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Over the last decade, the literature on therapy addressing trauma in children has expanded considerably, as has the literature on dissociation. Unfortunately, very little of this literature has addressed the issue of dissociation in children. At the same time, therapists working with children and adolescents have become increasingly aware of the occurrence of trauma and dissociation in their clients.
Dissociation in Traumatized Children and Adolescents is a groundbreaking text for the study of dissociation in young people. In eight unique and compelling case studies, the authors lay out detailed narratives that illustrate both therapy progression as well as the therapist’s reactions and thought process during case development. These case studies present many aspects of working with traumatized children who dissociate―trauma processing, attachment work, work with the family, interactions with the community―and give frank analysis of the difficulties clinicians encounter in various therapeutic situations and how and why they arrived at particular therapeutic decisions. While the book includes intensive analysis of each author’s theoretical framework as well as that of dissociation in general, it also shows clinicians, in the most practical terms, how to translate the theories of dissociation into action. No clinician interested in trauma and dissociation in children will want to be without this text.
- Sales Rank: #1918000 in Books
- Published on: 2010-12-08
- Original language: English
- Number of items: 1
- Dimensions: 9.02" h x .88" w x 5.98" l, 1.39 pounds
- Binding: Hardcover
- 384 pages
Review
"This book is a gift to clinicians. The chapters speak to the variability of dissociation in children and adolescents and also to the learning curve that clinicians experience in identifying and treating dissociation. A much-needed and welcome resource!" - Christine A. Courtois, author of Healing the Incest Wound and coeditor of Treating Complex Traumatic Stress Disorders
"Dissociation in Traumatized Children and Adolescents belongs on the bookshelf of every clinician who treats or who anticipates treating dissociative children and adolescents and should be read by every researcher studying trauma, dissociation, and dissociative disorders in the young." -From the foreword by Richard P. Kluft, coeditor of Clinical Perspectives on Multiple Personality Disorder and Temple University School of Medicine, Pennsylvania, USA
"In this engaging volume, Dr. Wieland brings together the world's leading experts in the provision of psychotherapy to dissociative children and adolescents. Clinicians faced with the challenges, mysteries, and opportunities presented by treating dissociative children will learn new ways of thinking about their work, practical solutions and techniques, and creative approaches to healing. They will also know that they, like their clients, are not alone, and that there are others out there like them. A must read for anyone working with child survivors of ongoing, interpersonal trauma." -Bradley C. Stolbach, The University of Chicago Pritzker School of Medicine, USA, and author of The Children's Dissociative Experiences Scale and Posttraumatic Symptom Inventory
"By interlacing client narrative with therapist case conceptualization, Dr. Wieland’s book provides practical guidance from the premiere experts in the field. Dissociation in Traumatized Children and Adolescents sets the standard for best practices for therapists working with traumatized and dissociative children. This book is a must have for the library of mental health professionals who work with children." -Robbie Adler-Tapia, co-author of EMDR and the Art of Psychotherapy With Children
About the Author
Sandra Wieland, PhD, is a psychologist in private practice for children, adolescents, and adults at the Centre for Counselling & Therapy in Victoria, British Columbia. She is also a consultant psychologist at the Vancouver Island Men’s Trauma Centre, the Women against Violence Program and Sexual Abuse Intervention Program (Children) at the Pacific Centre Family Service, the Women’s Transition House, and EMDR child therapists. She taught at Tillicum Haus First Nations Training Centre, 1999-2008, and from 1987 to 1997 she was a clinical assistant professor of psychology at the University of Ottowa. She is a current director of the International Society for the Study of Trauma/Dissociation.
Most helpful customer reviews
6 of 6 people found the following review helpful.
A must read for any child professional, educator, clinician, or foster/adopting parent
By Annie M.
Trauma in children is often either ignored ("oh, he's too young to remember this, so don't bring it up and it won't affect him"), trivialized ("oh, children are resilient, they aren't affected the way adults are, she'll be ok"), or pathologized ("he has lots of tantrums so he must be bi-polar; she cannot sit still so she must have ADHD; he doesn't do well in school so he must have a learning disability; she argues all the time so she has oppositional defiant disorder").
