As researchers have developed increasingly more effective interventions aimed at relieving trauma symptoms, trauma therapists have come to understand that the success of these approaches is highly contingent on personal factors. Whether affected by disaster or interpersonal violence, each survivor of psychological trauma has undergone a uniquely personal experience. Recovery from that trauma is also highly variable and deeply dependent upon an individual's distinctive history and cultural context.

This volume examines several current clinical approaches to trauma-focused treatment. Rather than describe theoretical approaches in isolation, the editors have integrated these interventions into a broader clinical context, emphasizing the importance of understanding evidence-based interventions in relation to each client's unique presentation.

The book opens with a conversation between Judith Herman and Terence Keane, who consider the evolution of trauma treatment. The chapter authors then explore basic therapeutic skills such as empathic listening, instilling resilience, and creating meaning, in the service of empirically-supported, highly efficacious trauma interventions. Throughout, they focus on the real-life challenges that arise in typical therapy sessions to deepen our understanding and application of evidence based interventions.

This work is intended for all clinical mental health professionals who work with trauma survivors, particularly those who seek to broaden their understanding of the way various approaches interact to inform a holistic understanding of trauma treatment.

Table of Contents


Judith Lewis Herman with Terence M. Keane

Robert A. McMackin, Jason M. Fogler, Elana Newman, and Terence M. Keane

I. Empathetic Listening

  1. Listening to What the Trauma Patient Teaches Us: A 35-Year Perspective
    Jacob D. Lindy
  2. Integrating a Diversity-Informed Approach Into Evidence-Based Practice
    Chandra Ghosh Ippen
  3. Clinical Assessment as a Form of Listening and Intervention
    Elana Newman, John Briere, and Namik Kirlic

II. Supporting Growth, Resilience, and Recovery

  1. Differential Pathways to Resilience After Loss and Trauma
    Anthony D. Mancini and George A. Bonanno
  2. An Ecological View of Recovery and Resilience in Trauma Survivors: Implications for Clinical and Community Intervention
    Mary R. Harvey, Pratyusha Tummala-Narra and Barbara Hamm
  3. Adversity, Resilience, and Thriving: A Positive Psychology Perspective on Research and Practice
    Nansook Park
  4. Promoting Resilience Through Early Intervention
    Patricia J. Watson and Melissa J. Brymer

III. Developing Meaning to Facilitate Healing

  1. The Creation of Meaning Following Trauma: Meaning Making and Trajectories of Distress and Recovery
    Michael F. Steger and Crystal L. Park
  2. The Cultivation of Hope in Trauma-Focused Counseling
    Sophie C. Yohani and Denise J. Larsen
  3. Shaken to the Core: Understanding and Addressing the Spiritual Dimension of Trauma
    Katherine Kusner and Kenneth I. Pargament
  4. The Cultural Universality of Narrative Techniques in the Creation of Meaning
    Hugo Kamya
  5. Promoting a Positive Quality of Life Posttrauma
    Meredith E. Charney and Brian P. Marx

IV. Using Integrated Treatments and Assessments to Promote Recovery From Trauma

  1. Posttraumatic Stress Disorder and Substance Use Disorder Comorbidity Treatment: Principles and Practices in Real-World Settings
    Lisa M. Najavits
  2. Treatment of Co-Occurring Posttraumatic Stress Disorder and Chronic Pain
    John D. Otis, Rachel D. Freed, and Terence M. Keane
  3. Treatment for Co-Occurring Posttraumatic Stress Disorder and Traumatic Brain Injury
    Alexandra C. Kenna, Colleen Barber, Ann Rasmusson, Patricia Resick, William Milberg, and Regina McGlinchey
  4. Assessment and Treatment of Neuropsychological Deficits in Posttraumatic Stress Disorder
    Helen Z. MacDonald, Molly R. Franz, and Jennifer J. Vasterling
  5. Acceptance and Commitment Therapy for Trauma-Related Problems
    Jessica L. Engle and Victoria Follette
  6. Moving From the Laboratory to the Real World: Implementation Science and Effectiveness in Practice Settings
    Shannon Wiltsey Stirman and Frank Castro



About the Editors

Editor Bios

Robert A. McMackin, EdD, is the codirector of the Psychology Service at the Lemuel Shattuck Hospital in Boston, is on the clinical faculty at Tufts University School of Medicine, and is board certified in counseling psychology. He has consulted with the Archdiocese of Boston on developing services for survivors of clergy-perpetrated sexual abuse and coedited one book on that topic.

Terence M. Keane, PhD, is a professor of psychiatry and assistant dean for research at the Boston University School of Medicine. He is also the associate chief of staff for research and the director of the National Center for PTSD at the VA Boston Healthcare System. Currently Dr. Keane is the president of APA's Division of Trauma Psychology and president of the Anxiety and Depression Association of America; he is also the past president of the International Society for Traumatic Stress Studies (ISTSS).

Dr. Keane has published 13 edited volumes and more than 250 articles on the assessment and treatment of PTSD. His contributions to the field have been recognized by many honors. His contributions to the field have been recognized by many honors. He is a fellow of APA and the American Psychological Society; he has received the Lifetime Achievement Award from the ISTSS, Outstanding Researcher Award from the Association for Behavioral and Cognitive Therapy, and an honorary doctorate from Binghamton University of the State University of New York for "his work in opening an entire field of inquiry in psychological science."

Elana Newman, PhD, is the McFarlin Chair of Psychology at the University of Tulsa. She is also the director of Clinical Training Programs, codirector of the Tulsa Institute for Trauma, Abuse and Neglect, and codirector of the Community Research and Development at the University of Tulsa. She also serves as the research director of the Dart Center for Trauma and Journalism, which is housed at Columbia University.

Dr. Newman is a past president of the International Society for Traumatic Stress Studies. She has published more than 80 articles and book chapters on topics related to psychological trauma. In her role with the Child Traumatic Stress Network, she has worked to adapt evidence-based practices into community agencies. She has given more than 250 presentations across the globe about psychological trauma.

Jason M. Fogler, PhD, is an attending psychologist at Children's Hospital Boston's Developmental Medicine Center and Instructor in Psychology at Harvard Medical School. During the development and editing phase of this volume, he was a staff psychologist at The Counseling Center of Nashua, where he specialized in the comprehensive neuropsychological assessment and evidence-based treatment of traumatized children and adults, including combat veterans and survivors of abuse in childhood.