1st Edition

PTSD and Mild Traumatic Brain Injury

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ISBN 9781462503384
Published March 27, 2012 by Guilford Press
308 Pages

USD $70.00

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Book Description

Events that lead to traumatic brain injury are often also psychologically traumatic. Addressing a growing need among mental health practitioners, this authoritative book brings together experts in both posttraumatic stress disorder (PTSD) and mild traumatic brain injury (mTBI). Chapters present empirically based best practices for conceptualization, assessment, and intervention. The book also addresses the biological and psychosocial mechanisms by which PTSD and mTBI complicate each other; management of commonly associated conditions, including chronic pain and substance abuse; special considerations in military contexts; and possible ways to improve the structure and cost-effectiveness of providing care in this challenging area.

Table of Contents

I. Introduction
1. Understanding the Interface of Traumatic Stress and Mild Traumatic Brain Injury: Background and Conceptual Framework, Jennifer J. Vasterling, Richard A. Bryant, and Terence M. Keane
II. Clinical Presentations and Mechanisms
2. Understanding Mild Traumatic Brain Injury: Neuropathology and Neuroimaging, Erin D. Bigler and William L. Maxwell
3. A Biopsychosocial Conceptualization of Poor Outcome from Mild Traumatic Brain Injury, Grant L. Iverson
4. Understanding Posttraumatic Stress Disorder: Implications for Comorbid Posttraumatic Stress Disorder and Mild Traumatic Brain Injury, Jasmeet Pannu Hayes and Mark W. Gilbertson
5. Effects of Traumatic Brain Injury–Associated Neurocognitive Alterations on Posttraumatic Stress Disorder, Mieke Verfaellie, Melissa M. Amick, and Jennifer J. Vasterling
III. Commonly Associated Conditions
6. Chronic Pain, John D. Otis, Catherine B. Fortier, and Terence M. Keane
7. Substance Use Disorder, Lisa M. Najavits, Jennifer Highley, Sara L. Dolan, and Frank A. Fee
IV. Clinical Management
8. Assessment, Erin W. Ulloa, Brian P. Marx, Rodney D. Vanderploeg, and Jennifer J. Vasterling
9. Assessment in Contexts That Threaten Response Validity, Jon D. Elhai, Jerry J. Sweet, Leslie M. Guidotti Breting, and Danny Kaloupek
10. Treatment of Mild Traumatic Brain Injury, Jennie Ponsford
11. Treatment of Posttraumatic Stress Disorder Following Mild Traumatic Brain Injury, Richard A. Bryant and Brett T. Litz
12. Implications for Service Delivery in the Military, Richard A. Bryant, Carl A. Castro, and Grant L. Iverson
13. Estimating the Costs of Care, Ann Hendricks, Maxine Krengel, Katherine M. Iverson, Rachel Kimerling, Carlos Tun, Jomana Amara, and Henry L. Lew
V. Conclusions
14. Understanding the Interface of Traumatic Stress and Mild Traumatic Brain Injury: Future Directions in Science and Clinical Practice, Jennifer J. Vasterling, Richard A. Bryant, and Terence M. Keane

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Jennifer J. Vasterling, PhD, is Chief of Psychology at the VA Boston Healthcare System. She is also a clinical neuropsychologist, an active researcher in the VA National Center for PTSD, and Professor of Psychiatry at Boston University School of Medicine. Dr. Vasterling is a recipient of the Award for Outstanding Contributions to the Science of Trauma Psychology from the American Psychological Association (Division 56, Division of Trauma Psychology). She is an authority on the neuropsychological features of PTSD and is known for her work examining the cognitive and emotional changes that accompany war-zone deployment.

Richard A. Bryant, PhD, is Scientia Professor of Psychology at the University of New South Wales. He is also an Australian Research Council Laureate Fellow and Director of the Traumatic Stress Clinic at Westmead Hospital in Sydney. Dr. Bryant is a recipient of honors including the Distinguished Contribution to Psychological Science Award from the Australian Psychological Society and the Robert S. Laufer Award for Outstanding Scientific Achievement from the International Society for Traumatic Stress Studies (ISTSS). His work focuses on the intersection of PTSD and traumatic brain injury, the assessment and treatment of acute trauma reactions, and the cognitive and biological mechanisms underpinning traumatic stress.
Terence M. Keane, PhD, is Director and Associate Chief of Staff for Research and Development at the VA National Center for PTSD, Behavioral Sciences Division, VA Boston Healthcare System. He is also Assistant Dean for Research and Professor and Vice-Chairman of Psychiatry at Boston University School of Medicine. Dr. Keane is a recipient of the Lifetime Achievement Award from the ISTSS, among numerous other awards. He developed many of the most widely used PTSD assessment measures and is an authority on the cognitive-behavioral treatment of PTSD.



"Clinicians and scientists alike are certain to welcome this volume, which meets a real need in presenting a comprehensive review of the basic and clinical science of PTSD and mTBI. The biopsychosocial conceptual framework provides a perfect translational bridge to evidence-based clinical management. The book will rapidly become the reference of choice for clinicians facing the complexities of these two conditions and for students in the neurosciences."--Michael McCrea, PhD, ABPP, Professor and Director of Brain Injury Research, Departments of Neurosurgery and Neurology, Medical College of Wisconsin

"Vasterling, Bryant, and Keane have assembled an outstanding group of experts to provide a conceptual, scientific, and clinical overview of this daunting challenge. Co-occurring PTSD and mTBI unfortunately has emerged as a common problem for many service members and veterans in recent years. Since PTSD and mTBI affect each other, it is imperative that clinicians treat them concurrently, and do so within a multidisciplinary context. This book provides a thoughtful, comprehensive review of what we know, what we don’t know, and what we need to do to fill in the blanks. It should be mandatory reading for anyone in the field."--Matthew J. Friedman, MD, PhD, Senior Advisor, National Center for PTSD, U.S. Department of Veterans Affairs; Professor of Psychiatry and Pharmacology and Toxicology, Geisel School of Medicine at Dartmouth

"This one-of-a-kind book from prominent international experts provides a scholarly and practical synthesis of the complex interaction between PTSD and mTBI. Clearly written chapters provide state-of-the-art information and clinical guidance on assessment and management in both civilian and military settings. Practitioners, researchers, educators, and trainees (students and residents) in the fields of mental health, neurology, and rehabilitation medicine all will benefit greatly from reading this book and having it as an essential reference on their bookshelves."--Jesse R. Fann, MD, MPH, Departments of Psychiatry and Behavioral Sciences, Rehabilitation Medicine, and Epidemiology, University of Washington

"The association between PTSD and mTBI is a vexing problem. This volume provides much-needed clarification and direction for clinicians and researchers alike. It brings together leading authorities who provide critical insights, making it an invaluable resource. The book has particular relevance for those treating service members and veterans."--Alexander C. McFarlane, MD, Director, Center for Traumatic Stress Studies, University of Adelaide, Australia

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