Integrative Treatment of Complex Trauma for Adolescents (ITCT-A): A Guide for the Treatment of Multiply-Traumatized Youth

It is also provided to the general clinical community, free of charge, on the JohnBriere.com website. 2 Chapter 1 Introduction This guide has been developed to assist clinicians in the evaluation and treatment of adolescents who have experienced multiple forms of psychological trauma, typically in the context of negative living conditions such as poverty, deprivation, and social discrimination. Socially marginalized, multiply traumatized adolescents often suffer from the intersect of two injurious phenomena: sustained exposure to an invalidating social environment, and the cumulative effects of repeated maltreatment – in some cases early psychological neglect and usually multiple instances of interpersonal victimization.