1. Introduction
2. The Nature and Effects of Childhood Trauma and Maltreatment
3. Influential Factors and Common Themes in Maltreatment
Outcomes
4. Introduction to Dissociation
5. Pathological Dissociation
6. Trauma, Dissociation, and Memory
7. Toward a Model of Pathological Dissociation
8. The Discrete Behavioral States Model
9. The Developmental Basis of Dissociation
10. Altered States in Everyday Life
11. Dissociative Presentations: Clinical Vignettes
12. Clinical Phenomenology and Diagnosis
13. Philosophy and Principles of Treatment
14. Individual Therapy
15. Dissociative Families and Out-of-Home Placements
16. Psychopharmacology
Frank W. Putnam, MD, is a leading authority on dissociative disorders. Trained as a child, adolescent, and adult psychiatrist, he is Chief of Developmental Traumatology at the National Institute of Mental Health and directs clinical research on the effects of maltreatment, community violence, and other types of trauma across the lifespan.
This beautifully written volume addresses the very core of how
children and adolescents organize traumatic experiences: by
dissociating. The rich mixture of empirical data and clinical
observations makes this the indispensable tool for any clinician or
researcher who cares to understand why these children behave the
ways they do, and which treatments are effective in alleviating
both their own suffering and the pain they often inflict on others.
--Bessel A. van der Kolk, MD, Professor of Psychiatry, Boston
University School of Medicine
Masterful....It is indeed a rare pleasure to find the most relevant
and contemporary research on this topic so well articulated....This
is indubitably one of the most useful additions to any professional
library. --Eliana Gil, PhD
Dr. Frank Putnam's most recent book, Dissociation in Children and
Adolescents: A Developmental Approach, is a welcome addition to the
literature on childhood dissociation. Dr. Putnam reviews relevant
research on the role of childhood trauma in the development of
dissociative phenomena. Especially noteworthy is Putnam's
utilization of a developmental framework in order to conceptualize
dissociative symptoms as failures in basic developmental processes.
The incorporation of clinical case vignettes brings the concepts
described to life and makes them more accessible to the reader.
Dr. Putnam is one of our nation's premier thinkers on dissociation
and this book will be extremely helpful to those invested in
understanding and treating dissociative disorders of childhood and
adolescence. --Dante Cicchetti, PhD, Director, Mt. Hope Family
Center, University of Rochester
- This is a comprehensive textbook....The author brings to the task
extensive clinical experience, outstanding scientific credentials,
and a lucid literary style. The book is wide-ranging, detailed,
thorough, and balanced, yet the author is clearly an advocate for
the validity and importance of dissociative disorders in children
and adolescents....Putnam's balanced advocacy for the validity of
dissociative psychopathology is a powerful counter to the message
of those who dismiss this group of disorders as iatrogenic. It will
be very interesting to revisit the debate in 10 years' time. By
then, this book may be regarded as a classic. --Journal of Clinical
Psychiatry, 8/10/1997ƒƒ Individuals studying child and adolescent
mental health, as well as those currently treating children and
adolescents, should find this a useful resource. --Readings,
8/10/1997
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