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Evidence-Based Psychotherapy Programs for Complex Trauma

  • Chelsey Mahler
Chapter

Abstract

This book chapter explores the most commonly used evidenced-based psychotherapy programs for complex trauma. At the time this chapter was written, there were no evidence-based psychotherapies specifically designed to target distinct issues experienced by victims of sex trafficking. Research indicates that the majority of victims experienced another incident of sexual abuse unrelated to their sex trafficking histories. Psychotherapy treatment programs that are designed to treat complex trauma are the best fit for victims of sex trafficking. This chapter begins with a discussion surrounding the benefits and limitations of evidence-based treatments in psychotherapy. Evidence-based psychotherapies are research-based and considered to be the gold standard for treatment. This chapter also discusses what factors are necessary for a program to be deemed as evidence-based. While it is important for a therapist to choose a treatment that is effective and research-based, it is also imperative that the therapist consider and integrate individual client characteristics into the therapeutic relationship. This chapter then explores the unique symptoms and research behind treating complex trauma. Recommendations on how evidence-based psychotherapy treatments can be modified to address the specific mental health needs for victims of sex trafficking are provided.

References

  1. Abas, M., Ostrovschi, N. V., Prince, M., Gorceag, V. I., Trigub, C., & Oram, S. (2013). Risk factors for mental disorders in women survivors of human trafficking: A historical cohort study. BMC Psychiatry, 13, 204. Retrieved from http://www.biomedcentral.com/1471-244X/13/204
  2. Ardito R.B. & Rabellino D. (2011) Therapeutic alliance and outcome of psychotherapy: historical excursus, measurements, and prospects for research. Frontiers in Psychology, 2, 1-11. doi: 10.3389/fpsyg.2011.00270Google Scholar
  3. Black, P. J., Woodsworth, M., Tremblay, M., & Carpenter, T. (2012). A review of trauma-informed treatment for adolescents. Canadian Psychology, 53(3), 192–203.  https://doi.org/10.1037/a0028441CrossRefGoogle Scholar
  4. Briere, J., & Lanktree, C. (2012). Treating complex trauma in adolescents and young adults. Thousand Oaks, CA: SAGE Publications, Inc.Google Scholar
  5. Briere, J., & Lanktree, C. (2013). Integrative treatment of complex trauma for adolescents (ITCT-A) treatment guide. Los Angeles, CA: 2nd University of Southern California. Retrieved from http://keck.usc.edu/Education/Academic_Department_and_Divisions/Department_of_Psychiatry/Research_and_Training_Centers/USC_ATTC/~/media/KSOM/Education/Academic%20Department%20and%20Divisions/attc/ITCT-A-TreatmentGuide-2ndEdition-rev20131106.pdf
  6. Briere, J., & Spinazzola, J. (2005). Phenomenology and psychological assessment of complex posttraumatic states. Journal of Traumatic Stress, 18(5), 401–412.CrossRefGoogle Scholar
  7. Brosan, L., Reynolds, S., & Moore, R. G. (2006). Factors associated with competence in cognitive therapists. Behavioural and Cognitive Psychotherapy, 35, 179–190.CrossRefGoogle Scholar
  8. Brosan, L., Reynolds, S., & Moore, R. G. (2008). Self-evaluation of cognitive therapy performance: Do therapists know how competent they are? Behavioural and Cognitive Psychotherapy, 36, 581–587.CrossRefGoogle Scholar
  9. Brown, H. (2013). Looking for evidence that therapy works. The New York Times: The Consumer.Google Scholar
  10. Butler, A. C., Chapman, J. E., Forman, E. M., & Beck, A. T. (2006). The empirical status of cognitive-behavioral therapy: A review of meta-analysis. Clinical Psychology Review, 26, 17–31.CrossRefGoogle Scholar
