Posttraumatic Stress Disorder: Assessment and Treatment

Kulkarni, Madhur; Barrad, Alex; Cloitre, Marylène

doi:10.1002/9781118775349.ch50

Cited by 1 publication

(1 citation statement)

References 175 publications

(157 reference statements)

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“…Treatment guidelines generally support exposure therapy as one of the most efficacious treatments for PTSD, with cognitive-behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) exposure interventions being particularly helpful (e.g., Australian Centre for Posttraumatic Mental Health (ACPMH), 2007; Kulkarni, Barrad & Cloitre, 2014;NICE, 2005;VA/DoD, 2010).…”

Section: Abstract: Diagnosis Dissociative Disorders Posttraumatic Smentioning

confidence: 99%

The role of clinical experience, diagnosis, and theoretical orientation in the treatment of posttraumatic and dissociative disorders: A vignette and survey investigation

Dorahy

Lewis‐Fernández

Krüger

et al. 2016

Journal of Trauma & Dissociation

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Controversy exists regarding the merits of exposure-based treatments for posttraumatic stress disorder (PTSD) versus a phased approach when prominent dissociative symptoms are present. The first aim of this study was to examine the degree to which diagnosing dissociation in two traumatized patients' vignettes influenced clinicians' preference for phase-oriented treatment and whether clinicians' treatment experience contributed to their treatment preference. The second aim was to assess the extent to which participants had observed traumatized patients worsen when treated with exposure therapy or phase-oriented therapy and whether the theoretical orientation and treatment experience of the clinician were related to the observed deterioration. In the tradition of expert and practitioner surveys, 263 clinicians completed a survey of their diagnoses and treatment preferences for two vignettes and their treatment experience, theoretical orientation, and observations of patients' deterioration. When a marked degree of dissociation was noted in the PTSD vignette, respondents favored phased approaches regardless of the diagnosis given. Reports of having observed patient deterioration during both exposure and phased therapy were predicted by years of experience. Psychodynamic therapists reported more observations of worsening during exposure therapy than cognitive behavior therapy therapists. Clinical experience treating PTSD may heighten awareness of negative therapeutic effects, potentially because experienced clinicians have a lower threshold for detecting such effects and because they are referred more challenging cases.

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Section: Abstract: Diagnosis Dissociative Disorders Posttraumatic Smentioning

confidence: 99%