Journal of Trauma & Dissociation
ISSN: 1529-9732 (Print) 1529-9740 (Online) Journal homepage: http://www.tandfonline.com/loi/wjtd20
Evidence based treatments for trauma-related psychological disorders: A practical guide for clinicians. Melanie D. Hetzel-Riggin To cite this article: Melanie D. Hetzel-Riggin (2016): Evidence based treatments for traumarelated psychological disorders: A practical guide for clinicians., Journal of Trauma & Dissociation, DOI: 10.1080/15299732.2016.1147113 To link to this article: http://dx.doi.org/10.1080/15299732.2016.1147113
Accepted author version posted online: 25 Feb 2016.
Submit your article to this journal
Article views: 6
View related articles
View Crossmark data
Full Terms & Conditions of access and use can be found at http://www.tandfonline.com/action/journalInformation?journalCode=wjtd20 Download by: [Laurentian University]
Date: 15 March 2016, At: 08:56
EVIDENCE BASED TREATMENTS FOR
t
TRAUMA-RELATED PSYCHOLOGICAL
us
an
Book Review: Schnyder, U., & Cloitre, M. (Eds). (2015). Evidence based treatments for traumarelated psychological disorders: A practical guide for clinicians. Cham, Switzerland: Springer
M
International Publishing.
ce pt ed
Ulrich Schnyder & Maryléne Cloitre (Eds.). Springer International Publishing, 2015, 523 pp. Melanie D. Hetzel-Riggin
Associate Professor of Psychology, School of Humanities & Social Sciences, Penn State Erie, The Behrend College, 4701 College Drive Erie, PA 16563 814-898-6949, [email protected]
Ac
Downloaded by [Laurentian University] at 08:56 15 March 2016
CLINICIANS.
cr ip
DISORDERS: A PRACTICAL GUIDE FOR
Schnyder and Cloitre state that their purpose for writing Evidence based treatments for traumarelated psychological disorders: A practical guide for clinicians was to create a text written by experienced researchers that was targeted for practicing clinicians—and they were very successful in this endeavor. The writing is very accessible; the authors did well discussing the
1
material in a very understandable way. The book is comprehensive and covers the essential information about posttraumatic stress disorder (PTSD) and other trauma-related disorders to assist clinicians in conceptualization and treatment planning. It is also internally consistent; the
cr ip
t
chapters in the text build on each other and complement rather than contradict each other. A strength of this text is the wealth of case examples. They are important counterparts to the
us
decision to focus on creating a text for practicing clinicians.
The book is separated into eight parts, the first of which focuses on the basic principles of
an
traumatic stress. The first chapter describes the effects of trauma within a public health model, demonstrating the socioecological impact of trauma as well as describing potential routes of
M
intervention. Schnyder and Cloitre provide a comprehensive overview of multiple theoretical
ce pt ed
models of posttraumatic stress development, from the cognitive to the psychodynamic. They also included sociocultural, interpersonal, and system level theories, providing readers with the opportunity to understand the biopsychosocial effects of trauma from a multitheoretical conceptual framework—essential for assessment, conceptualization, and treatment planning. The overview of the neurobiological information is comprehensive and describes the effects of traumatic stress on a number of different systems of the body. These chapters also successfully link the effects of trauma to biobehavioral health outcomes such as immune system functioning.
Ac
Downloaded by [Laurentian University] at 08:56 15 March 2016
description of the treatments, illustrating the material presented and confirming the editors'
I was also glad that the text described psychological pathways for health-related outcomes as well as clinical practice implications.
2
The next two sections include a chapter on the diagnosis of trauma-related disorders followed by chapters on treatment. The book presents a thorough discussion of the differences in diagnostic criteria between the International Classification of Diseases and the Diagnostic and Statistical
cr ip
t
Manual of Mental Disorders, as well as the diagnostic spectrum evolution over time. The text then provides an excellent discussion regarding the benefits and risks of early intervention, such
us
of early intervention when applied without appropriate assessment or follow-up. The meat of the book is a thorough and accessible presentation of a wide range of empirically supported
an
treatments for trauma-related disorders. Each chapter has a similar format, which helps the reader compare the treatments. The treatments described in the text include prolonged exposure
M
(PE), cognitive behavioral therapy (CBT) for trauma, cognitive processing therapy (CPT), eye movement desensitization and reprocessing (EMDR), narrative exposure therapy, brief eclectic
ce pt ed
therapy, skills training in affective and interpersonal regulation (STAIR) narrative therapy, and complicated grief treatment. Each chapter describes the treatment's theoretical conceptualization, how to implement the treatment, challenges to treatment due to comorbid conditions, contraindications, empirical evidence supporting the treatment, and a comprehensive case example. All of the chapters include the application of a theoretical conceptualization to inform treatment decisions.
