I-FAST Intervention for Trauma

Author(s):  
David R. Grove ◽  
Gilbert J. Greene ◽  
Mo Yee Lee

Integrative family and systems treatment (I-FAST) family intervention procedures are described in this chapter. How to integrate intervention procedures from any trauma-related treatment approach into I-FAST is shown. How to organize a family treatment approach when trauma symptoms are the direct focus of treatment is described. When survivors and or families request help on problems other than trauma, how to indirectly address trauma symptoms on a family treatment level is outlined. Several case examples showing how to focus on trauma both directly and indirectly are offered.

Author(s):  
Katherine Berry ◽  
Christine Day ◽  
Lee D. Mulligan ◽  
Tara Seed ◽  
Amy Degnan ◽  
...  

AbstractThis paper describes three case examples from a recent trial of family intervention specifically designed for people of African-Caribbean descent. These examples, told from the therapists’ perspectives, highlight key components of the intervention and issues that arose in working with this client group. Findings from the study suggest that it is possible to engage this client-group in family therapy similar to traditional evidenced-based family interventions, although as illustrated in the paper, it is important that therapists pay attention to themes that are likely to be particularly pertinent for this group, including experiences of discrimination and mistrust of services. The use of Family Support Members, consisting of members of the person's care team or volunteers recruited from the community, may also help support people to engage in therapy in the absence of biological relatives.


Author(s):  
David R. Grove ◽  
Gilbert J. Greene ◽  
Mo Yee Lee

Family Therapy for Trauma: An Integrative Family and Systems Treatment (I-FAST) Approach offers a stand-alone family therapy treatment approach for trauma, addressing a gap in the trauma treatment literature. The book outlines a flexible yet structured family therapy approach that can integrate intervention procedures from any of the evidence-based manualized trauma treatments into a family treatment framework. The authors show how this flexibility offers great advantages for engaging trauma survivors and their families into treatment, who otherwise would not cooperate with standard trauma treatment approaches. They show how tracking and utilizing client and family frames in the organizing of treatment enhances both family engagement and the healing process in general. We show the role of family interactional patterns in the perpetuation of trauma symptoms and how changing these patterns leads to the resolution of trauma symptoms. The book demonstrates how tracking and enlarging interactional exceptions plays a key role in overcoming problems related to trauma. For clients who are not interested in trauma treatment, the authors show how treatment focusing on whatever issue they are willing to address can simultaneously resolve their trauma symptoms.


Author(s):  
David R. Grove ◽  
Gilbert J. Greene ◽  
Mo Yee Lee

Cultural, family, and professional frames and narratives are identified and discussed as they pertain to trauma. How all of these types of frames and narratives can reinforce and exacerbate trauma symptoms is explored. How integrative family and systems treatment (I-FAST) utilizes strengths-based frames in working with trauma survivors and their families is described. Several case examples are outlined with family frames tracked and frames offered to set the stage for treatment.


2018 ◽  
Vol 14 (1) ◽  
pp. 58
Author(s):  
Dr. Muna S. Khalaf ◽  
Dr. Bayan S. Khalaf ◽  
Dr. Shorouq M. Abass

Background: Trauma to the anterior teeth is a common injury in young children. Themaxillary incisors being the most affected. Although root fractures are rare, theydo occur and were previously and often considered hopeless and were extracted.The time between the injury and the initiation of treatment, level of the fractureline, and stage of root development are some criteria to be considered whenchoosing a treatment approach for a complicated tooth fracture. This case reportdescribes the management of a traumatized immature maxillary central incisorwith Elise class IV fracture with vertical oblique subgingival fracture of the root.Materials and method: Apexification was carried out using biodentine followed byremoval of the fractured segment. A fiber post was cemented in the root canalwith resin cement. The coronal portion of the tooth was restored using anteriorlight cured composite material. The tooth was examined and evaluated after 1week and after 2 months by clinical examination and radiographical evaluation ofroot development.Results: The follow up evaluation revealed clinical and radiographical success.Radiographic view showed continued development in the apex of the root andshowed normal periodontal ligament space and dense lamina dura.Conclusion: Extraction should not be the first choice of treatment for extensivelydamaged young permanent teeth in the anterior region; instead, alternativetreatment modalities must be considered. The traumatized immature tooth wassaved and restored.


