The Link Between Childhood Trauma and Mental Illness: Effective Interventions for Mental Health Professionals Book

	Introduction	xi
Part 1	Theory and Knowledge
1.	Why We Often Miss a History of Childhood Trauma	3
	Systemic Barriers	5
	Individual Barriers Within Mental Health Professionals	11
	Barriers Within Survivors	14
	Conclusion	16
2.	A Multidimensional Model of Understanding	19
	The Need for a New Model	20
	Dimensions of the Model	22
	A Multidimensional Model	31
	Conclusion	33
3.	The Research Story	37
	Issues in Abuse Research	38
	Prevalence Rates: Community Samples	39
	Prevalence Rates: Clinical Populations	41
	Prevalence Rates for Specific Disorders	43
	Mental Health Professionals' Response to Childhood Trauma	48
	Conclusion	51
4.	Recognizing the Signs and Symptoms	57
	Complex Posttraumatic Stress Disorder	58
	Four Defining Signs	60
	Physical Indicators	67
	Emotional Indicators	70
	Relational Indicators	74
	Conclusion	76
5.	The Controversy Surrounding Traumatic Memory	81
	Why We Need to Know About Memory	84
	Memory Storage and Retrieval	85
	Traumatic Memory	86
	Recovered Memories	87
	Memory and Suggestibility	90
	The False Memory Syndrome Foundation	91
	Practice Issues for Mental Health Professionals	94
	Conclusion	96
6.	Asking About Abuse	101
	Why Professionals Resist Asking	102
	Research on the Asking Process	104
	Asking About Abuse	105
	Conclusion	115
	Appendix A	117
Part 2	Effective Interventions
7.	Understanding Power	121
	Mental Health Laws as "Power Over"	122
	The Voluntary Helping Frame, or "Power With"	123
	Healthy "Power With" Relationships	125
	Liberation Tactics	130
	Using "Power Over" Responsibly	136
	Conclusion	137
	Appendix A	139
8.	The Healing and Recovery Process	143
	How Does Talking Help?	144
	Therapy Defined	145
	The Therapeutic Tasks of Recovery	145
	Conclusion	159
9.	Treatment Models	161
	Models Defined	162
	Cognitive-Behavioral Therapy	163
	Solution-Focused Therapy	166
	Eye Movement Desensitization and Reprocessing	169
	Treatment for People With Dissociative Identity Disorder	171
	Group Therapy	173
	Self-Help	175
	When Nothing Works	176
	Conclusion	178
10.	Promoting Client Safety	181
	Relational Safety	182
	Emotional Safety	191
	Physical Safety	196
	Safety in Inpatient and Involuntary Settings	201
	Conclusion	202
11.	How to Listen to, Hear, and Understand Clients' Stories	205
	The Time and Place for Storytelling	206
	Witness	207
	Listening, Hearing, and Understanding	208
	Final Cautions	224
	Conclusion	224
12.	Crisis Care	227
	Recognizing and Preventing Crisis States	228
	Crisis Assessment: Basic Principles and Techniques	232
	Suicide, Assault, and Homicide Risk Assessment	239
	Planning and Implementing Crisis Care	244
	Conclusion	250
13.	The Invisibility of Men's Pain	253
	Prevalence Rates	254
	Underreporting	255
	Myths About Male Survivors	259
	The Role of Gender Socialization	260
	Case Studies	261
	The Work of the Group	266
	Conclusion	268
14.	Racism, Oppression, and Childhood Trauma	271
	Epidemiology and Definitions of Child Abuse	274
	Broadening the Definition of Child Abuse: Community Violence, War, and Torture	277
	Epidemiology and Definitions Reconsidered	277
	Mental Health	279
	Problems, Critiques, and New Frameworks	282
	Implications for Practice	284
	Conclusion	287
15.	Personal and Professional Self-Care	293
	Personal Balance	294
	Professional Effectiveness	295
	The Work Environment	301
	Vicarious Traumatization	306
	Professionals Who Are Survivors of Childhood Trauma	308
	Conclusion	309
	Index	311
	About the Authors	329