The Trauma Center has been in the forefront of elucidating and defining the complex adaptation of children and adolescents to chronic abuse and neglect, as captured in the proposed diagnosis of Developmental Trauma Disorder (DTD), and in developing innovative treatments aimed to specifically address the damage cause by early trauma, abuse and neglect. This workshop will present a comprehensive exploration of DTD. We will present the results from a multilevel, multiyear DTD National Field Trial of over 500 children and adolescents, addressing the clinical necessity, symptom composition and traumatic antecedents of DTD. For the first time, we will share definitive clinical interview and self-report instruments for DTD. Approaches to treatment of DTD in children, adolescents and transitional age youth will be illustrated through case presentation, videotaped session review and live audience-interactive presentation of three innovative Trauma Center models designed for use with this population: ARC (Attachment, Regulation and Competency), Sensory Motor Arousal Regulation Treatment (SMART) and Trauma Drama.
Describe the structure and protocol of the field trial developed to study the validity of the Developmental Trauma Disorder as a diagnostic construct.
Name at least two manifestations of DTD as revealed in the field trial.
Identify and describe at least one assessment measure used to evaluate presence of proposed DTD criteria.
Identify and define at least two core goals of intervention for children who meet proposed DTD criteria.
List at least one way that each of the described interventions (ARC, SMART, Trauma Drama) addresses youth regulation.
Compare and contrast the described interventions (ARC, SMART, Trauma Drama) for addressing DTD.
List what actions people can take to regulate their own physiological functioning.
Introduction of faculty
Overview of Developmental Trauma Disorder (DTD)
Damage caused by early trauma/abuse/neglect
Field trial results
Traumatic antecedents of DTD
Approaches to treatment of DTD
Innovative Trauma Center models:
-- ARC - Attachment, Regulation and Competency
-- SMART - Sensory Motor Arousal Regulation Treatment
-- Trauma Drama
About the Presenters:
Bessel A. van der Kolk, M.D., is a clinical psychiatrist who has studied the impact and resolution of trauma on human beings for over 30 years. His research has ranged from developmental impact of trauma to neuroimaging and from memory processes to the use of EMDR and theater groups in PTSD. He is professor of psychiatry at Boston University School of Medicine and medical director of the Trauma Center in Boston, where he also serves as director of the National Center for Child Traumatic Stress Complex Trauma Network. He is past president of the International Society for Traumatic Stress Studies. He has taught at universities and hospitals throughout the world. He is author of over a hundred scientific articles, Psychological Trauma and co-editor of Traumatic Stress.
Joseph Spinazzola, Ph.D., is the Executive Director of the Trauma Center and Vice President of Behavioral Health and Trauma Services at Justice Resource Institute. Dr. Spinazzola is a member of The Forensic Panel and holds an appointment at Boston University School of Medicine. In his 11th year with the Trauma Center, Dr. Spinazzola remains actively involved with provision of direct services to individuals and providers, serving as a clinician, clinical supervisor, senior trainer, and as Associate Director of our Research Department. Dr. Spinazzola is Co-Director of the Complex Trauma Treatment Network, a national initiative to transform large regional and statewide systems of care, operated through our Centers Category II National Child Traumatic Stress Network site award. Dr. Spinazzola specializes in the assessment, diagnosis, prevention and treatment of complex trauma in children and adults, and is the author of a number of publications in this area as well as on the topic of youth violence prevention. Dr. Spinazzola holds particular interest in dissociative coping adaptations in survivors of chronic maltreatment and neglect and in the role of transformative action in the recovery process.
Margaret E. Blaustein, Ph.D., is a practicing clinical psychologist whose career has focused on the understanding and treatment of complex childhood trauma and its sequelae. With an emphasis on the importance of understanding the child-, the family-, and the provider-in-context, her study has focused on identification and translation of key principles of intervention across treatment settings, building from the foundational theories of childhood development, attachment, and traumatic stress.
With Kristine Kinniburgh, Dr. Blaustein is co-developer of the Attachment, Self-Regulation, and Competency (ARC) treatment framework (Kinniburgh & Blaustein, 2005), and co-author of the text, Treating Complex Trauma in Children and Adolescents: Fostering Resilience through Attachment, Self-Regulation, and Competence (Blaustein & Kinniburgh, 2010). She has provided extensive training and consultation to providers within the US and abroad. Dr. Blaustein is currently the Director of Training and Education at The Trauma Center at JRI in Brookline, MA, and is actively involved in local, regional, and national collaborative groups dedicated to the empathic, respectful, and effective provision of services to this population.
Elizabeth Warner, Psy.D., has had a psychotherapy practice in Brookline for the last 20 years. Her specialization is in the area of child development, and the treatment of children and families. Special interests include adoption and adoptive families, the special nature of that attachment and implications for development and the development of new treatments for complex trauma in young children. She spent 15 years working with severely disordered children including traumatized children and their parents, using innovative methodologies and the use of videotape study at the Language & Cognitive Development Center. In addition, she has worked in psychiatric inpatient and outpatient settings at Boston University Medical Center, schools and mental health clinics, providing therapy, teaching and consultation.