Intergenerational Trauma

2020 ◽  
pp. 188-211
Author(s):  
David R. Grove ◽  
Gilbert J. Greene ◽  
Mo Yee Lee
Keyword(s):  
Intergenerational Trauma ◽  
Trauma Survivors ◽  
Trauma Symptoms ◽  
Dissociative Symptoms ◽  
Successful Resolution ◽  
Trauma Survivor

Intergenerational trauma and subsequent impairment of trauma survivors parenting of their children is explored. How to engage these parents in integrative family and systems treatment (I-FAST) and how to simultaneously help with their parenting impairments and their trauma symptoms is described. Four cases are examined in detail, covering four types of treatment situations. In Cases 1 and 2, helping a trauma survivor parent when they are requesting help for their problem teenagers, but not for their trauma-related difficulties is described. In Case 3, helping a trauma survivor mother focus directly on resolving her trauma symptoms as a method for helping her seriously impaired daughter is described. In Case 4, focusing on serious dissociative symptoms of a mother, which only developed after the successful resolution of her son’s difficulties is described.

Multidimensional Characterization of a Large Cohort of Trauma Survivors May Improve Trauma Survivor Phenotyping

2020 ◽  
Vol 87 (9) ◽  
pp. S200-S201
Author(s):  
Lindsay Macchio ◽  
Xinming An ◽  
Robert Dougherty ◽  
Donglin Zeng ◽  
Yinyao Ji ◽  
...  
Keyword(s):  
Large Cohort ◽  
Trauma Survivors ◽  
Trauma Survivor

Family Therapy for Treating Trauma

2020 ◽  
Author(s):  
David R. Grove ◽  
Gilbert J. Greene ◽  
Mo Yee Lee
Keyword(s):  
Family Therapy ◽  
Treatment Approach ◽  
Healing Process ◽  
Trauma Survivors ◽  
Trauma Treatment ◽  
Trauma Symptoms ◽  
Fast Approach ◽  
Interactional Patterns ◽  
Therapy Treatment

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.

I-FAST Trauma and Frames

2020 ◽  
pp. 85-98
Author(s):  
David R. Grove ◽  
Gilbert J. Greene ◽  
Mo Yee Lee
Keyword(s):  
Trauma Survivors ◽  
Trauma Symptoms ◽  
Case Examples

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.

scholarly journals Engagement With a Trauma Recovery Internet Intervention Explained With the Health Action Process Approach (HAPA): Longitudinal Study

2018 ◽  
Vol 5 (2) ◽  
pp. e29 ◽  
Author(s):  
Carolyn M Yeager ◽  
Kotaro Shoji ◽  
Aleksandra Luszczynska ◽  
Charles C Benight
Keyword(s):  
Self Efficacy ◽  
Outcome Expectations ◽  
Trauma Survivors ◽  
Trauma Recovery ◽  
Trauma Symptoms ◽  
Perceived Need ◽  
Distress Symptoms ◽  
Health Action ◽  
Action Process ◽  
Ehealth Intervention

Background There has been a growing trend in the delivery of mental health treatment via technology (ie, electronic health, eHealth). However, engagement with eHealth interventions is a concern, and theoretically based research in this area is sparse. Factors that influence engagement are poorly understood, especially in trauma survivors with symptoms of posttraumatic stress. Objective The aim of this study was to examine engagement with a trauma recovery eHealth intervention using the Health Action Process Approach theoretical model. Outcome expectancy, perceived need, pretreatment self-efficacy, and trauma symptoms influence the formation of intentions (motivational phase), followed by planning, which mediates the translation of intentions into engagement (volitional phase). We hypothesized the mediational effect of planning would be moderated by level of treatment self-efficacy. Methods Trauma survivors from around the United States used the eHealth intervention for 2 weeks. We collected baseline demographic, social cognitive predictors, and distress symptoms and measured engagement subjectively and objectively throughout the intervention. Results The motivational phase model explained 48% of the variance, and outcome expectations (beta=.36), perceived need (beta=.32), pretreatment self-efficacy (beta=.13), and trauma symptoms (beta=.21) were significant predictors of intention (N=440). In the volitional phase, results of the moderated mediation model indicated for low levels of treatment self-efficacy, planning mediated the effects of intention on levels of engagement (B=0.89, 95% CI 0.143-2.605; N=115). Conclusions Though many factors can affect engagement, these results offer a theoretical framework for understanding engagement with an eHealth intervention. This study highlighted the importance of perceived need, outcome expectations, self-efficacy, and baseline distress symptoms in the formation of intentions to use the intervention. For those low in treatment self-efficacy, planning may play an important role in the translation of intentions into engagement. Results of this study may help bring some clarification to the question of what makes eHealth interventions work.

