Intensive Outpatient Prolonged Exposure for Combat-Related PTSD: A Case Study

The prevalence rates for combat-related posttraumatic stress disorder (PTSD) in U.S. military personnel returning from deployments to Iraq and Afghanistan indicate a significant demand for efficacious treatments that can be delivered in military-relevant formats. According to research with civilian and veteran populations, prolonged exposure is a first-line treatment for PTSD. However, research examining the generalizibility of prolonged exposure to active-duty military service members is scarce. Modifications to the standard prolonged exposure protocol may be required to meet military operational needs and to circumvent unique treatment barriers associated with the military. Intensive outpatient or compressed treatment delivered over a short time period has the potential for significant operational utility for active-duty military populations. Intensive outpatient practice formats have been found to be efficacious for the treatment of other anxiety disorders (i.e., specific phobia, obsessive-compulsive disorder). The present case report is the first to evaluate the use of intensive outpatient prolonged exposure for combat-related PTSD in an active-duty military service member. Treatment consisted of 10 full-day outpatient sessions over a 2-week period. The patient’s PTSD, depression, and anxiety were dramatically reduced by the end of treatment, and she no longer met diagnostic criteria for PTSD. She remained in full remission at the 6-month follow-up

Primum Non Nocere (First Do No Harm): Symptom Worsening And Improvement In Female Assault Victims After Prolonged Exposure For Ptsd

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/106816/1/da22225.pd

Fear of terrorism and preparedness in New York City 2 years after the attacks: Implicatins for disaster planning and research

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/48739/1/boscarino_fears of terrorism_2006.pd

Emotional design and human-robot interaction

Recent years have shown an increase in the importance of emotions applied to the Design field - Emotional Design. In this sense, the emotional design aims to elicit (e.g., pleasure) or prevent (e.g., displeasure) determined emotions, during human product interaction. That is, the emotional design regulates the emotional interaction between the individual and the product (e.g., robot). Robot design has been a growing area whereby robots are interacting directly with humans in which emotions are essential in the interaction. Therefore, this paper aims, through a non-systematic literature review, to explore the application of emotional design, particularly on Human-Robot Interaction. Robot design features (e.g., appearance, expressing emotions and spatial distance) that affect emotional design are introduced. The chapter ends with a discussion and a conclusion.info:eu-repo/semantics/acceptedVersio

The Pediatric Obsessive-Compulsive Disorder Treatment Study II: rationale, design and methods

This paper presents the rationale, design, and methods of the Pediatric Obsessive-Compulsive Disorder Treatment Study II (POTS II), which investigates two different cognitive-behavior therapy (CBT) augmentation approaches in children and adolescents who have experienced a partial response to pharmacotherapy with a serotonin reuptake inhibitor for OCD. The two CBT approaches test a "single doctor" versus "dual doctor" model of service delivery. A specific goal was to develop and test an easily disseminated protocol whereby child psychiatrists would provide instructions in core CBT procedures recommended for pediatric OCD (e.g., hierarchy development, in vivo exposure homework) during routine medical management of OCD (I-CBT). The conventional "dual doctor" CBT protocol consists of 14 visits over 12 weeks involving: (1) psychoeducation, (2), cognitive training, (3) mapping OCD, and (4) exposure with response prevention (EX/RP). I-CBT is a 7-session version of CBT that does not include imaginal exposure or therapist-assisted EX/RP. In this study, we compared 12 weeks of medication management (MM) provided by a study psychiatrist (MM only) with two types of CBT augmentation: (1) the dual doctor model (MM+CBT); and (2) the single doctor model (MM+I-CBT). The design balanced elements of an efficacy study (e.g., random assignment, independent ratings) with effectiveness research aims (e.g., differences in specific SRI medications, dosages, treatment providers). The study is wrapping up recruitment of 140 youth ages 7–17 with a primary diagnosis of OCD. Independent evaluators (IEs) rated participants at weeks 0,4,8, and 12 during acute treatment and at 3,6, and 12 month follow-up visits

Post-traumatic Stress: Etiology and treatment taking Social Aspects into Account (7. Marsilius-Vorlesung)

7. Marsilius-Vorlesung am 01.02.2012 in der Alten Aula der Universität Über die Ursachen und Therapiemöglichkeiten posttraumatischer Belastungsstörungen spricht Prof. Dr. Edna B. Foa in einer Veranstaltung an der Ruperto Carola. Die Wissenschaftlerin von der University of Pennsylvania (USA) ist Referentin der Marsilius-Vorlesung am Mittwoch, dem 1. Februar 2012. Der englischsprachige Vortrag mit dem Titel „Post-traumatic Stress: Etiology and treatment taking social aspects into account“ findet in der Aula der Alten Universität, Grabengasse 1, statt und beginnt um 16 Uhr. Zu der öffentlichen Veranstaltung lädt das Marsilius-Kolleg der Universität Heidelberg ein. Ereignisse wie zum Beispiel die Verwüstungen des Hurrikans Katrina im Jahr 2005 hinterlassen tiefe Spuren bei den Menschen, viele werden traumatisiert: „Die Betroffenen waren überwältigt, verwirrt, erschrocken, entsetzt“, unterstreicht Prof. Foa. „Bei vielen lassen solche Gefühle mit der Zeit nach. Andere werden dauerhaft mit diesen psychischen Symptomen zu kämpfen haben, sollten sie nicht mit evidenzbasierten Therapien behandelt werden.“ In ihrem Vortrag wird Edna B. Foa zuerst das Konstrukt „posttraumatische Reaktion“ und die Diagnose „posttraumatische Belastungsstörung (PTSD)“ aus sozialer, historischer und psychopathologischer Perspektive darstellen. Sie beleuchtet dabei die Theorie des emotionalen Verarbeitungsprozesses, die erklärt, warum manche Trauma-Opfer eine chronische PTSD entwickeln, während andere wieder genesen. Anhand von Videos über die Patienten erläutert die Wissenschaftlerin die verlängerte Expositionstherapie (PE), eine evidenzbasierte Behandlung für die posttraumatische Belastungsstörung. Abschließend wird sie die sozio-kulturellen Herausforderungen diskutieren, die mit der Verbreitung dieser Therapie verbunden sind. Edna B. Foa ist Professorin für Klinische Psychologie und Psychotherapie und Direktorin des Center for the Treatment and Study of Anxiety an der University of Pennsylvania. Im Jahr 2010 wurde sie in die Liste der 100 einflussreichsten Persönlichkeiten des „Time Magazine“ aufgenommen. Die Veranstaltung gliedert sich in drei Teile: Teil 1: Begrüßung durch Prof. Dr. Thomas Rausch, Teil 2: Einführung durch Prof. Dr. Sven Barnow, Teil 3: Marsilius-Vorlesung Prof. Dr. Edna B. Fo