Abstract
Immediately following exposure to high-magnitude, life-threatening Stressors (i.e., a traumatic event), most people develop an acute stress response that might include symptoms of arousal, anxiety, sadness, grief, agitation, irritability, sleep disturbance, and a host of psychophysiologic complaints (e.g., headaches, pains, stomach problems). For many individuals these symptoms remit over the days, weeks, and months that follow. In a sizeable minority of cases, individuals who are exposed to a traumatic event can develop a more persistent set of psychological symptoms now known as posttraumatic stress disorder (PTSD).
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References
Abueg, F. R., & Fairbank, J. A. (1992). Behavioral treatment of posttraumatic stress disorder and co-occurring substance abuse. In P. A. Saigh (Ed.), Posttraumatic stress disorder: A behavioral approach to assessment and treatment (pp. 111–145). New York: Macmillan.
Agger, I., & Jensen, S. J. (1990). Testimony as ritual and evidence in psychotherapy for political refugees. Journal of Traumatic Stress, 3, 115–130.
American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.
American Psychiatric Association (1991). DSM-IV options book: Work in progress. Washington, DC: Author.
Barlow, D. H. (1988). Anxiety and its disorders: The nature and treatment of anxiety and panic. New York: Guilford.
Beck, A. T. (1972). Depression: Causes and treatment. Philadelphia: University of Pennsylvania Press.
Benson, H. (1975). The relaxation response. New York: William Morrow.
Blake, D. D., Weathers, F. W., Nagy, L. N., Kaloupek, D. G., Klauminzer, G., Charney, D. S., & Keane, T. M. (1990). A clinician rating scale for assessing current and lifetime PTSD: The CAPS-1. The Behavior Therapist, 18, 187–188.
Blanchard, E. B., Kolb, L. C., Pallmeyer, T. P., & Gerardi, R. J. (1982). A psychophysiological study of posttraumatic stress disorder in Vietnam veterans. Psychiatric Quarterly, 54, 220–229.
Boudewyns, P. A., Albrecht, J. W., Talbert, F. S., & Hyer, L. A. (1991). Comorbidity and treatment outcome of inpatients with chronic combat-related PTSD. Hospital and Community Psychiatry, 42, 847–849.
Boudewyns, P. A., & Hyer, L. (1990). Physiological response to combat memories and preliminary treatment outcome in Vietnam veteran PTSD patients treated with direct therapeutic exposure. Behavior Therapy, 21, 63–87.
Bower, G. R., & Lambert, J. A. (1985). Systematic desensitization therapy with post-traumatic stress disorder cases. In C. R. Figley (Ed.), Trauma and its wake: Vol. 2. Traumatic stress theory, research, and intervention (pp. 280–291). New York: Brunner/Mazel.
Braun, P., Greenberg, D., Dasberg H., & Lerer, B. (1990). Core symptoms of posttraumatic stress disorder unimproved by alprazolam treatment. Journal of Clinical Psychiatry, 51, 236–238.
Breslau, N., Davis, G. C., Andreski, P., & Peterson, E. (1991). Traumatic events and posttraumatic stress disorder in an urban population of young adults. Archives of General Psychiatry, 48, 216–222.
Brom, D., Kleber, R. J., & Defares, P. B. (1989). Brief psychotherapy for posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 57, 607–612.
Chemtob, C., Roitblat, H. L., Hamada, R. S., Carlson, S. G., & Twentyman, C. T. (1988). A cognitive action theory of post-traumatic stress disorder. Journal of Anxiety Disorders, 2, 253–275.
Cooper, N. A., & Clum, G. A. (1989). Imaginai flooding as a supplementary treatment for PTSD in combat veterans: A controlled study. Behavior Therapy, 20, 381–391.
Davidson, J., & Fairbank, J. A. (1993). The epidemiology of posttraumatic stress disorder. In J. R. T. Davidson and E. B. Foa (Eds.), Posttraumatic stress disorder: DSM-IV and beyond (pp. 147–172). Washington, DC: American Psychiatric Press.
Davidson, J. Kudler, H., & Smith, R. (1990). Treatment of posttraumatic stress disorder. American Journal of Psychiatry, 47, 259–266.
Dohrenwend, B. P., & Shrout, P. E. (1981). Toward the development of a two-stage procedure for case identification and classification in psychiatric epidemiology. Research in Community and Mental Health, 2, 295–323.
Fairbank, J. A., Gross, R. J., & Keane, T. M. (1983). Treatment of posttraumatic stress disorder: Evaluating outcome with a behavioral code. Behavioral Modification, 7, 557–568.
