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

Authors
Haugen-PT; Splaun-AK; Evces-MR; Weiss-DS
Source
Psychotherapy 2013 Sep; 50(3):336-340
NIOSHTIC No.
20044122
Abstract
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.
Keywords
Psychology; Psychological-effects; Humans; Men; Women; Behavior; Diseases; Medical-personnel; Traumatic-injuries; Psychological-stress; Stress; Mental-stress; Fire-fighters; Law-enforcement-workers; Police-officers; Emergency-responders; Author Keywords: integrative psychotherapy; PTSD; first responders; meaning making; defensive operation
Contact
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
CODEN
PSYOAD
Publication Date
20130901
Document Type
Journal Article
Email Address
peter.haugen@nyumc.org
Funding Type
Cooperative Agreement
Fiscal Year
2013
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U10-OH-008223
Issue of Publication
3
ISSN
0033-3204
Source Name
Psychotherapy: Theory, Research, Practice, Training
State
NY; CA
Performing Organization
New York University School of Medicine
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