Family-Focused Trauma Intervention : Using Metaphor and Play with Victims of Abuse and Neglect

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. Contents......Page 6 Acknowledgments......Page 12 Introduction......Page 14 Ch01. Impact of Trauma and Overview of Treatment......Page 20 Ch02. Establishing Appropriate Rolesand Boundaries in Families......Page 52 Ch03. The Fight of Fight or Flight......Page 62 Ch04. Reducing Hyperactivity and Agitation......Page 78 Ch05. Flight......Page 84 Ch06. Reducing Worry, Fear, and Anxiety......Page 98 Ch07. Disrupted Attachment......Page 110 Ch08. Changing Depressed Mood......Page 120 Ch09. Empathy......Page 130 Ch10. Responsibility and Accountability......Page 138 Ch11. Safety and Protection......Page 160 Ch12. The Family Journey......Page 172 Ch13. Coming to Terms with Out-of-Home Care......Page 182 Ch14. Self-Acceptance and Hope......Page 194 Appendix......Page 204 References......Page 206 Index......Page 210 About the Author......Page 212 Impact of trauma and overview of treatment Establishing appropriate roles and boundaries in families The fight of fight or flight : self-control and modulation of affect Reducing hyperactivity and agitation Flight : avoidance, withdrawal, and dissociation Reducing worry, fear and anxiety Disrupted attachment : coping with loss and renewing trust Changing depressed mood Empathy : caring for yourself and others Responsibility and accountability Safety and protection The family journey : pathways to change Coming to terms with out-of-home care Self-acceptance and hope. 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, focusing specifically on parent-child interaction and trauma. The stories and interventions reduce troubling symptoms, address family risk and relapse potential, treat cross-generational patterns, and remediate attachment deficits. It is a book for a variety of practitioners, including psychologists, social workers, counselors, and expressive therapists.