Reconstructing Early Intervention after Trauma: Innovations in the Care of Survivors

Paperback | June 17, 2003

EditorRoderick Orner, Ulrich Schnyder

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The introduction of a diagnosis of Post Traumatic Stress Disorder in the 1980 edition of the American Psychiatric Association's Diagnostic and Statistical Manual for Mental Disorders heralded the dawn of modern psychotraumatology. On the strength of the conceptual refinements offered by thisnew diagnosis, much consideration has been given to the challenge of effecting early intervention after trauma. To do so offered the prospect of preventing initial reactions developing into a debilitating chronic disorder with complicating co-morbidities. Some of the original proponents of early intervention protocols have continued to claim that such provision will mitigate the effects of traumatic events, prevent the onset of a traumatic stress syndrome, allow early detection of those who may require further help and help re-establish ahomeostatic equilibrium. The evidence base for making these claims has never been made explicit. More recent clinical trials suggest a more qualified position ought to be taken with respect to what should reasonably and reliably claimed for early intervention techniques used to date. Morealarming is the growing cluster of studies warning against certain types of intervention. The optimism which once prevailed with respect to what early intervention after trauma might achieve has, in recent years, been replaced by controversy and defensively entrenched posturing. This book aims to provide a comprehensive update on the accumulated experience in the field of early intervention after trauma and defines standards for service provision. It does so by reviewing the historical traditions and theoretical foundations for early interventions and links recommendationsfor psychological first aid to a substantial body of multidisciplinary evidence. The ultimate aim of this book is to reconstruct an informed evidence base for early intervention after trauma.

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The introduction of a diagnosis of Post Traumatic Stress Disorder in the 1980 edition of the American Psychiatric Association's Diagnostic and Statistical Manual for Mental Disorders heralded the dawn of modern psychotraumatology. On the strength of the conceptual refinements offered by thisnew diagnosis, much consideration has been gi...

Roderick Orner is a District Clinical Psychologist, Lincoln District Healthcare NHS Trust. Ulrich Schnyder is Head - Psychiatric Emergency Unit, University Hospital Zurich, Switzerland.
Format:PaperbackDimensions:300 pages, 9.45 × 6.61 × 0.65 inPublished:June 17, 2003Publisher:Oxford University PressLanguage:English

The following ISBNs are associated with this title:

ISBN - 10:0198508344

ISBN - 13:9780198508342

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Table of Contents

Section I - History and Theory1. Weisaeth: Historical background of early intervention in military settings2. Gersons: Historical background: Social psychiatry and crisis theory3. Rose, Bisson and Wessely: A systematic review of single psychological interventions ('debriefing') following trauma. Updating the Cochrane review and implications for good practiceSection 2 - Current Theories and Conceptualisation of Early Reactions to Trauma4. McFarlane: Early reactions to traumatic events. The diversity of diagnostic formulations5. Shalev: Psychobiological perspectives on early reactions to traumatic events6. Perrin: Learning theory perspectives on early reactions to traumatic events7. Pilgrim: Cognitive perspectives on early reactions to traumatic events8. Ajdukovic and Ajdukovic: Systemic approaches to early interventions in a community affected by organised violenceSection 3 - The new evidence base for reconstructing early intervention after trauma9. Bailly: A psychodynamically oriented intervention strategy for early reactions to trauma10. Schnyder and Moergeli: The course and development of early reactions to traumatic events: baseline evidence from a non-intervention follow-up study11. Shalev and Ursano: Mapping the multidimensional picture of acute responses to traumatic stress12. Brewin and Rose: Screening to identify individuals at risk after exposure to trauma13. Orner: A new evidence base for making early intervention in emergency services complementary to officers' preferred adjustment and coping strategiesSection 4: The Evidence Base Provided by Applied Early Intervention Strategies14. Bryant: Cognitive behaviour therapy of acute stress disorder15. Freeman: Drugs and physical treatment after trauma16. Yule: Early intervention strategies with traumatised children, adolescents and families17. de Jong and Kleber: Early psychosocial interventions for war-affected populations18. Resnick, Acierno, Stafford and Minhinnett: Early intervention strategies applied following rape19. Bisson: A brief early intervention service for accident and assault victims20. Avery and King: The Lincolnshire Joint Emergency Services Initiative: an early intervention protocol for emergency services staff21. Mehlum: Strategies for early intervention after trauma adopted by the Norwegian armed forces22. Ruzek and Cordova: The role of hospitals in delivering early intervention services following traumatic events23. Buus-Jensen and Baron: Training programmes for building competence in early intervention skillsSection 5: Early Intervention Reconstructed24. Orner and Schnyder: Progress made towards reconstructing early intervention after trauma: emergent themes25. Orner and Schnyder: Progress made towards reconstructing early intervention after trauma: principles of evidence based practice

Editorial Reviews

"The book is well organized and the chapters are well referenced. The editors should be praised for trying to complie and evidence-based practice resource on this subject."--Doody's "This text is an essential read for clinicians working with traumatized clients, whether in a clinical or medico-legal capacity, and an invaluable summary of the most up-to-date empirical findings for researchers in the traumatic stress field."--Behavioural and Cognitive Psychotherapy