  11. Center for Disease Control and Prevention (CDC). (2012). Assisting trafficking victims: A guide for victim advocates. National Sexual Violence Resource Center. Retrieved from http://www.nsvrc.org/sites/default/files/publications_nsvrc_guides_human-trafficking-victim-advocates.pdf
  12. Chambless, D. L., & Ollendick, T. H. (2001). Empirically supported psychological interventions: Controversies and evidence. Annual Review of Psychology, 52, 685–716.CrossRefGoogle Scholar
  13. Chard, K. M. (2005). An evaluation of cognitive processing therapy for the treatment of posttraumatic stress disorder related to childhood sexual abuse. Journal of Consulting and Clinical Psychology, 73(5), 965–971.CrossRefGoogle Scholar
  14. Chard, K. M., Weaver, T. L., & Resick, P. A. (1997). Adapting cognitive processing therapy for child sexual abuse survivors. Cognitive and Behavioral Practice, 4, 31–52. http://doi.org/10.77/7229/97/31-52
  15. Chisolm-Straker, M. (2007). Human trafficking clinical presentation and treatment: How to care for trafficked persons in the emergency department. [PowerPoint presentation]. Presented at the Brown Medical School, Mount Sinai School of Medicine.Google Scholar
  16. Clawson, H. (2010). Study of HHS programs serving human trafficking victims. Washington, DC: U.S. Department of Health and Human Services. Retrieved from http://aspe.hhs.gov/hsp/07/HumanTrafficking/index.shtml
  17. Clawson, H.J., Salomon, A., & Grace, L.G. (2008). Treating the hidden wounds: Trauma treatment and mental health recovery for victims of human trafficking. U.S. department of health and human services, Office of the assistance secretary for planning and evaluation, 1-10. Retrieved from https://aspe.hhs.gov/report/treating-hidden-wounds-trauma-treatment-and-mental-health-recovery-victims-human-trafficking
  18. Cohen, J. A., Mannarino, A. P., Berliner, L., & Deblinger, E. (2000). Trauma-focused cognitive behavioral therapy for children and adolescents: An empirical update. Journal of Interpersonal Violence, 15, 1202–1223.CrossRefGoogle Scholar
  19. Cohen, J. A., Mannarino, A. P., & Deblinger, E. (2006). Treating trauma and traumatic grief in children and adolescents. New York, NY: The Guilford Press.Google Scholar
  20. Cohen, J. A., Mannarino, A. P., Kliethermes, M., & Murray, L. A. (2012). Trauma-focused cbt for youth with complex trauma. Child Abuse & Neglect, 36, 528–541.CrossRefGoogle Scholar
  21. Cook, A., Spinazzola, J., Ford, J., Lanktree, C., Blaustein, M., Cloitre, M., … Van Der Kolk, B. (2005). Complex trauma in children and adolescents. Psychiatric Annals, 35(5), 390–398.CrossRefGoogle Scholar
  22. Drake, R. E., Goldman, H. H., Leff, H. S., Lehman, A. F., Dixon, L., Mueser, K. T., et al. (2001). Implementing evidence-based practices in routine mental health service settings. Psychiatric Services, 52(2), 179–182.CrossRefGoogle Scholar
  23. Duckworth, A. L., Steen, T. A., & Seligman, M. E. P. (2005). Positive psychology in clinical practice. Annual Review of Clinical Psychology, 1, 629–651.CrossRefGoogle Scholar
  24. Feeny, N. C., Foa, E. B., Treadwell, K. R. H., & March, J. (2004). Posttraumatic stress disorder in youth: A critical review of the cognitive and behavioral treatment outcome literature. Professional Psychology Research and Practice, 35(5), 466–476.CrossRefGoogle Scholar
  25. Fergusson, D. M., Horwood, L. J., & Lynskey, M. T. (1996). Childhood sexual abuse and psychiatric disorder in young adulthood: IL psychiatric outcomes of childhood sexual abuse. Journal of American Academic Child Adolescent Psychiatry, 35(10), 1365–1374.CrossRefGoogle Scholar