Ac
Downloaded by [Laurentian University] at 08:56 15 March 2016
as erroneous beliefs about the vulnerability of trauma survivors and the potential harmful effects
The next three sections describe treatment with comorbid conditions, special populations, and special treatment modalities. Chapters on comorbid substance abuse, borderline personality disorder, and chronic pain each include a summary of important findings, recommendations for current practice, and theoretical reasons for dual presentation. The section of special populations
3
includes summary chapters on children and adolescents, older adults, refugees and immigrants, and veterans. The three chapters on special treatment modalities provide a discussion of the research support, methodological concerns, considerations for trauma type, and benefits and risks
cr ip
t
of group treatment, couples treatment, and telemental health. The seventh section provides a discussion of pharmacotherapy for trauma-related disorders, including the evidence supporting
us
This section also includes a presentation of treatment guidelines and clinical applications for the use of medication for trauma survivors.
an
The last section provides a brief overview of treatment selection, including a description of common factors across treatments, treatment matching criteria, therapist competencies (including
M
multicultural competencies), the importance of client choice, treatment sequencing and
ce pt ed
multicomponent therapies, and the need to focus on functional impairment as an outcome measure to determine treatment success. This chapter provides a good closing to the text as it begins to address the enormity of treatment options that are now available for trauma-related disorders.
While this text is better than many others in its accessibility for the practicing clinician, there are still some parts related to neurobiological and health-related outcomes that may be a little
Ac
Downloaded by [Laurentian University] at 08:56 15 March 2016
various different psychotropic medications as successful treatments for trauma-related distress.
advanced for the average clinician in the field. While I was also impressed with the breadth of treatments included in the text, I do think that a more detailed discussion of the common elements across treatments as well as a chapter dedicated to conceptualization and treatment selection would have improved the book's utility for the practicing clinician. What may have also
4
helped is the inclusion of a chapter on assessment of trauma-related disorders in order to help practicing clinicians make data-informed choices on treatment selection. I also concur with Schnyder and Cloitre, who state themselves that a separate volume on treatments for children
cr ip
t
and adolescents is needed; the same could be said for each of the special populations included in the text.
us
and accessibility achieved by Schnyder and Cloitre. It is my opinion that this text would be an excellent addition to the library of anyone who treats survivors of trauma on a regular basis. I
ce pt ed
M
treatments for trauma-related disorders.
an
also think that it would serve as a good text for graduate classes on empirically supported
Ac
Downloaded by [Laurentian University] at 08:56 15 March 2016
Limitations notwithstanding, I was very impressed with the balance between comprehensiveness
5
ISSN: 1529-9732 (Print) 1529-9740 (Online) Journal homepage: http://www.tandfonline.com/loi/wjtd20
Evidence based treatments for trauma-related psychological disorders: A practical guide for clinicians. Melanie D. Hetzel-Riggin To cite this article: Melanie D. Hetzel-Riggin (2016): Evidence based treatments for traumarelated psychological disorders: A practical guide for clinicians., Journal of Trauma & Dissociation, DOI: 10.1080/15299732.2016.1147113 To link to this article: http://dx.doi.org/10.1080/15299732.2016.1147113
Accepted author version posted online: 25 Feb 2016.
Submit your article to this journal
Article views: 6
View related articles
View Crossmark data
Full Terms & Conditions of access and use can be found at http://www.tandfonline.com/action/journalInformation?journalCode=wjtd20 Download by: [Laurentian University]
Date: 15 March 2016, At: 08:56
EVIDENCE BASED TREATMENTS FOR
t
TRAUMA-RELATED PSYCHOLOGICAL
us
an
Book Review: Schnyder, U., & Cloitre, M. (Eds). (2015). Evidence based treatments for traumarelated psychological disorders: A practical guide for clinicians. Cham, Switzerland: Springer
M
International Publishing.
ce pt ed
Ulrich Schnyder & Maryléne Cloitre (Eds.). Springer International Publishing, 2015, 523 pp. Melanie D. Hetzel-Riggin
Associate Professor of Psychology, School of Humanities & Social Sciences, Penn State Erie, The Behrend College, 4701 College Drive Erie, PA 16563 814-898-6949, [email protected]
Ac
Downloaded by [Laurentian University] at 08:56 15 March 2016
CLINICIANS.
cr ip
DISORDERS: A PRACTICAL GUIDE FOR
Schnyder and Cloitre state that their purpose for writing Evidence based treatments for traumarelated psychological disorders: A practical guide for clinicians was to create a text written by experienced researchers that was targeted for practicing clinicians—and they were very successful in this endeavor. The writing is very accessible; the authors did well discussing the
1
material in a very understandable way. The book is comprehensive and covers the essential information about posttraumatic stress disorder (PTSD) and other trauma-related disorders to assist clinicians in conceptualization and treatment planning. It is also internally consistent; the
cr ip
t
chapters in the text build on each other and complement rather than contradict each other. A strength of this text is the wealth of case examples. They are important counterparts to the
us
decision to focus on creating a text for practicing clinicians.
