By Richard A. Bryant
Acute rigidity ailment: A instruction manual of conception, overview, and therapy is the 1st finished medical textual content on Acute pressure illness (AS D) considering the fact that its 1994 creation into DSM-IV as a diagnostic class. A uthors Richard A. Bryant and Allison G. Harvey define the explanation a nd suggestions to avoid the improvement of PTSD via deciding on and tr consuming people with ASD. Drawing from their pioneering medical and rese arch adventure, they evaluation the underlying theoretical concerns, then p resent a step by step advisor to assessing and treating ASD, and element the approaches for utilizing cognitive habit remedy to regard ASD. The authoritative e-book is a must-read for educational and medical psychologi sts, 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
Individuals who present with other psychiatric disorders in the acute trauma phase have often suffered these symptoms before the recent traumatic event. , 1996; Harvey & Bryant, in press-c). Moreover, the distress caused by the recent stressor can exacerbate the previously existing disorder. Detection of any suicidal ideation is critical in this phase. Many acutely traumatized people who develop ASD in the presence of other disorders may need containment and support in the acute trauma phase. In chapter 8, we review more closely the cautions that are required in managing those traumatized people who suffer from a comorbid condition.
Furthermore, it is likely that future research may discover that some of the features observed to be associated with ASD, including elevated arousal, lowered cortisol, overgeneral retrieval style, and cognitive bias may be vulnerability factors rather than sequelae of ASD. The model specifies dissociative tendencies as a vulnerability factor because they appear to predispose these individuals to engage in avoidance strategies that impair processing of the traumatic memories. 7. A model of acute stress reactions and posttraumatic stress disorder (PTSD) .
There appears to be a possible inconsistency in the juxtaposition of the requirement of a fearful perception of the event and the experience of emotional numbing. For example, a person who has survived an earthquake but reports no salient emotional response to this event would not satisfy the stressor criterion for ASD. It is possible, however, that this person’s lack of emotional response may be attributed to a dissociative reaction to the trauma. Thus, a strict adherence to the DSM-IV criteria may result in false-negative diagnoses.