Trauma Informed Guilt Reduction Therapy - 1st Edition - ISBN: 9780128147801

Trauma Informed Guilt Reduction Therapy

1st Edition

Treating Guilt and Shame Resulting from Trauma and Moral Injury

Authors: Sonya Norman Carolyn Allard Kendall Browne Christy Capone Brittany Davis
Paperback ISBN: 9780128147801
Imprint: Academic Press
Published Date: 3rd June 2019
Page Count: 300
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Trauma Informed Guilt Reduction Therapy: Reducing Guilt and Shame after Trauma provides mental health professionals with transdiagnostic techniques for assessing and treating guilt and shame related to traumatic events. The book outlines the TrIGR (Trauma Informed Guilt Reduction Therapy) protocol, an evidence-based treatment plan for helping clients whose primary presentation isn’t fear or anxiety, but rather guilt and/or shame related to a traumatic event or events. TrIGR also offers clinical flexibility as it can be administered as a standalone treatment, as an adjunct to other empirically supported treatment, before or after PTSD treatment, or integrated into other PTSD and depression treatments.

Case studies demonstrate how TrIGR can be used with a range of trauma types, including physical assault, combat-related events, motor vehicle accidents, and more. Conceptualization of trauma-related guilt and shame, assessment and treatment of this guilt and shame, and special applications are all covered in-depth.

Key Features

  • Summarizes the empirical literature connecting guilt, shame and posttraumatic problems
  • Outlines a brief, transdiagnostic therapy shown to reduce guilt and shame related to trauma
  • Allows for standalone, adjunctive or pre/post-PTSD treatment
  • Provides techniques for assessing posttraumatic guilt, shame and related distress
  • Includes case examples, clinical vignettes and clinical forms and tools for immediate use
  • Suggests ways to integrate TrIGR into other treatments
  • Includes access to a companion website that features clinical forms and tools


Clinical psychologists, psychiatrists, mental health counselors, social workers; psychology and behavior researchers; graduate level students in clinical psychology

Table of Contents

  1. The Connection Between Shame/Guilt and Mental Health Problems
    2. Case Examples
    3. Who is Appropriate for TrIGR?
    4. Assessment
    5. Preparing Clients for TrIGR
    6. Therapist Manual
    7. Client Workbook
    8. Considerations for Therapists
    9. Relationship to Other Trauma Treatments
    10. Adaptation to Group


No. of pages:
© Academic Press 2019
Academic Press
Paperback ISBN:

About the Author

Sonya Norman

Sonya Norman, PhD, received her B.A. from Vassar College in cultural anthropology and her PhD in counseling psychology from Stanford University. She is a Professor of Psychiatry at the University of California San Diego School of Medicine and director of the PTSD Consultation Program at the VA’s National Center for PTSD. She previously directed a PTSD treatment program for Veterans who served in Iraq and Afghanistan. Dr. Norman conducts research in treating posttraumatic guilt, shame, and moral injury as well as in the treatment of PTSD and addictions. She is passionate about bringing together clinical work and research such that her research ideas are born from her clinical work and the goal of her research is to improve treatment outcomes for people who have experienced trauma. She has served as a training director for a postdoctoral fellowship in evidence-based psychotherapy. Dr. Norman has had research grants funded by the National Institute of Health, the Department of Defense, and the VA and has over 100 publications related to posttraumatic guilt and shame, PTSD and associated problems.

