Family-Focused Trauma Intervention: Using Metaphor and Play with Victims of Abuse and Neglect
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Treatment of abuse and neglect needs to be family-focused in order to reduce troubling symptoms, address family risk and relapse potential, treat cross-generational patterns, and remediate attachment deficits. Evidence-based practices are available for child and family abuse treatment, including Trauma Focused CBT, but new intervention strategies are needed that reduce family and client denial, lower defensiveness, and prevent re-traumatization during the treatment process. Family-Focused Trauma Intervention: Using Metaphor and Play with Victims of Abuse and Neglect translates issues central to abuse and neglect recovery into metaphorical stories and family-based interventions. Each chapter provides a summary of an issue or theme, one or more pertinent stories, and parallel family, group, and individual interventions. These stories and family-focused interventions help clients regulate affect in order to reduce frequency and intensity of troubling symptoms. This volume is the 'missing link' in the current literature on therapy and metaphor, as it focuses specifically on parent-child interaction and trauma. The content of this book, which may be used within any theoretical framework, provides a wide variety of practitioners with a needed bridge between theory and practice.
Part 1 Acknowledgments
Part 2 Introduction
Part 3 Chapter 1—Impact of Trauma and Overview of Treatment
Chapter 4 PTSD: A Bear of a Different Color
Chapter 5 A Bear of a Different Color Treatment Interventions
Chapter 6 Symptoms of PTSD: Lucky the Junkyard Dog
Chapter 7 Lucky the Junkyard Dog Treatment Interventions
Chapter 8 Sibling Abuse: Stick Together
Chapter 9 Stick Together Treatment Interventions
Chapter 10 Residual Effects of Trauma: Thyme to Heal
Chapter 11 Thyme to Heal Treatment Interventions
Part 12 Chapter 2—Establishing Appropriate Roles and Boundaries in Families
Chapter 13 Age-Appropriate Expectations: Velma Crowe's Sticky Situation
Chapter 14 Velma Crowe's Sticky Situation Treatment Interventions
Chapter 15 Setting Limits: Enough Is Enough
Chapter 16 Enough Is Enough Treatment Interventions
Part 17 Chapter 3—The Fight of Fight or Flight: Self-Control and Modulation of Affect
Chapter 18 Self-Control: Keep Your Lion on a Leash!
Chapter 19 Keep Your Lion on a Leash! Treatment Interventions
Chapter 20 Power and Control: The Nearsighted Tyrant
Chapter 21 The Nearsighted Tyrant Treatment Interventions
Chapter 22 Bullying: The Dragon's Fire
Chapter 23 The Dragon's Fire Treatment Interventions
Part 24 Chapter 4—Reducing Hyperactivity and Agitation
Chapter 25 Treatment Interventions
Part 26 Chapter 5—Flight: Avoidance, Withdrawal, and Dissociation
Chapter 27 Dissociation: The Mouse Who Became Invisible
Chapter 28 The Mouse Who Became Invisible Treatment Interventions
Chapter 29 Avoidance and Denial: The Hidey Hole
Chapter 30 The Hidey Hole Treatment Interventions
Chapter 31 Depersonalization: Time for a Thaw
Chapter 32 Time for a Thaw Treatment Interventions
Part 33 Chapter 6—Reducing Worry, Fear and Anxiety
Chapter 34 Letting Go: The Burden Bag
Chapter 35 The Burden Bag Treatment Interventions
Chapter 36 Anxiety Reduction: The Grounded Eagle
Chapter 37 The Grounded Eagle Treatment Interventions
Chapter 38 Obsessive Compulsive Symptoms: The Magic Stone
Chapter 39 The Magic Stone Treatment Interventions
Part 40 Chapter 7—Disrupted Attachment: Coping with Loss and Renewing Trust
Chapter 41 Attachment and Trust: Run Away Ralph
Chapter 42 Run Away Ralph Treatment Interventions
Chapter 43 Building Positive Attachment: Velma Crowe's Sticky Situation
Chapter 44 Velma Crowe's Sticky Situation Treatment Intervention
Part 45 Chapter 8—Changing Depressed Mood
Chapter 46 Mood Management: The Black Cloud
Chapter 47 The Black Cloud Treatment Interventions
Part 48 Chapter 9—Empathy: Caring for Yourself and Others
Chapter 49 Heart-Break: The Girl with the Plastic Heart
Chapter 50 The Girl with the Plastic Heart Treatment Interventions
Part 51 Chapter 10—Responsibility and Accountability
Chapter 52 Externalizing Blame: Bear of a Different Color
Chapter 53 Bear of a Different Color Treatment Interventions
Chapter 54 Taking Responsibility: No More Blame Game
Chapter 55 No More Blame Game Treatment Interventions
Chapter 56 Blaming the Victim: First Things First
Chapter 57 First Things First Treatment Interventions
Part 58 Chapter 11—Safety and Protection
Chapter 59 Knowing Who to Trust: The Hungry Alligator and the Mean Snake
Chapter 60 The Hungry Alligator and the Mean Snake Treatment Interventions
Part 61 Chapter 12—The Family Journey: Pathways to Change
Chapter 62 Moving in a New Direction: Gold in the Desert
Chapter 63 Gold in the Desert Treatment Interventions
Part 64 Chapter 13—Coming to Terms with Out-of-Home Care
Chapter 65 Out-of-Home Placement: The Good Enough Elf
Chapter 66 The Good Enough Elf Treatment Interventions
Chapter 67 Impact of Neglect: The Bruised Orchid
Chapter 68 The Bruised Orchid Treatment Interventions
Part 69 Chapter 14—Self-Acceptance and Hope
Chapter 70 Lowering Defenses: Polly's Plight
Chapter 71 Polly's Plight Treatment Interventions
Part 72 Appendix—Squiggles Stories
Part 73 References
Part 74 Index
Part 75 About the Author
A wonderful compendium of metaphorical stories intertwined with practical, play-based applications for use in the treatment of sexually abused and neglected children and their families. This unique book offers clinicians practical hands-on tools that deal with a range of PTSD-based topics from self-control and affect modulation to attachment issues and safety. It is a rich treasure trove of unique narratives and applications that is a 'must have' addition for child and play therapists.
Delightful, transforming, wise stories and practical interventions. This book has exactly what all therapists need to help kids and families deal with those life experiences that kids should never have to deal with.
Product Details
- Title : Family-Focused Trauma Intervention: Using Metaphor and Play with Victims of Abuse and Neglect
- Author: Pernicano, Pat
- Publisher: Jason Aronson, Inc.
- Publication Date: 2010
- ISBN: 9780765707741
Pat Pernicano, PsyD, is director of clinical services at Providence Self Sufficiency Ministries, where she provides programmatic direction and clinical supervision for Family Preservation Reunification, Providence House Group Home, and Chafee Independent Living.