PTSD: Theoretical and practical considerations as reflected through Koach—an innovative treatment project

Bleich, Avi; Shalev, Amit; Shoham, Shlomo; Solomon, Zahava; Kotler, Moshe

doi:10.1002/jts.2490050211

Cited by 15 publications

(5 citation statements)

References 4 publications

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“…Veterans were involved in military drill complete with artillery fire in an infantry context. Despite having been selected for motivation to "withstand a stay of one month under field conditions", these individuals were lower on measures of work adaptation and satisfaction with family life after the in-vivo exposure treatment (Bleich, Shalev, Shoham, Solomon, & Kotler, 1992;Solomon et al 1992). In reflecting upon the lack of efficacy, Solomon noted the program "had focused on successful performance without seeing to it that anxiety was actually extinguished in the presence of aversive stimuli" (p. 244).…”

Section: Integration Of the Pennebaker Paradigm Studies With Clinicalmentioning

confidence: 99%

Expression of Emotion: When It Causes Trauma and When It Helps

Littrell

2009

Journal of Evidence-Based Social Work

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The idea that clients should be encouraged to express strong emotion regarding the traumas they have suffered is widely assumed. This article asks whether the empirical literature supports the underlying assumption that emotional expression leads to positive outcomes (better health and dissipation of distress). Studies in which individuals who have been given an opportunity to express emotions about past traumas are compared with subjects placed in appropriate control conditions are reviewed. The empirical literature suggests that eliciting emotion is harmful when it is not associated with reappraisal of past trauma, but helpful when the reappraisal occurs. The following guideline emerges: if trauma is to be revisited, it should be accompanied by reappraisal. Since this is sometimes difficult to engineer, alternative approaches for working with victims of trauma, not involving revisiting the trauma, are offered. Additionally, it is suggested that it can be helpful to identify the nature of the problem arising from the traumatic experience and then provide therapeutic intervention that addresses the problem.

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Section: Integration Of the Pennebaker Paradigm Studies With Clinicalmentioning

confidence: 99%

Expression of Emotion: When It Causes Trauma and When It Helps

Littrell

2009

Journal of Evidence-Based Social Work

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“…Thus, it is recommended that afflicted soldiers be treated in close proximity to the combat zone, as soon as possible after the onset of symptoms, and with the explicitly stated expectation of a quick return to combat. Prompt intervention is particularly critical as the resistance to treatment of chronic PTSD is well documented (Bleich, Shalev, Shoham, Solomon, & Kotier, 1992).…”

Section: Discussionmentioning

confidence: 99%

“…intervention is particularly critical as the resistance to treatment of chronic PTSD is well documented (Bleich, Shalev, Shoham, Solomon, & Kotler, 1992).…”

mentioning

confidence: 99%

War-induced psychic trauma: An 18-year follow-up of Israeli veterans.

Solomon¹,

Kleinhauz²

1996

American Journal of Orthopsychiatry

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Eighteen years after their participation in the Yom Kippur War, the psychiatric status of two groups of Israeli veterans--112 combat stress reaction casualties and 189 comparable controls--was assessed. Casualties had higher rates and greater intensity of posttraumatic stress disorder than did controls, both initially and at 18-year follow-up. Similarly, intrusion and avoidance tendencies and psychiatric symptomatology were evidenced more often by combat stress reaction casualties than by controls. Clinical implications of the findings are discussed.

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“…In einer Untersuchung von israelischen Kriegsveteranen und ihren Familien im "Koach-Programm" (Bleich et al, 1992) wurden objektiv keine Änderungen nach erfolgter Behandlung in den gestörten Funktionen und in den Symptomen gemessen, die subjektiven Eindrücke der Untersucher und Betroffenen fanden aber Besserungen in den persönlichen Beziehungen, den Bewältigungsmöglichkeiten und der Reintegration in die Gesellschaft der Betroffenen. Kontrollierte klinische Studien erfolgten bisher nicht.…”

Section: Fam I1ien Therapieunclassified

Behandlung der posttraumatischen Belastungsstörung

Ebbinghaus

Bauer²,

Priebe³

1996

Fortschr Neurol Psychiatr

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PTSD is a frequent subject of empirical psychiatric research. There is, however, little knowledge about the efficacy of treatment methods. In this review, general therapeutic guidelines and common components of different psychotherapies are described. Approaches of behaviour, cognitive, psychodynamic and hypnotherapy are outlined. Controlled studies show the reduction of intrusive PTSD-symptoms in behaviour therapy. Effects of psychodynamic therapy on avoidance symptoms have been demonstrated in one study. Family and group therapy are described, their efficacy has not been empirically tested yet. The need to integrate different concepts and models is emphasized. Special guidelines in the treatment of victims of political persecution are summarized. In pharmacotherapy positive effects on partial PTSD-symptoms has been shown in particular for SSRI-antidepressants. Pharmacotherapy may be a useful addition to psychotherapy. Fixed guidelines for the treatment of PTSD can not be set up yet.

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PTSD: Theoretical and practical considerations as reflected through Koach—an innovative treatment project

Cited by 15 publications

References 4 publications

Expression of Emotion: When It Causes Trauma and When It Helps

Expression of Emotion: When It Causes Trauma and When It Helps

War-induced psychic trauma: An 18-year follow-up of Israeli veterans.

Behandlung der posttraumatischen Belastungsstörung

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