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- From Surviving To Thriving
- Download Complex PTSD: From Surviving to Thriving by Pete Walker 2013 Pdf Book ePub. I have Complex PTSD [Cptsd] and wrote this book from the perspective of someone who has e.
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Preview — Complex PTSD by Pete Walker
I felt encouraged to write this book because of thousands of e-mail responses to the a..more
Whether you have a formal diagnosis of CPTSD or not, if you have a childhood that was at all troubled or traumatic in any way, it's definitely a book worth reading. It does primarily focus on healing from childhood trauma, however, so if you're suffering from PTSD resulting from events in adulthood, it may not be as helpful to you (unless you're also suffering from the effects of childhood trauma in addition).(less)
More lists with this book..
Despite the long title, the book itself is not complex nor is it written in psycho-babble ra-ra. The author is grounded in that he himself has struggled with trauma recovery and it’s palpable that he wishes to impart the strategies and wisdom he has found to work for himself and others.
There are many elements that make this self-recovery book stand above others for me.
*The author speaks from experience as both a surviv..more
Pete Walker outlines in clear understandable language what contributes to C-PTSD. This is definitely a layman's book and thank god, it's free from the endless anecdotes that infest most popular 'self help' or psychology books that populate the ranks of Amazon best sellers.
Dr. Walker uses examples from his own life with humility and insight---a refreshing change from the hectoring and condescending..more
It is delineated by common features: emotional flashbacks (unlike PTSD there is not usually visual component), toxic shame (directly drawing from the work of John Bra..more
WARNING: It can be a very triggering read. I found that I could only read it in small bits. And, at times, triggering is healing. You have to be ready to look at yourself and be willing to accept truths as you read them.
The books is well written. The insight very helpful. Add this to other modes of h..more
Excellent read on how an abusive childhood has had a profound impact on you. And not just a broken-bones-CPS-got-involved-kind of childhood, but a childhood with parents who had minimal attunement, who were sharp tongued more often than not, who had addictions, even if those addictions were seemingly under control- they weren't. The book also speaks clearly on specific ways to walk yourself to healing, to a life that..more
From Surviving To Thriving Book
Highly, highly recommended for everybody with any kind of childhood trauma - and that includes
the devastating effects of the invisible, intangible emotional neglect by chronically stressed, distracted and otherwise occupied parents.
Another brilliant (and quite unique) aspect of the book is the deep insight Pete Walker has in the traumatic origin of pathological narcissism and sociopathy.
The way he shows in his empathetic, wise and deeply insightful style that both narc..more
This is the best and most helpful book I've ever read and reading it was the most encouraging thing I've done in years.
Finally someone understands me. Finally I don't feel like a lost case, a weird psycho, the only one in the universe suffering from an array of psychological problems that sometimes show for no obvious reason.
This book gave me hope which I lacked for years. There's a very long and difficult journey in front of me, but I don't mind. After reading this book, I know there's..more
As a therapist and a survivor of C- PTSD myself , I have found that the often prescribed CBT type of therapy does not work for those of us with C-PTSD. My experience and my own journey as a survivor of childhood trauma has led me on a quest to find the most effective therapy methods for healing. I have found these clients need more than what traditional therapists frequently offer. For one, the the..more
1) I wanted to really absorb all the information so I forced myself to only read in short bursts. This was sometimes not hard to do because my mind would constantly explode as I read and I’d need to collect myself.
2) At about 50 pages in I started over so I could write notes as I went and I continued to copy down important bits of information up until almost the last page.
For me this has been an invalua..more
That being said, I’m very liberal with my 5 star reviews and this book reall..more
The author knows what he is talking about from his own experience, and can explain very clearly why and how the various intense emotions (fear, shame, self-accusations) can come up again and again. This recognition is already wonderful, but it is even better that he shows how to navigate out from that inner turmoil. It is a very hopefu..more
Complex Ptsd From Surviving To Thriving Pdf Downloads
CPTSD (Complex Post-Traumatic Stress Disorder) develops as a result of being raised in a abusive/neglectful environment, in which the primary caregivers (parents, grandparents, step-parents, other..more
From Surviving To Thriving
Pete Walker is a 'general practitioner' who has a private practice in the Rockridge neighborho..more
|Complex post-traumatic stress disorder|
Complex post-traumatic stress disorder (C-PTSD; also known as complex trauma disorder) is a psychological disorder that can develop in response to prolonged, repeated experience of interpersonal trauma in a context in which the individual has little or no chance of escape. C-PTSD relates to the trauma model of mental disorders and is associated with chronic sexual, psychological and physical abuse and neglect, chronic intimate partner violence, victims of kidnapping and hostage situations, indentured servants, victims of slavery and human trafficking, sweatshop workers, prisoners of war, concentration camp survivors, residential school survivors, and defectors of cults or cult-like organizations. Situations involving captivity/entrapment (a situation lacking a viable escape route for the victim or a perception of such) can lead to C-PTSD-like symptoms, which can include prolonged feelings of terror, worthlessness, helplessness, and deformation of one's identity and sense of self. C-PTSD has also been referred to as DESNOS or Disorders of Extreme Stress Not Otherwise Specified.
