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Predicting response to exposure treatment in PTSD: the role of mental defeat and alienation.
- Source :
-
Journal of Traumatic Stress . Jul98, Vol. 11 Issue 3, p457-471. 15p. 3 Charts. - Publication Year :
- 1998
-
Abstract
- Not all patients with posttraumatic stress disorder benefit from exposure treatment. The present paper describes two cognitive dimensions that are related to inferior response to exposure in rape victims. First, individuals whose memories during relieving of the trauma reflected mental defeat or the absence of mental planning showed little improvement. Second, inferior outcome was correlated with an overall feeling of alienation or permanent change following the trauma. These results are based on blind ratings of transcripts of exposure treatment sessions from 10 women with good outcome and 10 women with inferior outcome. Patients in the two groups were matched for initial symptom severity and were comparable in many aspects of the assault. Patients who experienced mental defeat, alienation, or permanent change may require cognitive restructuring in addition to exposure. [ABSTRACT FROM AUTHOR]
- Subjects :
- *SOCIAL alienation
*DEFEAT (Psychology)
*POST-traumatic stress disorder
*RAPE victims
*SEXUAL abuse victims
*PATIENTS
*DIAGNOSIS of post-traumatic stress disorder
*TREATMENT of post-traumatic stress disorder
*RAPE & psychology
*COMPARATIVE studies
*DESENSITIZATION (Psychotherapy)
*RESEARCH methodology
*MEDICAL cooperation
*MEMORY
*MOTIVATION (Psychology)
*MYERS-Briggs Type Indicator
*PROGNOSIS
*RESEARCH
*EVALUATION research
*TREATMENT effectiveness
Subjects
Details
- Language :
- English
- ISSN :
- 08949867
- Volume :
- 11
- Issue :
- 3
- Database :
- Academic Search Index
- Journal :
- Journal of Traumatic Stress
- Publication Type :
- Academic Journal
- Accession number :
- 964254
- Full Text :
- https://doi.org/10.1023/A:1024448511504