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Acute Stress Disorder: A Handbook of Theory, Assessment, and by Richard A. Bryant

By Richard A. Bryant

Acute pressure ailment: A instruction manual of concept, review, and therapy is the 1st entire medical textual content on Acute tension sickness (AS D) when you consider that its 1994 advent into DSM-IV as a diagnostic type. A uthors Richard A. Bryant and Allison G. Harvey define the reason a nd thoughts to avoid the improvement of PTSD by means of opting for and tr consuming people with ASD. Drawing from their pioneering scientific and rese arch event, they overview the underlying theoretical concerns, then p resent a step by step consultant to assessing and treating ASD, and element the systems for utilizing cognitive habit remedy to regard ASD. The authoritative ebook is a must-read for tutorial and scientific psychologi sts, psychiatrists, and different psychological well-being pros operating with sufferers of trauma.

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Example text

Finally, Robins and Guze proposed that family studies should be conducted to determine the presence of an increased prevalence for the particular diagnosis or other psychiatric disorders within families. Although the diagnosis of ASD did not satisfy any of these criteria at the time of its definition in DSM-IV, there is now initial support for a number of these criteria. Specifically, there is now evidence for the clinical description of ASD (Criterion 1), laboratory studies to define the psychological and physiological factors of associated with ASD (Criterion 2), and prospective data about the course of ASD and PTSD (Criterion 4).

43 1). The relative contributions of the objective and subjective components of the stressor have been strongly debated in recent years. Although diagnostic 43 reliability and homogeneity may be increased with an objective definition of the stressor, there is strong evidence that a stringent definition of the stressor severity would lead to false-negative diagnoses (Snow, Stellman, Stellman, & Sommer, 1988). There are many examples of PTSD symptoms occurring after less severe traumas (Burstein, 1985; Helzer, Robins, & McEvoy, 1987).

The subjective component of the stressor definition is problematic, however, in the context of the dissociative cluster of symptoms. The first dissociative symptom cited in DSM-IV is “a subjective sense of numbing, detachment, or absence of emotional responsiveness” (American Psychiatric Association, 1994, p. 432). 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.

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