Acute Stress Disorder: A Handbook of Theory, Assessment, and by Richard A. Bryant

By Richard A. Bryant

Acute pressure disease: A guide of conception, evaluate, and remedy is the 1st finished scientific textual content on Acute rigidity disease (AS D) considering the fact that its 1994 advent into DSM-IV as a diagnostic class. A uthors Richard A. Bryant and Allison G. Harvey define the reason a nd suggestions to avoid the improvement of PTSD by means of making a choice on 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 element the approaches for utilizing cognitive habit treatment to regard ASD. The authoritative booklet is a must-read for educational and medical psychologi sts, psychiatrists, and different psychological well-being execs operating with sufferers of trauma.

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Additional resources for Acute Stress Disorder: A Handbook of Theory, Assessment, and Treatment

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666). We have seen many acutely traumatized clients who have suffered reexperiencing symptoms of much earlier events, as well as those pertaining to the recent stressor. For example, one man who was the victim of a bank robbery suffered distressing intrusive images of his childhood sexual abuse. The effects of this abuse had never been addressed within therapy, and the client had been able to contain his traumatic memories until the recent stressor. Management of this client was difficult because of the cumulative issues caused by the recent trauma and the childhood abuse.

The second difference between reexperiencing in the diagnoses of ASD and PTSD is that the ASD criteria do not describe the reexperiencing as unwanted or involuntary. There is strong evidence that controllability and frequency of unwanted thoughts are distinct factors (Parkinson & Rachman, 1981; Rachman & de Silva, 1978) and that poor control of posttraumatic memories is associated with elevated distress (Harvey & Bryant, 199813). Considering that ASD was proposed as a precursor of PTSD, it is curious that ASD reexperiencing symptoms are not characterized as distressing or uncontrollable.

The decision to not stipulate that reexperiencing symptoms be distressing is inconsistent also with the finding that the sense of reliving the experience (which involves a strong adverse emotional response) is the most predictive acute symptom of chronic PTSD (Harvey & Bryant, 1998d). Moreover, acutely traumatized individuals experience varying degrees of distress associated with their intrusions (Ehlers & Steil, 1995). In one study, it was found that although the frequency of intrusions was comparable across terrorist attack survivors within the 1st week, there were variable levels of distress associated with 46 ACUTE STRESS DISORDER these memories (Shalev, Schreiber, & Galai, 1993).

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