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Breakthrough Treatment Offers New Hope for Recovery
Revised and Expanded 2nd Edition with 3 new chapters on adolescents
Gentling represents a new paradigm in the therapeutic approach to children who have experienced physical, emotional, and sexual abuse and have acquired Post Traumatic Stress Disorder as a result. This text redefines PTSD in child abuse survivors by identifying child-specific behavioral signs commonly seen, and offers a means to individualize treatment and measure therapeutic outcomes through understanding each suffering child's unique symptom profile. The practical and easily understood Gentling approaches and techniques can be easily learned by clinicians, parents, foster parents, teachers and all other care givers of these children to effect real and lasting healing. With this book, you will:
Clinicians Acclaim for Gentling
"In this world where children are often disenfranchised in trauma care--and all too often treated with the same techniques as adults--Krill makes a compelling case for how to adapt proven post-trauma treatment to the world of a child."
--Michele Rosenthal, HealMyPTSD.com
"Congratulations to Krill when he says that 'being gentle' cannot be over-emphasized in work with the abused."
--Andrew D. Gibson, PhD Author of Got an Angry Kid? Parenting Spike, A Seriously Difficult Child
"William Krill's book is greatly needed. PTSD is the most common aftermath of child abuse and often domestic abuse as well. There is a critical scarcity of mental-health professionals who know how to recognize child abuse, let alone treat it."
--Fr. Heyward B. Ewart, III, Ph.D., St. James the Elder Theological Seminary, author of AM I BAD? Recovering From Abusew
Cover photo by W.A. Krill/ Fighting Chance Photography
Learn more at www.Gentling.org
From the New Horizons in Therapy Series at Loving Healing Press www.LovingHealing.com
FAM001010 Family & Relationships : Abuse - Child Abuse
PSY022040 Psychology : Psychopathology - Post Traumatic Stress Disorder
FAM004000 Family & Relationships : Adoption & Fostering
- Sales Rank: #1150108 in Books
- Published on: 2011-09-01
- Original language: English
- Number of items: 1
- Dimensions: 9.69" h x .60" w x 7.44" l, 1.13 pounds
- Binding: Paperback
- 284 pages
Most helpful customer reviews
6 of 6 people found the following review helpful.
Practical approach to sorking with children with trauma disorders.
By Brian J. Behe
`Gentling' is clearly offered in a spirit of innovation and from a perspective of front-line work with children who have been abused. Krill does not claim or make efforts to portray his approach as an empirically tested therapy; he simply has innovated an approach to hurting children that has worked in his experience and others he has taught it to.
In the world of therapy, research informs practice, but practice also informs research. In reality, there would be no research of methods if the method was not innovated first. Every approach to treatment started first as an idea, then as tentative practice in the hands of a caring therapist, and then, if enough people pay attention, a tested, validated, and reliable approach to treatment. Indeed, many treatments for PTSD have detractors as well as debate about their validity or what parts of the approach are actually effecting relief of symptoms. Purists will not like this book, but purists often only condone their pet method. This author clearly comes from an eclectic background that includes pastoral as well as clinical perspectives.
Krill's approach, at it's base, is a cognitive-behavioral approach, but with a twist: Gentling insists that children that are victims of interpersonal abuse are in need of a child-specific and gentle approach to treatment. While the treatment strategies out there for adults are effective for adults, this may not translate to children. There is a difference between treating a battle hardened soldier who has experienced the trauma of war, and a six year old child who has been repeatedly raped. The difference of Gentling from other approaches is not so much substantive as qualitative.
Had Krill not qualified his approach early in his text, I would have rated the book a bit lower, but he does qualify that his theories on PTSD in abused children, his approach, and even the tools he has developed have not had peer review or rigorous testing. And one would not necessarily expect this from an in-the-trenches therapist.
Perhaps Gentling will attract enough attention that it someday will be tested for reliability and validity. In the mean time, it is a contribution and practical skill manual for front line therapists, foster parents, child protection workers, and foster parents who need tools to work with these kids on a regular basis.
4 of 4 people found the following review helpful.
"Gentling" Provides Compassionate and Practical Treatment for Children and Teens with PTSD
By Tyler R. Tichelaar
A review from Blog Critics Magazine, first published online February 22, 2012
Let me begin this review by stating that I am no expert in child psychology or PTSD, but I have read a lot of books about PTSD and am always fascinated with how the mind works and how people overcome trauma and heal their lives. I had not read anything about children with PTSD before, but I assumed it would be fascinating and insightful, and this book did not disappoint in that respect.
