Presenting a comprehensive developmental approach, this book examines the origins and course of normal and pathological dissociation in children and adolescents. The volume illustrates the critical connection between pathological dissociation and trauma, and provides a clear synthesis of what is known about the psychobiology of dissociative disorders and the effects of pathological dissociation on cognition, memory, and behavior. Amply illustrated with clinical vignettes, the book describes an array of diagnostic and treatment techniques and includes reproducible copies of validated dissociation scales for all age groups. This book would be of use to clinicians working with child, adolescent, or adult dissociative clients and with other victims of child maltreatment as well as students of psychology, psychiatry, and related mental health fields. PHOTOCOPY RIGHTS: The publisher grants to individual purchasers of this book nonassignable permission to reproduce the scales it contains for clinical use with their clients.
Trained as a child, adolescent, and adult psychiatrist at Yale University and George Washington University, Frank W. Putnam, MD, is a leading authority on dissociative disorders. He is Chief of Developmental Traumatology at the National Institute of Mental Health and directs clinical research on the effects of maltreatment, community violence, and other types of trauma across the lifespan. He is the author of "Diagnosis and Treatment of Multiple Personality Disorder."
Introduction. The Nature and Effects of Childhood Trauma and Maltreatment. Influential Factors and Common Themes in Maltreatment Outcomes. Introduction to Dissociation. Pathological Dissociation. Trauma, Dissociation, and Memory. Toward a Model of Pathological Dissociation. The "Discrete Behavioral States" Model. The Developmental Basis of Dissociation. Altered States in Everyday Life. Dissociative Presentations: Clinical Vignettes. Clinical Phenomenology and Diagnosis. Philosophy and Principles of Treatment. Individual Therapy. Dissociative Families and Out-of-Home Placements. Psychopharmacology.
"This beautifully written volume addresses the very core of how children and adolescents organize traumatic experiences: by dissociating. The rich mixture of empirical data and clinical observations makes this the indispensable tool for any clinician or researcher who cares to understand why these children behave the ways they do, and which treatments are effective in alleviating both their own suffering and the pain they often inflict on others." --Bessel A. van der Kolk, MD, Professor of Psychiatry, Boston University School of Medicine
"Masterful....It is indeed a rare pleasure to find the most relevant and contemporary research on this topic so well articulated....This is indubitably one of the most useful additions to any professional library." --Eliana Gil, PhD
"Dr. Frank Putnam's most recent book, "Dissociation in Children and Adolescents: A Developmental Approach", is a welcome addition to the literature on childhood dissociation. Dr. Putnam reviews relevant research on the role of childhood trauma in the development of dissociative phenomena. Especially noteworthy is Putnam's utilization of a developmental framework in order to conceptualize dissociative symptoms as failures in basic developmental processes. The incorporation of clinical case vignettes brings the concepts described to life and makes them more accessible to the reader.
Dr. Putnam is one of our nation's premier thinkers on dissociation and this book will be extremely helpful to those invested in understanding and treating dissociative disorders of childhood and adolescence." --Dante Cicchetti, PhD, Director, Mt. Hope Family Center, University of Rochester
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