Sudden gains, defined as large and stable improvements in symptom severity during psychological treatment, have consistently been found to be associated with better outcomes across treatments and diagnoses. Yet, insights on coherent predictors of sudden gains and on emotional changes around sudden gains in post-traumatic stress disorder (PTSD) are lacking.
Access to psychotherapy is critical to improving mental health, but only a small proportion of refugees receive treatment in the regular psychotherapeutic care system in high-income countries. In previous research, outpatient psychotherapists reported several barriers to more frequent treatment of refugee patients. However, it is unclear to what extent these perceived barriers contribute to the poor provision of services to refugees.
Psychological Trauma: Theory, Research, Practice, and Policy (May 13, 2019). DOI:10.1037/tra0000468
Objective: Childhood trauma is associated with greater psychological problems and poorer quality of life (QOL). This study evaluates the effect of multiple types of childhood trauma on posttraumatic stress disorder (PTSD) and QOL following cognitive processing therapy (CPT). Understanding how the breadth of traumatic experiences in childhood can influence psychosocial treatment outcomes may help to identify the unique needs of this population.. To read the full article, log in using your NHS OpenAthens details.
Psychology of Violence Vol. 9, Iss. 3, (May 2019): 257-266. DOI:10.1037/vio0000097
Objective: There are currently few empirically supported batterer intervention programs (BIPs) for perpetrators of domestic violence. In practice, a combination of psychoeducation on power and control dynamics (i.e., Duluth Model) and cognitive-behavioral therapy (CBT) techniques are widely used in BIPs but produce limited effects on violent recidivism. Thus, the purpose of this study was to examine the impact of an Acceptance and Commitment Therapy (ACT)-based program (Achieving Change Through Values-Based Behavior [ACTV]; Lawrence, Langer Zarling, & Orengo-Aguayo, 2014) on reducing new criminal charges 1 year postintervention compared with the traditional treatment (a combination of the Duluth Model and CBT).. To read the full article, log in using your NHS OpenAthens details.
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Open access. Childhood abuse related posttraumatic stress disorder (CA-PTSD) is associated with a high burden of disease and with treatment response rates that leave room for improvement. One of the treatments for PTSD, prolonged exposure (PE), is effective but has high drop-out rates and remission rates are relatively low. An intensified form of PE (iPE) was associated with good response and low drop-out rates in PTSD and has not yet been tested in a controlled trial in CA-PTSD. Phase-based treatment (PBT), in which PE is preceded by skills training may improve overall outcomes in this population. We will assess the effectiveness and cost-effectiveness of standard PE, iPE and PBT in patients with CA-PTSD.
Sarah Carr reflects on a recent editorial by Angela Sweeney and Danny Taggart entitled: (Mis)understanding trauma-informed approaches in mental health.
Psychological Trauma: Theory, Research, Practice, and Policy Vol. 10, Iss. 6, (Nov 2018): 628-635.
Objective: The current investigation sought to explore the impact of the comorbidities of substance use disorder (SUD), major depressive disorder (MDD), and borderline personality disorder (BPD) on the trajectory of intimate partner violence (IPV)-related posttraumatic stress disorder (PTSD) symptoms across a 6-month follow-up period in IPV survivors who seek shelter.. To read the full article, log in using your MPFT NHS OpenAthens details.
Book review. COUNSELLING SKILLS FOR WORKING WITH TRAUMA: HEALING FROM CHILD SEXUAL ABUSE, SEXUAL VIOLENCE AND DOMESTIC ABUSE Christiane Sanderson Jessica Kingsley Publishers ISBN 978-1-84905-326-6 £22.99 (paperback)
This book provides a comprehensive approach to working with complex trauma, focusing on sexual violence, domestic abuse and child sexual abuse. Sanderson begins with an introduction to complex trauma, focusing on its symptoms, as well as on the role of dissociation and of attachment. Part 2 of the book provides guidelines for working with complex trauma, emphasising the importance of creating safety and highlighting some of the therapeutic challenges common to this work. In the third section, the author sets out practical skills to manage complex trauma symptoms, including flashbacks, nightmares, panic attacks and dissociation. In an interesting penultimate section, she focuses on post-traumatic growth, exploring how therapists can assist clients in rebuilding trust in the self and maintaining self-care. The final section of the book focuses on practitioner self-care.To read the full article, log in using your MPFT NHS OpenAthens details. To read a copy of the book in this review, please contact the library
Book review. A PRACTICAL GUIDE TO THERAPEUTIC WORK WITH ASYLUM SEEKERS AND REFUGEES Angelina Jalonen and Paul Cilla La Corte Jessica Kingsley Publishers ISBN 998-1-78592-073-8 £17.99 (paperback).