Fairbank, J. A., & Keane, T. M. (1982). Flooding for combat-related stress disorders: Assessment of anxiety reduction across traumatic memories. Behavior Therapy, 13, 499–510.
Faustman, W. O., & White, P. A. (1989). Diagnostic and psychopharmacology treatment characteristics of 536 inpatients with posttraumatic stress disorder. Journal of Nervous and Mental Disease, 177, 154–159.
Fesler, A. F. (1991). Valproate acid in combat-related posttraumatic stress disorder. Journal of Clinical Psychiatry, 52, 361–364.
Foa, E. B., & Kozak, M. J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20–35.
Foa, E. B., Rothbaum, B. O., Riggs, D. S., & Murdock, T. B. (1991). Treatment of PTSD in rape victims: A comparison between cognitive-behavioral procedures and counseling. Journal of Consulting and Clinical Psychology, 59, 715–723.
Foa, E. B., Steketee, G., & Rothbaum, B. (1989). Behavioral/cognitive conceptualizations of post-traumatic stress disorder. Behavior Therapy, 20, 155–176.
Forsyth, J. P., Carey, T., Litz, B. T., & Fisher, L. (1991, October). Coping styles and comorbid symptomatology in combat-related PTSD. Paper presented at the meeting of the International Society for Traumatic Stress Studies, Washington, DC.
Foy, D. W., Carroll, E. M., & Donahoe, C. P. (1987). Etiological factors in the development of PTSD in clinical samples of Vietnam combat veterans. Journal of Clinical Psychology, 43, 17–27.
Frank, E., & Stewart, B. D. (1984). Depressive symptoms in rape victims. Journal of Affective Disorders, 1, 269–277.
Frank, J. B., Kosten, T. R., Giller, E. L., & Dan, E. (1988). A randomized clinical trial of phenelzine and imipramine for post-traumatic stress disorder. American Journal of Psychiatry, 145, 1289–1291.
Friedman, M. J. (1988). Toward rational pharmacotherapy for posttraumatic stress disorder: An interim report. American Journal of Psychiatry, 145, 281–285.
Green, B., Grace, M., Lindy, J., Titchener, J., & Lindy, J. (1983). Levels of functional impairment following a civilian disaster: The Beverly Hills Supper Club fate. Journal of Consulting and Clinical Psychology, 51, 573–580.
Green, B., Lindy, J., & Grace, M. (1988). Long-term coping with combat stress. Journal of Traumatic Stress, 1, 399–418.
Hammerberg, M. (1992). Penn Inventory for posttraumatic stress disorder: Psychometric properties. Psychological Assessment: A Journal of Consulting and Clinical Psychology, 4, 67–76.
Hearst, N., Newman, T. B., & Hulley, S. B. (1986). Delayed effects of the military draft on mortality: A randomized natural experiment. New England Journal of Medicine, 314, 620–624.
Heizer, J. E., Robins, L. N., & McEvoy, L. (1987). Post-traumatic stress disorder in the general population: Findings of the Epidemiologie Catchment Area survey. New England Journal of Medicine, 317, 1630–1634.
Herman, J. L. (1992). Trauma and recovery. New York: Basic Books.
Hickling, E. J., Sison, G. F. P., & VanderPloeg, R. D. (1986). Treatment of posttraumatic stress disorder with relaxation and biofeedback training. Behavior Therapy, 16, 406–416.
Horowitz, M. J. (1986). Stress response syndromes (2nd ed.). New York: Jason Aronson.
Horowitz, M. J., Wilner, N. R., & Alvarez, W. (1979). Impact of Event Scale: A measure of subject stress. Psychosomatic Medicine, 41, 209–218.
Jacobson, E. (1938). Progressive relaxation. Chicago: Chicago Press.
Janoff-Bulman, R. (1992). Shattered assumptions: Towards a new psychology of trauma. New York: Free Press.
Keane, T. M. (1985). Defining traumatic stress: Some comments on the current terminological confusion. Behavior Therapy, 16, 419–423.
Keane, T. M. (1989). Post-traumatic stress disorder: Current status and future directions. Behavior Therapy, 20, 149–153.
Keane, T. M., Albano, A. M., & Blake, D. D. (1992). Current trends in the treatment of posttraumatic stress symptoms. In M. Basoglu (Ed.), Torture and its consequences. Cambridge, UK: Cambridge University Press.
