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Crisis response for the Sichuan earthquake - The work of Gilbert Kliman M.D. Introduction by David Trimble, Ph.D.

I want to share with you the exciting work that Gilbert Kliman, M.D. has been doing.  A child psychoanalyst, he has been very interested in the network approach.  He renamed his preventive preschool program, originally called Cornerstone, "reflective network therapy."  

Reflective network therapy weaves together a network of preschool children, many of them with serious mental health problems, their families, and their teachers, to form a healing community.  The therapist, usually a child psychoanalyst, conducts play therapy in the classroom over the course of the school day, with the other children and the teachers observing and sometimes participating.  After the therapy session, the analyst and child report on the session to the teacher, again in the middle of regular classroom activity.  I enjoy how it uses both networks and reflective functions.

His workbook approach to help children cope with traumatic stress of the disaster relies heavily on natural helping networks for its implementation, and the text itself stresses for the child the importance of drawing on network supports.

(A link to the workbook is at the end of the text)

Links to www.childrenspsychological.org

Direkt link to News section of  CPHC website: http://www.childrenspsychological.org/content/category/1/1/57/

Single copies of this and other Guided Activity Workbooks may be downloaded for free from the CPHC website via this direct link: http://www.childrenspsychological.org/content/view/55/44/

 

CPHC provides psychological first aid to traumatized victims of the great earthquake in China

Two agencies entered into a remarkable collaboration with The Children’s Psychological Health Center to translate and distribute tens of thousands of copies of a psychoanalytically informed guided activity workbook for traumatized children who survived the May 12th earthquake and aftermath events in China. China American Psychoanalytic Alliance (www,capachina.org) guided by CAPA President, Elise Snyder, MD, working with our medical director, Gilbert Kliman, MD, galvanized translators and artists to provide a culturally vetted adaptation of an earlier version of “My Earthquake Story” which Dr. Kliman greatly expanded and modified to fit the special needs and issues identified. Mercy Corps (www.mercycorps.org) under the guidance of Griffen Samples, Senior Technical Advisor, Comfort for Kids entered into an agreement with CPHC to spearhead distribution.

 

A Coincidence Leads to Collaboration

On May 3, 2008 Gilbert Kliman M.D. had the honor of addressing the first joint meeting of The American College of Psychoanalysts and The American Academy of Psychoanalysis and Psychodynamic Psychiatry, in Washington D.C. Elise Snyder MD, President of the ACP heard Dr. Kliman present a Unifying New Theory of Posttraumatic Stress Disorder, which drew on his experience with thousands of traumatized children over a 55 year period of his child psychiatric practice, individual trauma and mass psychological first aid research. Dr. Snyder noted the very high enthusiasm of the audience, and invited Dr. Kliman to participate in her activities with the China America Psychoanalytic Alliance (CAPA). CAPA is a non-profit organization of about 100 American psychoanalysts and psychotherapists dedicated to providing psychoanalyses, psychotherapies, supervision and training to mental health professionals in the Peoples' Republic of China.

 

Fast Track Process Provides Disaster Relief

Nine days later when the Sichuan earthquake struck, Gilbert Kliman responded to a request by Elise Snyder for help in this enormous disaster. He began preparing a mental health resource for translation into Mandarin by CAPA. He formed it as a workbook using his China-congenial emphasis on social networks to help children heal, and his Columbia University Department of Child Psychiatry creation of a manualized workbook for traumatized children entering foster homes. He also used his San Francisco earthquake experience and his prior collaboration with Mercy Corps in storm disasters. Dr. Snyder was meanwhile working on training large numbers of mental health workers to respond to the disaster. Dr. Kliman then suggested the three organizations -- The Children's Psychological Health Center, Inc., China America Psychoanalytic Alliance, and Mercy Corps all offer to collaborate with the People's Republic Government and help all children possible with a practical form of psychological first aid.

Griffen Samples of Mercy Corps had already successfully led a response to disastrously huge storms, collaborating with Dr. Kliman and the Children's Psychological Health Center in 2005 and 2006. The Sichuan Earthquake response thus took on a previously successful form, which had been tested by Tulane’s Dept. of Psychiatry. The workbook needed extensive revision for the cultural, linguistic and disaster circumstances.

The participants labored and communicated on the internet with little sleep until May 30th, through over twelve drafts, when a mutually accepted version was created. Speed of creation, translation and distribution was important because this resource was for rapid first aid, when many psychological wounds could still be kept from becoming long term disorder. It was hoped that Chinese love and thoughtfulness for children, and emphasis on the healing power of social networks would make this supportive and reflective network activity particularly valuable for Sichuan children in their historically immense time of psychological need.

