In her renowned book, Trauma and Recovery, Judith Herman explored the relationship between sexual abuse and political power and proposed that a person who has been traumatised needs a therapy that privileges safety, allows remembrance and mourning, and encourages reconnection to others (2002). In this issue of the ANZFT, the authors address these themes: safety, remembrance, mourning and reconnection, emphasising that families, social networks and communities are pivotal in helping people heal from trauma.

This paper aims to show how a trauma lens can be incorporated into existing family therapy practices, changing how therapists perceive presenting problems and therefore the issues and sites of intervention. After reviewing the family therapy literature concerning trauma and defining different types of trauma, the paper discusses how traumatic memories differ from ordinary memories. Ten principles for practice are described to guide therapists in integrating the trauma lens into their family therapy practice. Three case studies are used to illustrate these principles.

In this interview with Bruce Perry, MD, PhD, Senior Fellow of The Child Trauma Academy, Laurie MacKinnon discusses with Dr Perry developmental trauma and the Neurosequential Model of Therapeutics, an approach to clinical problem solving that utilises a developmental lens and incorporates advances in neurobiological development. Dr Perry gives his perspective on the causal connection between childhood abuse and later psychiatric diagnosis, the child's contact with a violent parent post-separation, the importance of interventions that address the organisation and functioning of lower parts of the brain and his perspective on the use and limitations of psychotropic medications, cognitive behaviour therapy and family therapy.

One of the major ways child sexual abuse can have an impact on individuals is in their later ability to have and maintain fulfilling couple relationships. Survivors may experience avoidance behaviours that become problematic in their adult intimate relationships. If couple therapists fail to focus on these traumatic imprints, the therapy may founder. This paper proposes that a multi-theoretical approach enables the couple therapist to deal with the complex problems such couples present including sexuality and intimacy concerns. Such an approach integrates trauma theory, attachment theory, feminist principles, body-oriented psychotherapy, and systemic couple therapy.

Working with survivors of trauma is mostly challenging, exhausting, long-term and often ‘messy’, when interventions that ‘should’ work, don't, or the unexpected arises. Nevertheless, explanations that speak to recovery from trauma more and more rely on neurobiological concepts to account for any positive change. Combining the family systems approach of Murray Bowen and recent research on the brain and trauma, post trauma symptoms are viewed as part of the ‘family emotional process’ even when traumatic events have emanated from outside the family system itself. Variations in responses to trauma, including dissociation and self-harm are discussed in relation to chronic anxiety and ‘differentiation of self’.

This article is underpinned by the premise that for recovery, healing and post-traumatic growth to occur after traumatic events such as technological and natural disasters, massacres and terrorist attacks, effective therapeutic services need to be offered at both the individual and community level. Frequently, responses to such traumatic instances have been conceptualised as discrete, polarised interventions offered by various groups of health and welfare professionals at various points post the traumatic event. Traditionally when therapeutic interventions are considered, many practitioners assume that the response would, and should, focus primarily and narrowly, on individuals or their families and the symptoms of post-traumatic stress. Conversely, the perceived role of community wide interventions has been unnecessarily limited to disaster relief or organised emergency responses most usually offered at the time of the crisis. The consequence of these limited understandings is an apparent failure to explore fully the therapeutic or mediating role of social or community support in surviving trauma. Interventions encompassing the level of community might be therapeutic in two fundamental ways. First, if practitioners embraced ideas from systemic family therapy literature, ideas that acknowledge the importance of social networks, this would encourage a more holistic vision of resilience and recovery. Second, if practitioners recognised that whole communities and social networks might also be traumatised, they could provide support and interventions oriented toward healing at this broader level.