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Treating Traumatic Stress in Children and Adolescents: How to Foster Resilience through Attachment, Self-Regulation, and Competency Second Edition

4.8 4.8 out of 5 stars 229 ratings

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Tens of thousands of clinicians have used this book--now revised and expanded with 50% new material--to plan and organize effective interventions for children and adolescents who have experienced complex trauma. The Attachment, Regulation, and Competency (ARC) framework can be used with children, parents, and other caregivers in a wide range of settings. The volume guides the clinician to identify key treatment goals and intervene flexibly to strengthen child–caregiver relationships and support healthy development and positive functioning. In a large-size format for easy photocopying, it is packed with case vignettes and clinical tools, including 79 reproducible handouts and forms. Purchasers get access to a webpage where they can download and print the reproducible materials.

New to This Edition
*Reflects the ongoing development of ARC, including important refinements to foundational strategies and treatment targets.
*More than 30 additional handouts and worksheets; all reproducible tools are now downloadable.
*Greater attention to caregiver skill development throughout.
*Addresses ways ARC is being used in nontraditional settings (schools, day care, primary care practices) as well as diverse clinical contexts.

See also
Treating Adult Survivors of Childhood Emotional Abuse and Neglect, by Elizabeth K. Hopper, Frances K. Grossman, Joseph Spinazzola, and Marla Zucker, which presents a complementary approach for adults.
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Editorial Reviews

Review

"This book is rooted in a lucid understanding of developmental and attachment processes and the impact that trauma has on them. Described in a way that reflects years of clinical experience, the interventions are sensitive to the complexities of clinical work with children, and provide guidance for working with caregivers, families, and systems of care. The book is encyclopedic--it is chock-full of information on everything from developmental theory to therapist self-care, matching interventions to patient needs, and implementation strategies."--Marylene Cloitre, PhD, Associate Director of Research, National Center for PTSD Dissemination and Training Division; Department of Psychiatry and Behavioral Sciences, Stanford University

"Confronted with the suffering of a child exposed to stress and adversity, it is easy for a clinician to become overwhelmed, unsure where to even begin addressing the complexly troubled and often chaotic lives of the child and his or her caregiving system. The ARC framework avoids doing what is all too common--simply affixing a diagnostic label to a traumatized child and providing a referral to a physician for medication. In clear, accessible, and direct language, using case illustrations, the authors present an integrative framework for addressing complex developmental trauma and the behaviors that signify it. ARC respects the art of therapeutic intervention while offering concrete goals, strategies, and interventions to guide the process of treatment toward health and well-being."--Sandra L. Bloom, MD, Dornsife School of Public Health, Drexel University

"The second edition of this extraordinary volume offers an even more integrated and comprehensive resource. The authors have fine-tuned the ARC framework, seamlessly linking theory and practice, individuals and systems, the needs and resources of children and their caregivers, behavior and triggers, and problems and solutions. They know what makes these kids tick--and how to help them. ARC is a practical, reassuring, step-wise approach that helps us to increase our own capacity for attachment, regulation, and competence as we do the same for dysregulated kids and their overwhelmed systems. If you have reached an impasse with a distressed child in the home, office, school, or treatment center, or if you need just the right handout, activity, worksheet, session tracking checklist, or educational resource to support traumatized children and caregivers, this essential book is for you."--Martha B. Straus, PhD, Department of Clinical Psychology, Antioch University New England

"The second edition of this excellent treatment guide provides cutting-edge information on working with children who have been exposed to complex developmental trauma and their caregivers. Adaptable for a variety of settings, ARC offers detailed strategies that increase the child’s integration of traumatic experiences and the caregiver’s capacities to nurture, parent, and provide optimal attachment experiences. Theoretical concepts are illustrated throughout by case examples, and are linked to extensive practical material on the core domains of attachment, regulation, and competency. This book represents an important contribution to the child trauma field and is highly recommended for new and experienced clinicians alike."--Cheryl Lanktree, PhD, Department of Psychiatry and Behavioral Sciences, Keck School of Medicine, University of Southern California

"An excellent resource for professionals in both clinical and educational settings. Blaustein and Kinniburgh effectively explain the complexity of developmental trauma, its impact on youth, and the need for individualized treatment, and present their ARC framework. The second edition elaborates on applications of ARC outside traditional clinical settings. It provides useful tools for professionals working with traumatized children, including downloadable activities and worksheets. Graduate students in school psychology, school counseling, pediatric neuropsychology, and clinical child psychology will benefit from reading this book in classes and using it as a resource in their future careers."--Terry Diamanduros, PhD, School Psychology Program, Georgia Southern University

"A comprehensive, practical guide....I would highly recommend [it] to anyone interested in the field." (on the first edition) ―
Journal of Mental Health Published On: 2011-06-01

About the Author

Margaret E. Blaustein, PhD, a practicing clinical psychologist, is Director of the Center for Trauma Training in Needham, Massachusetts. Her career has focused on the understanding and treatment of complex childhood trauma and its sequelae. Since 2004, Dr. Blaustein has worked with Kristine M. Kinniburgh on the development, implementation, and refinement of the Attachment, Regulation, and Competency (ARC) intervention approach. She has provided extensive training and consultation to providers in the United States and internationally.
 
