Group Trauma Treatment in Early Recovery
Promoting Safety and Self-Care
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Infused with clinical wisdom, this book describes a supportive group treatment approach for survivors just beginning to come to terms with the impact of interpersonal trauma. Focusing on establishing safety, stability, and self-care, the Trauma Information Group (TIG) is a Stage 1 approach within Judith Herman's influential stage model of treatment. Vivid sample transcripts illustrate ways to help group participants deepen their understanding of trauma, build new coping skills, and develop increased compassion for themselves and for one another. In a large-size format for easy photocopying, the volume provides everything needed to implement the TIG, including session-by-session guidelines and extensive reproducible handouts and worksheets. Purchasers get access to a companion website where they can download and print the reproducible materials from the book, as well as an online-only set of handouts and worksheets in Spanish.
See also The Trauma Recovery Group, by Michaela Mendelsohn, Judith Lewis Herman, et al., which presents a Stage 2 treatment approach for clients who are ready to work on processing and integrating traumatic memories.
Table of Contents
1. Group Treatment for Interpersonal Violence
2. Overview of the Trauma Information Group
3. Description of the Structure and Content of Sessions 1 and 2
4. Description of the Structure and Content of Sessions 3–10
5. Group Process and Group Leadership
6. Adaptations of the TIG
Appendix A. Schedule for the Trauma Information Group
Appendix B. Guidelines for the Trauma Information Group
Appendix C. Trauma Information Group Handouts and Worksheets
Judith Lewis Herman, MD, is Professor of Psychiatry (part time) at Harvard Medical School. For 30 years, until she retired, she was Director of Training at the Victims of Violence Program at Cambridge Health Alliance. Her books include Group Trauma Treatment in Early Recovery, The Trauma Recovery Group, Father–Daughter Incest, and Trauma and Recovery. Dr. Herman is a recipient of lifetime achievement awards from the International Society for Traumatic Stress Studies and from the Division of Trauma Psychology of the American Psychological Association. She has also received the Woman in Science Award from the American Medical Women's Association and has been named a Distinguished Life Fellow of the American Psychiatric Association.
Diya Kallivayalil, PhD, is a staff psychologist at the Victims of Violence Program at Cambridge Health Alliance, where she is also the trauma consultant for the Department of Psychiatry. She is Assistant Professor in the Department of Psychiatry at Harvard Medical School and a faculty member in the Cambridge Health Alliance’s seminar on Global Health and Human Rights. Dr. Kallivayalil’s clinical specialty is the treatment of trauma-related disorders. She has published in the areas of complex trauma, gender-based violence, homicide bereavement, and refugee health.
"This book reflects decades of learning by the award-winning therapists at the Victims of Violence Program. With a focus on skills and processes to mitigate the impact of trauma and violence, the volume is an important addition to the libraries of clinicians treating those subjected to interpersonal violence of all types. I strongly recommend this book for beginning, intermediate, and even the most experienced therapists."--Terence M. Keane, PhD, National Center for PTSD, VA Boston Healthcare System, and Department of Psychiatry, Boston University School of Medicine
"Drawing on decades of collective experience, Herman, Kallivayalil, and their coauthors provide detailed therapeutic approaches to the expectable--and ultimately manageable--victim responses to trauma. Every therapist interested in conducting trauma psychoeducation as an integral part of the early phase of treatment will benefit from the time-tested, practical, and broadly adaptable strategies richly illustrated in this manual."--Frank W. Putnam, MD, Professor of Psychiatry, University of North Carolina at Chapel Hill
"Herman, with the collaboration of her colleagues, has done it again--this book is a gem. It provides accessible, step-by-step guidance for facilitating a Stage 1 trauma group, addressing both content and process. The authors provide thorough instructions for each of the 10 sessions, including scripts for introducing the session's content as well as downloadable handouts and worksheets. While this is clearly a finely honed intervention, the authors also demonstrate how it can be modified for different trauma populations. This book contains everything a novice clinician needs to know about working with trauma survivors and is sophisticated enough to benefit the advanced practitioner. It is an excellent resource for trainees and clinicians new to the field of trauma."--Catherine C. Classen, PhD, Department of Psychiatry, University of California, San Francisco; Director, Division of Trauma Recovery Services, Zuckerberg San Francisco General Hospital
"Essential reading for all therapists and students in the mental health and social services fields. This book brings together the insights of Trauma and Recovery icon Judith Lewis Herman and her colleagues at the Victims of Violence Program to provide a crucial roadmap for the too-often overlooked initial phase of trauma therapy. Therapeutic engagement and education are brought to light with rich case examples. Concise, practical worksheets help survivors to unpack the meaning of their traumatic experiences and find meaning and hope in their lives."--Julian D. Ford, PhD, ABPP, Department of Psychiatry, University of Connecticut Health Center; President-Elect (2017–2019), International Society for Traumatic Stress Studies
"This is one of a very few trauma-focused treatment guides that have the explicit goal of utilizing group process as a central component of therapy. The approach addresses key, common concerns of trauma survivors in early recovery--it combines psychoeducation with work on safety, affect regulation, shame, and self-compassion. The authors provide a theoretical rationale for the approach, a clear structure for delivery of session content, and sample dialogues that offer exemplars of how to elicit participation and actively support participants’ learning and reflection. As an instructor of group treatment courses, I am excited to share with my students this insightful, articulate example of an early-stage treatment for trauma survivors that attends to and utilizes group process."--Shannon M. Lynch, PhD, Department of Psychology, Idaho State University