Researchers concluded that C-PTSD is distinct from, but similar to, PTSD, somatization disorder, dissociative identity disorder, and borderline personality disorder. Its main distinctions are a distortion of the person's core identity and significant emotional dysregulation. It was first described in 1992 by Judith Herman in her book Trauma & Recovery and in an accompanying article. The disorder is included in the World Health Organization's (WHO) International Statistical Classification of Diseases and Related Health Problems, 11th Edition (ICD-11); this category of PTSD is not yet adopted by the American Psychiatric Association's (APA) Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5).
C-PTSD is a learned set of responses, and a failure to complete numerous important developmental tasks. It is environmentally, not genetically, caused. Unlike most of the diagnoses it is confused with, it is neither inborn nor characterological, not DNA based, it is a disorder caused by lack of nurture.
- 2.1Differential diagnosis
Children and adolescents
The diagnosis of PTSD was originally developed for adults who had suffered from a single event trauma, such as rape, or a traumatic experience during a war. However, the situation for many children is quite different. Children can suffer chronic trauma such as maltreatment, family violence, and a disruption in attachment to their primary caregiver. In many cases, it is the child's caregiver who caused the trauma. The diagnosis of PTSD does not take into account how the developmental stages of children may affect their symptoms and how trauma can affect a child’s development.
The term developmental trauma disorder (DTD) has also been suggested. This developmental form of trauma places children at risk for developing psychiatric and medical disorders. Bessel van der Kolk explains DTD as numerous encounters with interpersonal trauma such as physical assault, sexual assault, violence or death. It can also be brought on by subjective events such as betrayal, defeat or shame.
Repeated traumatization during childhood leads to symptoms that differ from those described for PTSD. Cook and others describe symptoms and behavioural characteristics in seven domains:
- Attachment – 'problems with relationship boundaries, lack of trust, social isolation, difficulty perceiving and responding to others' emotional states'
- Biology – 'sensory-motor developmental dysfunction, sensory-integration difficulties, somatization, and increased medical problems'
- Affect or emotional regulation – 'poor affect regulation, difficulty identifying and expressing emotions and internal states, and difficulties communicating needs, wants, and wishes'
- Dissociation – 'amnesia, depersonalization, discrete states of consciousness with discrete memories, affect, and functioning, and impaired memory for state-based events'
- Behavioural control – 'problems with impulse control, aggression, pathological self-soothing, and sleep problems'
- Cognition – 'difficulty regulating attention, problems with a variety of 'executive functions' such as planning, judgement, initiation, use of materials, and self-monitoring, difficulty processing new information, difficulty focusing and completing tasks, poor object constancy, problems with 'cause-effect' thinking, and language developmental problems such as a gap between receptive and expressive communication abilities.'
- Self-concept – 'fragmented and disconnected autobiographical narrative, disturbed body image, low self-esteem, excessive shame, and negative internal working models of self'.
Adults with C-PTSD have sometimes experienced prolonged interpersonal traumatization beginning in childhood, rather than, or as well as, in adulthood. These early injuries interrupt the development of a robust sense of self and of others. Because physical and emotional pain or neglect was often inflicted by attachment figures such as caregivers or older siblings, these individuals may develop a sense that they are fundamentally flawed and that others cannot be relied upon. This can become a pervasive way of relating to others in adult life, described as insecure attachment. This symptom is neither included in the diagnosis of dissociative disorder nor in that of PTSD in the current DSM-5 (2013). Individuals with Complex PTSD also demonstrate lasting personality disturbances with a significant risk of revictimization.