Keane, T. M., Caddell, J. M., & Taylor, K. L. (1988). Mississippi Scale for Combat-Related Posttraumatic Stress Disorder: Three studies in reliability and validity. Journal of Consulting and Clinical Psychology, 56, 85–90.
Keane, T. M., Fairbank, J. A., Caddell, J. M., & Zimering, R. T. (1989). Implosive (flooding) therapy reduces symptom of PTSD in Vietnam veterans. Behavior Therapy, 20, 245–260.
Keane, T. M., & Kaloupek, D. G. (1982). Imaginai flooding in the treatment of a post-traumatic stress disorder. Journal of Consulting and Clinical Psychology, 50, 138–140.
Keane, T. M., Malloy, P. F., & Fairbank, J. A. (1984). Empirical development of an MMPI subscale for the assessment of combat-related post-traumatic stress disorder. Journal of Consulting and Clinical Psychology, 5, 888–891.
Keane, T. M., & Penk, W. E. (1988). Letter on prevalence of posttraumatic stress disorder (PTSD). New England Journal of Medicine, 316, 1152.
Keane, T. M., & Wolfe, J. (1990). Co-morbidity in post-traumatic stress disorder: An analysis of community and clinical studies. Journal of Applied Social Psychology, 20, 1776–1788.
Kilpatrick, D. G., Edmunds, C. N., & Seymour, A. K. (1992). Rape in America: A report to the nation. Arlington, VA: National Victims Center.
Kilpatrick, D. G., Veronen, L. J., & Resick, P. A. (1979). The aftermath of rape: Recent empirical findings. American Journal of Orthopsychiatry, 49, 658–669.
Kolb, L. C., Burris, B. C., & Griffiths, S. (1984). Propranolol and clonidine in treatment of the chronic post-traumatic stress disorders of war. In B. Van der Kolk (Ed.), Post-traumatic stress disorder: Psychological and biological sequelae (pp. 97–105). Washington DC: American Psychiatric Press.
Kosten, T., Frank, J. B., & Dan, E. (1991). Pharmacotherapy for post-traumatic stress disorder using phenelzine or imipramine. Journal of Nervous and Mental Disease, 179, 366–370.
Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., & Weiss, D. (1988). National Vietnam Veterans Readjustment Study (NWRS): Description, current status, and initial PTSD prevalence estimates. Washington, DC: Veterans Administration.
Kulka, R. A., Schlenger, W. E., Fairbank, J. A., Hough, R. L., Jordan, B. K., Marmar, C. R., & Weiss, D. S. (1990). Trauma and the Vietnam War generation. New York: Brunner/Mazel.
Lang, P. J. (1977). Imagery in therapy: An information processing analysis of fear. Behavior Therapy, 8, 862–886.
Levis, D. J., & Hare, N. A. (1977). A review of the theoretical rationale and empirical support for the extinction approach of implosive (flooding) therapy. In M. Hersen, R. M. Eisler, & P. M. Miller (Eds.), Progress in behavior modification (Vol. 4, pp. 299–374). New York: Academic Press.
Iitz, B. T., Blake, D. D., Gerardi, R. J., & Keane, T. M. (1990). Decision making guidelines for use of direct therapeutic exposure in the treatment of post-traumatic stress disorder. The Behavior Therapist, 13, 91–93.
Iitz, B. T., Penk, W. E., Walsh, S., Hyer, L., Blake, D. D., Marx, B., Keane, T. M., & Bitman, D. (1991). Similarities and differences between MMPI and MMPI-2 applications to the assessment of post-traumatic stress disorder. Journal of Personality Assessment, 57, 238–253.
Lyons, J. A., & Keane, T. M. (1992). Keane PTSD scale: MMPI and MMPI-2 update. Journal of Traumatic Stress, 5, 111–117.
Malloy, P. F., Fairbank, J. A., & Keane, T. M. (1983). Validation of a multimethod assessment of post-traumatic stress disorders in Vietnam veterans. Journal of Consulting and Clinical Psychology, 51, 488–494.
Marlatt, G. A., & Gordon, J. R. (1985). Relapse prevention. New York: Guilford.
McCann, L, & Pearlman, L. A. (1991). Psychological trauma and the adult survivor: Theory, therapy, and transformation. New York: Brunner/Mazel.
McFall, M. E., Smith, D. E., MacKay, P. W., & Tarver, D. J. (1990). Reliability and validity of Mississippi Scale for combat-related posttraumatic stress disorder. Psychological Assessment, 2, 114–121.
McFarlane, A. C. (1986). Posttraumatic morbidity of a disaster: A study of cases presenting for psychiatric treatment. Journal of Nervous and Mental Disease, 174, 4–13.