1992 ◽  
Vol 9 (3) ◽  
pp. 171-177 ◽  
Author(s):  
Mark R. Dadds ◽  
Paula M. Heard ◽  
Ron M. Rapee

Anxiety and fear are among the most common and distressing problems reported by children and adolescents. However, these problems have received little attention from behavioural family theorists and therapists. In this paper, we argue that more attention needs to be paid to evaluating the role of family interaction processes in the development and treatment of child anxiety disorders. A program of research is described including a treatment outcome study in which family processes and behavioural family intervention are evaluated with 7- to 14-year-old children with overanxious, separation anxiety, and avoidant disorders. The family treatment focuses on how parents interact with their child during displays of anxiety, their management of emotional upsets, and family communication and problem-solving skills. Preliminary results of the family treatment are presented.


Curationis ◽  
2000 ◽  
Vol 23 (4) ◽  
Author(s):  
K Peltzer

This study intended to investigate risk factors for the development of trauma symptoms as a consequence of violent crime in an urban South African community. The sample included 128 adult victims of violent crime chosen by snowball sampling. The adults were 36 (28.1%) males and 92 females (71.9%) in the age range of 18 to 52 years (M age 36.6 yr., SD -8.9). Results indicate that the most common violent crimes experienced among the participants were rape (attempted rape), followed by physical assault, armed robbery, attempted murder and threat in that order. The majority of the victims scored high on the Kolner Risk Index (for traumatization) - several case examples are given. Analysis of Variance indicated that almost all factors of the Kolner Risk Index seem to be significantly correlated with PTSD outcome measures (PTSS- 10, IES-R, Peritraumatic Dissociation and Trauma Belief). It is concluded that the Kolner Risk Index can be a useful tool for identifying crime victims at risk for the development of trauma symptoms, especially in (mental) health care settings.


2016 ◽  
Vol 10 (1) ◽  
pp. 2-12 ◽  
Author(s):  
Larissa Meysner ◽  
Prudence Cotter ◽  
Christopher W. Lee

This study compared the effectiveness of eye movement desensitization and reprocessing (EMDR) with an integrated cognitive behavioral therapy (CBT) intervention for grief. Nineteen participants (12 females and 7 males) who identified themselves as struggling with grief were randomly allocated to treatment conditions. Each participant was wait-listed for 7 weeks and then received 7 weeks of therapy. There were no significant improvements on any measure in the wait-list period. In contrast, participants in both treatment groups improved on measures of grief (ηp2 = .47), trauma symptoms (ηp2 = .60), and distress (ηp2 = .34). There was no significant improvement in participants’ scores on a quality of life measure (ηp2 = .11). Neither treatment approach produced better outcomes than the other. For those who scored in the clinical range at intake, 72% achieved clinical and reliable change on the grief measure and 82% on the trauma measure. The study had several strengths, including randomization to treatment condition, multiple therapists, formal assessment of treatment fidelity, and the pretreatment and follow-up assessments were conducted by researchers blind to treatment assignment. Overall, the findings indicate that EMDR and CBT are efficacious in assisting those struggling with grief, and that those individuals reporting higher levels of distress and lower levels of functioning may benefit the most from an intervention.


Author(s):  
Barbara van Noppen ◽  
Sean Sassano-Higgins

This chapter focuses on the impact of body dysmorphic disorder (BDD) on the family; possible responses by the family (Expressed Emotion and Family Accommodation); and family-based treatment that may be helpful for BDD, as well as approaches to challenges that therapists may encounter. Although research on BDD and families has not been done, the disorder often has a devastating impact on families. This impact may include the financial costs of caring for the patient with BDD, paying for cosmetic procedures, and psychological costs in the unfortunate event of patient suicide. Although family treatment of BDD has not yet been developed or tested, the authors of this chapter make recommendations, based on clinical experience, for clinicians who are attempting to implement family-based treatment for BDD. This includes a discussion of behavioral contracting and other cognitive-behavioral therapy techniques. Several cases that illustrate these concepts are presented.


Author(s):  
David R. Grove ◽  
Gilbert J. Greene ◽  
Mo Yee Lee

Family interactional patterns that interfere with the resolution of trauma symptoms are identified in detail. Two types of patterns are described: how family are habitually responding to trauma symptoms and how the family was structured before traumatic events occurred and their respective impact on trauma. Several case examples are offered with one or both types of patterns identified in each case.


1995 ◽  
Vol 4 (2) ◽  
pp. 62-69 ◽  
Author(s):  
Katherine Verdolini ◽  
Ingo R. Titze

In this paper, we discuss the application of mathematical formulas to guide the development of clinical interventions in voice disorders. Discussion of case examples includes fundamental frequency and intensity deviations, pitch and loudness abnormalities, laryngeal hyperand hypoadduction, and phonatory effort. The paper illustrates the interactive nature of theoretical and applied work in vocology


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