Psychopharmacology for Trauma-Related Disorders
Although the evidence base for the efficacy of antidepressants in PTSD appears solid, their usefulness in clinical practice is not so clear. Patients with complex PTSD and dissociative disorders do…
The Memory Wars
More amnesia was correlated with early age of onset of the abuse, chronic abuse, and severity of abuse, such as violent or sadistic abuse. Perhaps even more notable was that…
Complex PTSD
Other studies have demonstrated similarly high levels of traumatic exposure in the general population (Breslau, Davis, Andreski, & Peterson, 1991; Resnick, Kilpatrick, Dansky, Saunders, & Best, 1993). However, not all…
30 Years of Study and Lessons Learned Along the Way
CAPTA was amended in 1988 (Public Law 100-294), directing the Secretary of the Department of Health and Human Services (HHS) to establish a national data collection and analysis program that…
Falling Apart
In contrast to the theory of repression, the model of dissociation suggests that experience can be split in more complex ways. For example, rather than seeing persons as always having…
Controversies and Future Directions in the Field of Trauma and Dissociation
(with apologies to John Godfrey Saxe) Six men who had great expertiseIn the human mind, Went to see some Multiples,To see if they could find What circumstances might have ledTo…
Managing Crisis
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:ops=”http://www.idpf.org/2007/ops” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance”> 13 Managing Crisis Acute Care and Hospitalization Severely traumatized patients maintain a tenuous homeostasis between numbing and intrusion, control and dyscontrol, and interpersonal connection and alienation….
The Rational Treatment of Dissociative Identity Disorder
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:ops=”http://www.idpf.org/2007/ops” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance”> 12 The Rational Treatment of Dissociative Identity Disorder1 Over the past three decades, professional awareness has increased dramatically concerning dissociation as a response to childhood trauma….
Good Fences Make Good Neighbors
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:ops=”http://www.idpf.org/2007/ops” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance”> 11 Good Fences Make Good Neighbors Maintaining the Treatment Frame The abuse of children is an inherent violation of boundaries and limits. Physical and sexual abuse…
The “Impossible” Patient
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:ops=”http://www.idpf.org/2007/ops” xmlns:xsi=”http://www.w3.org/2001/XMLSchema-instance”> 10 The “Impossible” Patient Chronic Disempowerment Even among a very symptomatic and extensively traumatized patient population, there seem to be subsets of patients who have a…