Meichenbaum, D., & Jaremko, M. E. (1983). Stress reduction and prevention. New York: Plenum.
Mowrer, O. H. (1960). Learning theory and behavior. New York: Wiley.
Munroe, J. F. (1991). Therapist traumatization from exposure to clients with combat-related posttraumatic stress disorder: Implications for administration and supervision. Unpublished doctoral dissertation, Northeastern University, Boston, MA.
Nagy, L. M., Morgan, C. A., Southwick, S., & Charney, D. S. (in press). Open prospective trial of fluoxetine for post-traumatic stress disorder. Journal of Clinical Psychopharmacology.
Peniston, E. G. (1986). EMG biofeedback-assisted desensitization treatment for Vietnam combat veterans post-traumatic stress disorder. Clinical Biofeedback and Health, 9, 35–41.
Pitman, R. K., Orr, S. P., Forgue, D. F., deJong, J., & Claiborn, J. M. (1987). Psychophysiologic assessment of posttraumatic stress disorder imagery in Vietnam combat veterms. Journal of General Psychiatry, 44, 970–975.
Reist, C., Kaufman, C. D., & Haier, R. J. (1989). A controlled trial of desipramine in 18 men with posttraumatic stress disorder. American Journal of Psychiatry, 146, 513–516.
Resick, P. A., & Schnicke, M. K. (1992). Cognitive processing therapy for sexual assault victims. Journal of Consulting and Clinical Psychology, 60, 748–756.
Scurfield, R. S. (1985). Post-trauma stress assessment and treatment: Overview and formulations. In C. R. Figley (Ed.), Trauma and its wake (pp. 219–256). New York: Brunner/Mazel.
Shapiro, F. (1989a). Efficacy of eye movement desensitization procedure in the treatment of traumatic memories. Journal of Behavior Therapy and Experimental Psychiatry, 20(2), 199–223.
Shapiro, F. (1989b). Eye movement desensitization procedure: A new treatment for post traumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 20(3), 211–217.
Shestatzky, M., Greenberg, D., & Lerer, B. (1988). A controlled trial of phenelzine in posttraumatic stress disorder. Psychiatry Research, 24, 149–155.
Shore, J. H., Tatum, E. L., & Vollmer, W. M. (1986). Psychiatric reactions to disaster: The Mount St. Helens experience. American Journal of Psychiatry, 143, 590–595.
Sierles, F. S., Chen, J., McFarland, R. E., & Taylor, M. A. (1983). Post-traumatic stress disorder and concurrent psychiatric illness. American Journal of Psychiatry, 140, 1177–1179.
Sierles, F. S., Chen, J., Messing, M. L., Besyner, T. K., & Taylor, M. A. (1986). Concurrent psychiatric illnesses in non-Hispanic outpatients diagnosed as having posttraumatic stress disorder. Journal of Nervous and Mental Disease, 174, 171–173.
Solomon, S. D., Gerrity, E. T., & Muff, A. M. (1992). Efficacy of treatments for posttraumatic stress disorder: An empirical review. Journal of American Medical Association, 268, 633–638.
Spitzer, R. L., Williams, J. B. W., Gibbon, M., & First, M. B. (1989). Structured clinical interview for DSM-III-R—Non-patient edition (SCID-NP, Version 1.0). Washington, DC: American Psychiatric Press.
Stampfl, T. G., & Levis, D. J. (1967). Essentials of implosive therapy: A learning-theory-based psychodynamic behavioral therapy. Journal of Abnormal Psychology, 72, 151–163.
Wolf, M. E., Alavi, A., & Mosnaim, A. D. (1987). Pharmacological interventions in Vietnam veterans with posttraumatic stress disorder. Research Communications in Psychology, Psychiatry, and Behavior, 12, 169–175.
Wolpe, J. (1956). Psychotherapy by reciprocal inhibition. Stanford, CA: Stanford University Press.
Wolpe, J. (1984). Deconditioning and ad hoc uses of relaxation: An overview. Journal of Behavior Therapy and Experimental Psychiatry, 15, 299–304.
Zubin, J., & Spring, B. (1977). Vulnerability: A new view of schizophrenia. Journal of Abnormal Psychology, 86, 103–126.
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Keane, T.M., Fisher, L.M., Krinsley, K.E., Niles, B.L. (1994). Posttraumatic Stress Disorder. In: Hersen, M., Ammerman, R.T. (eds) Handbook of Prescriptive Treatments for Adults. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-1456-9_12
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