Traumatization and Its Aftermath A Systemic Approach to Understanding and Treating Trauma Disorders

"Antonieta Contreras has written a book that offers both clients and clinicians a clear view of trauma's effects on the neurobiological domains of trauma as well as a roadmap for treatment. Traumatization and Its Aftermath switches the clinical focus from resolving traumatic events to understanding, assessing and restoring the nervous system to optimal states. To illuminate her points, Ms. Contreras provides a composite case study travelling backwards from a traumatizing experience that tipped the neurobiological scales to the familial and societal antecedents that stressed the system. Written in an easy, conversational tone that belies the complexity of the information it conveys, this book is as readable as it is comprehensive. Both clients and clinicians will want it on their shelves."

Lana Epstein, LCSW, senior trainer for the Sensorimotor Psychotherapy Institute, and EMDRIA-approved consultant in EMDR

"Antonieta Contreras has written one of the most comprehensive books on all things trauma. Remarkably knowledgeable about the trauma field, past and present, I would be hard-pressed to see what she left out. An excellent teacher, Contreras makes difficult concepts come alive and readily accessible. She clearly differentiates trauma and traumatization, identifying the threat to safety as underlying all traumatization. Her systemic view is of great value and rarely so well-articulated, delineating how traumatization impacts various expressions of the nervous system, including emotional, regulatory, cognitive/perceptual, and identity. Throughout this book, Contreras narrates the story of 'Michaela,' a fictionalized yet very believable survivor of complex trauma. She shows the reader that what may at first glance appear to be a single traumatic event is often embedded in years of multiple, interacting factors, including personal, familial, epigenetic, and societal. While this book was initially conceived as a self-help guide, it evolved into a wonderful resource for survivors of trauma, and for beginning and seasoned trauma therapists alike. While I place myself in the latter group, I learned a lot, particularly how to think more clearly and complexly about what we mean by traumatization and its aftermath. While this book is more about the nature of traumatization than its healing, Contreras's final chapter introduces a fascinating sequential treatment model worthy of close consideration. Go out and buy this book. You, and your patients if you are a therapist, will be glad you did."

Ken Benau, PhD, independent psychologist and author of Shame, Pride, and Relational Trauma: Concepts and Psychotherapy