2015
DOI: 10.1007/s40653-015-0054-z
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Treating Complex Trauma: An Evidence-Based Case Example of Severe Childhood Abuse

Abstract: 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 cas… Show more

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Cited by 5 publications
(2 citation statements)
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References 21 publications
(35 reference statements)
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“…The recommendations for modifying both manualized and non-manualized TF-CBT to address PTSD in response to multiple traumas are similar and include: further developing safety, grounding and distress-tolerance skills; collecting more information about formative experiences; introducing exposure to traumatic events at a rate suitable to the service-user; incorporating trauma themes throughout therapy; and extending the number of sessions (Cohen et al ., 2006; Smith et al , 2009; Stallworthy, 2013). There is also recognition that additional work may be needed after TF-CBT to address residual problems and that treatment protocols will need to be tailored to the individual, including the possibility of multiple modalities being used (for example Lawson & Hight, 2015).…”
Section: Introductionmentioning
confidence: 99%
“…The recommendations for modifying both manualized and non-manualized TF-CBT to address PTSD in response to multiple traumas are similar and include: further developing safety, grounding and distress-tolerance skills; collecting more information about formative experiences; introducing exposure to traumatic events at a rate suitable to the service-user; incorporating trauma themes throughout therapy; and extending the number of sessions (Cohen et al ., 2006; Smith et al , 2009; Stallworthy, 2013). There is also recognition that additional work may be needed after TF-CBT to address residual problems and that treatment protocols will need to be tailored to the individual, including the possibility of multiple modalities being used (for example Lawson & Hight, 2015).…”
Section: Introductionmentioning
confidence: 99%
“…Additional insights have been developed relative to complex trauma, which results from severe, co-occurring, or recurring trauma events that occur within the caregiver system or with another trusted adult beginning in childhood or adolescence (Lawson & Quinn, 2013). Treatment for complex trauma has also been presented in the literature to include trauma-focused cognitive behavior therapy (Cohen, Mannarino, Kliethermes, & Murray, 2012), classroom interventions (O'Neill, Guenette, & Kitchenham, 2010), and clinical interventions (Lawson & Hight, 2015;Lawson & Quinn, 2013).…”
mentioning
confidence: 99%