Treating Traumatic Bereavement A Practitioner's Guide

Author: Laurie Pearlman, Camille Wortman, Catherine Feuer, Christine Farber, Therese Rando
Affiliation: Consultant.
Publisher: Guilford Press
Publication Date: 2014
ISBN 10: 1462513174
ISBN 13: 9781462513178
eISBN: 9781462513772
Edition: 1st

Description:

This book presents an integrated treatment approach for those struggling to adapt after the sudden traumatic death of a loved one. The authors weave together evidence-based clinical strategies grounded in cutting-edge knowledge about both trauma and grief. The book offers a clear framework and many practical tools for building survivors' psychological and interpersonal resources, processing their trauma, and facilitating mourning. In a large-size format with lay-flat binding for easy photocopying, the book includes over 30 reproducible handouts. Purchasers also can access a Web page to download and print these materials as well as supplemental handouts and a sample 25-session treatment plan.

Table of Contents

Front Matter

  • ABOUT
  • DEDICATION
  • About the Authors
  • Preface
  • Acknowledgments

PART I FUNDAMENTALS OF TRAUMATIC BEREAVEMENT

    CHAPTER 1: Sudden, Traumatic Death and Traumatic Bereavement

    • TRAUMATIC DEATH PREVALENCE
    • PSYCHOLOGICAL CONSEQUENCES OF SUDDEN, TRAUMATIC DEATH
    • PERSISTENT AND PERVASIVE EFFECTS OF TRAUMATIC DEATH
    • THE NEED FOR INTEGRATED TREATMENT OF TRAUMATIC BEREAVEMENT
    • AN OVERVIEW OF OUR TREATMENT APPROACH FOR TRAUMATIC BEREAVEMENT
    • CLINICAL INTEGRATION
    • CONCLUDING REMARKS

    CHAPTER 2: Theoretical Foundations

    • LOSS
    • GRIEF AND MOURNING
    • PSYCHOLOGICAL TRAUMA
    • A RELATIONAL TREATMENT APPROACH
    • INTEGRATION IN THE TRAUMATIC BEREAVEMENT TREATMENT APPROACH
    • CLINICAL INTEGRATION
    • CONCLUDING REMARKS

PART II LIVING WITH TRAUMATIC BEREAVEMENT

    CHAPTER 3: Psychological Dimensions

    • SYMPTOMS AND ADAPTATIONS
    • SHATTERING OF THE ASSUMPTIVE WORLD
    • CLINICAL INTEGRATION
    • CONCLUDING REMARKS

    CHAPTER 4: Domains of Life Affected

    • INTERPERSONAL RELATIONSHIPS
    • STRUCTURES OF DAILY LIFE
    • THE LEGAL SYSTEM
    • SOCIAL SUPPORT
    • CLINICAL INTEGRATION
    • CONCLUDING REMARKS

PART III RISK FACTORS AND RELATED EVIDENCE

    CHAPTER 5: Event-Related Factors

    • CHARACTERISTICS OF THE DEATH
    • MODE OF DEATH
    • CLINICAL INTEGRATION
    • CONCLUDING REMARKS

    CHAPTER 6: Person-Related Factors

    • GENDER
    • RELIGION AND SPIRITUAL BELIEFS
    • PERSONALITY AND COPING STRATEGIES
    • KINSHIP RELATIONSHIP TO THE DECEASED
    • NATURE OF THE RELATIONSHIP WITH THE DECEASED
    • ATTACHMENT STYLE
    • ADDITIONAL PERSON-RELATED VARIABLES
    • CLINICAL INTEGRATION
    • CONCLUDING REMARKS

    CHAPTER 7: Treatment Research

    • TREATMENT FOR GRIEF AND MOURNING
    • TREATMENT FOR PTSD
    • INTEGRATING GRIEF AND TRAUMA TREATMENT RESEARCH
    • CLINICAL INTEGRATION
    • CONCLUDING REMARKS

PART IV GUIDELINES FOR IMPLEMENTING THE TREATMENT APPROACH

    CHAPTER 8: Client Assessment

    • APPROPRIATENESS OF THIS TREATMENT APPROACH FOR A PARTICULAR CLIENT
    • PROGRESSION THROUGH THE SIX “R” PROCESSES
    • RESOURCES
    • TRAUMA AND LOSS HISTORY AND PROCESSING
    • CLINICAL INTEGRATION
    • CONCLUDING REMARKS

    CHAPTER 9: Implementation Issues

    • GENERAL PSYCHOTHERAPY ISSUES
    • DESIGNING THE TREATMENT PLAN
    • INTEGRATING THIS APPROACH INTO AN ONGOING TREATMENT
    • CLINICAL INTEGRATION
    • CONCLUDING REMARKS

    CHAPTER 10: Building Resources

    • SELF CAPACITIES
    • COPING SKILLS
    • SOCIAL SUPPORT
    • BEREAVEMENT-SPECIFIC ISSUES
    • MEANING AND SPIRITUALITY
    • VALUES AND PERSONAL GOAL SETTING
    • CLINICAL INTEGRATION
    • CONCLUDING REMARKS

    CHAPTER 11: Processing Trauma

    • COGNITIVE PROCESSING INTERVENTIONS
    • EMOTIONAL PROCESSING INTERVENTIONS
    • BEHAVIORAL INTERVENTIONS
    • CLINICAL INTEGRATION
    • CONCLUDING REMARKS