Six clusters of symptoms have been suggested for diagnosis of C-PTSD:
- alterations in regulation of affect and impulses;
- alterations in attention or consciousness;
- alterations in self-perception;
- alterations in relations with others;
- alterations in systems of meaning.
Experiences in these areas may include:
- Changes in emotional regulation, including experiences such as persistent dysphoria, chronic suicidal preoccupation, self injury, explosive or extremely inhibited anger (may alternate), and compulsive or extremely inhibited sexuality (may alternate).
- Variations in consciousness, such as amnesia or improved recall for traumatic events, episodes of dissociation, depersonalization/derealization, and reliving experiences (either in the form of intrusive PTSD symptoms or in ruminative preoccupation).
- Changes in self-perception, such as a sense of helplessness or paralysis of initiative, shame, guilt and self-blame, a sense of defilement or stigma, and a sense of being completely different from other human beings (may include a sense of specialness, utter aloneness, a belief that no other person can understand, or a feeling of nonhuman identity).
- Varied changes in perception of the perpetrators, such as a preoccupation with the relationship with a perpetrator (including a preoccupation with revenge), an unrealistic attribution of total power to a perpetrator (though the individual's assessment may be more realistic than the clinician's), idealization or paradoxical gratitude, a sense of a special or supernatural relationship with a perpetrator, and acceptance of a perpetrator's belief system or rationalizations.
- Alterations in relations with others, such as isolation and withdrawal, disruption in intimate relationships, a repeated search for a rescuer (may alternate with isolation and withdrawal), persistent distrust, and repeated failures of self-protection.
- Changes in systems of meaning, such as a loss of sustaining faith and a sense of hopelessness and despair.
C-PTSD was under consideration for inclusion in the DSM-IV but was not included when the DSM-IV was published in 1994. Neither was it included in the DSM-5. PTSD continues to be listed as a disorder.
Post-traumatic stress disorder
Post-traumatic stress disorder (PTSD) was included in the DSM-III (1980), mainly due to the relatively large numbers of American combat veterans of the Vietnam War who were seeking treatment for the lingering effects of combat stress. In the 1980s, various researchers and clinicians suggested that PTSD might also accurately describe the sequelae of such traumas as child sexual abuse and domestic abuse. However, it was soon suggested that PTSD failed to account for the cluster of symptoms that were often observed in cases of prolonged abuse, particularly that which was perpetrated against children by caregivers during multiple childhood and adolescent developmental stages. Such patients were often extremely difficult to treat with established methods.
PTSD descriptions fail to capture some of the core characteristics of C-PTSD. These elements include captivity, psychological fragmentation, the loss of a sense of safety, trust, and self-worth, as well as the tendency to be revictimized. Most importantly, there is a loss of a coherent sense of self: this loss, and the ensuing symptom profile, that most pointedly differentiates C-PTSD from PTSD.
C-PTSD is also characterized by attachment disorder, particularly the pervasive insecure, or disorganized-type attachment.DSM-IV (1994) dissociative disorders and PTSD do not include insecure attachment in their criteria. As a consequence of this aspect of C-PTSD, when some adults with C-PTSD become parents and confront their own children's attachment needs, they may have particular difficulty in responding sensitively especially to their infants' and young children's routine distress—such as during routine separations, despite these parents' best intentions and efforts. Although the great majority of survivors do not abuse others, this difficulty in parenting may have adverse repercussions for their children's social and emotional development if parents with this condition and their children do not receive appropriate treatment.
Thus, a differentiation between the diagnostic category of C-PTSD and that of PTSD has been suggested. C-PTSD better describes the pervasive negative impact of chronic repetitive trauma than does PTSD alone. PTSD can exist alongside C-PTSD, however a sole diagnosis of PTSD often does not sufficiently encapsulate the breadth of symptoms experienced by those who have experienced prolonged traumatic experience, and therefore C-PTSD extends beyond the PTSD parameters.
C-PTSD also differs from continuous traumatic stress disorder (CTSD), which was introduced into the trauma literature by Gill Straker (1987). It was originally used by South African clinicians to describe the effects of exposure to frequent, high levels of violence usually associated with civil conflict and political repression. The term is also applicable to the effects of exposure to contexts in which gang violence and crime are endemic as well as to the effects of ongoing exposure to life threats in high-risk occupations such as police, fire and emergency services.
