Despite decades of prevention campaigns and research, childhood interpersonal trauma (i.e., psychological, physical and sexual abuse, psychological and physical neglect, witnessing interparental violence) remains an endemic problem with longstanding and deleterious negative effects on adult psycho-relational functioning. This chapter aims to present a comprehensive literature review of the repercussions associated with exposure to childhood interpersonal trauma. First, the nature and various forms of childhood interpersonal trauma are described. Subsequently, a review of the studies documenting disruptions in psychological and interpersonal functioning and the mechanisms explaining the development of each of these repercussions is unraveled. These repercussions include posttraumatic stress disorder, anxiety disorders, depression, personality disorders, affect dysregulation, substance use disorders, eating disorders, suicidal behaviors, alterations in attention and consciousness, disruptions in attributions, attachment, sexuality and violence in intimate relationships. Finally, suggestions for future research and intervention guidelines with childhood interpersonal trauma survivors are discussed.
Part of the book: A Multidimensional Approach to Post-Traumatic Stress Disorder
In this chapter, a comprehensive literature review of the theoretical underpinnings and clinical practices of cognitive-behavioral couple therapy (CBCT) will be presented. First, a description of the theory underlying CBCT and the role of the therapist will be reviewed. Different mandates and motives for couples to consult in CBCT will then be described, with attention given to specificities for diverse populations. The assessment process and main intervention techniques used by CBCT therapists will be presented, including communication training, problem and conflict resolution, cognitive restructuring, identification and expression of emotions, expression of affection and sexual problems as well as acceptance and tolerance of differences. The chapter will conclude with a critical analysis of CBCT and suggestions for future clinical developments.
Part of the book: Cognitive Behavioral Therapy and Clinical Applications