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A collection of the most important writings on understanding and treating PTSD Essential Papers on Post Traumatic Stress Disorder collects the most important writings on the comprehension and treatment of Post Traumatic Stress Disorder. Editor Mardi J. Horowitz provides a concise and illuminating introductory essay on the evolution of our understanding of Post Traumatic Stress Disorder, and establishes the conceptual framework and terminology necessary to understand the disorder. The collected essays which follow provide a rich and comprehensive take on the complexity of Post Traumatic Stress Disorder, illuminating such issues as the variety of individual and cultural responses, the roles of pre- and post-traumatic causative forces, and the fluctuating complexities of diagnostic categories. Divided into sections addressing the broad topics of diagnosis, etiology, and treatment, Essential Papers on Post Traumatic Stress Disorder combines classic essays with more challenging and controversial approaches. Contributors include Sigmund Freud, Erich Lindemann, Leo Eitinger, Carol C. Nadelson, Malkah T. Notman, Hannah Zackson, Janet Gornick, Bonnie L. Green, Mary C. Grace, Jacob D. Lindy, James L. Titchener, Joanne G. Lindy, Lenore C. Terr, Rosemarie Galante, Dario Foa, Edna B. Foa, Barbara Olasov Rothbaum, David S. Riggs, Tamara B. Murdock, James H. Shore, Ellie L. Tatum, William M. Vollmer, Roger K. Pittman, Scott P. Orr, Dennis F. Forgue, Bruce Altman, Jacob B. de Jong, Lawrence R. Herz, Judith Lewis Herman, Rachel Yehuda, Alexander McFarlane, Frank W. Putnam, Robert Jay Lifton, Eric Olson, Nancy Wilner, Nancy Kaltrider, William Alvarez, Michael R. Trimble, Epstein, Terence M. Keane, Rose T. Zinering, Juesta M. Caddell, John H. Krystal, Thomas R. Kosten, Steven Southwick, John W. Mason, Bruce D. Perry, Earl L. Giller, David Spiegel, Thurman Hunt, Harvey E. Dondershire, Bessel A. van der Kolk, Peter J. Lang, Robert S. Pynoos, Spencer Eth, Matthew J. Friedman, Francine Shapiro, John P. Wilson, Jacob D. Lindy, I. Lisa McCann, and Laurie Anne Pearlman.
Post-traumatic stress disorder is a psychiatric illness that can occur in anyone who has experienced a life-threatening or violent event. The trauma can be due to war, terrorism, torture, natural disasters, violence, or rape. In PTSD the brain areas that are likely to be affected are the hippocampus (memory), amygdala (fear association), the prefrontal cortex (cognitive processing), and the ascending reticular activating system (arousal). The chemical of interest is norepinephrine, which is released during a stressful event and is part of the fight-or-flight response meant to mobilize the body to action.The objective of this title is to outline the neurobiology of post-traumatic stress disorder and provide treatment strategies for clinicians. The chapter material from this book has evolved from a seminar on PTSD held recently under the auspices of the VA Boston Healthcare System, Boston University Medical Center and Harvard Medical School. We propose a book that will focus on the epidemiology, neurobiology, MRI studies, animal models, arousal and sleep issues, clinical trials, and treatment strategies for clinicians. Treatment will cover such topics as guidelines for treating posttraumatic stress disorder, PTSD and the use of mental health services, cognitive intervention therapy, and large scale clinical trials in PTSD. This collection will be a vital source of information to clinicians and neuroscientists.
The nosological roots of post-traumatic stress disorder (PTSD) may be traced back to th~American Psychiatric Association's DSM-I entry of gross stress reaction, as published in 1952. Yet the origins of the current enthusi asm with regard to post-traumatic stress can be traced back to 1980, which marked the emergence of the term post-traumatic stress disorder in the DSM III. This reflected the American Psychiatric Association's acknowledgment of post-traumatic stress as a discrete, phenomenologically unique, and reli able psychopathological entity at a time in American history when such recognition had important social, political, and psychiatric implications. Clearly, prior to DSM-I the lack of a generally accepted terminology did little to augment the disabling effects that psychological traumatization could engender. Nor did the subsequent provision of an official diagnostic label alone render substantial ameliorative qualities. Nevertheless, the post Vietnam DSM-III recognition of PTSD did herald a dramatic increase in research and clinical discovery. The American Red Cross acknowledged the need to establish disaster mental health services, the American Psychological Association urged its members to form disaster mental health networks, and the Veterans Administration established a national study center for PTSD.