The English version of the book is posted on our website as “MY SICHUAN EARTHQUAKE WORKBOOK”

 

Mercy Corps Helps Ensure Support for CPHC’s Guided Activity Workbook in China

Mercy Corps was instrumental in obtaining a foreword for the Mandarin edition written by Zhang Kan, Dean of the Research Institute of Psychology, Chinese Academy of Sciences, Counselor of the Chinese Psychology Association. This foreword states, in part:

 
“The Sichuan Earthquake in China in May 12, 2008 has caused great loss to the affiliated areas, and has brought with it tremendous trauma to the local residents physically, materially and psychologically…
  
Now the large scale of life-saving has entered its closure, and this campaign against earthquake and alleviating its aftermath has entered a new stage of reconstruction after the catastrophe. It doesn't take long for people to realize that the work of reconstruction bears an even harder task and still sees a long way ahead. The experience gained from the past effort against earthquake has shown that of all the reconstruction works, psychological reconstruction is the most difficult, and in particular, psychological reconstruction among the children. This is because children are still in the process of psychological development and are more vulnerable to psychological traumas. Meanwhile, we are lacking a certain coping mechanism. It is shown from psychological researches that it is a great difficulty to scientifically and effectively communicate with affected children. The book is particularly aimed at the psychological reconstruction among the children, and has seen its efficacy in helping the psychological reconstruction of people after earthquakes in the U.S.
 
It is my belief that the publication and use of this book can provide a scientific and convenient tool for the Chinese psychological experts, teachers and parents to help the children rebuild their psychology. This is more than a blessing to us.“
 
 

6/6/2008 from Beijing

MY SICHUAN EARTHQUAKE WORKBOOK

 

New date for 7th Nordic Conference

We have decided to move the Conference to the Autumn - we're planning on two-three days in the beginning of september 2010 in Valdres!

http://vinter.valdres.no/default.aspx

Its a beautiful time of year to be there! Looking forward to seeing all of you!

Mark

New presentation added

I've added a presentation from Olga Evsteshina. The title is "Ways of reflection at network meetings". The document is named "Ways_of_reflecting_at_NM.doc". The document is in Microsoft .doc-format.

You have to be logged in to access the files.

 

Problems yesterday

Yesterday, August 6, Netletter was temporarily unavailable. This was due to server rpoblems at one.com, our hosting company. I hope this didn't inconvenience any readers.

More presentations are available for download

I've just added Mark Hopfenbeck's presentation to the download page. We now have ten presentations from the conference. You have be logged into your account in order to see the downloadable files.

Please consider subscribing to Netletter. Subscription is free and you can subscribe either in a reader or by email. If you are unsure how to use a RSS-reader the email option is easiest. I'm posting a short RSS introduction video that may be of help.


Please leave a comment if you found this helpfull. If so, I may post more videos that help us get the most out of Netletter.

As of this post I'm changing some settings. Previously (all posts prior to this one), what you see of a post is a so called "teaser", a part of the post. To see the full post you just click the heading. Unfortunately this is not clear when you visit the front page. Seeing a full posts will hopefully be a better reading experience.

Some updates

We hope you are all having a great summer. The weather here in Stockholm is fantastic.

I hope you've seen the download page for plenary notes from the conference. There's quite a few by now.

I just recieved Jodie Kliman and David Trimble's notes from their plenary session on grieving their son Jacob in and with their network.

Follow the link to the download page. You have to be logged in to access the files. If youdon't have an account, please register on the front page.

What happened next?

Elina Dabas sent me an email with her presentation from the conference. Then I got one from David Trimble and Tom Arnkil (forwarded by Gunnar Forsberg).

This is fantastic. It means that Netletter is coming alive. You have to log in to see the files which means that all file downloads are members only. I'd like some feedback on that policy, please.

You can follow the link in the sidebar where it says "Download page for 2008...etc".

Thank you all for your contributions. I expect there will be more as everyone gets their material edited.

Moving on from here.

 

A picture called farewell.jpg
From left to right:
Mark Hopfenbeck, Astrid Hultcrantz-Jeppson, Gunnar Forsberg, Jodie Kliman, Elina Dabas, Olga Evsteshina, Johan Klefbeck, Vasanta Romanova, David Trimble, Kerstin Marklund

Last post here was from the conference and it's been a few weeks. Elina Dabas sent us a picture.

I've recieved a paper from Elina and I'll publish it as soon as I've figured out the best way to present it. A file download is fairly simple but it also needs a presentation. Thanks, Elina!

Heading for the conference

Today is the last day of conference. It's been great meeting everybody and having conversations that we normally can't have. Not in person.

After lunch is Neletter time and that's when we talk about how we can continue our conversation with other means.

I have no idea what I'm going to say. We were supposed to have a smaller Netletter workshop but the program was changed and now  it's going to take place in front of everyone. A good thing really but I can't seem to rethink my plan. Maybe a good thing.

I'll be back with a report from the conference tomorrow or Monday.

Konferensen hittills

Vi har fått lyssna på så mycket att det är omöjligt att samanfatta hät. Tyvätrr har det inte gått att uppdatera från konferrensen so vi ville.

På twitter finns några "highlights".

I morgon är sista dagen och Netletter är temat efter lunch. Hela redaktionen plus David Trimble och Jodi Klieman är på plats.

Vi skall prata om Netletter, historien och nuet.

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