Treatment of very young children in foster care involves the complex dynamics of a child's trauma history, multiple relationships, and caregivers' and providers' feelings about working with the child welfare system. Through the story of a toddler removed from his parents and placed in foster care, the authors illustrate a model of combined group…

This article describes how a Tulane early childhood mental health clinic provided trauma-informed care for a young, severely maltreated child victim of human trafficking. Effective treatment included two evidence-based therapies and psychiatric care over a span of 2 years. Therapists made decisions about intervention in response to fluctuations in…

This article chronicles the development of the field of Sexual Offender Treatment in the United States since the 1980's. It offers an analysis of the Relapse Prevention model, a case study, and a summary description of contemporary field advancements. Through historical and personal reflection, the author summarizes lessons learned as five…

In this paper, the concept of expertise as defined in various professions is applied to psychotherapy and more specifically to the field of childhood sexual abuse. Given the dearth of research in this area, exploration of the issue is accompanied by reviewing the curriculum vitae of a number of recognized experts in the field. The paper concludes…

A young woman initiated counselling services at a community agency to address her explosive anger that was a remnant of childhood physical and emotional abuse. Sensorimotor psychotherapy was used to help this client learn how to monitor and regulate her sensorimotor processes. In conjunction with this approach, Cognitive behavioural therapy was…

The Parent-Child Psychotherapy Program (PPP) is a multifamily group therapy intervention for parents and young children at high risk for intergenerational patterns of neglect, abuse, and disorganized attachment. A "developmental and experiential model" that incorporates principles of attachment theory, the PPP addresses parent and child needs…

Because most research on military families has focused on children who are old enough to go to school, we know the least about the youngest and perhaps most vulnerable children in these families. Some of what we do know, however, is worrisome--for example, multiple deployments, which many families have experienced during the wars in Iraq and…

Confidentiality presents particular challenges to practitioners working with young people, on account of the latter's vulnerability and emotional immaturity. Ethical codes place a key importance on confidentiality, from deontological and teleological perspectives. However, young clients may rely on a more pragmatic approach in deciding whether to…

This article addresses what, if any, psychotherapeutic interventions should be provided to meet the emotional and clinical needs of alleged child victims of sexual abuse while they await judicial determinations from the family, dependency, or criminal courts. The discussion emphasizes that to minimize iatrogenic outcomes, professionals involved in…

This paper looks at emotional neglect in the early years of life, and postulates some probable long-term sequelae of such neglect. It argues that there is a continuum of neglect; ranging from the severest form, as seen in institutional orphanages, to milder variations. A range of theoretical and research traditions, including developmental…

The authors of the primary articles in this special edition provide early and promising evidence that developmentally sensitive psychotherapeutic interventions and integrated care systems improve the lives of children who have been exposed to abuse or neglect. Why, then, do so many children in the social welfare system receive care that is not…

The power of new traumatic events to reignite memories and the distress of traumatic experiences earlier in life is well known to psychotherapists. When the recent trauma has been extreme, the task of assisting the patient to understand their response in the light of their earlier experience can be doubly challenging. This paper describes the…

Childhood sexual abuse (CSA) is prevalent among women. Person-centered counseling (PCC) is an effective core therapeutic approach to use when treating women with this issue. This article provides (a) an overview of CSA, (b) an orientation to PCC, and (c) a case example illustrating the primary application of this approach.

For too many traumatized children and their families, chronic stressors such as poverty, substance abuse, and family or community violence--coupled with an overburdened care system--pose seemingly insurmountable barriers to treatment. This empowering book provides a user-friendly blueprint for making the most of limited resources to help those…

Articulates a model of treatment-facilitated recovery from sexual trauma. The model integrates an ecological view of psychological trauma, progressive stages of recovery, and a multifaceted definition of what constitutes recovery from a psychological trauma. Presents applications of the model and implications for treatment and research. (JPS)