PTSD is in no way an easy diagnosis for the patient, the provider, or the therapist. It is a diagnosis developed at the border of our capacity to handle extreme stress, a marker diagnosis denoting the limits of our capacity for functioning in the stress of this modern world. For both individuals and society, PTSD marks the limits of our available compassion and our capacity to protect ourselves from the dangers of the environment and other humans. PTSD is often a chronic disease, forming at a place where mind sometimes no longer equals the brain, a point at which individual patient requirements often trump theory and belief. There are treatments for PTSD that work, and many that do not. This book presents evidence, rather than theory, anecdote, or case report. Psychological approaches including prolonged exposure, imagery rehearsal therapy and EMDR have a greater than 75% positive short-term response when used to treat PTSD. Yet these treatments vary markedly and have different, even contradictory underlying theory and objectives for treatment. Medications, rarely indicated as primary therapy, can be used to treat symptoms and address comorbid PTSD diagnoses. Treatment of sleep apnea in the PTSD population produces a positive effect on symptoms and a reduction in morbidity and mortality across the span of life. Complementary treatments offer the many individuals chronically affected by PTSD assistance in coping with symptoms and opportunities to attempt to functionally integrate their experience of trauma.
This volume brings together the leaders in the field of PTSD research to present an up-to-date summary and understanding of this complex disorder. All of our current knowledge and controversies concerning the diagnosis, epidemiology, course, pathophysiology and treatment are described in detail. The evidence for efficacy for each of the different forms of psychotherapy and pharmacotherapy is reviewed. Particular attention is paid to at-risk groups, including minorities, and coverage of PTSD throughout the world is reviewed as well. The authors present state-of-the-art findings in genetics, epigenetics, neurotransmitter function and brain imaging to provide the most current and comprehensive review of this burgeoning field.
This book is a clinician's guide to understanding, diagnosing, treating, and healing complex posttraumatic stress disorder (C-PTSD). C-PTSD, a diagnostic entity to be included in ICD-11 in 2022, denotes a severe form of posttraumatic stress disorder (PTSD) and is the result of prolonged and repeated interpersonal trauma. The author provides guidance on healing complex trauma through phase-oriented, multimodal, and skill-focused treatment approaches, with a core emphasis on symptom relief and functional improvement. Readers will gain familiarity with the integrative healing techniques and modalities that are currently being utilized as evidence-based treatments, including innovative multi-sensory treatments for trauma, in addition to learning more about posttraumatic growth and resilience. Each chapter of this guide navigates readers through the complicated field of treating and healing complex trauma, including how to work with clients also impacted by the shared collective trauma of COVID-19, and is illustrated by case examples. Topics explored include: Complex layered trauma Dissociation Trauma and the body The power of belief An overview of psychotherapy modalities for the treatment of complex trauma Ego state work and connecting with the inner child Turning wounds into wisdom: resilience and posttraumatic growth Vicarious trauma and professional self-care for the trauma clinician It is important for clinicians to be aware of contemporary trends in treating C-PTSD. Healing Complex Posttraumatic Stress Disorder is an essential text for mental health practitioners, clinical social workers, and other clinicians; academics; and graduate students, in addition to other professionals and students interested in C-PTSD. It is an attractive resource for an international clinical audience as we work together to heal, affirm, and unburden clients following this time of shared collective trauma.
This is an all-embracing reference that offers analyses and discussions of contemporary issues in the field of PTSD. The book brings together scientific material from leading experts in the field relating to a wide range of important current topics across disciplines. These include the early identification of PTSD and subsequent treatment, to social and behavioral studies, to biochemical, molecular and genetic research. With more than 125 chapters organized in 12 major sections, this is the most complete single resource on PTSD.
Three distinguished experts share cutting-edge insights on Post-Traumatic Stress Disorder (PTSD), showing why it occurs, how it affects the development and existence of those it impacts, and how it can be treated. Post-Traumatic Stress Disorder is a comprehensive and thoughtful examination of the nature, causes, and treatment of PTSD. Drawing on the vast experience of its team of authors, the book details the insidious nature and history of PTSD, from the internal and external factors that cause this form of suffering to the ways it manifests itself psychologically and socially. The most cutting-edge research on treatment, intervention, and prevention is thoroughly discussed, as are the spiritual and psychological strengths that can emerge when one progresses beyond the label of "disorder." The book begins with a historical review of the topic. Subsequent chapters offer in-depth exploration of the significant foundations, function, impacts, and treatments associated with PTSD. Each chapter addresses practical issues, incorporating case studies that bring the information to life and ensure an appreciation of the myriad social, psychological, and biological experiences surrounding PTSD. This book answers complex questions like "How does PTSD manifest itself?" and more critically: "How can its effects be mitigated or overcome?" Finally, it discusses how PTSD survivors can move beyond post-traumatic stress to post-traumatic strengths.