Integrative approach for the treatment of posttraumatic stress disorder in 9/11 first responders: three core techniques

Details

• Personal Author:
  Evces MR ; Haugen PT ; Splaun AK ; Weiss DS
• Description:
  We describe an integrative psychotherapy for first responders to the September 11, 2001 terrorist attack, including those who continue to be psychologically impacted by these events, most of whom meet criteria for a diagnosis of posttraumatic stress disorder. Three core techniques used in this treatment are described: (a) an emphasis on meaning making, particularly regarding the traumatic event; (b) focus on the most affect-laden components of the traumatic exposure; and (c) identifying and challenging the implicit strategies used by individuals to avoid discussion of components of their traumatic memories and the attendant negative affect. For each intervention, a theoretical rationale and the presumed mechanism of operation are presented. We discuss the clinical and research implications of this intervention. [Description provided by NIOSH]
• Subjects:
  Behavior Emergency Responders Firefighters Health Personnel Law Enforcement Men Mental Health Occupational Health Safety Stress, Psychological Women

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• Keywords:
  Author Keywords: Integrative Psychotherapy Defensive Operation Diseases Emergency-responders Fire-fighters First Responders Humans Law-enforcement-workers Meaning Making Medical-personnel Mental-stress Police-officers Psychological-effects Psychological-stress Psychology PTSD Stress Traumatic-injuries

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• ISSN:
  0033-3204
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  California ; New York ; OSHA Region 2 ; OSHA Region 9
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  336-340
• Volume:
  50
• Issue:
  3
• NIOSHTIC Number:
  nn:20044122
• Citation:
  Psychotherapy 2013 Sep; 50(3):336-340
• Contact Point Address:
  Peter T. Haugen, World Trade Center Health Program NYU School of Medicine Clinical Center of Excellence, Bellevue Hospital Center, Room A720, 462 First Avenue, New York, NY 10016
• Email:
  peter.haugen@nyumc.org
• Federal Fiscal Year:
  2013
• Performing Organization:
  New York University School of Medicine
• Peer Reviewed:
  True
• Start Date:
  20040831
• Source Full Name:
  Psychotherapy: Theory, Research, Practice, Training
• End Date:
  20110630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:efffd53de07a07f4454c3a7299d5f480c588ee45fb51f3bcaa86bd583c8f611a70981d580d44d6ec27a5773b4fd908e44effd55f4289cf9dec3a5987d51a724a
• Download URL:
  https://stacks.cdc.gov/view/cdc/199945/cdc_199945_DS1.pdf
• File Type:
  [PDF - 78.93 KB ]