Integrative approach for the treatment of PTSD in 9/11 first responders: Three core techniques
Published Date:Sep 2013
Source:Psychotherapy (Chic). 50(3):336-340.
Combined Modality Therapy
September 11 Terrorist Attacks
Stress Disorders, Post-Traumatic
Pubmed Central ID:PMC4050653
Funding:3U10OH008223-05S2/OH/NIOSH CDC HHS/United States
5UL1RR029893/RR/NCRR NIH HHS/United States
UL1 RR029893/RR/NCRR NIH HHS/United States
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.
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