Treating the Trauma of Rape: Cognitive-Behavioral Therapy for PTSD

Edna B. Foa, Barbara Olasov Rothbaum

Guilford Press, Oct 24, 2001 - Psychology - 286 pages

After reviewing the relevant treatment literature, the authors detail how to assess and treat PTSD using a cognitive-behavioral approach. Co mplete instructions are given for planning treatment, as well as for i ntroducing the patient to the various interventions. Nine exposure and stress management techniques are then detailed, including imaginal ex posure (trauma reliving), in vivo exposure, relaxation training, thoug ht-stopping, cognitive restructuring, covert modeling, and role-playin g. Enhancing the books clinical utility are numerous case examples il lustrating how to implement the techniques, as well as explanations of how to cope with common problems and complications in treatment. The final chapter presents detailed outlines of three suggested treatment programs.

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Contents

• The Clinical Picture A Rape Victim and Her Father Tell Their Stories: 3
• Sarahs Disclosure to Her Family: 4
• Sarahs Description of the Rape: 5
• The Fathers Continuing Reactions: 6
• Authors Conclusion: 7
• Diagnosis and Prevalence of PTSD Following Assault: 8
• Validity of the Three PTSD Symptom Clusters: 10
• Similarities and Differences between PTSD and Other Anxiety Disorders: 11
• The Symptom Picture of PTSD: 13
• Acute and Chronic PTSD: 20
• A New DSM Category: 21
• Dissociation Numbing and PTSD: 24
• Conclusion: 25
• Other Common Responses to Assault: 27
• Psychophysiological Reactions: 31
• Conclusion: 35
• What Do We Know about Treatment Efficacy for PTSD?: 36
• Traditional Psychosocial Interventions: 38
• Pharmacological Interventions1: 43
• CognitiveBehavioral Interventions: 51
• Theoretical Bases for PTSD and Its Treatment: 68
• Personality and Social Psychology Theories: 70
• Emotional Processing Theory: 72
• How Do CognitiveBehavioral Techniques Ameliorate PTSD?: 84
• HOW TO CONDUCT EFFECTIVE TREATMENT OF PTSD: 89
• An Overview of CognitiveBehavioral Techniques and Programs for PTSD: 91
• A Typical Treatment Program: 92
• Suggested Treatment Schedules: 96
• Assessment of PTSD and Related Problems: 110
• Methods of Assessment: 112
• Problems in Assessment: 118
• Conclusion: 120
• The Beginning of Treatment: 121
• Session 2 of Treatment: 127
• In Vivo Exposure Confronting the Feared Situations: 144
• Presenting the Rationale for In Vivo Exposure: 145
• Introduction to SUDs: 147
• Developing In Vivo Homework Assignments: 153
• Instructing the Client about the In Vivo Exposure Procedure: 155
• Using In Vivo Exposure in Sessions: 156
• Imaginal Exposure Reliving the Trauma: 158
• Presenting the Rationale for Imaginal Exposure: 159
• The Imaginal Exposure Procedure: 161
• Additional Guidelines and Suggestions: 165
• Case Illustrations: 168
• Vicarious Traumatization of the Therapist: 174
• Cognitive Techniques I Cognitive Restructuring: 176
• Presenting the Rationale For Cognitive Restructuring: 181
• Identifying Trigger Situations Emotions and Negative Thoughts or Beliefs: 184
• Challenging and Modifying Negative Thoughts or Beliefs: 187
• Identifying and Challenging Dysfunctional Unhelpful Assumptions: 192
• Cognitive Techniques II Thought Stopping and Guided SelfDialogue: 198
• Guided SelfDialogue: 202
• Relaxation Training Deep Muscle CueControlled and Differential Relaxation: 208
• Deep Muscle Relaxation: 209
• CueControlled Relaxation: 214
• Differential Relaxation: 215
• Practice and Homework: 216
• Role Play and Covert Modeling: 217
• Covert Modeling: 223
• Common Problems Termination and a Full Case Example: 227
• Determining Whether the Client Needs More Sessions: 231
• Termination: 232
• Betsy: 236
• Assault Information and History Interview AIMI: 249
• References: 261
• Index: 277

About the author

Edna B. Foa, PhD, Professor at the Allegheny University of the Health Sciences, Director of the Center for the Treatment and Study of Anxiety, is an internationally renowned authority on the psychopathology and treatment of anxiety. Her research aiming at delineating etiological frameworks and targeted treatment has been highly influential and she is currently one of the leading experts in the areas of posttraumatic stress disorders. The program she has developed for rape victims is considered to be the most effective therapy for post-trauma sequela. She has published several books and over 200 articles and book chapters, has lectured extensively around the world, and was chair of the PTSD work group of the DSM-IV. Dr. Foa is the recipient of numerous awards and honors, including the Distinguished Scientist Award from the Scientific section of the American Psychological Association, the First Annual Outstanding Research Contribution Award from the Association for the Advancement of Behavior Therapy, and the American Psychological Association Award for Distinguished Scientific Contributions to Clinical Psychology.

Bibliographic information

• Title: Treating the Trauma of Rape: Cognitive-Behavioral Therapy for PTSD; Treatment manuals for practitioners
• Authors: Edna B. Foa, Barbara Olasov Rothbaum
• Edition: illustrated
• Publisher: Guilford Press, 2001
• ISBN: 1572307366, 9781572307360
• Length: 286 pages
• Subjects: Medical / Psychiatry / General; Psychology / Cognitive Psychology & Cognition; Psychology / Psychopathology / Post-Traumatic Stress Disorder (PTSD); Psychology / Psychotherapy / General; Self-Help / Abuse; Social Science / Social Work