The book is separated into eight parts, the first of which focuses on the basic principles of
an
traumatic stress. The first chapter describes the effects of trauma within a public health model, demonstrating the socioecological impact of trauma as well as describing potential routes of
M
intervention. Schnyder and Cloitre provide a comprehensive overview of multiple theoretical
ce pt ed
models of posttraumatic stress development, from the cognitive to the psychodynamic. They also included sociocultural, interpersonal, and system level theories, providing readers with the opportunity to understand the biopsychosocial effects of trauma from a multitheoretical conceptual framework—essential for assessment, conceptualization, and treatment planning. The overview of the neurobiological information is comprehensive and describes the effects of traumatic stress on a number of different systems of the body. These chapters also successfully link the effects of trauma to biobehavioral health outcomes such as immune system functioning.
Ac
Downloaded by [Laurentian University] at 08:56 15 March 2016
description of the treatments, illustrating the material presented and confirming the editors'
I was also glad that the text described psychological pathways for health-related outcomes as well as clinical practice implications.
2
The next two sections include a chapter on the diagnosis of trauma-related disorders followed by chapters on treatment. The book presents a thorough discussion of the differences in diagnostic criteria between the International Classification of Diseases and the Diagnostic and Statistical
cr ip
t
Manual of Mental Disorders, as well as the diagnostic spectrum evolution over time. The text then provides an excellent discussion regarding the benefits and risks of early intervention, such
us
of early intervention when applied without appropriate assessment or follow-up. The meat of the book is a thorough and accessible presentation of a wide range of empirically supported
an
treatments for trauma-related disorders. Each chapter has a similar format, which helps the reader compare the treatments. The treatments described in the text include prolonged exposure
M
(PE), cognitive behavioral therapy (CBT) for trauma, cognitive processing therapy (CPT), eye movement desensitization and reprocessing (EMDR), narrative exposure therapy, brief eclectic
ce pt ed
therapy, skills training in affective and interpersonal regulation (STAIR) narrative therapy, and complicated grief treatment. Each chapter describes the treatment's theoretical conceptualization, how to implement the treatment, challenges to treatment due to comorbid conditions, contraindications, empirical evidence supporting the treatment, and a comprehensive case example. All of the chapters include the application of a theoretical conceptualization to inform treatment decisions.
Ac
Downloaded by [Laurentian University] at 08:56 15 March 2016
as erroneous beliefs about the vulnerability of trauma survivors and the potential harmful effects
The next three sections describe treatment with comorbid conditions, special populations, and special treatment modalities. Chapters on comorbid substance abuse, borderline personality disorder, and chronic pain each include a summary of important findings, recommendations for current practice, and theoretical reasons for dual presentation. The section of special populations
3
includes summary chapters on children and adolescents, older adults, refugees and immigrants, and veterans. The three chapters on special treatment modalities provide a discussion of the research support, methodological concerns, considerations for trauma type, and benefits and risks
cr ip
t
of group treatment, couples treatment, and telemental health. The seventh section provides a discussion of pharmacotherapy for trauma-related disorders, including the evidence supporting
us
This section also includes a presentation of treatment guidelines and clinical applications for the use of medication for trauma survivors.
an
The last section provides a brief overview of treatment selection, including a description of common factors across treatments, treatment matching criteria, therapist competencies (including
M
multicultural competencies), the importance of client choice, treatment sequencing and
ce pt ed
multicomponent therapies, and the need to focus on functional impairment as an outcome measure to determine treatment success. This chapter provides a good closing to the text as it begins to address the enormity of treatment options that are now available for trauma-related disorders.
While this text is better than many others in its accessibility for the practicing clinician, there are still some parts related to neurobiological and health-related outcomes that may be a little
Ac
Downloaded by [Laurentian University] at 08:56 15 March 2016
various different psychotropic medications as successful treatments for trauma-related distress.
advanced for the average clinician in the field. While I was also impressed with the breadth of treatments included in the text, I do think that a more detailed discussion of the common elements across treatments as well as a chapter dedicated to conceptualization and treatment selection would have improved the book's utility for the practicing clinician. What may have also
4
helped is the inclusion of a chapter on assessment of trauma-related disorders in order to help practicing clinicians make data-informed choices on treatment selection. I also concur with Schnyder and Cloitre, who state themselves that a separate volume on treatments for children
cr ip
t
and adolescents is needed; the same could be said for each of the special populations included in the text.
us
and accessibility achieved by Schnyder and Cloitre. It is my opinion that this text would be an excellent addition to the library of anyone who treats survivors of trauma on a regular basis. I
ce pt ed
M
treatments for trauma-related disorders.
an
also think that it would serve as a good text for graduate classes on empirically supported
Ac
Downloaded by [Laurentian University] at 08:56 15 March 2016
Limitations notwithstanding, I was very impressed with the balance between comprehensiveness
5