Kristine M. Kinniburgh, LCSW, is Director of Trauma Services for Justice Resource Institute Connecticut. In this role, she focuses primarily on ensuring that trauma-impacted individuals and their families receive quality care that emphasizes the promotion of resilient outcomes. Since 2004, Ms. Kinniburgh has worked with Margaret E. Blaustein on the development, implementation, and refinement of the Attachment, Regulation, and Competency (ARC) intervention approach. They are coauthors of the foster parent curriculum
ARC Reflections and the caregiver skill building curriculum ARC Grow.

Product details

  • Publisher ‏ : ‎ The Guilford Press; Second edition (November 15, 2018)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 528 pages
  • ISBN-10 ‏ : ‎ 1462537049
  • ISBN-13 ‏ : ‎ 978-1462537044
  • Item Weight ‏ : ‎ 2.58 pounds
  • Dimensions ‏ : ‎ 8 x 1.03 x 10.5 inches
  • Customer Reviews:
    4.8 4.8 out of 5 stars 229 ratings

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Customer reviews

4.8 out of 5 stars
4.8 out of 5
229 global ratings

Top reviews from the United States

Reviewed in the United States on January 29, 2023
Such an awesome book detailing the attachment, regulation and competency (ARC) modality for childhood traumatic stress. A must have for therapists.
Reviewed in the United States on November 1, 2019
I am a clinician working with many trauma kids and parents. I had used the first edition of this book and was very pleased with the psychoed, worksheets, and information. This edition added additional worksheets/packets which makes it easy to apply what you know and learn about attachment, regulation, and competency in a variety of settings. I have used the processing packet in a clinic setting, in a school setting, and with inhome therapy. There is an increasing need for mental health practitioners to understand and be able to apply trauma based therapy with children, families, and parents; this book helps increase understanding around the importance of attachment and it’s pivotal role in working with traumatized youths.
3 people found this helpful
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Reviewed in the United States on October 21, 2019
I've purchased this book. How do I access the reproducible materials?
2 people found this helpful
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Reviewed in the United States on March 6, 2019
Great resource for therapy with children and adolescents
One person found this helpful
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Reviewed in the United States on February 18, 2019
Great book and handouts.
2 people found this helpful
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Reviewed in the United States on January 29, 2019
This lovely, almost inconceivably comprehensive book should be on the top shelf of every child and family therapist practicing today, whether or not they conceptualize themselves as "trauma therapists." It is also serves as a highly valuable resource for multidisciplinary providers, educators and related professionals, particularly those who work with children, youth or young adults in congregate settings including school, residential treatment centers, daycare, early intervention, drop-in centers, family shelters, and juvenile detention facilities).

In this second edition, the authors have captured the rich evolution of their ARC (Attachment, Regulation, Competency) intervention model, with increased emphasis on undertaking this work within diverse caregiving systems and settings. It also includes extensive new material on tailoring ARC treatment with clients, their families and caregiving systems based on particular phases --defined and described by the authors-- in the recovery process from complex trauma. Finally, this edition now includes so many exercises, worksheets and handouts that they practically constitute a separate workbook in and of themselves. These can be downloaded to guide treatment planning, supervision, classroom and milieu activities.

As a complex trauma treatment model co-developer myself, I am humbled by this book and can give no higher praise than to admit that I wish I had written it. I commend the authors for the unexpected feat of surpassing their initial achievement with this outstanding and essential second edition.
15 people found this helpful
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Top reviews from other countries

Teresa Bowen
5.0 out of 5 stars All as expected - good
Reviewed in the United Kingdom on October 20, 2023
All as expected - good
jesslaurfont
5.0 out of 5 stars Must have for clinicians
Reviewed in Canada on January 1, 2021
Amazing resource for professional working in clinical settings with children and families
Jenni-Mae
5.0 out of 5 stars Great book
Reviewed in Australia on August 7, 2021
Very useful book
Doug Booy
5.0 out of 5 stars Good quality for the price.
Reviewed in Canada on November 16, 2019
Good quality for the price.