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Index
Also by the Authors
Title Page
Copyright Page
About the Authors
Preface
Acknowledgments
Contents
PART I. Trauma-Focused Cognitive-Behavioral Therapy: Overview and Conceptual Framework
1. The Impact of Trauma and Grief on Children and Families
What Constitutes Childhood Trauma?
What Are Trauma Symptoms?
Traumatic Grief in Children
Trauma- and Grief-Focused Treatment
Summary
2. Assessment Strategies for Traumatized Children
Evaluating Traumatic Exposure
Assessing PTSD Symptoms
Assessing Other Psychiatric Disorders
Assessment of Childhood Traumatic Grief
Providing Feedback to the Family about the Assessment
3. The TF-CBT Model: How It Works
Gradual Exposure and Phase-Based Treatment
Development of the TF-CBT Model
Individual Child, Individual Parent, and Conjoint Treatment Sessions
Session Structure and Flexibility
The Benefits of Parental Involvement in Treatment
The Issue of Confidentiality and Encouraging Open Parent–Child Communication
Parental Participation Dilemmas
The Importance of Culture in the TF-CBT Model
The Importance of Adjunctive Services When Needed
General Considerations in Using This Book
Summary
4. Research on TF-CBT
Summary
5. The Role of the TF-CBT Therapist
The Centrality of the Therapeutic Relationship
The Importance of Therapist Judgment, Skill, and Creativity
Therapist Qualifications and Training
Troubleshooting
PART II. Trauma-Focused Components
Introduction to the TF-CBT Components
6. TRAUMA-FOCUSED COMPONENT 1. Trauma Psychoeducation
Psychoeducation about the TF-CBT Model of Treatment
Psychoeducation for Children Experiencing Traumatic Grief
Troubleshooting
7. TRAUMA-FOCUSED COMPONENT 2. Parenting Skills
Functional Analyses
Praise
Selective Attention
Time-Out
Contingency Reinforcement Programs
Parenting Skills for Adolescents
Troubleshooting
8. TRAUMA-FOCUSED COMPONENT 3. Relaxation Skills
Focused Breathing/Mindfulness/Meditation
Progressive Muscle Relaxation
Relaxation for Children with Traumatic Grief
Relaxation for Parents
Other Relaxation Techniques
Troubleshooting
9. TRAUMA-FOCUSED COMPONENT 4. Affective Expression and Modulation Skills
Feeling Identification with Children
Affective Expression with Parents
Thought Interruption and Positive Imagery
Positive Self-Talk
Enhancing the Child’s Sense of Safety
Enhancing Problem-Solving and Social Skills
Social Skills Building
Managing Difficult Affective States
Affective Modulation for Children with Traumatic Grief
Affective Modulation for Parents
Troubleshooting
10. TRAUMA-FOCUSED COMPONENT 5. Cognitive Coping and Processing Skills: The Cognitive Triangle
Types of Inaccurate and Unhelpful Thoughts
The Cognitive Triangle for Parents
Enhancing the Surviving Parent’s Sense of Safety
Troubleshooting
11. TRAUMA-FOCUSED COMPONENT 6. Trauma Narration and Processing, Part I: Trauma Narration
Introducing Trauma Narration and Processing
The Trauma Narration Process
Trauma Narration for Children with Traumatic Grief
Sharing the Trauma Narrative with the Parent
Troubleshooting
12. TRAUMA-FOCUSED COMPONENT 6. Trauma Narration and Processing, Part 2: Cognitive Processing
Exploring and Correcting Inaccurate or Unhelpful Cognitions
Cognitive Processing of Traumatic Death
Cognitively Processing the Child’s Trauma Narration with Parents
Troubleshooting
13. TRAUMA-FOCUSED COMPONENT 7. In Vivo Mastery of Trauma Reminders
Distinguishing between Innocuous and Reality-Based Fears
Designing an Effective In Vivo Plan
Troubleshooting
14. TRAUMA-FOCUSED COMPONENT 8. Conjoint Child–Parent Sessions
Conjoint Child–Parent Sessions to Share Trauma Narration and Processing
Other Activities for Conjoint Child–Parent Sessions
Troubleshooting
15. TRAUMA-FOCUSED COMPONENT 9. Enhancing Future Safety and Development
Personal Safety Skills Training
Concepts to Incorporate into Safety Skills Training
Troubleshooting
16. Group Application of Trauma-Focused Components
Practical and Clinical Benefits of Group TF-CBT
Group TF-CBT Guidelines
Troubleshooting
PART III. Grief-Focused Components
Introduction to the Grief-Focused Components
17. GRIEF-FOCUSED COMPONENT 1. Grief Psychoeducation
Grief Psychoeducation for Children
Exposure to Death in the Abstract
Gradual but Direct Exposure to Personal Experience of Another’s Death
Grief Psychoeducation for Parents
Troubleshooting
18. GRIEF-FOCUSED COMPONENT 2. Grieving the Loss and Resolving Ambivalent Feelings: “What I Miss and What I Don’t Miss”
Grieving the Loss: “What I Miss”
Resolving Ambivalent Feelings: “What I Don’t Miss”
Grieving the Loss and Addressing Ambivalent Feelings: For Parents
Troubleshooting
19. GRIEF-FOCUSED COMPONENT 3. Preserving Positive Memories
Preserving Positive Memories for Children
Preserving Positive Memories for Parents
Troubleshooting
20. GRIEF-FOCUSED COMPONENT 4. Redefining the Relationship and Committing to Present Relationships
Redefining the Relationship for Children
Redefining the Relationship for Parents
Concerns about the Ability to Raise Children Alone
Troubleshooting
21. Treatment Review and Closure
Making Meaning of Trauma Experiences
Preparing for Treatment Termination
Troubleshooting
APPENDIX 1. Handouts for Families
APPENDIX 2. TF-CBT Implementation Resources: Books and Games to Use during Treatment
APPENDIX 3. Additional Professional Resources
TF-CBT Training
References
Index
About Guilford Press
Discover Related Guilford Books
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