Now in paperback, this bestselling classic presents seminal theory and research on posttraumatic stress disorder (PTSD). Together, the leading editors and contributors comprehensively examine how trauma affects an individual's biology, conceptions of the world, and psychological functioning. Key topics include why certain people cope successfully with traumatic experiences while others do not, the neurobiological processes underlying PTSD symptomatology, enduring questions surrounding traumatic memories and dissociation, and the core components of effective interventions. A highly influential work that laid the foundation for many of the field's continuing advances, this volume remains an immensely informative and thought-provoking clinical reference and text. A new preface to the paperback edition situates the book within the context of contemporary research developments.
"A valuable text on trauma and its treatment. I use the book in the courses Clinical Practice I and II. It is very informative in that it provides many perspectives regarding the possible long-term effects of trauma on children and adults. In addition, the authors' styles make the book highly accessible and useful for clinicians at all levels of practice." -Karen Kaufman, PhD, LCSW, Adjunct Faculty Member, Fordham University Graduate School of Social Service
"It is impossible to capture the richness, breadth of perspective, and sheer clinical wisdom that van der Kolk and his colleagues bring to this volume." -Bulletin of the Menninger Clinic
"Should be required for all of us who work with trauma victims. It is a scholarly synthesis of research advances combined with humanitarian sensitivity and clinical pragmatism." -General Hospital Psychiatry
"Like a small number of classic volumes in the field of traumatic stress...this book is remarkable for including not only [the] scientific and medical viewpoint, but also the sociopolitical context in which trauma, its study, and its treatment occur....An invaluable contribution to the field of traumatic stress studies, and psychology in general. We highly recommend this book to researchers, clinicians, students, and all of those committed to understanding and taking responsibility for the effects of trauma on the individual and society." -Contemporary Psychology
"This is a book of great scope and lucid intelligence that integrates the work of many pioneers." -Judith L. Herman, MD
Table of Contents
I. Background Issues and History
1. The Black Hole of Trauma, Bessel A. van der Kolk and Alexander C. McFarlane
2. Trauma and Its Challenge to Society, Alexander C. McFarlane and Bessel A. van der Kolk
3. History of Trauma in Psychiatry, Bessel A. van der Kolk, Lars Weisaeth, and Onno van der Hart
II. Acute Reactions
4. Stress versus Traumatic Stress: From Acute Homeostatic Reactions to Chronic
Psychopathology, Arieh Y. Shalev
5. Acute Posttraumatic Reactions in Soldiers and Civilians, Zahava Solomon, Nathaniel Laror, and Alexander C. McFarlane
III. Adaptations to Trauma
6. The Classification of Posttraumatic Stress Disorder, Elizabeth A. Brett
7. The Nature of Traumatic Stressors and the Epidemiology of Posttraumatic Reactions, Alexander C. McFarlane and Giovanni de Girolamo
8. Resilience, Vulnerability, and the Course of Posttraumatic Reactions, Alexander C. McFarlane
9. The Complexity of Adaptation to Trauma: Self-Regulation, Stimulus Discrimination, and Characterological Development, Bessel A. van der Kolk
10. The Body Keeps the Score: Approaches to the Psychobiology of Posttraumatic Stress Disorder, Bessel A. van der Kolk
11. Assessment of Posttraumatic Stress Disorder in Clinical and Research Settings, Elana Newman, Danny G. Kaloupek, and Terence M. Keane
IV. Memory: Mechanisms and Processes
12. Trauma and Memory, Bessel A. van der Kolk
13. Dissociation and Information Processing in Posttraumatic Stress Disorder, Bessel A. van der Kolk, Onno van der Hart, and Charles R. Marmar
V. Developmental, Social, and Cultural Issues
14. Traumatic Stress in Childhood and Adolescence: Recent Developments and
Current Controversies, Robert S. Pynoos, Alan M. Steinberg, and Armen Goenjian
15. Prior Traumatization and the Process of Aging: Theory and Clinical Implications, Petra G. Aarts and Wybrand Op den Velde
16. Legal Issues in Posttraumatic Stress Disorder, Roger K. Pitman, Landy F. Sparr, Linda S. Saunders, and Alexander C. McFarlane
17. Trauma in Cultural Perspective, Marten W. deVries
18. A General Approach to Treatment of Posttraumatic Stress Disorder, Bessel
A. van der Kolk, Alexander C. McFarlane and Onno van der Hart
19. Prevention of Posttraumatic Stress: Consultation, Training, and Early Treatment, Robert J. Ursano, Thomas A. Grieger, and James E. McCarroll
20. Acute Preventive Interventions, Beverley Raphael, John Wilson, Lenore Meldrum, and Alexander C. McFarlane
21. Acute Treatments, Gordon J. Turnbull and Alexander C. McFarlane
22. Cognitive-Behavioral Therapy for Posttraumatic Stress Disorder, Barbara Olasov Rothbaum and Edna B. Foa
23. The Psychopharmacological Treatment of Posttraumatic Stress Disorder, Jonathan R. T. Davidson and Bessel A. van der Kolk
24. Psychoanalytic Psychotherapy of Posttraumatic Stress Disorder: The Nature of the Therapeutic Relationship, Jacob D. Lindy
25. The Therapeutic Environment and New Explorations in the Treatment of Posttraumatic Stress Disorder, Stuart W. Turner, Alexander C. McFarlane, and Bessel A. van der Kolk
About the Editors
Bessel A. van der Kolk, M.D., is Director of the Trauma Center at Human Resources Institute in Boston Massachusetts, a center for the treatment and study of traumatized children and adults. He is an Associate Professor of psychiatry at Harvard Medical School and the past President of the International Society of Traumatic Stress Studies. He has done extensive research on developmental and biological aspects of the human adaptation to trauma, including studying the nature of traumatic memories. He was co-principal investigator for the DSM-IV Field Trial for PTSD. He is the author of two previous books on the human response to trauma: PTSD: Psychological and Biological Sequelae (1984) and Psychological Trauma, (APA Press, 1987).
Lars Weisaeth, M.D., Ph.D., is Professor of Disaster Psychiatry at the University of Oslo, Norway, and frequent consultant to the United Nations and other international organizations regarding approaches to treating traumatized civilians and soldiers.
Alexander C. McFarlane is Professor of Psychiatry at the University of Adelaide and Head of the Department of Psychiatry at the Queen Elizabeth Hospital in South Australia. His research in the field of trauma is wide ranging and began following a large bushfire disaster which affected his community in 1983. His clinical work is with victims of a variety of traumas, including accidents, disasters, torture, and war.
Audience: Clinicians and researchers working with PTSD sufferers; students across the full range of mental health fields.
Classroom Use: May serve as a text in graduate-level courses and residency programs.