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

By Richard A. Bryant

Injuries and mess ups dominate the headlines and information programmes, shooting, for some time, the eye and sympathy of the general public. yet for the sufferers and witnesses of trauma, the mental results are faraway from fleeting. contemporary examine indicates that the mental reactions within the preliminary aftermath of the trauma are a severe predictor of longer-term adjustment. this article offers a finished medical exam of acute pressure disease (ASD) on the grounds that its 1994 advent into DSM-IV as a diagnostic type. The authors define the explanation and strategies to avoid the improvement of PTSD through determining and treating people with ASD. Drawing from their pioneering scientific and study adventure, they assessment the underlying theoretical matters, then current a step by step advisor to assessing and treating ASD, and aspect the tactics for utilizing cognitive behaviour treatment to regard ASD. The e-book is an appropriate reference for educational and scientific psychologists, psychiatrists and different psychological future health 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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In a sample of motor vehicle accident survivors who were assessed in the acute posttrauma phase, those who subsequently developed PTSD had lower serum cortisol levels than those who did not develop PTSD and those who later developed depression (McFarlane, Atchison, & Yehuda, 1997). These findings have been understood in terms of dysfunction in the feedback mechanism of the hypothalmic-pituitary-adrenal axis in PTSD populations (Yehuda, 1997). Specifically, it is proposed that cortisol functions as an antistress hormone that counters a series of biological reactions initiated by a stressful event.

This vague definition is troublesome because diagnosticians are not provided with any index of what constitutes marked avoidance. This ambiguity can lead to considerable variability in the context of acute stress because individuals can be exposed to a range of posttrauma events that either limit their capacity to avoid trauma reminders or restrict their opportunities to be exposed to trauma reminders. For example, the hospitalized trauma patient may not have the opportunity to demonstrate avoidance within this sheltered environment.

Furthermore, it prescribes that the “person’s response involved intense fear, helplessness, or horror” (American Psychiatric Association, 1994, p. 43 1). The relative contributions of the objective and subjective components of the stressor have been strongly debated in recent years. Although diagnostic 43 reliability and homogeneity may be increased with an objective definition of the stressor, there is strong evidence that a stringent definition of the stressor severity would lead to false-negative diagnoses (Snow, Stellman, Stellman, & Sommer, 1988).

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