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Common Challenges in Conducting Prolonged Exposure Therapy With Active Duty Service Members: Case Discussion and Strategies for Intervention.
- Source :
-
Social Work in Mental Health . Sep/Dec2014, Vol. 12 Issue 5/6, p482-499. 18p. - Publication Year :
- 2014
-
Abstract
- Prolonged Exposure (PE) Therapy receives most of its empirical support from trials conducted with civilian posttraumatic stress disorder (PTSD) populations. There has been only limited research on its use with military personnel with combat-related PTSD, and as a consequence, there has been less clinical discussion detailing its application with active duty service members. The purpose of this paper is to highlight two challenges that commonly arise when conducting PE with active duty service members: 1) selecting the most appropriate index event to focus on in imaginal exposure out of the numerous traumas an active duty patient is likely to have experienced, and 2) patients’ tendency to engage in “safety behaviors,” which undermine the effectiveness of in vivo exposure. The nature of these challenges is explored from a theoretical perspective, along with two case examples to illustrate their presentation in treatment. Specific strategies for addressing them are reviewed. [ABSTRACT FROM AUTHOR]
- Subjects :
- *TREATMENT of post-traumatic stress disorder
*TREATMENT of emotional trauma
*TREATMENT of psychological stress
*WOUND care
*PSYCHOTHERAPY methodology
*DEFENSE mechanisms (Psychology)
*DESENSITIZATION (Psychotherapy)
*CASE studies
*HEALTH outcome assessment
*PSYCHOLOGY
*RESEARCH funding
*SOCIAL services
*MILITARY personnel
*THEORY
*PROFESSIONAL practice
*TREATMENT effectiveness
*REPEATED measures design
*PSYCHOEDUCATION
Subjects
Details
- Language :
- English
- ISSN :
- 15332985
- Volume :
- 12
- Issue :
- 5/6
- Database :
- Academic Search Index
- Journal :
- Social Work in Mental Health
- Publication Type :
- Academic Journal
- Accession number :
- 99017156
- Full Text :
- https://doi.org/10.1080/15332985.2014.903885