This entry summarizes the current state of knowledge about the nature of trauma and intervention with trauma reactions. It includes the history of traumatology, demographics, theory, research and best practices, controversies, and current trends as well as diversity issues and international and interdisciplinary perspectives.
Nancy J. Smyth
Traumatic events have permeated our lives throughout history and across the globe, inflicting profound losses on individuals, families, and communities during warfare, armed conflict, natural disasters, and relational violence. Although many survivors of these events harness their resilience and cope without long-term negative mental health effects, others experience a range of physical and mental health conditions, including trauma- and stress-related disorders. With an emphasis placed on adult trauma survivors, the conditions of posttraumatic stress disorder, acute stress disorder, adjustment disorders, complex trauma, and other stress-related conditions have been explored within a social context. Starting with a historical context, the following topics were addressed. The typologies of trauma were introduced including the definitions of Type I trauma—a single discrete event including natural catastrophes; Type II trauma—chronic and repetitive traumatic physical, sexual, and/or emotional abuse; and Type IIII—severe and multiple abusive events with multiple perpetrators. Historical and intergenerational trauma reflect a collective of complex traumatic events throughout generations that resonate in subsequent generations in terms of ungrieved losses and survivor guilt, among other psychosocial issues. Cultural and racial trauma include chronic verbal and/or physical assaults that involve racialized bigotry. Combat trauma involves a combination of deployment stressors that have affected servicemembers in distinct ways with “signature injuries” associated with different wartime conflicts. The next section addresses the current typology of the Diagnostic and Statistical Manual of Mental Disorders—V, noting the changes in diagnostic criteria, in particular related to the diagnosis of posttraumatic stress disorder (PTSD). Mental health responses to trauma vary a great deal based on a balance of risk and protective factors, often revealing noteworthy resilience and the absence of negative aftereffects. The neurobiological effects of trauma are addressed along with mental health conditions or disorders (e.g., acute stress response, PTSD, complex trauma, and anxiety disorders). Specific phase-oriented and multimodality treatment interventions are reviewed that focus specifically on the mental health conditions presented. These approaches are research-informed, culturally responsive, and theoretically grounded Finally, the responses experienced by clinicians who work with traumatized clients are outlined along with recommendations for ways to minimize the effects of secondary, or vicarious, traumatization. Clinical vignettes based on case composites have been utilized to illustrate central points.
Susan A. Green and Doyle K. Pruitt
Trauma-focused cognitive–behavioral therapy (TF-CBT) is a manualized treatment for children 3–17 years old who have posttraumatic stress symptomology as a result of experiencing a traumatic event or series of events. This evidence-based practice allows for practitioner expertise in adapting the order and time spent on each of the treatment components to best meet the individual needs of the child and his or her caretaker. This article provides an overview of the treatment components of TF-CBT, its application across various settings, use with diverse populations, and effectiveness.
Charles Wilson, Donna M. Pence, and Lisa Conradi
The concepts of trauma and trauma-informed care have evolved greatly over the past 30 years. Following the Vietnam War, professional understanding of post-traumatic stress disorder (PTSD) increased. The greater understanding of trauma and its effects on war veterans has extended to informing our comprehension of trauma in the civilian world and with children and families who have experienced abuse, neglect, and other traumatic events. This elevated insight has led to the development of evidence-based models of trauma treatment along with changes in organizational policies and practices designed to facilitate resilience and recovery. This paper highlights the concept of trauma-informed care by providing an overview of trauma and its effects, then providing a comprehensive description of our understanding of trauma-informed care across child- and family-serving systems.
Ruth Gottfried and Brian E. Bride
Over the past three decades, along with the development of the field of traumatology, it has become increasingly clear that the after-effects of trauma exposure extend beyond those experienced by survivors or perpetrators, to include their caregivers. The nomenclature in the field of indirect trauma includes three central terms to describe this experience: vicarious traumatization (VT), secondary traumatic stress (STS), and compassion fatigue (CF). The current encyclopedia entry comprises a comprehensive description of these constructs, with emphasis on the discipline of social work. As VT is based on the theory of constructivist self-development, this theory is addressed as well. Likewise reviewed are relevant theoretical frameworks for both STS and CF, diverse conceptualizations of CF, prevalence rates, risk factors, and microlevel, mezzolevel, and macrolevel recommendations for addressing secondary, vicarious, and CF trauma.
Social work with members of the U. S. military began during World War I and continues to evolve along with the military, its service members, and their families. This article provides an overview of the U. S. military as an organization that produces a unique culture; demographics that describe service members, military spouses, and military children; and some key indicators of the impact of military life derived from scientifically structured surveys and studies of service members and their families. It also identifies relevant professional practice and education standards for social workers who work with military families regularly and/or on a full-time basis as well as for those who are working with them for the first time and/or only on occasion. Woven together, the understanding of military families and adherence to established standards of practice discussed in this paper can provide the reader with a solid foundation for their practice when working with military families.
Sheara A. Williams
Violence is a serious social issue that affects millions of individuals, families, and communities every year. It transcends across racial, age, gender, and socioeconomic groups, and is considered a significant public health burden in the United States. The purpose of this entry is to provide an overview of violence as a broad yet complicated concept. Definitional issues are discussed. Additional prevalence rates of select types of violence are presented in addition to risk and protective factors associated with violent behavior. The entry concludes with a summary of approaches to address violence in the context of prevention and intervention strategies.
Selena T. Rodgers
Domestic violence is a public health problem shown to inflict severe mental and physical injury on millions of individuals and has considerable social costs. Absent from the literature is an examination of womanism ideologies, which provide a greater understanding of the full praxis that black women who experience domestic violence engage. Drawing from initial conceptualizations of womanism and later contributions of Africana womanism, this article brings into focus pervasive acts of violence perpetrated against black women, their racial loyalty to protect black men, and the limitations of existing domestic violence models and interventions. This entry addresses how these three interconnected areas are treated within the conceptual framework of womanism. An overview of violence against black women reveals the historical and contemporary forms of knowledge and praxis that have sought to overcome the social problem of intimate partner abuse, including the social construction of controlling images and the Power and Control Wheel (The Duluth Model). This entry also examines the prevalence of violence perpetrated against black women and compounding factors. In addition, this author considers the Violence Against Women Act and its consequences on laws and policies that affect the race, gender, and class experiences of black women coping with domestic violence. Also analyzed is the quintessential role of demographics, the culture of domestic violence, and international debates about womanism, including how black women intellectuals are prioritizing race-empowerment perspectives and a reference point to articulate healthy black relationships are prioritized. The article also reviews social work practice with black women victims/survivors of domestic violence and their families.
Vimla Nadkarni and Roopashri Sinha
The entry outlines a historical and global overview of women’s health in the context of human rights and public health activism. It unravels social myths, traditional norms, and stereotypes impacting women’s health because social workers must understand the diverse factors affecting women’s health in a continually changing and globalized world. There is need for more inclusive feminist and human rights models to study and advocate women’s health. There is as much scope for working with women in a more holistic manner as there is for researching challenging issues and environments shaping women’s health.