Reality is, children are affected by trauma, and affected deeply. Even more than adults might, given that they do not have the life experiences with which to temper overwhelm, and are often too small and too helpless to be able to fight back, or remove themselves from the situation, and all too often are dependent on the very people who maltreat them (97% of child maltreatment is by persons known to the child and upward of 70% is by a child's parent).
With no one to go to, and no way to remove themselves, children do whatever they can, which often includes mentally 'taking themselves out of the picture' by dissociating, by numbing physical and emotional pain, by 'looking from the side', by 'having this happen to someone else, another little boy or girl, not me'. It is a good way to get through trauma at the time--sometimes the only way a child has at their disposal--but it comes at a price: The price of being able to stay connected to their own body, to move on and not have their reality 'boobytrapped' with triggers of the trauma that launch them right back into re-experiencing it, by detaching them from good and pleasant expriences as well as the ucky ones, by not letting them adapt to a changing reality, by preventing them from attaching to caregivers who are not abusive, by limiting their avility to let in new information, to communicate their experiences, to make friends, to fully be themselves.
The price of surviving trauma is often astronomical for children. However, with correct diagnosis and careful, compassionate, trauma-informed treatment; they CAN heal, reconnect, love, live.
"Dissociation in traumatized children and adolescent" offers a window into how this healing can take place. It describes not only how dissociation happens, what it looks like, what it does and what it 'costs' to the child (and their caregivers) later on; but also how it can be mended and how true resiliency can be found. Not through ignoring or minimizing but through attending, understanding, reconnecting, processing, and moving on.
Each chapter in the book addresses a different child, of a different age, with a different therapist, sometimes from a different country, with very differnt backgrounds and trauma histories, and with different approaches. And yet, they all move toward the same goal: to reconnect fragmented experiences into an integrated experience, so they child is no longer trapped in the wreckage of their trauma and can truly be free of it.
If you ever wanted to be a fly on the wall of a therapy room (or a school room--where traumatized children spend most of everyday); this is your chance. Do not miss it, for you will learn not only about the treatment of traumatized children, but about the inner workings of children's minds and the amazing courage and spirit they possess that can allow them to overcome their pain.
If you are a psychotherapist--you need to read this: it will give you an understanding not only of child clients, but of the adult clients who come to see you (and who were all children once).
If you are an educator--you need to read this: it will give you a perspective of the 'problem children' in your classroom; AND how to help them better.
If you are a medical professional working with children--you need to read this: it will help you understand those children with so-called 'psychogenic problems'; why they may be having unexplained pains, and what may be done to help resolve them.
If you are a foster parent or adoptive parent or anyone in a foster/adoption agency, if you work in child-services as a social worker, lawyer, forensic investigator, law enforcement--you need to read it. Period.
You will understand the children you see better. You will be able to help them better. You will know who to refer them to better.
Read it.
2 of 2 people found the following review helpful.
This is a great book for anyone working with abused children
By T. GRIFFITH
This is a great book for anyone working with abused and traumatized children. For too long therapist and social workers have overlooked the fact that children who are victims of repeated physical and sexual abuse, can dissociate, as a way to deal with not only the sexual and physical truama, but the psycholocial implications as well. This book present case studies, that will enlighten all practioneers to the really "realities" these children have endured. This book is a MUST have!!
1 of 1 people found the following review helpful.
Must read for social workers and foster parents
By Joan B.
I am fostering a child with dissociative identity disorder so I scoured the internet for information to help me understand this unusual and problematic condition. This book is an absolute gem. The best I found. Each chapter is a casehistory combined with explanation of what is going on with the child and why the therapists[and a teacher] chose the action they did. Chapters are written by different therapists so you get a variety of backgrounds and approaches. As a foster parent I am the one, day in and day out, who cares for and works with the child. The ideas and techniques are well explained and very useful for the lay person who finds a dissociated or traumatized child in their care: parent, foster parent, teacher, or child protective caseworker.
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