  26. Foa, E. B., & Rothbaum, B. O. (1998). Treating the trauma rape: Cognitive-behavioral therapy for PTSD. New York, NY: Guilford Press.Google Scholar
  27. Fong, R., & Cardoso, J. B. (2010). Child human trafficking victims: Challenges for the child welfare system. Evaluation and Program Planning, 33, 311–316.CrossRefGoogle Scholar
  28. Gartlehner, G., Hansen, R.A., Nissman, D. et al. (2006). Criteria for distinguishing effectiveness from efficacy trials in systematic reviews. (Technical Reviews, Report No. 12) Rockville, MD: Agency for Healthcare Research and Quality.Google Scholar
  29. Harris, M., & Fallot, R. D. (Eds.). (2001). Using trauma theory to design service systems: New directions for mental health services. New York, NY: Jossey-Bass.Google Scholar
  30. Howard, M. O., McMillen, C. J., & Pollio, D. E. (2003). Teaching evidence-based practice: Toward a new paradigm for social work education. Research on Social Work Practice, 12(2), 234–259.CrossRefGoogle Scholar
  31. Huppert, F. A., & So, T. T. C. (2013). Flourishing across europe: Application of a new conceptual framework for defining Well-being. Social Indicators Research, 110(3), 837–861.  https://doi.org/10.1007/s11205-011-9966-7CrossRefPubMedGoogle Scholar
  32. Illinois Coalition Against Sexual Assault (ICASA). (2007). Prostitution and trafficking: Chapter from “By the Numbers” manual. Retrieved from http://www.icasa.org/forms.aspx?PageID=475
  33. Johnson, B. C. (2012). Aftercare for survivors of human trafficking. Journal of the North American Association of Christians in Social Work and Christianity, 39(4), 370–389.Google Scholar
  34. Kotrla, K. (2010). Domestic minor sex trafficking in the United States. Social Work, 55(2), 181–187.CrossRefGoogle Scholar
  35. Lambert, M. J. (1992). Implications of outcome research for psychotherapy integration. In J. C. Norcross & M. R. Goldfried (Eds.), Handbook of psychotherapy integration (pp. 94–129). New York, NY: Basic Books.Google Scholar
  36. Macy, R. J., & Johns, N. (2010). Aftercare services for international sex trafficking survivors: Informing U.S. service and program development in an emerging practice area. Trauma, Violence, and Abuse, 12, 1–12.  https://doi.org/10.1177/1524838010390709CrossRefGoogle Scholar
  37. McCann, I. L., Sakheim, D. K., & Abrahamson, D. J. (1988). Trauma and victimization: A model of psychological adaptation. The Counseling Psychologist, 16, 531–594.CrossRefGoogle Scholar
  38. Meichenbaum, D. (2015). Approaches to bolster resilience in victims of human trafficking: Core tasks of interventions. [PowerPoint Presentation]. Proceedings from the 19th Annual Conference on Human Trafficking: Interrupting the Pathway to Victimization. Miami, FL.Google Scholar
  39. Mental Health America (MHA). (2015). What is dissociation? Dissociation and dissociative disorders. Retrieved from http://www.mentalhealthamerica.net/conditions/dissociation-and-dissociative-disorders
  40. Newman, R. (2005). APA’s resilience initiative. Professional Psychology: Research and Practice, 36(3), 227–229.  https://doi.org/10.1037/0735-7028.36.3.277CrossRefGoogle Scholar
  41. Norcross, J. C., & Wampold, B. E. (2011). Evidence-based therapy relationships: Research conclusions and clinical practices. Psychotherapy, 48(1), 98–102.CrossRefGoogle Scholar
  42. Norcross, J.C. (2005). A primer on psychotherapy integration. In J. C. Norcross & M. R. Goldfried (Eds.), Handbook of psychotherapy integration (2nd ed., pp. 3–23). New York: Oxford University Press.Google Scholar
  43. Polaris. (2010). In their shoes: Understanding victims’ mindsets and common barriers to victim identification. Retrieved from https://humantraffickinghotline.org/resources/understanding-victim-mindsets
