Treatment of Complex Trauma A Sequenced, Relationship-Based Approach

This insightful guide provides a pragmatic roadmap for treating adult survivors of complex psychological trauma. Christine Courtois and Julian Ford present their effective, research-based approach for helping clients move through three clearly defined phases of posttraumatic recovery. Two detailed case examples run throughout the book, illustrating how to plan and implement strengths-based interventions that use a secure therapeutic alliance as a catalyst for change. Essential topics include managing crises, treating severe affect dysregulation and dissociation, and therapist self-care. The companion website offers downloadable reflection questions for clinicians and extensive listings of professional and self-help resources. A new preface in the paperback and e-book editions addresses key scientific advances. See also Drs. Courtois and Ford's edited volumes, Treating Complex Traumatic Stress Disorders in Adults, Second Edition, and Treating Complex Traumatic Stress Disorders in Children and Adolescents, which present research on the nature of complex trauma and review evidence-based treatment models. Winner (Second Place)--American Journal of Nursing Book of the Year Award, Psychiatric and Mental Health Nursing Category

Foreword, John BriereI. Overview of Complex Traumatic Stressors and Sequelae1. Complex Trauma and Traumatic Stress Reactions2. Complex Traumatic Stress Reactions and DisordersII. Treatment of Complex Traumatic Stress Reactions and Disorders3. Preparing for Treatment of Complex Trauma4. Treatment Goals and Assessment5. Phase 1: Safety, Stabilization, and Engagement--Measured in Skills, Not Time6. Phases 2 and 3: Trauma Memory, Emotion Processing, and Application to the Present and Future7. Systemic Therapy across Phases: Group, Couple, and Family ModalitiesIII. Advanced Treatment Considerations and Relational Issues8. Into the Breach: Voids, Absences, and the Posttraumatic/Dissociative Relational Field9. Walking the Walk: The Therapeutic Relationship10. Transference and Countertransference in Complex Trauma TreatmentPostscript

Christine A. Courtois, PhD, ABPP, a board-certified counseling psychologist, is retired from private practice in Washington, DC, and is a consultant/trainer on topics on trauma psychology and treatment. She cofounded and then served for 16 years as Clinical and Training Director of The CENTER: Posttraumatic Disorders Program, in Washington, DC. Dr. Courtois was chair of the Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder in Adults for the American Psychological Association (APA), released in 2017, and for guidelines on the treatment of complex trauma for several professional organizations. She has published a number of books (four of them coedited or coauthored with Julian Ford) and numerous book chapters and articles on trauma-related topics. Dr. Courtois is past president of APA Division 56 (Trauma Psychology) and past founding Associate Editor of the Division's journal, Psychological Trauma: Theory, Research, Practice, and Policy. She served two terms on the Board of Directors of the International Society for Traumatic Stress Studies (ISTSS). She has received the Award for Distinguished Contributions to Independent Practice from the APA, the Sarah Haley Award for Clinical Excellence from ISTSS, and, most recently, the Award for Distinguished Service and Contributions to the Profession of Psychology from the American Board of Professional Psychology.Julian D. Ford, PhD, ABPP, a clinical psychologist, is Professor of Psychiatry at the University of Connecticut School of Medicine, where he is Director of the Center for Trauma Recovery and Juvenile Justice and the Center for the Treatment of Developmental Trauma Disorders. He has served as President of the International Society for Traumatic Stress Studies, is a Fellow of the American Psychological Association, and is Associate Editor of the Journal of Trauma and Dissociation and European Journal of Psychotraumatology. Dr. Ford has published more than 250 articles and book chapters. He is coeditor of Treating Complex Traumatic Stress Disorders in Adults, Second Edition, and Treating Complex Traumatic Stress Disorders in Children and Adolescents, and coauthor of Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach. His research focuses on developmental trauma disorder and the Trauma Affect Regulation: Guide for Education and Therapy (TARGET) therapeutic intervention.