By Richard A. Bryant
Acute pressure ailment: A guide of concept, overview, and therapy is the 1st entire medical textual content on Acute tension sickness (AS D) due to the fact that its 1994 creation into DSM-IV as a diagnostic class. A uthors Richard A. Bryant and Allison G. Harvey define the reason a nd concepts to avoid the advance of PTSD by means of opting for and tr consuming people with ASD. Drawing from their pioneering medical and rese arch adventure, they assessment the underlying theoretical concerns, then p resent a step by step consultant to assessing and treating ASD, and aspect the strategies for utilizing cognitive habit remedy to regard ASD. The authoritative booklet is a must-read for educational and medical psychologi sts, psychiatrists, and different psychological overall healthiness execs operating with sufferers of trauma.
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Additional resources for Acute Stress Disorder: A Handbook of Theory, Assessment, and Treatment
Assessment should identify all strategies that lead to avoidance or catastrophizing of trauma-related events. Therapists should be particularly watchful for covert or subtle avoidance that may take the form of a lucky charm, anxiety medication in one’s pocket, or a mantra repeated silently. Any gains that are made often are attributed to the charm, the pills, or the mantra. Such safety behaviors preclude the client from deriving full benefit from an exposure exercise (Salkovskis, 1991). Identification of these coping styles can direct therapy toward constructive modification of those strategies that are likely to impede progress.
Coping Strategies There is considerable evidence that coping strategies play a significant role in posttraumatic adjustment. , 1989). , 34 ACUTE STRESS DZSORDER 1988). In an initial investigation of cognitive avoidance in ASD, Harvey and Bryant (1998b) instructed ASD and non-ASD participants to monitor the frequency of their trauma memories during three successive 5-minute periods: (a) when they were told to think about anything, (b) when they were administered suppression or nonsuppression instructions, and (c) when they were asked only to monitor their memories.
For example, the stipulation that dissociative symptoms may be either present at the time of the trauma or ongoing should be empirically validated, operational definitions of avoidance and arousal should be clarified, and uniformity between ASD and PTSD descriptions should be established. Fourth, the ASD criteria need to recognize that a significant proportion of trauma survivors can develop PTSD without displaying acute dissociation. The introduction of a new diagnosis invariably involves initial problems, and it is only 50 ACUTE STRESS DISORDER through systematic research that the ASD diagnosis will be refined into a more useful tool.