This guide provides a comprehensive framework for healthcare professionals who work with asylum seekers and refugees. It helps readers to understand the refugees' experiences, including loss, separation, trauma and acclimatisation to a new culture, and the impact of these experiences on mental health.. To read the full article, log in using your MPFT NHS OpenAthens details. To read a copy of the book in this review, please contact the library
Journal of Consulting and Clinical Psychology Vol. 86, Iss. 10, (Oct 2018): 868-878. DOI:10.1037/ccp0000335
Background: Women with depression and childhood sexual abuse histories constitute more than 20% of the female patient population in publicly funded community mental health centers (CMHCs). Interventions are needed that address depression and posttraumatic stress disorder (PTSD) symptoms and social health.. To read the full article, log in using your NHS OpenAthens details.
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Psychological Services Vol. 15, Iss. 3, (Aug 2018): 298-304. DOI:10.1037/ser0000214
Understanding the pathways leading to suicidal behavior is critical for the development and implementation of effective assessment efforts and suicide prevention programs in public health care systems. Childhood trauma, such as emotional abuse, is one robust risk factor, but only recently have efforts been made to determine mediators of the link between childhood emotional abuse and suicidal ideation. Given that adult survivors of childhood emotional abuse often have attachment difficulties and problems securing positive social support, these interpersonal factors may serve such a mediating role.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
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The author discusses a research project in 2015 that aims to gauge the effectiveness of trauma-focused cognitive behavioural therapy (TF-CBT) with adult women who had been trafficked into the sex industry. Study highlights include the therapeutic model used in the project, collection of qualitative data via verbal feedback from participants, and the significance of TF-CBT to clients in working through their trauma.. To read the full article, log in using your NHS OpenAthens details.
The article details the psychological risks encountered by trafficked women and the consequences for their mental health and wellbeing. Topics covered include exposure to multiple forms of interpersonal trauma before and during trafficking, ways in which emotional, somatic, and behavioral dysregulation may manifest, and how to work therapeutically with trafficked people.. To read the full article, log in using your NHS OpenAthens details.
Re-offending rates of perpetrators of domestic violence are high (Hester et al., 2006) and there is a need for perpetrator programmes to reduce victimization. There is no clear evidence for the effectiveness of existing programmes (Bowen, Gilchrist and Beech, 2005; Herman, Rotunda, Williamson and Vodanovich, 2016; Smedslund et al., 2011). A new perpetrator programme based on Solution Focused Brief Therapy has been developed (Bowen, 2013), and whilst in its infancy it has received positive feedback from services and clients (International Innovation, 2016). To read the full article, log in using your SSSFT NHS OpenAthens details.
International Journal of Play Therapy26.3 (Jul 2017): 172-183.
Play therapy is a widely recognized therapeutic approach with traumatized children and adolescents, yet very few studies recognize the value of play therapy with adults who were traumatized as children. Play therapy offers a powerful medium for working with adults with complex trauma because play addresses areas of social, emotional, and cognitive development compromised from chronic interpersonal trauma exposure in early childhood. This article outlines the core symptomology experienced by adults with complex trauma, highlights important themes in trauma treatment, and identifies how Integrative Play Therapy can help clients move through the phases of trauma treatment. The article demonstrates the application of Integrative Play Therapy with an adult with complex trauma through a case presentation. To read the full article, log in using your NHS OpenAthens details.