Psychodynamic group treatment of posttraumatic stress disorder in Vietnam veterans.
ABSTRACT Exposure to combat frequently imparts a sense of aloneness, guilt, and helplessness. These and other intrapsychic and interpersonal issues need to be addressed in treating Vietnam veterans suffering from posttraumatic stress disorder (PTSD). Group therapy is proposed as a core treatment modality for dealing with these problems. A model is proposed in which patients are treated for 1 year or more in weekly groups that meet for 16-week sequential segments. Clinical guidelines are made explicit to new members by the co-therapists. Discussion topics deal not only with traumatic experiences related to combat, but also with important pre- and postwar issues that are relevant to the symptoms of PTSD. Timely integration and working through of these issues in the group is critical.
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ABSTRACT: This article, based on research conducted with Lakota human service providers, concludes that the Lakota (Teton Sioux) suffer from impaired grief of an enduring and pervasive quality. Impaired grief results from massive cumulative trauma associated with such cataclysmic events as the assassination of Sitting Bull, the Wounded Knee Massacre, and the forced removal of Lakota children to boarding schools.The research studied a culturally syntonic four‐day psychoeducational intervention designed to initiate a grief resolution process for a group of 45 Lakota human service providers. The methodology included assessment at three intervals: (a)apre‐ and post‐test, utilizing a Lakota Grief Experience Questionnaire andthe semantic differential, (b) a self report evaluation instrument at the end of the intervention, and (c) a six‐week follow‐up questionnaire.The results confirmed the hypotheses that: (a) education about historical trauma would lead to increased awareness of the impact and associated grief related affects of the traumatic Lakota history, (b) sharing these affects with other Lakota in a traditional context would provide cathartic relief, and (c) grief resolution would be initiated, including a reduction in grief affects, more positive identity, and a commitment to individual and community healing.Smith College Studies in Social Work 06/1998; 68(3):287-305. DOI:10.1080/00377319809517532 · 0.36 Impact Factor
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ABSTRACT: In this study, treatment results of three different trauma-focus group day-treatment programs for asylum seekers and refugees with post-traumatic stress disorder (PTSD), were compared with a supportive outpatient psychotherapy group, and a waiting list control group. The group programs differed in the number of nonverbal therapy sessions combined with group psychotherapy and in the number of treatment days per week that the programs were executed. The results suggest that trauma-focus day-treatment groups lead to a significant decrease of psychopathology compared with the outpatient supportive group psychotherapy and the control group. Within the day-treatment programs, the more nonverbal treatment sessions are applied in a week time, the better the results. Equal treatment effects were obtained with the same number of sessions per week applied over 2 and over 3 days. (PsycINFO Database Record (c) 2014 APA, all rights reserved)Traumatology 12/2010; 16(4):117-127. DOI:10.1177/1534765610388298
Canadian journal of psychiatry. Revue canadienne de psychiatrie 01/1999; 44(Suppl#1):4S-17S. · 2.41 Impact Factor