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Therapeutic Work for Children with Complex Trauma: A Three-Track Psychodynamic Approach

$57.26  Paperback
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Nicole Vliegen, Eileen Tang, Nick Midgley, Patrick Luyten, Peter Fonagy

  • Therapeutic Work for Children with Complex Trauma

264 pages
2023
ISBN: 9780367491758

Therapeutic Work for Children with Complex Trauma offers a contemporary three-track psychodynamic treatment model to mental health professionals working with traumatised children and their caregivers.

The book provides a contemporary and comprehensive approach to working with traumatised children by integrating knowledge and skills from traditional psychodynamic child psychotherapy and more contemporary trauma-informed and mentalisation-based frameworks. It advocates three tracks of work, involving direct work with the child, work with the child’s primary caregivers and work with the network. The book is divided into two parts:

  • Part I of the book covers the theoretical background
  • Part II discusses the core components and phases of the trauma-informed and mentalization-based treatment approach.
  • The authors bring out the specific dynamics of the psychotherapeutic work through four composite cases woven through the book.

Written in accessible language this treatment guide is primarily aimed at psychodynamically trained psychotherapists, mental health professionals and professional caregivers working with traumatised children.

Table of Contents

INTRODUCTION

PART I. THEORETICAL BACKGROUND

Chapter 1. A contemporary psychodynamic perspective on and approach to complex trauma

Chapter 2. Complex trauma and profound disruptions in four domains of child development

Chapter 3. Complex trauma and the challenge to mentalizing capacities in parents and the network

PART II. THE THREE-TRACK TREATMENT APPROACH

Chapter 4. The three-track treatment approach: core features and basic principles

Chapter 5. Assessment of ‘child within family’ development

Chapter 6. Direct work with the child

Chapter 7. Work with parents

Chapter 8. Work with the network

Chapter 9. Working towards ending

"This is a text that child therapists have long needed. It brings together understandings which have historically been too separate, of the effects of complex trauma on children, alongside psychodynamic, attachment and developmental science, integrated into a deep but user-friendly and effective way of working not only with the child but also with the significant adults and systems around them. Clinicians, from the most experienced to newer therapists, will breathe a sigh of relief that this is available."
- Dr Graham Music, Consultant psychotherapist, Tavistock Clinic, Author of Nurturing Children (2019) and Nurturing Natures (2016)

"The present volume is much needed as communities around the world face more strife and conflict and complex trauma in children is increasingly common. The authors offer a concise and invaluable integration of clinical theory with insights into how therapists create a safe space to facilitate children’s recovery and growth. In language accessible for students as well as parents, the authors provide a vivid portrait behind the scenes of experienced therapists working with great skill with traumatized children and their families."
- Linda Mayes, Arnold Gesell Professor Child Psychiatry, Pediatrics, and Psychiatry, Yale Child Study Center, Yale School of Medicine 

"Child psychotherapists working in the psychodynamic tradition have always worked with children and families struggling with the effects of complex trauma. Yet there has been a lack of an integration of longstanding psychoanalytic clinical experience with contemporary ways of working with trauma emerging from other fields, including neuroscience, developmental psychology and mentalization-based work. Nicole Vliegen and her colleagues have produced an approachable and inspiring practice guide, which will be useful for any child psychotherapist working with traumatised fostered and adopted children. Especially useful is the three-track treatment approach: direct therapy with the child has to be combined with active work with the parents/carers and the wider network for the work to have a lasting impact."
- Maria Papadima, PhD, Editor of the Journal of Child Psychotherapy; Senior Child and Adolescent Psychotherapist in the NHS Service for Adolescents and Families in Enfield (SAFE)