The Handbook of Complex Trauma and Dissociation in Children: Theory, Research, and Clinical Applications

Editor : Ana M. Gomez, Editor : Jillian Hosey

The Handbook of Complex Trauma and Dissociation in Children: Theory, Research, and Clinical Applications

Book Details

  • Publisher : Routledge
  • Published : March 2025
  • Cover : Paperback
  • Pages : 750
  • Category :
    Forthcoming
  • Category 2 :
    Trauma and Violence
  • Catalogue No : 97964
  • ISBN 13 : 9781032388908
  • ISBN 10 : 1032388900
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The Handbook of Complex Trauma and Dissociation in Children is a comprehensive and truly vital text for both experienced professionals and novice clinicians alike.

In these pages, dozens of experts and pioneers thoroughly cover the complex nuances of theory, assessment, research, and clinical practice. Specific sections cover etiology, neurobiology, and various theoretical and conceptual models for working with the complexities of cumulative and chronic traumatization in childhood.

Additional sections cover standardized and non-standardized assessment and diagnostic tools, as well as the formulation and organization of the clinical interview with children and caregivers. Other chapters provide systematic and comprehensive reviews of current treatment modalities and effective approaches for treating children with complex trauma and dissociation across different stages of early development.

The book’s co-editors bookend the volume with thorough explorations of the nuanced and multifaceted issues impacting children with complex trauma and dissociative symptoms and features.

Reviews and Endorsements

The child clinician is in for a treat when reading The Handbook of Complex Trauma and Dissociation in Children. With well-written contributions that span theory, diagnosis, treatment, and special issues, the handbook’s thought-provoking chapters are filled with clinical anecdotes and case histories that make the pages come alive. Readers will find in-depth analysis of the ways in which different theories apply to a child population, including (but not limited to) polyvagal theory, the theory of interpersonal neurobiology, betrayal trauma theory, and the theory of structural dissociation. The editors have assembled an impressive collection of top experts who approach difficult issues with clarity, sensitivity, and depth. Whether you are a researcher, theorist, or practicing therapist, this book is bound to spark new, creative ideas that will help enrich this growing field. This comprehensive compendium belongs on the shelf of every clinician who deals with childhood complex trauma and dissociation. It will enrich professionals’ thinking and expand awareness of multiple treatment options.
Joyanna Silberg, PhD, author of The Child Survivor: Healing Developmental Trauma and Dissociation

This comprehensive handbook provides a nuanced exploration of the theories, research, and therapeutic approaches pertaining to complex trauma and dissociation in children. The depth and breadth of this book make it an invaluable resource for all clinicians and researchers dedicated to addressing developmental trauma.
Ruth A. Lanius, MD, PhD, coauthor of Healing the Traumatized Self: Consciousness, Neuroscience, Treatment, and co-editor of The Impact of Early Life Trauma on Health and Disease: The Hidden Epidemic

Trauma and dissociation are alarmingly common, affecting a vast number of children. Yet children experiencing complex trauma are often misdiagnosed, leading to years of ineffective treatment and continued suffering. Ana Gomez and Jillian Hosey have provided an exceptional review of theory, assessment, best treatment practices, and research, essential for all professionals working with children impacted by complex trauma. This handbook is an invaluable resource for clinicians and researchers worldwide.
Marlene Steinberg, MD, author of The SCID-D Interview: Dissociation Assessment in Therapy, Forensics, and Research and The Stranger in the Mirror: Dissociation—The Hidden Epidemic

Table of Contents


1. Setting the Stage: An Introduction to Child Complez Trauma and Dissociation
Ana M. Gomez & Jillian Hosey

Part 1: Theory, Conceptual Models, and Neurobiology in Children with Complex Trauma and Dissociation
2. Epidemiology of Dissociation in Children
Colin A. Ross

3. The Discrete Behavioral States/States of Being Model
John Lovern

4. Traumatic Attachment: Clinicial Reasoning for Attachment Trauma
Benedetto Farina & Adriano Schimmenti

5. Affect Regulation, Attachment, and the Developing Social Brain: Implications for Assessment & Treatment of Dissociative Disorders
Richard M. Cross

6. Structural Dissociation: Developmental Pathways and Treatment Implications
Kathy Steele

7. The Autohypnotic Model of Dissociation
D. Michael Coy

8. Knowledge Isolation, Protective Adaptation, and Long-Term Impacts: Betrayal Trauma Theory's Contribution to Our Understanding of Complex Trauma and Dissociation in Childhood
Laura K. Noll

9. Interpersonal Neurobiology
Robyn Gobbel

10. Polyvagal Theory and The Autonomic Nervous System
George S. Thompson

11. The Innate Connection System and Sensory-Affective Orienting: Relevance to Deep Brain Reorienting (DBR)
Jessica Christie-Sands and Frank Corrigan