    CHAPTER 12: Facilitating Mourning

    • FIRST “R” PROCESS: RECOGNIZE THE LOSS
    • SECOND “R” PROCESS: REACT TO THE SEPARATION
    • THIRD “R” PROCESS: RECOLLECT AND REEXPERIENCE THE DECEASED AND THE RELATIONSHIP
    • FOURTH “R” PROCESS: RELINQUISH THE OLD ATTACHMENTS TO THE DECEASED AND THE OLD ASSUMPTIVE WORLD
    • FIFTH “R” PROCESS: READJUST TO MOVE ADAPTIVELY INTO THE NEW WORLD WITHOUT FORGETTING THE OLD
    • SIXTH “R” PROCESS: REINVEST
    • CLINICAL INTEGRATION
    • CONCLUDING REMARKS

PART V CHALLENGES IN IMPLEMENTING THE TREATMENT APPROACH

    CHAPTER 13: Treatment Challenges

    • POTENTIALLY CHALLENGING ASPECTS OF THE TREATMENT
    • GUIDELINES FOR IDENTIFYING TREATMENT CHALLENGES
    • RESPONDING TO CLINICAL HURDLES
    • CHALLENGES ARISING FROM WORKING IN A DIFFERENT PARADIGM: STRONGER AND WEAKER SUITS
    • CLINICAL INTEGRATION
    • CONCLUDING REMARKS

    CHAPTER 14: Effects of the Treatment on Therapists

    • COUNTERTRANSFERENCE
    • VICARIOUS TRAUMATIZATION
    • TRAINING AND CONSULTATION: SUPPORTING YOURSELF IN THE WORK
    • REWARDS OF THE WORK
    • CLINICAL INTEGRATION
    • CONCLUDING REMARKS

APPENDIX: Handouts

    HANDOUT 1 Sudden, Traumatic Death and Traumatic Bereavement

    • TYPICAL, ON-TIME DEATHS VERSUS SUDDEN, TRAUMATIC DEATHS
    • TRAUMATIC BEREAVEMENT: TRAUMA AND GRIEF SYMPTOMS
    • MOURNING
    • WHAT CAN YOU DO TO HELP YOURSELF?

    HANDOUT 2 Orientation to the Treatment

    • WHAT THIS TREATMENT INCLUDES
    • WHAT TO EXPECT OF YOUR THERAPIST
    • YOUR ROLE
    • WHAT YOU’LL TAKE AWAY (“TOOLS FOR THE JOURNEY”)
    • THINGS TO REMEMBER

    HANDOUT 3 Treatment Goals and Tools

    • TREATMENT GOALS
    • SIX “R” PROCESSES: STEPS TO MOVE THROUGH IN YOUR MOURNING
    • TREATMENT TOOLS
    • Resource-Building Activities
    • Trauma-Processing Activities

    HANDOUT 4 Self-Care

      HANDOUT 5 Exploring the Impact of the Death

        HANDOUT 6 The Six “R” Processes of Mourning

          HANDOUT 7 Breathing Retraining

            HANDOUT 8 Feelings Skills

            • INNER CONNECTION
            • SELF-WORTH
            • FEELINGS MANAGEMENT

            HANDOUT 9 A Model for Change

              HANDOUT 10 What Are Automatic Thoughts?

                HANDOUT 11 Identifying Automatic Thoughts Worksheet

                  HANDOUT 12 Sample Automatic Thought Record

                    HANDOUT 13 Automatic Thought Record

                      HANDOUT 14 Challenging Questions Worksheet

                        HANDOUT 15 Processing the Loss

                          HANDOUT 16 First Account of the Death

                            HANDOUT 17 Secondary Losses 1

                              HANDOUT 18 The Importance of Enhancing Social Support

                                HANDOUT 19 Building Social Support

                                  HANDOUT 20 Second Account of the Death

                                    HANDOUT 21 Values*

                                    • BARRIERS TO REACHING YOUR GOALS AND ACTION PLANS

                                    HANDOUT 22 Third Account of the Death

                                      HANDOUT 23 Psychological Needs

                                      • SAFETY
                                      • TRUST
                                      • CONTROL
                                      • ESTEEM
                                      • INTIMACY

                                      HANDOUT 24 Positive and Negative Aspects of Your Relationship with Your Significant Other

                                      • YOUR RELATIONSHIP
                                      • PERSONAL QUALITIES OF YOUR LOVED ONE

                                      HANDOUT 25 Fear and Avoidance Hierarchy Form

                                        HANDOUT 26 Account of Your Relationship with Your Significant Other

                                          HANDOUT 27 Guilt, Regret, and Sudden, Traumatic Death

                                          • GUILT
                                          • REGRET
                                          • HOW CAN YOU ADDRESS GUILT AND REGRET?

                                          HANDOUT 28 Anger and Sudden, Traumatic Death

                                          • IS IT NATURAL TO FEEL ANGRY AFTER A TRAUMATIC DEATH?
                                          • WHAT ARE SOME REASONS FOR BEING ANGRY AFTER A TRAUMATIC DEATH?
                                          • WHY IS ANGER SCARY?
                                          • USING ANGER CONSTRUCTIVELY

                                          HANDOUT 29 Letter to Your Significant Other

                                            HANDOUT 30 Exploring the Meaning of the Loss

                                              HANDOUT 31 Spirituality

                                                HANDOUT 32 Final Impact Statement

                                                References

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