Contributions from 17 specialists based at hospitals and universities across the US summarize the findings on how extreme stressors such as war, sexual and other criminal victimization, natural and human-made disasters, and serious accidents affect physical health. The work outlines findings on trauma and post-traumatic stress disorder in relation to three domains: health status and disease, somatization, and utilization and costs. The contributors examine how trauma and PTSD can lead to poor physical health through correlates such as depression, hostility, and maladaptive coping and health behaviors. They also present findings on the biology of stress and implications for clinical and health policy.
This book describes the negative physical health effects of psychological trauma and abuse, and provides an explanatory model, suggesting ways in which clinicians with expertise in trauma may partner with primary care professionals to better meet the needs of trauma survivors across the lifespan.
This book offers a resource to aid in implementing psychosocial screening, assessment, and consequently integrating prevention, care and treatment (i.e. pharmacological, psychosocial rehabilitation and psychotherapeutic) in medicine. It is becoming increasingly recognized that one method of combating spiraling health care costs in developed nations is to integrate psychiatric care into medicine including primary care settings. This volume reviews the main issues relative to the paradigm of a person-centered and recovery-oriented approach that should imbue all medical areas and specialties. It proposes integration methods in screening and assessment, clinimetric approach, dignity conserving care, cross-cultural and ethical aspects, treatment and training as a basic and mandatory need of a whole psychosomatic approach bridging the several specialties in medicine. As such, the book addresses a topic that all physicians, including primary care and psychiatric professionals in a wide variety of mental health settings are currently discussing, planning and preoccupied with, namely the task of integrating mental health into all the medical fields, including primary care, cardiology, psychiatry, oncology and so on.
Interpersonal trauma is ubiquitous and its impact on health has long been understood. Recently, however, the critical importance of this issue has been magnified in the public eye. A burgeoning literature has demonstrated the impact of traumatic experiences on mental and physical health, and many potential interventions have been proposed. This volume serves as a detailed, practical guide to trauma-informed care. Chapters provide guidance to both healthcare providers and organizations on strategies for adopting, implementing and sustaining principles of trauma-informed care. The first section maps out the scope of the problem and defines specific types of interpersonal trauma. The authors then turn to discussion of adaptations to care for special populations, including sexual and gender minority persons, immigrants, male survivors and Veterans as these groups often require more nuanced approaches. Caring for trauma-exposed patients can place a strain on clinicians, and approaches for fostering resilience and promoting wellness among staff are presented next. Finally, the book covers concrete trauma-informed clinical strategies in adult and pediatric primary care, and women’s health/maternity care settings. Using a case-based approach, the expert authors provide real-world front line examples of the impact trauma-informed clinical approaches have on patients’ quality of life, sense of comfort, and trust. Case examples are discussed along with evidence based approaches that demonstrate improved health outcomes. Written by experts in the field, Trauma-Informed Healthcare Approaches is the definitive resource for improving quality care for patients who have experienced trauma.
There is now ample evidence from the preclinical and clinical fields that early life trauma has both dramatic and long-lasting effects on neurobiological systems and functions that are involved in different forms of psychopathology as well as on health in general. To date, a comprehensive review of the recent research on the effects of early and later life trauma is lacking. This book fills an obvious gap in academic and clinical literature by providing reviews which summarize and synthesize these findings. Topics considered and discussed include the possible biological and neuropsychological effects of trauma at different epochs and their effect on health. This book will be essential reading for psychiatrists, clinical psychologists, mental health professionals, social workers, pediatricians and specialists in child development.
With “groundbreaking research on the psychology of resilience” (Adam Grant), a top expert on human trauma argues that we vastly overestimate how common PTSD is in and fail to recognize how resilient people really are. After 9/11, mental health professionals flocked to New York to handle what everyone assumed would be a flood of trauma cases. Oddly, the flood never came. In The End of Trauma, pioneering psychologist George A. Bonanno argues that we failed to predict the psychological response to 9/11 because most of what we understand about trauma is wrong. For starters, it’s not nearly as common as we think. In fact, people are overwhelmingly resilient to adversity. What we often interpret as PTSD are signs of a natural process of learning how to deal with a specific situation. We can cope far more effectively if we understand how this process works. Drawing on four decades of research, Bonanno explains what makes us resilient, why we sometimes aren’t, and how we can better handle traumatic stress. Hopeful and humane, The End of Trauma overturns everything we thought we knew about how people respond to hardship.
Each day, case managers, psychiatric nurses, and other mental health professionals interact with adults who have a history of physical and/or sexual abuse during childhood. Many of these important professionals will often be the first practitioners to hear about a client′s background of abuse, but they may not have specialized training in understanding and working with survivors of childhood trauma. The Link Between Childhood Trauma and Mental Illness gives mental health professionals who are not child abuse specialists knowledge and skills that are especially relevant to their direct service role and practice context. It introduces to these practitioners a conceptual bridge between biomedical and psychosocial understandings of mental disorder, providing a multidimensional approach that allows professionals to think holistically and connect clients′ abusive pasts with their present-day symptoms and behaviors. Building upon this conceptual foundation, the book then focuses on direct practice issues, including how to ask clients about child abuse, the nature of power in the helping relationship, the full recovery process, effective treatment models, client safety issues, and ways to listen to client′s stories. Also included are valuable insights into helping clients who are in a crisis situation, the particular needs of male victims of child abuse, racial and cultural considerations, and the professional′s self-care. Designed to meet the needs of such helping professionals as case managers, psychiatric nurses, rehabilitation counselors, crisis and housing workers, occupational and physical therapists, family physicians, and social workers, The Link Between Childhood Trauma and Mental Illness is an accessible and convenient guide to understanding the effects of childhood abuse and incorporating that understanding into direct practice.