Traumatic grief or complicated mourning are conditions where both trauma and grief coincide. There are conceptual links between trauma and bereavement since loss of a loved one is inherently traumatic. If a traumatic event was life-threatening, but did not result in a death, then it is more likely that the survivor will experience post-traumatic stress symptoms. If a person dies, and the survivor was close to the person who died, then it is more likely that symptoms of grief will also develop. When the death is of a loved one, and was sudden or violent, then both symptoms often coincide. This is likely in children exposed to community violence.
For C-PTSD to manifest traumatic grief, the violence would occur under conditions of captivity, loss of control and disempowerment, coinciding with the death of a friend or loved one in life-threatening circumstances. This again is most likely for children and stepchildren who experience prolonged domestic or chronic community violence that ultimately results in the death of friends and loved ones. The phenomenon of the increased risk of violence and death of stepchildren is referred to as the Cinderella effect.
Attachment theory and borderline personality disorder
C-PTSD may share some symptoms with both PTSD and borderline personality disorder.
Treatment is usually tailored to the individual.
The utility of PTSD derived psychotherapies for assisting children with C-PTSD is uncertain. This area of diagnosis and treatment calls for caution in use of the category C-PTSD. Ford and van der Kolk have suggested that C-PTSD may not be as useful a category for diagnosis and treatment of children as a proposed category of developmental trauma disorder (DTD). For DTD to be diagnosed it requires a
'history of exposure to early life developmentally adverse interpersonal trauma such as sexual abuse, physical abuse, violence, traumatic losses of other significant disruption or betrayal of the child's relationships with primary caregivers, which has been postulated as an etiological basis for complex traumatic stress disorders. Diagnosis, treatment planning and outcome are always relational.'
Since C-PTSD or DTD in children is often caused by chronic maltreatment, neglect or abuse in a care-giving relationship the first element of the biopsychosocial system to address is that relationship. This invariably involves some sort of child protection agency. This both widens the range of support that can be given to the child but also the complexity of the situation, since the agency's statutory legal obligations may then need to be enforced.
A number of practical, therapeutic and ethical principles for assessment and intervention have been developed and explored in the field:
- Identifying and addressing threats to the child's or family's safety and stability are the first priority.
- A relational bridge must be developed to engage, retain and maximize the benefit for the child and caregiver.
- Diagnosis, treatment planning and outcome monitoring are always relational (and) strengths based.
- All phases of treatment should aim to enhance self-regulation competencies.
- Determining with whom, when and how to address traumatic memories.
- Preventing and managing relational discontinuities and psychosocial crises.
Delaying therapy for people with complex PTSD (cPTSD), whether intentionally or not, can exacerbate the condition. Herman proposed that recovery from C-PTSD occurs in three stages:
- establishing safety,
- remembrance and mourning for what was lost,
- reconnecting with community and more broadly, society.
Herman believes recovery can only occur within a healing relationship and only if the survivor is empowered by that relationship. This healing relationship need not be romantic or sexual in the colloquial sense of 'relationship', however, and can also include relationships with friends, co-workers, one's relatives or children, and the therapeutic relationship.
Complex trauma means complex reactions and this leads to complex treatments. Hence, treatment for C-PTSD requires a multi-modal approach. It has been suggested that treatment for C-PTSD should differ from treatment for PTSD by focusing on problems that cause more functional impairment than the PTSD symptoms. These problems include emotional dysregulation, dissociation, and interpersonal problems. Six suggested core components of complex trauma treatment include:
- Self-reflective information processing
- Traumatic experiences integration
- Relational engagement
- Positive affect enhancement
The above components can be conceptualized as a model with three phases. Every case will not be the same, but one can expect the first phase to consist of teaching adequate coping strategies and addressing safety concerns. The next phase would focus on decreasing avoidance of traumatic stimuli and applying coping skills learned in phase one. The care provider may also begin challenging assumptions about the trauma and introducing alternative narratives about the trauma. The final phase would consist of solidifying what has previously been learned and transferring these strategies to future stressful events.
Multiple treatments have been suggested for C-PTSD. Among these treatments are experiential and emotionally focused therapy, internal family systems therapy, sensorimotor psychotherapy, eye movement desensitization and reprocessing therapy (EMDR), dialectical behavior therapy (DBT), cognitive behavioral therapy, exposure therapy, psychodynamic therapy, family systems therapy and group therapy.
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- Post-traumatic stress at Curlie