Cognitive restructuring and imagery modification for PTSD (CRIM-PTSD) is a new short intervention. It consists of the cognitive restructuring of core trauma-related dysfunctional beliefs about the self and the use of imagery to encourage more functional beliefs. A randomized controlled trial showed that CRIM was effective for reducing posttraumatic stress disorder (PTSD) in survivors of childhood sexual abuse (CSA) when it focused on the feeling of being contaminated. For this study, CRIM was adapted to treat PTSD symptoms more generally and after various types of trauma by addressing the patients’ negative self-concept.
More investigation is needed to understand how specific posttraumatic stress disorder (PTSD) symptom clusters relate to the internal experience of anger and overt negative behaviors in response to anger (negative expressivity). We investigated whether anger mediated relations between PTSD symptom clusters and negative expressivity. Multiple regression revealed lower PTSD intrusion symptoms associated with higher levels of negative expressivity. Anger mediated this relationship. Higher avoidance symptoms related to higher negative expressivity. Clinical implications, limitations, and strengths are discussed.
Posttraumatic stress disorder (PTSD) has been associated with eating disorders (EDs) and addictive behaviors, including the relatively new construct food addiction. However, few studies have investigated mechanisms that account for these associations, and men are underrepresented in studies of EDs and food addiction. The results highlight the importance of investigating PTSD as a risk factor for food addiction and ED symptoms and the potential mediating role of emotion regulation in the development of PTSD and EDs in order to identify targets for treatments.
Critical incident stress debriefing (CISD) is a psychoeducational group intervention offered after exposure to potentially traumatizing events. This exploratory inquiry examined how mental health and peer facilitators utilized elements of group work practices during CISD interventions. Narratives from 16 mental health and 14 peer facilitators reported how elements of group planning, performing, and processing appear. Important group-process aspects included attention to establishing ground rules and defining boundaries for confidentiality, managing member disclosure, and pacing the process to prevent harm from over-processing the traumatic event. Implications for practice suggest that following best practice guidelines in group work is protective of the CISD process and the participants.
Because posttraumatic stress disorder (PTSD) is one of the few psychological conditions that predict suicidal behavior among those who think about suicide, many patients with PTSD present clinically with elevated suicide risk. Expert consensus and practice guidelines recommend against trauma-focused treatments for patients with elevated suicide risk, however. Research aimed at understanding the common mechanisms that underlie the association of PTSD and suicide risk has led to several advances in the effective care of suicidal patients diagnosed with PTSD. Based on these results, various combinations and sequences of suicide-focused treatments, risk management procedures, and trauma-focused treatments are implicated.
By Gary S. Aumiller, Ph.D. ABPP
Information on the effects that tragedies such as the recent Orlando night club shooting can have on first responders and what can be done as a police leader or psychologist to help the situation.
The public awareness event, which is put on by the Tema Conter Memorial Trust, will be held in Brantford on Saturday, July 18 at 7 p.m. in The Salvation Army Church, 33 Diana Ave. Brant paramedic Stefanie Miller will be just one of the locals joining in the panel discussion open to everyone.
By Robin Kroll, PsyD ABPP
Officers spend their careers serving and protecting their communities. As first responders, they make sacrifices that the civilian world may never understand. Forfeiting emotions to be productive on the job is one of the prime sacrifices. It is also the most misunderstood. While withholding feelings is a coping mechanism on the job, it is not a healthy strategy off the job.
By Gary Aumiller, Ph.D.
As the rest of the regular world, most officers going through a divorce can think of nothing else in that time. They find they have a hard time concentrating and they lose focus easily. Their emotions are on edge, and deep sleep is a sporadic visitor in their life. And it doesn’t have to be that way. This is part 2 of the series on Divorce and how to calm down facing one.