Deciphering What Is Dissociation: Differential Diagnoses Disorders that have Symptoms that Overlap With Dissociation Notes Chapter 4: Uncovering the Child’s Fractured Self: Assessing for Dissociation Therapeutic Approach Areas of Assessment The Interviewing Process Trauma and Dissociative Assessment Tools Case Examples Summary Notes Part III: Treatment Chapter 5: Mindful Approach to Phase-Oriented Treatment Overarching Treatment Principles Chapter 6: “I Guess They’re Going to Keep Me. I Tried Everything . . .”: Building Attachment and Partnering With the Family Satir’s Family Systems Theory Model Brain-Based Parenting Complexity of Attachment With Youth With Dissociation Summary Note Chapter 7: “My Invisible Team”: Identifying and Stabilizing Self-States Taming the Lions: Identifying Perpetrator States Stabilization Techniques Building Empowerment Case Examples A Teen’s Poem Notes Chapter 8: Calming the Stress-Response System and Managing Triggers Self-Reflection and Being Grounded to the “Earth” Managing Traumatic Triggers and the Role of Self-States Contracting With Self-States for New Roles Chapter 9: Medication as an Intervention in the Treatment of Dissociative Disorders and Complex Trauma With Children and Adolescents Introduction Psychopharmacological Interventions With Children and Adolescents Medication for Children and Adolescents With Complex Trauma and Dissociative Disorder Medication as an Intervention in the Treatment of Dissociative Disorders and Complex Traumatization Conclusion Chapter 10: Mastering Traumatic Memories Guidelines for Trauma Processing Clinical Examples of Trauma Processing Chapter 11: Hidden Voices: Creative Art Therapy Interventions for Adolescents With Dissociation Specially Designed Art Interventions for Trauma and Dissociation Conclusion Note Chapter 12: Integrating Dissociative Treatment and EMDR Therapy With Children With Trauma and Dissociation EMDR Therapy and Adaptive Information Processing Incorporating Eight Phases of EMDR Treatment With Dissociative Treatment Healing Infant Trauma Summary Note Chapter 13: “It’s Like You’re in a New World”: Integrating the Fractured Child Integration Begins at Beginning of Treatment Specific Interventions Promoting Integration Use of Metaphors for Integration Guidelines for Assessing Childhood Integration Postintegration Conclusion Appendix A: Internet Resources and Additional Readings Internet Resources on Trauma and Dissociation Internet Resources on EMDR Therapy Parenting Resources Children’s Books on Trauma Children’s Books on Dissociation Children’s EMDR Books and Workbooks Appendix B: Checklists for Children The Child Dissociative Checklist Note Reference The Adolescent Dissociative Experiences Scale Reference Appendix C: Questions to Ask Children, Parents, and Therapists Questions to Ask Parents About Dissociative Symptoms Suggested Questions to Ask Children Suspected of Being Dissociative Therapist Readiness Checklist for Trauma Work With Children Using Eye Movement Desensitization and Reprocessing (EMDR) References Assessment Guideline for Children With Complex Trauma and Dissociation: Readiness to do Trauma Work Using EMDR Appendix D: Tools to Use The 4 L’s References Index