Christine A. Courtois - Treating Complex Traumatic Stress Disorders in Adults, Second Edition

Treating Complex Traumatic Stress Disorders in Children and Adolescents: Scientific Foundations and Therapeutic Models

Edited by Julian D. Ford and Christine A. Courtois

Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach

Christine A. Courtois and Julian D. Ford

SECOND EDITION

edited by

JULIAN D. FORD

CHRISTINE A. COURTOIS

Foreword by Judith Lewis Herman

Afterword by Bessel A. van der Kolk

THE GUILFORD PRESS

Epub Edition ISBN: 9781462542222; Kindle Edition ISBN: 9781462542208

Copyright 2020 The Guilford Press

A Division of Guilford Publications, Inc.

370 Seventh Avenue, Suite 1200, New York, NY 10001

www.guilford.com

All rights reserved

No part of this book may be reproduced, translated, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without written permission from the publisher.

Last digit is print number: 9 8 7 6 5 4 3 2 1

The authors have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards of practice that are accepted at the time of publication. However, in view of the possibility of human error or changes in behavioral, mental health, or medical sciences, neither the authors, nor the editors and publisher, nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or the results obtained from the use of such information. Readers are encouraged to confirm the information contained in this book with other sources.

Library of Congress Cataloging-in-Publication Data

Names: Ford, Julian D., editor. | Courtois, Christine A., editor.

Title: Treating complex traumatic stress disorders in adults : scientific foundations and therapeutic models / edited by Julian D. Ford, Christine A. Courtois ; foreword by Judith Lewis Herman ; afterword by Bessel A. van der Kolk.

Other titles: Treating complex traumatic stress disorders.

Description: Second edition. | New York : The Guilford Press, [2020] |
Revison of: Treating complex traumatic stress disorders / 2009. |
Includes bibliographical references and index. |

Identifiers: LCCN 2019051296 | ISBN 9781462543625 (paperback) |
ISBN 9781462542178 (hardcover)

Subjects: LCSH: Post-traumatic stress disorder. | Psychic trauma.

Classification: LCC RC552.P67 T763 2020 | DDC 616.85/21dc23

LC record available at https://lccn.loc.gov/2019051296

In memory of Anne and Jim (J. F.) and Normand and Irene (C. C.), who are our role models for resilience, integrity, and love.

To clients who have suffered the complicated consequences of complex trauma and whose symptoms have often been misunderstood and misdiagnosed, often compounding their pain and ability to recover. It is our hope that the material in this book assists in unraveling the complicated aftereffects and leads to better understanding and more effective treatment.

To therapists everywhere who seek to understand the complexities presented by these clients and who guide them on the often arduous path to healing and recovery. We hope this book fills in the gaps that so many of us have experienced in our training and professional experience, and offers helpful guidance on the treatment process and the variety of therapeutic approaches that make a real difference.

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 is past president of the International Society for Traumatic Stress Studies, a Fellow of the American Psychological Association (APA), and Associate Editor of the Journal of Trauma and Dissociation and the European Journal of Psychotraumatology. Dr. Ford has published more than 250 articles and book chapters. His research focuses on developmental trauma disorder and the Trauma Affect Regulation: Guide for Education and Therapy (TARGET) therapeutic intervention.

Christine A. Courtois, PhD, ABPP, a counseling psychologist, is retired from clinical practice and now serves as a consultant/trainer on trauma psychology and treatment. She is a Fellow of the APA and the International Society for the Study of Trauma and Dissociation. Dr. Courtois is a past president of APA Division 56 (Trauma Psychology) and served as Chair of the APAs Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder in Adults. She has received the Award for Distinguished Contributions to Independent Practice from the APA, the Sarah Haley Award for Clinical Excellence from the International Society for Traumatic Stress Studies, the Award for Distinguished Service and Contributions to the Profession of Psychology from the American Board of Professional Psychology, and the Lifetime Achievement Award from APA Division 56.

Pamela C. Alexander, PhD, private practice, Natick, Massachusetts

Lynne E. Angus, PhD, Department of Psychology, York University, Toronto, Ontario, Canada

John Briere, PhD, Department of Psychiatry and the Behavioral Sciences, Keck School of Medicine, University of Southern California, Los Angeles, California

Laura S. Brown, PhD, ABPP, private practice, Seattle, Washington

James Caringi, MSW, PhD, College of Health Professions and Biomedical Sciences, University of Montana School of Social Work, Missoula, Montana

Kathleen M. Chard, PhD, Cincinnati VA Medical Center and Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati, Cincinnati, Ohio

Marylene Cloitre, PhD, Institute for Trauma and Stress, NYU Child Study Center and Department of Psychiatry, NYU School of Medicine, New York, New York, and National Center for PTSD, Dissemination and Training Division, VA Palo Alto Health Care System, Menlo Park, California

Christine A. Courtois, PhD, ABPP, private practice, Bethany Beach, Delaware

Anke Ehlers, PhD, Centre for Anxiety Disorders and Trauma, Department of Experimental Psychology, University of Oxford, Oxford, United Kingdom

Thomas Elbert, PhD, Department of Psychology, University of Konstanz, Konstanz, Germany

Janina Fisher, PhD, private practice, Sensorimotor Psychotherapy Institute, Oakland, California

Edna B. Foa, PhD, Center for the Treatment and Study of Anxiety, Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania

Julian D. Ford, PhD, ABPP, Department of Psychiatry, University of Connecticut Health Center, Farmington, Connecticut

Berthold Gersons, MD, PhD, Department of Psychiatry, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, and ARQ National Psychotrauma Center, Diemen, The Netherlands

Ellen T. Healy, PhD, Womens Health Sciences Division, National Center for PTSD, VA Boston Healthcare System, Boston, Massachusetts