Description
This book presents an innovative and empathic approach to working with traumatized teens. It offers strategies for getting through to high-risk adolescents and for building a strong attachment relationship that can help get development back on track. Martha B. Straus draws on extensive clinical experience as well as cutting-edge research on attachment, developmental trauma, and interpersonal neurobiology. Vivid case material shows how to engage challenging or reluctant clients, implement interventions that foster self-regulation and an integrated sense of identity, and tap into both the teen's and the therapist's moment-to-moment emotional experience. Essential topics include ways to involve parents and other caregivers in treatment.
Chapter
1. Attachment Theory in Development and Clinical Practice with Adolescents
Attachment Theory in a Nutshell
From Attachment Relationships to Attachment Styles
Attachment Styles Grow Up
Attachment and Psychopathology
A Dimensional Attachment Framework for Intervention
2. The Legacy of Developmental
Trauma in Adolescence
Developmental Trauma is Not PTSD
Diagnosis of Developmental Trauma
3. Interpersonal Neurobiology and Co-Regulation of Affect
Interpersonal Neurobiology
Nine Domains of Integration
Part II. Developmental–Relational Therapy
4. Developmental–Relational Therapy
with Traumatized Teens
Developmental–Relational Theory
The Four M’s of DRT: Mirroring, Mentalization, Mindfulness, and Modulation
Connection and Authentic Emotion
5. Attachment Styles: Transference and
Countertransference Revisited
The Therapist's Attachment Style
Attachment and the Transference Relationship
Countertransference in Working with Adolescents
Self-Disclosure and Enactments
6.
Getting Hooked and Unhooked
7. Increasing Connection with Preoccupied and
Dismissive Adolescents
Trauma Treatment for Teens is Different
Activation Is Not Retraumatization
8. Treating Dissociative Adolescents: Alternative Strategies for Healing
Disorganized/Fearful Attachment
Disorganized/Unresolved Attachment and Trauma
9. Including Parents and Families in Treatment
Setting the Stage for Success
The Impact of Developmental Trauma on Caregivers
Family Therapy for Adolescent Developmental Trauma
Four Strategies for Changing Caregiver and Adolescent IWMs
Increasing Emotional Communication
Four Strategies for Increasing Emotional Communication
10.
The Corrective Relational Ending
A Few General Recommendations for Ending
And It's Not Really the End, Anyway
Expect and Predict Hard Times Ahead
Step Down from the Pedestal
Therapist Termination Anxiety
A Few Termination Rituals
After Termination, There's Still a Relationship