Saturday, June 1, 2013

Prolonged Exposure Therapy for PTSD


Prolonged Exposure Therapy for PTSD: Emotional Processing of Traumatic Experiences Therapist Guide (Treatments That Work) Paperback

Author: Edna Foa - ISBN: 0195308506 - Language: English - Format: PDF, EPUB

DESCRIPTION

Review


"...a user-friendly guide to [prolonged exposure] written by three experts in the field of exposure therapy to help bridge the gap between research and practice...written in straightforward, jargon-free language...The well-organized, detailed structure of the therapy makes the goals of each session and the means for accomplishing these goals very apparent and easy to follow. Sample scripts are offered for each session so that therapists new and perhaps resistant to PE can see examples of what they might say to clients. ..an important addition to the field of PTSD treatment."--PsycCritiques


About the Author

Edna Foe and Elizabeth Hembree are both at the University of Pennsylvania. Barbara Rothman is at Emory University.
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DETAILS
  • Series: Treatments That Work
  • Paperback: 160 pages
  • Publisher: Oxford University Press; 1 edition (March 22, 2007)
  • Language: English
  • ISBN-10: 0195308506
  • ISBN-13: 978-0195308501
  • Product Dimensions: 10 x 7 x 0.3 inches
  • Shipping Weight: 12 ounces (View shipping rates and policies)
  • Amazon Best Sellers Rank: #20,039 in Books (See Top 100 in Books)
    • #15 in Books > Textbooks > Social Sciences > Psychology > Neuropsychology
    • #23 in Books > Health, Fitness & Dieting > Mental Health > Post-traumatic Stress Disorder
    • #50 in Books > Textbooks > Medicine & Health Sciences > Medicine > Clinical > Psychiatry

REVIEWS

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Foa uses an exposure hierarchy for in vivo exposure. For imaginal exposure, she has the person go right to the most troubling memory and describe the different facets of the the experience. I suppose that she does that because if she tried to have them think of a less severe trauma, they would think of the most severe one any way; like trying not to think of pink elephants. She also does not (usually) have them do relaxation exercises during the exposure. IMHO, this is a great idea, as the tacit message of relaxation during exposure is that anxiety is bad. She does have people learn relaxation and grounding fore between sessions.

The book is great for beginners, and has examples of dialogue, much as Barlow has.

Foa recommended that the therapist and person meet "once or twice a week". Which is more frequent than most recommendations. She says that even if the SUDS do not decrease over the 60 minutes imaginal exposure, that overall desensitisation will have recurred: that is a relief to know.

Foa gives an excellent rationale for exposure. It is summarised on page 84 or 85 and given in more detail earlier in the text.
---1. Processing and organising the memory (I supposed this includes dealing with triggered automatic thoughts AND getting what happened as straight in one's mind as possible).
---2. Prompting differentiation between "remembering" the traumatic event and "being traumatised" (This is really good news to tell people).
---3. Promoting habituation.
---4. Promoting differentiation between the traumatic event and similar events (triggers).
---5. Increased mastery and sense of control.

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