85:T4ad,Människosläktet har genom årtusenden exponerats för olyckor och naturkatastrofer. Transportolyckor och andra tekniska katastrofer, krig och flyktingtrauman, terrorhändelser liksom interpersonellt våld och traumatiska övergrepp under uppväxten kan utgöra påfrestningar under människors liv samt leda till svåra hälsoeffekter. Denna tredje upplaga av Psykotraumatologi riktar sitt fokus mot den utveckling som skett under senaste decenniet när det gäller forskningen inom området. Sålunda beskrivs hur människor reagerar på hot och på faktorer som både kan öka risken för och motverka utvecklingen av traumatisk stress. Komplicerade sorgereaktioner och traumarelaterade tillstånd beskrivs ingående både när det gäller barn och vuxna. Vidare är avsnitten om neurobiologi, krisstöd i akutfas och behandling uppdaterade. Syftet med Psykotraumatologi är att utgöra en samlad kunskapskälla för den som behöver det i sin utbildning och fortbildning. På så sätt kan alla som i sin profession kommer i kontakt med potentiellt traumatiserade individer, till exempel inom hälso- och sjukvården, skolväsendet samt inom kommunernas socialtjänst ha nytta av boken.
86:T9e6,Den här boken vänder sig till alla som i sitt yrke kommer i kontakt med traumatiserade barn och unga, oberoende av vilka diagnoser de eventuellt fått tidigare. Anna Gerge och medförfattare redogör för hur komplex psykisk traumatisering och dissociation kan ta sig uttryck hos barn och unga samt visar hur framgångsrik behandling kan se ut.
Sambandet mellan anknytningsskador, inklusive svektraumatisering, och senare traumatiska händelser tydliggörs. Därefter beskrivs diagnostik, generella principer, även riktlinjer, för bedömningssamtal och behandling samt metoderna klinisk hypnos, EMDR och symboldrama.
En stor del av boken utgörs av kliniska vinjetter skrivna av psykologer, socionomer och psykoterapeuter. Dessa belyser vikten av ett traumaperspektiv i barn- och ungdomspsykiatrin, liksom inom socialtjänsten och elevhälsan. Flera vinjetter visar att enkel PTSD ofta läker ut snabbt om patienterna erbjuds t ex EMDR-behandling. Vid behandlingsarbete med komplext traumatiserade barn och unga kan – och behöver - olika terapimetoder anpassas. Metoder som bygger på ett tydligt traumaperspektiv, med förståelse för betydelsen av fasspecifikt arbete på relationell grund, kan bidra till en initial stabilisering och reglering. Då kan kvarstående symptom efter försummelse och övergrepp i barndomen, liksom traumatiska upplevelser, som t ex flykt, svår mobbing och våldtäkter, bearbetas och läka ut.
Vissa symptom, som t ex nedstämdhet, aggressivitet, koncentrationssvårigheter, självskadebeteende eller missbruk, kan tidigare ha diagnostiserats som något annat än traumarelaterade.

Avslutningsvis betonas vikten av adekvat handledning för behandlingsarbete av psykiskt traumatiserade barn och unga.
”Psykoterapi som inte är förankrad i en reglering av kroppens anspänningsnivå hjälper sällan de komplext traumatiserade patienterna. Men om de får hjälp att lugna sig och därefter berätta för någon som lyssnar, sker en bekräftelse av det som de varit med om; de kan börja lyssna på sig själva. Då kan de också förstå att det svåra är över.” Anna Gerge

Medförfattare är: Elisabeth Bergendahl-Odby, Ulrika Bringstål, Monica Dreijer, Anna Eckhardt, Sophie Eneqvist, Eva Eriksson-Block, Margareta Friberg, Lillemor Hallberg, Mona Lindqvist, Rosanne Macke Alström, Doris Nilsson, Maria Ranch, James Samec, Agneta Sandqvist Edoff, Susan Skalin-Sahlin, Marianne Stahlheuer, Sofia Strand, Hillevi Torell och Lars Widén.87:T53a,Vi hoppas att den här boken ska sprida kunskap och därmed öka beredskapen hos alla, som i sin verksamhet, möter barn som kan ha utsatts för sexuella övergrepp. Boken tar upp ett brett spektrum av kunskap från upptäckt och anmälan till utredning och behandling inom samhällets social-, rätts- och vårdinstanser. Teoretiska avsnitt om förekomst, definitioner och lagstiftning varvas med klinisk erfarenhet av att möta barnen och deras familjer. Boken ger också en bakgrund till sexualitet generellt, hur den formas och kan ta sig uttryck under uppväxten och vad som kan störa den normala utvecklingen. För att bättre förstå hur övergrepp kan ske och faktorer som påverkar barnet, presenteras olika typer av förövargrupper, inklusive de unga pojkar som förgriper sig på barn och något om psykologin i förövarens beteende. Några avsnitt beskriver utförligt utredningsgången inom olika myndigheter. Boken ger en översikt över olika behandlingsformer, hur förebyggande arbetet kan bedrivas, samt vad som krävs för att man som personal ska orka möta sexuellt traumatiserade barn och ungdomar.

Denna bok vänder sig i första hand till studerande på grund- och vidareutbildningsnivå inom såväl vård och medicin som beteendevetenskap, psykologi, samhällskunskap, pedagogik och juridik.
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