scholarly journals Engagement With a Trauma Recovery Internet Intervention Explained With the Health Action Process Approach (HAPA): Longitudinal Study (Preprint)

2017 ◽  
Author(s):  
Carolyn M Yeager ◽  
Kotaro Shoji ◽  
Aleksandra Luszczynska ◽  
Charles C Benight
Keyword(s):  
Self Efficacy ◽  
Outcome Expectations ◽  
Trauma Survivors ◽  
Trauma Recovery ◽  
Trauma Symptoms ◽  
Perceived Need ◽  
Distress Symptoms ◽  
Health Action ◽  
Action Process ◽  
Ehealth Intervention

BACKGROUND There has been a growing trend in the delivery of mental health treatment via technology (ie, electronic health, eHealth). However, engagement with eHealth interventions is a concern, and theoretically based research in this area is sparse. Factors that influence engagement are poorly understood, especially in trauma survivors with symptoms of posttraumatic stress. OBJECTIVE The aim of this study was to examine engagement with a trauma recovery eHealth intervention using the Health Action Process Approach theoretical model. Outcome expectancy, perceived need, pretreatment self-efficacy, and trauma symptoms influence the formation of intentions (motivational phase), followed by planning, which mediates the translation of intentions into engagement (volitional phase). We hypothesized the mediational effect of planning would be moderated by level of treatment self-efficacy. METHODS Trauma survivors from around the United States used the eHealth intervention for 2 weeks. We collected baseline demographic, social cognitive predictors, and distress symptoms and measured engagement subjectively and objectively throughout the intervention. RESULTS The motivational phase model explained 48% of the variance, and outcome expectations (beta=.36), perceived need (beta=.32), pretreatment self-efficacy (beta=.13), and trauma symptoms (beta=.21) were significant predictors of intention (N=440). In the volitional phase, results of the moderated mediation model indicated for low levels of treatment self-efficacy, planning mediated the effects of intention on levels of engagement (B=0.89, 95% CI 0.143-2.605; N=115). CONCLUSIONS Though many factors can affect engagement, these results offer a theoretical framework for understanding engagement with an eHealth intervention. This study highlighted the importance of perceived need, outcome expectations, self-efficacy, and baseline distress symptoms in the formation of intentions to use the intervention. For those low in treatment self-efficacy, planning may play an important role in the translation of intentions into engagement. Results of this study may help bring some clarification to the question of what makes eHealth interventions work.

Assessing Trauma Survivors and Implementing PE in Practice

2019 ◽  
pp. 23-42
Author(s):  
Edna B. Foa ◽  
Elizabeth A. Hembree ◽  
Barbara Olasov Rothbaum ◽  
Sheila A. M. Rauch
Keyword(s):  
Treatment Outcome ◽  
Prolonged Exposure ◽  
Assessment Process ◽  
Trauma Survivors ◽  
Trauma Survivor ◽  
Engagement In Treatment

The authors begin this chapter by looking at who a good candidate for prolonged exposure (PE) therapy is; not every trauma survivor needs a trauma-focused treatment like PE. It is important to have as part of the assessment process or prior to start of PE, one or two preparation sessions that include reviewing the reasons that the client wants to recover from his trauma-related difficulties that may enhance treatment outcome and retention. This material is followed by the presentation of guidelines for the assessment of trauma survivors with whom a therapist is considering using this therapy. The chapter continues with a discussion of some important considerations in using PE with trauma survivors. Finally, the chapter concludes with recommendations for assessing and supporting a patient’s engagement in treatment.

Trauma- and Stressor-Related Disorders

2018 ◽  
Author(s):  
Kathleen Nader ◽  
Mary Beth Williams
Keyword(s):  
Social Engagement ◽  
Stress Disorder ◽  
Acute Stress ◽  
Complicated Grief ◽  
Reactive Attachment Disorder ◽  
Trauma Symptoms ◽  
Post Traumatic Stress ◽  
Treatment Needs ◽  
Related Factors ◽  
Dissociative Symptoms

