Judith Cohen, Anthony Mannarino, and Esther Deblinger, Treating Trauma and Traumatic Grief in Children and Adolescents
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Judith Cohen, Anthony Mannarino, and Esther Deblinger, Treating Trauma and Traumatic Grief in Children and Adolescents Guildford Press, New York, NY, 2006, 248 pp Ellen R. DeVoe
Published online: 1 October 2008 Ó Springer Science+Business Media, LLC 2008
In Treating Trauma and Traumatic Grief in Children and Adolescents, Judith Cohen and her colleagues, Anthony Mannarino and Esther Deblinger, present an in-depth discussion of two treatment models for children and youth: (1) Trauma- Focused Cognitive Behavioral Therapy (TF-CBT) for multiply traumatized youth and (2) the Childhood Traumatic Grief model (CTG) for children who have experienced the traumatic loss of a loved one. The former approach, which has been refined through a decade of rigorous treatment outcome research, represents the integration of interventions developed for use with children who have experienced a range of traumatic events and those who have been sexually abused (e.g., Deblinger and Heflin 1996). The CTG model was developed to address the challenges of clinical intervention with children for whom traumatic stress symptoms interfere with the ability to grieve adaptively and has shown ‘‘promising results’’ in pilot studies (e.g., Cohen et al. 2004). The book is organized into three parts: (I) Trauma-Focused Cognitive Behavioral Therapy, (II) Trauma-Focused Components, and (III) Grief-Focused Components. Although the text is aimed primarily at describing these somewhat distinct aspects of treatment, the authors acknowledge the difficulty in capturing the nuances of effective therapy, and devote an entire chapter to the role of the therapeutic relationship. And while we understand that this relationship is always important, it is especially critical for children whose trust in adults and in the world may have been ruptured, and whose significant caregivers may not be available to support them, at least initially. The authors suggest additional clinical training through established workshops, web-based programs, and ongoing consultation with a TFCBT trained clinician. In the meantime, they offer us a number of specific strategies, scripts, activities, and resources for treatment sessions, as well as appendices and troubleshooting tips which clinicians can put to immediate use. E. R. DeVoe (&) Boston University School of Social Work, Boston, MA, USA e-mail: [email protected]
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In Part I, the authors provide an overview of the impact of trauma and grief on children. They give appropriate attention to developmental and caregiving considerations in understanding traumatic impact and successfully balance the potential for resilience in children with the possibility that the developmental trajectory may be permanently compromised as a result of trauma. Cohen and her colleagues also introduce the principle of phase-oriented treatment, which is currently the gold standard in trauma treatment for both children and adults. Within this framework, clients are first stabilized, and trained in self-soothing, and cognitive and affective proces
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