Affiliations and Expertise

Professor, Department of Psychiatry, University of California San Diego, USA

Carolyn Allard

Carolyn B. Allard, Ph.D., ABPP, received her B.A. (Hons.) from Queen’s University in Kingston, Canada, and her Ph.D. in Clinical Psychology from the University of Oregon in Eugene, U.S.A. Dr. Allard is a licensed and board certified clinical psychologist who has served as Director of the Veterans Affairs San Diego Healthcare System Military Sexual Trauma & Interpersonal Trauma Clinic and Advanced Fellowship in Women's Health, Associate Professor of Psychiatry at University of California San Diego, and Clinical Director of a private-sector residential mental health program. She currently is the PhD Program Director at the California School of Professional Psychology at Alliant International University and has a private practice. For over 20 years, Dr. Allard has worked with survivors of many different types of trauma and specializes in the treatment of complex posttraumatic reactions to chronic and severe interpersonal trauma, including PTSD, dissociation, guilt and shame. She has trained hundreds in working with trauma survivors, from entry level students to seasoned professionals, and she is an active trauma researcher who has published articles in several scientific journals.

Affiliations and Expertise

Associate Professor and Program Director, PhD Program, California School of Professional Psychology, Alliant International University and Associate Professor, Department of Psychiatry, University of California San Diego, USA

Kendall Browne

Kendall Browne, PhD, earned her PhD from the San Diego State University/University of California, San Diego Joint Doctoral Program in Clinical Psychology where she was a National Institute on Alcohol Abuse and Alcoholism predoctoral fellow for four years. She is currently a licensed psychologists and core faculty member within the VA Centers of Excellence in Substance Addiction Treatment and Education and an Acting Assistant Professor in the Department of Psychiatry and Behavioral Sciences within the University of Washington, School of Medicine. Dr. Browne has training and expertise in the assessment and treatment of substance use disorders and co-occurring trauma-related symptoms. Her research efforts to date have largely focused on health services work aiming to develop and evaluate evidence-based practices for substance use disorders and co-occurring posttraumatic stress disorder.

Affiliations and Expertise

Assistant Professor, Department of Psychiatry and Behavioral Sciences, University of Washington, USA

Christy Capone

Christy Capone, PhD is a licensed, clinical psychologist with the Department of Veterans Affairs in Providence, RI. She is an Assistant Professor in Psychiatry and Human Behavior at the Warren Alpert School of Medicine at Brown University. Dr. Capone works with military veterans in the Trauma Recovery Services clinic at the VA where she provides individual and group psychotherapy related to co-occurring posttraumatic stress disorder and substance use. She serves as a clinical supervisor and research mentor to psychology and psychiatry residents who are learning to deliver evidence-based psychotherapies and conduct clinical research. Informed by her clinical work with veterans, Dr. Capone became interested in how to best address trauma-related guilt and shame, a common and vexing problem that arose again and again in therapy and for many clients presented a formidable barrier to wellness and recovery. Dr. Capone’s research interests have focused on this area for the past several years and she currently has a research grant funded by the Department of Defense. Dr. Capone also conducts research in novel treatments for co-occurring PTSD and substance use and has published several manuscripts in this area.

Affiliations and Expertise

Assistant Professor, Department of Psychiatry and Human Behavior, Warren Alpert Medical School, Brown University, USA

Brittany Davis

Brittany Davis, Ph.D. received her Ph.D. in clinical psychology from the California School of Professional Psychology at Alliant International University. She is a licensed clinical psychologist with the Department of Veterans Affairs at the James A. Haley Veteran’s Hospital and is an Assistant Professor at the University of South Florida’s Department of Psychiatry and Behavioral Neurosciences. Dr. Davis values training and education and has served as a clinical supervisor for psychology and psychiatry residents. Dr. Davis has remained active in research with a focus on trauma-related disorders, guilt and shame, and substance use disorders. Dr. Davis specializes in the treatment of PTSD and comorbid substance use disorders, and has utilized treatment approaches with flexibility and creativity, to assist with active duty service members, first responders, and veterans within inpatient, residential, and outpatient settings. Dr. Davis works collaboratively with her clients and believes that if willing, all individuals have the capacity and capability to successfully overcome the distress of difficult times that may occur within the lifetime.

Affiliations and Expertise

Assistant Professor, Department of Psychiatry, Morsani School of Medicine, University of South Florida, USA

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