There is abundant evidence showing a strong association between trauma exposure, psychotic symptoms, and posttraumatic stress disorder (PTSD). Early trauma exposure contributes to the formation of psychotic symptoms and the development of psychotic disorders or severe mental illnesses such as schizophrenia, bipolar disorder, and treatment-refractory major depression. Furthermore, among persons with psychotic disorders, multiple traumatization over the lifetime is common, due to factors such as social stigma, the criminalization of severe mental illness, and increased vulnerability to interpersonal victimization. In addition to these factors is the traumatic nature of experiencing psychotic symptoms and coercive treatments such as involuntary hospitalization and being placed in seclusion or restraints. Not surprisingly, these high rates of trauma lead to high rates of PTSD in people with psychotic disorders, which are associated with more severe symptoms, worse functioning, and greater use of acute care services. In addition to the impact of trauma on the development of psychotic disorders and comorbid PTSD, traumatic experiences such as childhood sexual and physical abuse can shape the nature of prominent psychotic symptoms such as the content of auditory hallucinations and delusional beliefs. Additionally, traumatic experiences have been implicated in the role of ‘stress responsivity’ and increased risk for transition to psychosis in those identified as being at clinical high risk of developing psychosis. Finally, although the diagnostic criteria for PTSD primarily emphasize the effects of trauma on anxiety, avoidance, physiological over-arousal, and negative thoughts, it is well established that PTSD is frequently accompanied by psychotic symptoms such as hallucinations and delusions that cannot be attributed to another DSM-V Axis I disorder such as psychotic depression or schizophrenia. Understanding the contribution of traumatic experiences to the etiology of psychosis and other symptoms can inform the provision of cognitive behavioral therapy for psychosis, including the development of a shared formulation of the events leading up to the onset of the disorder, as well as other trauma-informed treatments that address distressing and disabling symptoms associated with trauma and psychosis. Until recently the trauma treatment needs of this population have been neglected, despite the high rates of trauma and PTSD in persons with psychotic disorders, and in spite of substantial gains made in the treatment of PTSD in the general population. Fortunately, progress in recent years has provided encouraging evidence that PTSD can be effectively treated in people with psychotic disorders using interventions adapted from PTSD treatments developed for the general population. In contrast to clinician fears about the untoward effects of trauma-focused treatments on persons with a psychotic disorder, research indicates that post-traumatic disorders can be safely treated, and that participants frequently experience symptom relief and improved functioning. There is a need to develop a better understanding of the interface between trauma, psychosis, and post-traumatic disorder. This Frontiers Research Topic is devoted to research addressing this interface.

The Editors have a good reputation in this field. The book also has a good line-up of contributors. Provides a new approach to understanding the experience of psychosis that will have implications for clinicians, patients and researchers.

In the 100 years since Eugen Bleuler unveiled his concept of schizophrenia, which had dissociation at its core, the essential connection between traumatic life events, dissociative processes and psychotic symptoms has been lost. Psychosis, Trauma and Dissociation is the first book to attempt to reforge this connection, by presenting challenging new findings linking these now disparate fields, and by comprehensively surveying, from a wide range of perspectives, the complex relationship between dissociation and psychosis. A cutting-edge sourcebook, Psychosis, Trauma and Dissociation brings together highly-respected professionals working in the psychosis field with renowned clinicians and researchers from the fields of traumatic stress, dissociation and the dissociative disorders, and will be of interest to those working with or studying psychotic or dissociative disorders, as well as trauma-related conditions such as borderline personality disorder or complex post-traumatic stress disorder. It makes an invaluable contribution to the burgeoning literature on severe mental disorders and serious life events. The book has three sections: Connecting trauma and dissociation to psychosis - an exploration of the links between trauma, dissociation and psychosis from a wide range of historical and theoretical perspectives. Comparing psychotic and dissociative disorders - a presentation of empirical and clinical perspectives on similarities and differences between the two sets of disorders. Assessing and treating hybrid and boundary conditions - consideration of existing and novel diagnostic categories, such as borderline personality disorder and dissociative psychosis, that blend or border dissociative and psychotic disorders, along with treatment perspectives emphasising humanistic and existential concerns.

The psychiatric condition wherein a person who has witnessed or experienced an event which has caused mental trauma, and which leads to disturbing thoughts and feelings related to that event, is termed as post-traumatic stress disorder. The symptoms of PTSD can be broadly categorized into 4 types, namely, intrusion, avoidance, alterations in cognition and alterations in reactivity. Intrusion refers to recurrence of flashbacks and distressing dreams. Avoidance involves trying to avoid the places, people or situations which might remind an individual of the unpleasant memories. Alterations in cognition and mood cause the person to forget aspects of the trauma causing experience as well as distort feelings about themselves. This book contains some path-breaking studies on post-traumatic stress disorder and traumatic psychosis. It discusses the fundamentals as well as modern approaches of research within this field. This book is a collective contribution of a renowned group of international experts.

