Complex Trauma in Children and Adolescents: Evidence‐Based Practice in Clinical Settings

Lawson, David M.; Quinn, Jamie

doi:10.1002/jclp.21990

Cited by 68 publications

(41 citation statements)

References 18 publications

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“…Developmental trauma, as described by van der Kolk, is complex trauma that occurs from significant and severe chronic traumatic events, experienced in childhood and adolescence, that have been perpetrated by a caregiver or individual that is expected to be a source of “security, protection, and stability” (Lawson & Quinn, ). The stress can be emotional, physical, sexual, or secondary (such as witnessing family violence), and can also include medical trauma and traumatic loss or grief.…”

Section: What Is Trauma?mentioning

confidence: 99%

Trauma‐Informed Interventions in Parent–Child Contact Cases

Deutsch¹,

Drozd²,

Ajoku³

2020

Family Court Review

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Parent-child contact problems may arise in the context of high conflict separation/divorce dynamics between parents. In cases where there are parent-child contact problems and children resist or refuse contact with one of their parents, there may also be incidents of child maltreatment, intimate partner violence, or compromised parenting that can be experienced by a parent or child as traumatic. The circumstances around separation and/or post-divorce often result in intense stress for families. In this paper we distinguish between the stressful circumstances that may arise as a result of high interparental conflict and pulls for alignment from a parent, and the real or perceived trauma as a factor which contributes to resistance or refusal of a child to have contact with a parent. Interventions to address both trauma responses and the resist-refuse dynamics are differentiated and discussed. After screening and assessment, the intent is to treat trauma responses with short-term, evidence-based therapy, either before or concurrent with co-parent and family intervention. Key Points for the Family Court Community:Parent-child contact problems may have many causes. When children resist contact with a parent the multiple factors including trauma, that result in this problem must be explored.Assessing the impact and symptoms of interparental conflict and trauma on children and coparents, including emotional dysregulation resulting in feelings of being overwhelmed or needing to avoid is necessary to proceed with a family intervention For family intervention to be successful It is necessary for each family member to be able to manage distressing emotions without feeling overwhelmed or numb and to be able to process information accurately. These issues may result in one of the treatment components that can occur before or at the same time as the family intervention.Delaying contact with a parent generally results in more negative characterization, anxiety and polarization and is generally not recommended. Instead safe, structured contact to begin the process of desensitization should occur once the parent and child have basic skills of coping with and managing distressing thoughts and feelings.

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Section: What Is Trauma?mentioning

confidence: 99%

Trauma‐Informed Interventions in Parent–Child Contact Cases

Deutsch¹,

Drozd²,

Ajoku³

2020

Family Court Review

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show abstract

“…Complex trauma theory (Cook et al, 2005;Courtois, 2004;Ford & Courtois, 2009;van der Kolk, 2005) posits that chronic adverse or stressful life events can create a lasting impact on the individual's ability to function physically or emotionally. When children experience repeated traumatic events, their developmental trajectory is significantly altered on several domains, including attachment, biology, affect regulation, dissociation, behavioral control, cognition, and self-concept (Cook et al, 2005). Rehabilitating the negative and often self-defeating behaviors that traumatized, delinquent youth exhibit may require a trauma-informed sensitivity to the difficulties experienced on these domains.…”

Section: Youth Trauma and The Trauma-informed Approachmentioning

confidence: 99%

Trauma‐Informed Approaches to Juvenile Justice: A Critical Race Perspective

Crosby¹

2016

Juvenile Family Court J

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Youth of color experience disproportionate juvenile justice contact and recidivism. Trauma‐informed approaches may provide important support to these youth and improve their future outcomes. This paper describes dynamics of the various levels of the juvenile justice system (i.e., police contact, courts, correctional placement, aftercare) that perpetuate psychological trauma among adjudicated youth of color. This paper explores trauma‐informed approaches from a critical race theory perspective to address issues of systemic racial injustice in the juvenile justice system. Current and emerging models for trauma‐informed juvenile justice and implications for practice, policy, and research are discussed.

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“…Also, large N group designs may obscure finer-grain elements of treatment unique to each case that may be critical to successful treatment. Some suggest the need to examine treatment for single cases based on evidence-informed interventions as a means of identifying important treatment dynamics, examining theoretical constructs, and to inform large n studies (Lawson and Quinn 2013). The case study below is an effort to contribute to this end.…”

Section: Treatment Related Issuesmentioning

confidence: 99%

Treating Complex Trauma: An Evidence-Based Case Example of Severe Childhood Abuse

Lawson

Hight²

2015

Journ Child Adol Trauma

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Complex trauma (CT) results from exposure to severe stressors that occur within the caregiver system, are chronic, and largely begin in childhood or adolescence. This article describes the evidence-informed treatment of a 9-yearold female with chronic CT symptoms, resulting from longterm sexual, physical, and psychological abuse within her family. Treatment lasted 17 months and followed an assessment-driven, phase-based process. This process was flexibly implemented based on the unique circumstances of the case, while remaining consistent with the intent of the treatment models. Pre-to post-treatment data indicated significant reductions in trauma-related symptoms. Verbatim clinical vignettes illustrate specific interactions between family members and therapists, as well as interventions related to the treatment.

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Complex Trauma in Children and Adolescents: Evidence‐Based Practice in Clinical Settings

Cited by 68 publications

References 18 publications

Trauma‐Informed Interventions in Parent–Child Contact Cases

Trauma‐Informed Interventions in Parent–Child Contact Cases

Trauma‐Informed Approaches to Juvenile Justice: A Critical Race Perspective

Treating Complex Trauma: An Evidence-Based Case Example of Severe Childhood Abuse

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