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\"Why do responses to terrorist attacks often perpetuate cycles of deadly violence?Can an understanding of the psychology of these cycles help us to break them?Drawing on clinical experience of the care of people and communities affected by violence and disasters and on advances in cognitive and dynamic psychology, attachment theory, group psychology and thanatology, this ground-breaking work by a prominent and varied array of contributors casts light on the causes of terrorism, the reasons why responses to deadly attacks easily give rise to or maintain cycles of violence and some ways to prevent and interrupt these cycles.Using the violence in Northern Ireland and Rwanda as case studies throughout, Part 1, The Context of Terrorism, looks at the psychological and social influences behind extremism, terrorism and conflict. Part 2, Reponses to a Terrorist Attack, examines the responses that can feed a cycle of violence and assesses a range of approaches for their success in ending violence. Part 3, Breaking the Cycle, looks in depth at specific environments, influences and changes that can affect how violence can be prevented or mitigated, including the role of schools and the media and an examination of how peace processes were carried out in Northern Ireland and Rwanda. The book works to demonstrate how psychological responses to a terror attack can trigger unstable emotional responses and override judgement and to identify the five key points in a cycle of violence where change, for better or for worse, is possible.Ideal for psychiatrists, thanatologists, palliative care and bereavement staff, politicians and journalists as well as anyone with an interest in terrorism and its causes, this is a thought-provoking and accessible work on a highly topical subject\"-- Provided by publisher.

Background: While empirical support for the ICD-11 distinction between posttraumatic stress disorder (PTSD) and complex PTSD (CPTSD) is growing, empirical research into the ICD-11 model of CPTSD in military populations is scarce and inconsistent. Objective: To replicate a study from our own group identifying distinct classes based on CPTSD symptoms using the International Trauma Questionnaire (ITQ) and to identify predictors and functional outcomes associated with a potential distinction between PTSD and CPTSD. Method: Formerly deployed treatment-seeking Danish soldiers (N = 294) completed the ITQ and self-report measures of traumatic life events prior to treatment. Latent profile analysis (LPA) was used to extract classes based on CPTSD symptoms. Results: LPA revealed four classes; (1) high CPTSD symptoms ('CPTSD', 28.7%); (2) high PTSD symptoms and lower DSO symptoms ('PTSD', 23.5%); (3) high DSO symptoms ('DSO', 17.3%); and (4) low symptoms ('Low Symptoms', 30.5%). In comparison to the PTSD-class, CPTSD-class membership was not predicted by traumatic events in adult life and in childhood. The CPTSD class was more often single/divorced/widowed compared to the PTSD class. Moreover, the CPTSD class more often used psychotropic medicine compared to the DSO-class and Low Symptoms-class. Conclusion: Using the ITQ, this study yields empirical support for the ICD-11 model of CPTSD within a clinical sample of veterans. The results replicate findings from our previous study that also identified distinct profiles of ICD-11 PTSD and CPTSD. The study identified separate classes representing CPTSD, PTSD, DSO and Low Symptoms in treatment-seeking military veterans based on the International Trauma Questionnaire. CPTSD is a more debilitating condition than PTSD. Findings replicate a previous LPA study of treatment-seeking Danish veterans.

\"The study of dissociation is relevant to anyone undertaking research or treatment of mental health problems. Cognitive Behavioural Approaches to the Understanding and Treatment of Dissociation uses a cognitive approach to de-mystify the processes involved in linking traumatic incidents to their effects. Kennedy, Kennerley and Pearson present a full and comprehensive understanding of mental health problems involving dissociative disorders and their treatment, bringing together an international range of experts. Each chapter addresses a single topic in full, including assessment of previous research from a cognitive perspective, recommendations for treatment and case studies to illustrate clinical approaches. Using an evidence-based scientific approach combined with the wisdom of clinical experience, the authors make the relevance of dissociation immediately recognisable to those familiar with PTSD, dissociative identity disorder, eating disorders, hallucinations and a wide range of psychological and non-organic physical health disorders. Designed to provide new perspectives on both research and treatment, Cognitive Behavioural Approaches to the Understanding and Treatment of Dissociation includes a wide range of material that will appeal to clinicians, academics and students\"-- Provided by publisher.

