The study by Cohen et al1 in this issue of the Archives presents a number of promising findings. Consistent with the conclusions of a recent review,2 an 8-session cognitive behavior treatment for trauma-related symptoms was found to be more effective than an 8-session nondirective child-centered therapy as gauged by a number of outcome measures, including a structured diagnostic interview for posttraumatic stress disorder (PTSD) and self-report measures of PTSD and anxiety symptoms. These findings are cause for hope in that they shed light on treatment practices that may significantly benefit children exposed to interpersonal violence, many of whom live under circumstances of ongoing threat and adversity. These findings also point to a number of questions of considerable importance to the broader field of traumatic stress in children. I will briefly explore 3 of these.
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