Principles of Trauma Therapy: A Guide to Symptoms, Evaluation, and Treatment Review

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Principles of Trauma Therapy: A Guide to Symptoms, Evaluation, and Treatment ReviewBriere has done a very good job of summarizing research and practice regarding the treatment of trauma. His clinical suggestions are clear, specific, and useful for the clinician.
The major concern I had about the book was that his theoretical underpinning is behavioral, and to a lesser extent cognitive-behavioral. As a result, he ends up at times explaining highly complex phenomena in simple, stimulus-response terms. For example, his conceptualization of the intense emotions experienced during a flashback, or re-experiencing, of a trauma is referred to throughout the book as a "Conditioned Emotional Response." Even the complex set of intersubjective experiences of the patient and therapist are explained within a stimulus-response model. (I was reminded of the early attempt to explain psychoanalysis in behavioral terms by Dollard and Miller.)
Briere also gives very short shrift (less than a page) to the work in EMDR that has proved so useful, albeit controversial, and shows limited understanding of this technique. He is correct, though, to point out that other exposure therapies may work just as well.
Despite these shortcomings, I recommend this book as a very worthwhile addition to the clinician's library because Briere provides a very useful breakdown of the stages of treatment of the victims of trauma, with illustrative examples that render his points in a very clear and concrete manner.
The reader can add his/her own theoretical explanations for the usefulness of his clinical methods.
Leonard S. Stein, Ph.D.

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