An exploration of the newfound connections between mental illness and trauma For decades, the idea that serious mental illnesses (SMIs) are almost exclusively biologically-based and must be treated pharmacologically has been commonplace in psychology literature. As a result, many mental health professionals have stopped listening to their clients, categorizing their symptoms as manifestations of neurologically-based disturbed thinking. Trauma and Serious Mental Illness is the groundbreaking series of works that challenge this standard view and provides a comprehensive introduction to the emerging perspective of SMIs as trauma-based. This unique collection illustrates how different psychotherapy approaches can lead to reduced symptomatology, decreased psychological distress, and improved functioning in individuals living with SMIs. Each extensively-referenced chapter in Trauma and Serious Mental Illness offers mental health workers a forward-looking theoretical inquiry, empirical study, or critical treatise providing compelling counter evidence to challenge the widespread belief that SMIs are not reactions to the extreme and extremely disturbing circumstances embodied by psychological trauma. In addition to the etiological application, this revealing text proposes ways to incorporate this cutting-edge approach toward treatment options as well. Contributors to Trauma and Serious Mental Illness suggest that: childhood trauma is related to psychotic disorders dissociation can be confounded with psychotic symptoms auditory hallucinations can be diagnostic of dissociation rather than psychosis psychosis is related to the quality of family of origin environment and to age of onset of childhood abuse bipolar and trauma-related disorders sometimes overlap individuals with SMIs suffer related trauma even in treatment facilities and much more! Trauma and Serious Mental Illness is an eye-opening resource for mental health professionals, psychologists, counselors, psychiatrists, social workers, trauma workers, and educators and students in these disciplines.

A multidisciplinary group of clinicians explore the connections between traumatic experiences and psychosis, charting the development of a series of interventions designed for both inpatients and outpatients over the course of two decades. Developing Trauma Informed Services for Psychosis details how clinicians developed a trauma committee in a public mental health facility and implemented trauma informed policies and practices, including assessments and multimodal treatment options. Chapters outline trauma informed approaches that include individual, group, and family modalities. Emphasis is on core aspects of programming such as building safety, establishing trusting relationships, and empowerment. One survivor’s descriptive account as well as service users’ and therapists’ experiences are brought to life through personal narratives and fictionalised vignettes. This volume advocates for a multidisciplinary approach that fosters the development of unique treatment paradigms and leads to a dynamic interplay between verbal and creative arts therapies. This book will be of interest to clinicians, administrators, students, caregivers, and anyone interested in the intersection between therapy and the arts.

This authored text-reference will be the first comprehensive text in the rapidly growing field of psychological trauma and posttraumatic stress disorder.According to the NIMH, approximately 5.2 million American adults already suffer from post traumatic stress disorder. Caused by everything from combat experience to violent personal assaults to natural disasters and accidents, the incidence of PTSD has already reached epidemic proportions. The profound impact of psychological trauma and the need for proactive and scientifically-based approaches to timely prevention and evidence based treatment is unarguable and mental health programs are seeing a significant rise in the number of PTSD courses offered and services required. As a result, scholars, researchers, educators, clinicians, and trainees in the health care and human and social services need a concise and comprehensive source of authoritative information on psychological trauma and posttraumatic stress. This volume will offer a foundational understanding of the field as well cover key controversies, the influence of culture and gender, and describe state-of-the-art research and clinical methodologies in down-to-earth terms. Clinical case studies will be used liberally. - Concise but comprehensive coverage of biological, clinical and social issues surrounding PTSD - Thoroughly covers evidence-based treatments, enabling the reader to translate current research into effective practice - Exemplifies practical application through case studies

An invaluable sourcebook on the complex relationship between psychosis, trauma, and dissociation, thoroughly revised and updated This revised and updated second edition of Psychosis, Trauma and Dissociation offers an important resource that takes a wide-ranging and in-depth look at the multifaceted relationship between trauma, dissociation and psychosis. The editors – leaders in their field – have drawn together more than fifty noted experts from around the world, to canvas the relevant literature from historical, conceptual, empirical and clinical perspectives. The result documents the impressive gains made over the past ten years in understanding multiple aspects of the interface between trauma, dissociation and psychosis. The historical/conceptual section clarifies the meaning of the terms dissociation, trauma and psychosis, proposes dissociation as central to the historical concepts of schizophrenia and borderline personality disorder, and considers unique development perspectives on delusions and the onset of schizophrenia. The empirical section of the text compares and contrasts psychotic and dissociative disorders from a wide range of perspectives, including phenomenology, childhood trauma, and memory and cognitive disturbances, whilst the clinical section focuses on the assessment, differential diagnosis and treatment of these disorders, along with proposals for new and novel hybrid disorders. This important resource: • Offers extensive updated coverage of the field, from all relevant perspectives • Brings together in one text contributions from scholars and clinicians working in diverse geographical and theoretical areas • Helps define and bring cohesion to this new and important field • Features nine new chapters on: conceptions of trauma, dissociation and psychosis, PTSD with psychotic features, delusions and memory, trauma treatment of psychotic symptoms, and differences between the diagnostic groups on hypnotizability, memory disturbances, brain imaging, auditory verbal hallucinations and psychological testing Written for clinicians, researchers and academics in the areas of trauma, child abuse, dissociation and psychosis, but relevant for psychiatrists, psychologists and psychotherapists working in any area, the revised second edition of Psychosis, Trauma and Dissociation makes an invaluable contribution to this important evolving field.

This volume brings together the leaders in the field of PTSD research to present an up-to-date summary and understanding of this complex disorder. All of our current knowledge and controversies concerning the diagnosis, epidemiology, course, pathophysiology and treatment are described in detail. The evidence for efficacy for each of the different forms of psychotherapy and pharmacotherapy is reviewed. Particular attention is paid to at-risk groups, including minorities, and coverage of PTSD throughout the world is reviewed as well. The authors present state-of-the-art findings in genetics, epigenetics, neurotransmitter function and brain imaging to provide the most current and comprehensive review of this burgeoning field.

The Editors have a good reputation in this field. The book also has a good line-up of contributors. Provides a new approach to understanding the experience of psychosis that will have implications for clinicians, patients and researchers.