Traumatic events are common globally; however, comprehensive population-based cross-national data on the epidemiology of posttraumatic stress disorder (PTSD), the paradigmatic trauma-related mental disorder, are lacking. Data were analyzed from 26 population surveys in the World Health Organization World Mental Health Surveys. A total of 71 083 respondents ages 18+ participated. The Composite International Diagnostic Interview assessed exposure to traumatic events as well as 30-day, 12-month, and lifetime PTSD. Respondents were also assessed for treatment in the 12 months preceding the survey. Age of onset distributions were examined by country income level. Associations of PTSD were examined with country income, world region, and respondent demographics. The cross-national lifetime prevalence of PTSD was 3.9% in the total sample and 5.6% among the trauma exposed. Half of respondents with PTSD reported persistent symptoms. Treatment seeking in high-income countries (53.5%) was roughly double that in low-lower middle income (22.8%) and upper-middle income (28.7%) countries. Social disadvantage, including younger age, female sex, being unmarried, being less educated, having lower household income, and being unemployed, was associated with increased risk of lifetime PTSD among the trauma exposed. PTSD is prevalent cross-nationally, with half of all global cases being persistent. Only half of those with severe PTSD report receiving any treatment and only a minority receive specialty mental health care. Striking disparities in PTSD treatment exist by country income level. Increasing access to effective treatment, especially in low- and middle-income countries, remains critical for reducing the population burden of PTSD.

\"In Treating Complex Trauma, renowned clinicians Mary Jo Barrett and Linda Stone Fish present the Collaborative Change Model (CCM), a clinically evaluated model that facilitates client and practitioner collaboration and provides invaluable tools for clients struggling with the impact and effects of complex trauma. A practical guide, Treating Complex Trauma organizes clinical theory, outcome research, and decades of experiential wisdom into a manageable blueprint for treatment. With an emphasis on relationships, the model helps clients move from survival mindstates to engaged mindstates, and as a sequential and organized model, the CCM can be used by helping professionals in a wide array of disciplines and settings. Utilization of the CCM in collaboration with clients and other trauma-informed practitioners helps prevent the re-traumatization of clients and the compassion fatigue of the practitioner so that they can work together to build a hopeful and meaningful vision of the future\"-- Provided by publisher.

1. Predator-induced stress has been used to exemplify the concept of stress for close to a century because almost everyone can imagine the terror of fleeing for one's life from a lion or a tiger. Yet, because it has been assumed to be acute and transitory, predator-induced stress has not been much studied by either comparative physiologists or population ecologists, until relatively recently. 2. The focus in biomedical research has always been on chronic stress in humans, which most comparative physiologists would agree results from 'sustained psychological stress — linked to mere thoughts' rather than 'acute physical crises' (like surviving a predator attack) or 'chronic physical challenges' (such as a shortage of food). Population ecologists have traditionally focused solely on the acute physical crisis of surviving a direct predator attack rather than whether the risk of such an attack may have a sustained effect on other demographic processes (e.g. the birth rate). 3. Demographic experiments have now demonstrated that exposure to predators or predator cues can have sustained effects that extend to affecting birth and survival in free-living animals, and a subset of these have documented associated physiological stress effects. These and similar results have prompted some authors to speak of an 'ecology of fear', but others object that 'the cognitive and emotional aspects of avoiding predation remain unknown'. 4. Recent biomedical studies on animals in the laboratory have demonstrated that exposure to predators or predator cues can induce 'sustained psychological stress' that is directly comparable to chronic stress in humans, and this has now in fact become one of the most common stressors used in studies of the animal model of post-traumatic stress disorder (PTSD). 5. We review these recent findings and suggest ways the laboratory techniques developed to measure the 'neural circuitry of fear' could be adapted for use on free-living animals in the field, in order to: (i) test whether predator risk induces 'sustained psychological stress' in wild animals, comparable to chronic stress in humans and (ii) directly investigate 'the cognitive and emotional aspects of avoiding predation' and hence the 'ecology of fear'.

\"Originally developed for treatment of posttraumatic stress disorder (PTSD), this evidence-based approach is now also used to treat adults and children with complex trauma, anxiety disorders, depression, addictive behavior problems, and other clinical problems. EMDR originator Francine Shapiro reviews the therapy's theoretical and empirical underpinnings, details the eight phases of treatment, and provides training materials and resources. Vivid vignettes, transcripts, and reproducible forms are included\"--Amazon.com.

