Brief Eclectic Psychotherapy for PTSD

Gersons, Berthold P. R.; Meewisse, Marie-Louise; Nijdam, Mirjam J.

doi:10.1007/978-3-319-07109-1_13

Cited by 13 publications

(14 citation statements)

References 19 publications

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“…The farewell ritual in the BEPP intervention is described in the manual as: “the ritual serves to leave the traumatic experience behind. The purpose is not to forget the experience, but to give it a place in the client's personal life history” [( 72 ), p. 32]. This description refers to ritual for letting go but might also contain elements of honoring the deceased.…”

Section: Discussionmentioning

confidence: 99%

Ritual in Therapy for Prolonged Grief: A Scoping Review of Ritual Elements in Evidence-Informed Grief Interventions

2021

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The aim of this article of to analyze ritual in evidence-informed treatments for prolonged and traumatic grief. A scoping review is conducted in order to give an overview of existing literature on ritual and symbolic interventions in grief therapies for prolonged grief and the type of evidence supporting these interventions. The 22 studies reported in this review reveal a variety of ritual elements ranging from symbolic expression and interaction, writing assignments, dialogue with the deceased or an imaginary person, to farewell ceremonies at the end of the treatment. The interventions are studied within different populations (e.g., bereaved spouses, perinatal loss, grief after violent death, and genocide). Almost all studies show significant effects of the grief treatment, trauma and related symptoms. However, the effects are mostly measured for the entire treatment and not separately for the ritual intervention. In the discussion we focus on the role of ritual and culture in prolonged grief treatment.

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Section: Discussionmentioning

confidence: 99%

Ritual in Therapy for Prolonged Grief: A Scoping Review of Ritual Elements in Evidence-Informed Grief Interventions

2021

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“…The finding that police officers who experienced more types of injury/maltreatment‐related events and more “other” private traumatic events benefited more from treatment is remarkable as BEPP was initially developed as a treatment for single traumatic events (Gersons & Schnyder, ). In BEPP, one core traumatic event is addressed in a detailed way by means of imaginal exposure whereas other traumatic events are addressed in the meaning‐making phase by exploring and discussing their consequences in terms of the person's views on the world, significant others, and him/herself (Gersons et al., ; Gersons & Schnyder, ). Meaning making and performing a farewell ritual were also significantly associated with enhanced treatment effects when the treatment was completed.…”

Section: Discussionmentioning

confidence: 99%

“…The meaning‐making phase may give individuals opportunities to reflect upon the accrued incidents, their work attitudes and acquired world views, and the consequences for their private lives (Gersons & Schnyder, ). In the farewell ritual, individuals symbolically leave behind the trauma and the period of their life that has been impacted by the traumatic events (Gersons et al., ; Gersons & Schnyder, ). The findings of the current study emphasize the importance of these therapeutic elements for optimal symptom reduction.…”

Section: Discussionmentioning

confidence: 99%

“…In the current study, we used data obtained in a naturalistic cohort of police officers who received a form of trauma‐focused CBT, brief eclectic psychotherapy for PTSD (BEPP) (Gersons, Meewisse, & Nijdam, ; Schnyder et al., ), originally developed for the treatment of PTSD in police officers. Accumulating evidence has established BEPP as an evidence‐based treatment for PTSD (Lindauer et al., ; Nijdam, Gersons, Reitsma, De Jongh, & Olff, ).…”

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confidence: 99%

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Predictors of Outcome and Residual Symptoms Following Trauma‐Focused Psychotherapy in Police Officers With Posttraumatic Stress Disorder

Smid

Meer

Olff

et al. 2018

Journal of Traumatic Stress

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Police officers exposed to potentially traumatic events (PTE) are at a heightened risk of developing posttraumatic stress disorder (PTSD). Little is known about trauma‐focused psychotherapy outcomes in the police. In this naturalistic study, we evaluated whether PTE exposure and baseline clinical characteristics predicted PTSD symptom reduction during treatment and residual PTSD symptoms posttreatment. In consecutive referrals to a specialized mental health service for police officers (N = 665), PTSD was measured pre‐ and posttreatment using structured clinical interviews. Treatment consisted of brief eclectic psychotherapy for PTSD. We grouped PTE as follows: injury/maltreatment, loss (colleague or private), other job‐related, other private traumatic events. Data were analyzed multivariably using structural equation modeling and logistic regression. Treatment effect size was large, d = 3.6, 95% CI [3.4, 3.8]. Police officers who reported more injury/maltreatment or private traumatic had more baseline PTSD symptoms as well as larger symptom reduction during treatment; police officers who reported more losses of loved ones showed smaller PTSD symptom reduction. Concentration problems persisted in 17.7% of police officers posttreatment, and these were predicted by baseline PTSD symptoms and loss of loved ones. Proportions of variance explained by the multivariable models ranged from 0.08 to 0.14. Our findings increase insight into the type of PTE and clinical characteristics of police officers with PTSD who benefit most from trauma‐focused treatment. Because loss of loved ones can be presumed to have a profound impact on social and interpersonal functioning, a more specific treatment focus on grief processes may further enhance efficacy.

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“…Web based versions of PE are under development in order to overcome the barrier of physical presence in the clinic for effective care (McLean, personal communication). Data regarding efficacy of Web based PE is not yet available, but other adaptations of CBT for PTSD programs have promising results (Engel et al, 2015; Gersons, Meewisse, & Nijdam, 2015).…”

Section: Improving Access and Overcoming Barriersmentioning

confidence: 99%

Innovations in exposure therapy for PTSD treatment.

Rauch¹,

Rothbaum²

2016

Practice Innovations

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Continuous improvement of clinical care and outcomes is always the goal of medical science. Within posttraumatic stress disorder (PTSD) treatment, innovations may focus on improving access and overcoming barriers to effective interventions as well as improving efficacy. Innovations may include entirely novel interventions, augmentation of new strategies to known effective interventions, or modification of known effective interventions to increase retention, speed of response, or overall impact. Exciting work on innovations is underway with PTSD experts and others coming from all areas of neuroscience and technology to bridge the gap. We present some of the most promising innovations in PTSD treatment through application of innovations with clinical case examples and examine areas for future continued development through improving access and efficacy of PTSD treatments.

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Brief Eclectic Psychotherapy for PTSD

Cited by 13 publications

References 19 publications

Ritual in Therapy for Prolonged Grief: A Scoping Review of Ritual Elements in Evidence-Informed Grief Interventions

Ritual in Therapy for Prolonged Grief: A Scoping Review of Ritual Elements in Evidence-Informed Grief Interventions

Predictors of Outcome and Residual Symptoms Following Trauma‐Focused Psychotherapy in Police Officers With Posttraumatic Stress Disorder

Innovations in exposure therapy for PTSD treatment.

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