  44. Putnam, F. (2003). Ten-year research update review child sexual abuse. Journal of American Academic Child Adolescent Psychiatry, 42(3), 269–278.CrossRefGoogle Scholar
  45. Rosenblatt, K. (2014). Determining the vulnerability factors, lures and recruitment methods used to entrap american children into sex trafficking. Sociology and Criminology, 2(1), 1–15.  https://doi.org/10.4172/score.1000108CrossRefGoogle Scholar
  46. Seligman, M. E. P. (2011). Flourish: A visionary new understanding of happiness and Well-being. New York, NY: Atria Books.Google Scholar
  47. Shared Hope International. (2015). Glossary of trafficking terms. Retrieved from http://sharedhope.org/learn/traffickingterms/
  48. Stark, C., & Hodgson, C. (2003). Sister oppressions: A comparison of wife battering and prostitution. In M. Farley (Ed.), Prostitution, trafficking, and traumatic stress. Binghamtom, NY: The Hawthorne Press.Google Scholar
  49. The National Child Traumatic Stress Network (NCTSN). (n.d.). Trauma Treatment Interventions. Retrieved from https://www.nctsn.org/treatments-and-practices/trauma-treatments/interventions
  50. The National Child Traumatic Stress Network (NCTSN). (2015). Complex trauma in children and adolescents. White Paper from the National Child Traumatic Stress Network Complex Trauma Task Force. Retrieved from http://www.nctsnet.org/nctsn_assets/pdfs/edu_materials/ComplexTrauma_All.pdf
  51. The National Child Traumatic Stress Network, Child Sexual Abuse Task Force and Research & Practice Core (NCTSN CSA Task Force, 2004). How to implement trauma-focused cognitive behavioral therapy. Durham, NC and Los Angeles, CA: National Center for Child Traumatic Stress. Retrieved from https://www.nctsn.org/resources/how-implement-trauma-focused-cognitive-behavioral-therapy-tf-cbt-implementation-manualGoogle Scholar
  52. Ugarte, M. B., Zarate, L., & Farley, M. (2003). Prostitution and trafficking of women and children from Mexico to the United States. In M. Farley (Ed.), Prostitution, trafficking, and traumatic stress (pp. 147–165). Binghamton, NY: The Hawthorne Maltreatment Press.Google Scholar
  53. U.S. Department of Justice, Office for Victims of Crime, Office of Justice Programs, The Office for Victims of Crime Training and Technical Assistance Center. (US DOJ, n.d.). Understanding human trafficking. Retrieved from https://www.ovcttac.gov/taskforceguide/eguide/1-understanding-human-trafficking/
  54. Walker-Rodriguez, A., & Hill, R. (2011). Human sex trafficking. FBI Law Enforcement Bulletin, 80, 1. Retrieved from https://leb.fbi.gov/2011/march/human-sex-trafficking
  55. Waller, G. (2008). Evidence-based treatment and therapist drift. Behaviour Research and Therapy, 47, 119–127.CrossRefGoogle Scholar
  56. Williamson, E., Chen, C., Moore, H., Burke, F., & Waldrop, L. (2012). Human trafficking (pp. 1–21). Fairfax, VA: Office for Victims of Crime: Training and Technical Assistance Center. Retrieved from https://www.ovcttac.gov
  57. Williamson, E., Dutch, N. M., Clawson, H. J. (2010). Evidenced-based mental health treatment for victims of human trafficking. Washington, DC: Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services. Retrieved from http://aspe.hhs.gov/hsp/07/HumanTrafficking/MentalHealth/index.shtml
  58. Zlotnick, C., Ryan, C., Miller, I., & Keitner, G. (1995). Childhood abuse and recovery from depression. Child Abuse & Neglect, 19(12), 1513–1516.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Chelsey Mahler
    • 1
  1. 1.Nova Southeastern University, Fort LauderdaleOhioUSA

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