I did not read the first edition of "Gentling," but this second edition states that the book has been revised and expanded and contains three new chapters on adolescents (teens). I thought this addition very practical and helpful because, as the book makes clear, treating children obviously requires different approaches based upon their ages, and the differences that are described are important to know.
All of the advice and steps provided in this book were very practical and simple to follow, even if the situations where they would be applied would be far from simple, depending on the individual child. One key point I gathered from this book is that every child is different in the abuse he or she has received and the way a child may express his or her PTSD syndromes. For that reason specifically, it is important to be gentle with a child. That's where the "gentling" approach to helping a child cope with and heal from PTSD comes in.
I hesitate to give a definition of "gentling," but it is basically about being both kind yet at times firm with a child, allowing a child to express him- or herself on a comfortable level, and finding ways to help the child express what needs to be said. Author William Krill offers plenty of advice and approaches to facilitating this level of communication from using toys for children to act out the experiences they had to being gentle in an adult's approaches with children so as not to alarm them, such as asking permission to touch them, hug them, sit beside them, and even to move only halfway toward children so you do not frighten them and so they become comfortable with your presence. The PTSD children have encountered has a wide range, including being beaten and sexually abused or watching someone else be beaten, so violating a child's boundaries through simple things like touching a child can result in a child undergoing a stress episode. Gentle care is constantly needed, and Krill provides ways to help children readapt to the world, learn whom they can trust, come to set boundaries for themselves, and differentiate themselves from others.
While many of the techniques Krill suggests I've read about before, putting them all under the category of "gentling" provides a way to look at them from an overall approach and intention that is very helpful. The chapters on teenagers offered new information to me, and it was clear why that age group requires a different, yet still gentle approach, and how boundaries and rules remain important. One good suggestion Krill had was about making up a contract with a teenager.
"Gentling" contains far more information than I can discuss here, but it will be especially helpful for parents and foster parents who need to recognize signs of PTSD and to differentiate between normal childhood behaviors and PTSD related behaviors. The book then offers plenty of advice on dealing with a wide range of individual behaviors from bed-wetting to playing with feces to bullying other children. Krill provides checklists for different possible behaviors that will help the reader to apply the material in a practical and easy way.
The appendices in the book are especially helpful because even if the child's primary caregiver may know how to help the child, other adults, especially teachers and school staff, may not. Krill provides a series of Quick Teach Sheets on numerous issues that range from about 2-3 pages each and can easily be copied to give adults to help them understand the child's special needs. Sections on "stress inoculation"--how to teach a child to differentiate between events that should or should not cause stress, and how to set boundaries, as well as sample treatment plans that help to set goals, measure objectives, and determine expected outcomes all provide helpful down-to-earth information that will allow the caregiver to take the theory and apply it.
I did find the book a bit unwieldy and repetitive in places, but at times, I think caregivers will also need to be reminded of what they already know, so that is not necessarily a fault. The book does have a fair number of distracting typos, but that is not a reason to ignore its wisdom or apply its techniques. Numerous testimonials from well-known people in the fields of child development and dealing with child abuse point out its valuable content, and I personally feel I understand better how children react to abuse and other causes of PTSD and how they can be gently helped. Anyone who loves a child, whether the child is in need of healing from PTSD or not, will find this book a valuable tool for understanding children.
-- Tyler R. Tichelaar, Ph.D., and author of the award-winning Narrow Lives
1 of 1 people found the following review helpful.
Wow
By Maxwell
As a special education teacher I now see how I may have misinterpreted certain student's behaviors as defiant when in fact they were PTSD related. Good book for any clinician or any dealing with children to read.
When a child asks a teacher to left alone it is not defiance, it is a need for space.
Although none of my students had toileting issues, the one most intriguing was a student that would act out when hungry. I had to teach him to so "I'm Hungry" and we permitted him to eat as he had 7 foster placements and from his adoptive parents he had no idea what breakfast was when they first got him.
I worked through the acting out part of having hunger issues to saying I'm hungry to having him rate his his hunger on a scale of 1-5. When I heard 10 I knew it was really serious. :) I will take the exaggeration to 10 much more so than possible head banging, going out in the hall and throwing pencils against the wall.
I did apply the gentling approach during those days when he would act out in the class. I was able to cue him to go in the hallway, he would still throw pencils and rip papers and I would say to him, you seem to be angry, when you are ready I will be here waiting for you. I always had a book about animals and would be pretend reading it until he would come over sit beside and start to read it silently.
Patience and empathy is key with these children from what I have gathered from Mr. Krill's book
I highly recommend this book to any teacher who works special ed, gen ed or gifted students. Knowledge is power and knowing the signs of abuse in a child is most certainly knowledge needed so it is not interpreted as emotional disorder or defiance.
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