Background: The WHO International Classification of Diseases, 11th version (ICD-11), includes a trauma-related diagnosis of complex posttraumatic stress disorder (CPTSD) distinct from posttraumatic stress disorder (PTSD). Results from previous studies support the validity of this distinction. However, no studies to date have evaluated the ICD-11 model of PTSD and CPTSD in treatment-seeking military veterans. Objective: To determine if the distribution of symptoms in treatment-seeking Danish veterans was consistent with the ICD-11 PTSD and CPTSD symptom profiles. Based on previous studies, we hypothesized that separate classes representing PTSD and CPTSD would be found that membership of a potential CPTSD-class would be predicted by a larger number of childhood traumas, and that a potential distinction between PTSD and CPTSD would be supported by differences in sociodemographic and functional outcomes. Method: Participants (N = 1,541) were formerly deployed Danish soldiers who completed proxy measures of ICD-11 PTSD and disturbances in self-organization (DSO) symptoms, along with self-report measures of traumatic life events, prior to starting treatment at the Military Psychology Department of the Danish Defence. Results: All hypotheses were supported. Latent profile analysis (LPA) revealed separate classes representing PTSD and CPTSD. In comparison to the PTSD-class, membership of the CPTSD-class was predicted by more childhood traumatic experiences, and members of this class were more likely being single/divorced/widowed and more likely to use psychotropic medication. Besides a PTSD-class and a CPTSD-class, LPA revealed a Low Symptoms-class, a Moderate DSO-class, a Hyperarousal-class, and a High DSO-class, with clear differences in functional outcomes between classes. Conclusion: Findings replicate previous studies supporting the distinction between ICD-11 PTSD and CPTSD. In addition, there seem to be groups of treatment-seeking military veterans that do not fulfil full criteria for a trauma-related disorder. Further research should explore subsyndromal PTSD and CPTSD profiles in veterans and other populations. * The present study evaluated the ICD-11 model of PTSD and CPTSD in a sample of treatment-seeking military veterans. * Latent profile analysis revealed a CPTSD-class, a PTSD-class, a High DSO-class, a Hyperarousal-class, a Moderate DSO-class, and a Low Symptoms-class. * CPTSD is a more debilitating condition than PTSD. * Compared to the PTSD-class, membership of the CPTSD-class was predicted by increased exposure to childhood traumatic experiences.

\"Since the publication of Cohen et al.'s authoritative Treating Trauma and Traumatic Grief in Children and Adolescents, trauma-focused cognitive behavioral therapy (TF-CBT) has become the leading empirically supported treatment for children exposed to traumatic life events. This book featuring a wealth of clinical examples describes ways that TF-CBT is being applied in a range of contexts and with diverse populations. Experienced clinicians provide specific recommendations for effectively implementing the approach in schools, foster care, and residential and international settings; incorporating play strategically; and tailoring TF-CBT for adolescents with complex trauma, children with developmental challenges, military families, and Latino and Native American children\"-- Provided by publisher.

Background: The presence of mild traumatic brain injury (mTBI) increases post-traumatic stress disorder (PTSD) symptoms in the months following injury. However, factors that link mTBI and PTSD development are still unclear. Acute stress responses after trauma have been associated with PTSD development. mTBI may impair cognitive functions and increase anxiety immediately after trauma. Objective: This research aimed to test the possibility that mTBI increases acute stress symptoms rapidly, which in turn results in PTSD development in the subsequent months. Method: Fifty-nine patients were recruited from the emergency rooms of local hospitals. Post-mTBI, acute stress, and PTSD symptom severity were measured using the Rivermead Post-Concussion Symptoms Questionnaire (RPQ), Acute Stress Disorder Scale (ASDS), and PTSD Checklist for DSM-5 (PCL-5), respectively. Results: Moderated mediation analysis indicated that ASDS, at 2 weeks post-trauma, mediated the relationship between RPQ scores at 2 weeks and PCL-5 scores at 3 months post-trauma, only for patients who met mTBI diagnostic criteria. Conclusions: These findings present preliminary evidence suggesting that acute stress disorder symptoms may be one of the mechanisms involved in the development of PTSD among trauma survivors who have experienced mTBI, which provides a theoretical basis for early intervention of PTSD prevention after mTBI.