Developmental age and symptom variations influence treatment needs for trauma- and stressor-related disorders (TSRD). TSRD include disorders found in children age 6 and under (reactive attachment disorder, disinhibited social engagement disorder, post-traumatic stress disorder [PTSD] < 6) and those described for individuals who are older than age 6 (PTSD, PTSD with dissociative symptoms, acute stress disorder, adjustment reactions, and other specific TSRD, e.g., complicated grief). Treatments for children under age 6 primarily focus on caregiver–child dyads. Post-trauma symptoms such as those described for PTSD with dissociative symptoms, complicated grief, and complicated trauma require alterations in proven trauma-focused methods. In addition to appropriately timed processing of the trauma, treatments for youths are best when they are multifaceted (also include, for example, focus on support systems and relationships; self-skills, e.g., regulation, coping; and other age, symptom, and trait-related factors). For children, treatment methods often include creative methods as well (e.g., drawings, storytelling).

Is This Program Right for You?

2019 ◽  
pp. 11-16
Author(s):  
Barbara Olasov Rothbaum ◽  
Edna B. Foa ◽  
Elizabeth A. Hembree ◽  
Sheila A. M. Rauch
Keyword(s):  
Posttraumatic Stress Disorder ◽  
Posttraumatic Stress ◽  
Stress Disorder ◽  
Prolonged Exposure ◽  
Traumatic Event ◽  
Trauma Survivors ◽  
Ptsd Symptoms ◽  
Natural Recovery ◽  
Trauma Survivor ◽  
Motivation For Treatment

Not every trauma survivor needs a trauma-focused treatment like prolonged exposure (PE). Many studies have shown that natural recovery works very well for many people who experience a traumatic event. In fact, posttraumatic stress disorder (PTSD) symptoms and other trauma reactions are very common and happen for almost everyone right after a trauma, but then these symptoms and reactions decrease a lot for many people, especially over the first 3 months. This chapter helps trauma survivors determine if PE therapy is appropriate for them, and, if so, the chapter provides motivation for treatment.

Happiness, The Wound and the Word: Aminatta Forna Joins the Conversation on Trauma

2019 ◽  
Vol 6 (03) ◽  
pp. 388-399 ◽  
Author(s):  
Oumar Chérif Diop
Keyword(s):  
Daily Life ◽  
Postcolonial Studies ◽  
Trauma Survivors ◽  
Past Event ◽  
The Past ◽  
Political Environments ◽  
Trauma Survivor ◽  
The Impact

Taking into account the interconnectedness of spaces, a number of theorists and writers have investigated the impact of trauma on subjectivities within their social, cultural, and political environments. In postcolonial studies, scholars such as Veena Das (2007)2, Antjie Krog and colleagues (2009)3, and Stef Craps (2012)4 have convincingly argued that postcolonial trauma survivors are not necessarily under the tyranny of the past; to the contrary, they may take advantage of the past event by immersing themselves in the trauma. Jay Rajiva gives the example of those survivors who cannot distance themselves from the past because they are compelled “to perform the grief of the community in both clothing and gesture. Such a submersion in past trauma becomes a way for a trauma survivor to expand and even renegotiate her relationship to that same community… . Essentially, the survivor inhabits the enforced retriggering of her trauma but finds the means—in daily life, over months and years—to make sense of her trauma.”5

Initial Evaluation of the Secondary Trauma Questionnaire

1999 ◽  
Vol 85 (3) ◽  
pp. 997-1002 ◽  
Author(s):  
Robert W. Motta ◽  
Joshua M. Kefer ◽  
Michelle D. Hertz ◽  
Sanam Hafeez
Keyword(s):  
Mental Health Professionals ◽  
Traumatic Stress ◽  
Secondary Traumatic Stress ◽  
Stress Disorder ◽  
Secondary Trauma ◽  
Initial Evaluation ◽  
Trauma Survivors ◽  
Trauma Symptoms ◽  
Extended Contact ◽  
Good Internal Consistency

Many measures exist to evaluate posttraumatic stress disorder (PTSD), bur there are few ways of assessing secondary traumatic stress disorder and these are Limited to specific populations. Secondary traumatic stress disorder involves the transfer of trauma symptoms from those who have been traumatized to those who have close and extended contact with trauma victims. Thus, family members of those who have been traumatized and therapists who treat trauma survivors are vulnerable to developing secondary traumatic stress disorder. In this initial evaluation of the newly developed Secondary Trauma Questionnaire, 261 mental health professionals and 157 college students were evaluated. Analysis indicated that the questionnaire showed good internal consistency and was significantly correlated with known measures of trauma. The Secondary Trauma Questionnaire is presented as a promising way to measure secondary trauma symptoms and further research using this questionnaire appears to be warranted.

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