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

By Richard A. Bryant

Injuries and failures dominate the headlines and information programmes, taking pictures, for it slow, the eye and sympathy of the general public. yet for the sufferers and witnesses of trauma, the mental results are faraway from fleeting. contemporary learn indicates that the mental reactions within the preliminary aftermath of the trauma are a serious predictor of longer-term adjustment. this article offers a accomplished medical exam of acute tension sickness (ASD) on the grounds that its 1994 advent into DSM-IV as a diagnostic classification. The authors define the explanation and strategies to avoid the advance of PTSD through choosing and treating people with ASD. Drawing from their pioneering medical and examine event, they evaluate the underlying theoretical concerns, then current a step by step consultant to assessing and treating ASD, and aspect the tactics for utilizing cognitive behaviour treatment to regard ASD. The e-book is an acceptable reference for tutorial and scientific psychologists, psychiatrists and different psychological future health execs operating with sufferers of trauma.

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

Sample text

The presence of stressors that remind the client of her or his recent traumatic experience can exacerbate her or his symptoms. For example, assessing traumatically injured patients during hospitalization may lead to heightened symptoms because of their separation 52 ACUTE STRESS DISORDER from family, ongoing medical procedures, and exposure to other traumatically injured patients. Consequently, clinical presentation during hospital admission may not accurately reflect functioning after discharge.

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).

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. Timing of Assessment Although the diagnosis of ASD can be made after 2 days following a traumatic event, several issues should be considered in determining the HOW TO DIAGNOSE 55 optimal time for assessment.

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