Offering a fresh perspective on treatment, this book presents an overarching framework and numerous specific strategies for working with violent youth and their families. The authors draw on extensive experience to identify four critical factors that push some adolescents to commit harmful, even deadly acts: devaluation, erosion of community, dehumanized loss, and rage. Effective ways to address each of these factors in clinical and school settings are discussed and illustrated with evocative case material. The book also provides essential guidance on connecting with aggressive teens - many of whom have endured traumas of their own - and managing difficult situations that are likely to arise in therapy.