Part 2: Symptomatology, Assessment, & Diagnosis in Children with Complex Trauma and Dissociation
12. Symptomatology in Children with Complex Trauma and Dissociation
Betsy de Thierry

13. Considerations in Screening, Assesment, and Clinical Interviewing
Alexis Arbuthnott, Billie Jo Bennet, Jillian Hosey and Patti van Eys

14. Differential and Co-occuring Diagnoses, Neurodivergence, & the Complexity of Dissociative Features in Children
Patti van Eys and Alexis Arbuthnott

15. Working Considerations in Building the Road Map to Treatment: Case Conceptualization, Treatment Guidelines, and Treatment Planning
Jillian Hosey

16. Clinical Applications of the Star Theoretical Model
Frances S. Waters

Part 3: Treatment Modalities in Child Complex Trauma and Dissociation
17. Trauma-informed child psychoanalytic psychotherapy
Valerie Sinason

18. Dyadic Developmental Psychotherapy
Kim S. Golding

19. The Attachment Video-Feedback Intervention (AVI): Reducing Dysregulated Parental Behavior, Attachment Disorganization and Dissociation
Valérie Langlois, Gabrielle Myre & Chantal Cyr

20. A Multimodal-Integrative Approach to EMDR Therapy
Ana M. Gomez

21. Psycho-Sensory Intervention®: An Occupational Therapy Approach
Kim Barthel

22. A Sensorimotor Psychotherapy Perspective on Family Interventions
Bonnie Goldstein

23. Somatic Experiencing
Maggie Kline

24. Clinical Neurofeedback
Anna K. Morrell

25. Trauma-Focused Cognitive-Behavioral Therapy: Not Just for Acute Trauma Anymore!
Matthew D. Kliethermes

26. Animal-Assisted Therapy
Michael Remole

27. Child-Centered Play Therapy
Kristi L. Perryman

28. TraumaPlay: An Integrative Play Therapy Model for Children with Complex Trauma
Paris Goodyear-Brown & Eleah Hyatt

29. Theraplay and Parts Work for Treating Children with Trauma and Dissociation
Karen Andor, & Dafna Lender

30. A Synergetic Play Therapy Approach
Lisa Dion

31. An Integrative and Phase-Oriented Approach to Sandtray Therapy
Ana M. Gomez & Marshall Lyles

32. Art Therapy for Developmental Trauma and Dissociation with Children
Elizabeth Davis

Part 4: Important Considerations in the Treatment of Children with Complex Trauma and Dissociation
33. The Therapeutic Relationship
Jillian Hosey & Eva Teirstein Young

34. Boundaries and Ethics
David S. Prescott

35. Sociocultural Determinants, Anti-Oppresive and Culturally Responsive Practices
LaKaavia Taylor & Krystal K. Turner

36. Prenatal Reform: Complex Trauma, Dissociation, and Bonding with the Calming Womb Model
Rosita Cortizo

37. Fractured Bonds: Healing Trauma in the Caregiving System
Maria Zaccagnino, Martina Cussino, & Civilotti Cristina

38. Intersecting Timelines: Generational Perspectives
Rebeca Chow

39. Shame and Guilt
Paula Moreno & Sandra Baita

40. The Trauma-Formed Defense and Self-Protective System
Ana M. Gomez

41. Self-Harm and Suicidality in Children with Complex Trauma and Dissociation
Alexis Arbuthnott

42. Complex Trauma and Dissociation in the Face of Ongoing Stress and Trauma: Child Refugees and Asylum Seekers
Safa Kemal Kaptan, Betül Yilmaz, Tania Bosqui & Trudy Mooren

43. Listening to the Body Speak: Conversion Issues and Functional Neurological Symptoms
Nicole Black

44. Chronic Pain, Medical Issues, and Complicated Clinical Presentations in Children With Complex Trauma and Dissociation
Christine C. Forner

45. "Mind Control" in Ritualistic and Other Extreme and Dissociation-Savvy Abuse
Ellen Lacter

46. Psychiatry and Pharmacology in the Treatment of Children and Youth with Complex Trauma and Dissociation
Darren Bingham, Helen Milroy, Guilia Pace, Pradeep Rao, & Alix Woolard

47. Conclusion
Jillian Hosey & Ana M. Gomez

About the Editor(s)

Ana M. Gomez is the director of the AGATE Institute, a leading expert and global speaker on complex trauma and dissociation in youth, and the author of multiple books, therapeutic tools, and training programs.

More titles by Ana M. Gomez

Jillian Hosey, MSW, RSW, LICSW, is a clinical consultant, trainer, and social worker. She is faculty with the ISSTD’s Center for Advanced Studies and the AGATE Institute and is also a fellow of the ISSTD.

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