IRAQ WAR CLINICIAN GUIDE
Iraq War Clinician's Guide - Network Of Care
Iraq War Clinician's Guide - Network Of Care
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Iraq War Clinician Guide 144 Appendix F<br />
P<br />
cnmplc. norechrn mdcipard or dc8ir.d by pmiriptina. Future<br />
cescnrcl> uudiir ~hoilld evaluate thcx irnpair~iic pr~cu.<br />
,ad ouuornr "2tirblclo\.Cr time (r.&.,rr lellll >nr $her<br />
hciasrvmtian).<br />
cmadon>lncrdr play urrful mbsin onci immcdinc copiitgrvilll<br />
r highly rmuful cwt. blona>rr. hc euidmce<br />
,Iur drbric6og may lead ra Ira rubequtian. Hmvcwr. since lllrrr<br />
is no cmpiriral ruppan hat debriefing prcvenrt PTSD.<br />
Etuludb~ fndividul i>r@nnc!. Some rnuma rurrivorr md here ir r pmibilily ~11.r ir m y in-r iympionu<br />
may fcd impawd upon by pecn or significanr ohm to<br />
rhric heir lnvml cxpritnms. prclrring to avoidcmotiaiul<br />
self-Jidorurc, not amnwrily due to cxporurc to<br />
over time facromc individu,h. tl, matappmp.atc early<br />
intcrrcntiandiould bsvmrdp~ychcholo$dGitt~id.~L<br />
inremention ll$ould k conccpivalizrd u suppanivc 2nd<br />
PTE,but u r rt<br />
sourrr ofacpyonind guidance vudcr s~icirful~onditio~n. it~volvedwtx equl przi, Inhcrcrn in rhb<br />
whilcohcn may niorclikcly pwfer to work pioblcnuour iamntion L rho mndnc dirt zdvirc, inrcqmrnkoa, or<br />
on their 0%"".TI~LIC latl~r individ~~d$ ire likely to fccl oillcr direcd,r in,cr\.cntio"s ire not ra be prodded.<br />
impaal upon 2nd imiurrd by an early i#>rcr\.en&o, par- Ilmdoutr or Ryan ~hrr de~rtibc erasir, ivhrr to<br />
ckt~lillrlya group c~pcticnc+. Fu~urcruexrth should>>>exsure<br />
expect, and rhric ro getllrlp. rhould rlro bc made avrilof<br />
rhuc individual dilfcrcsre bcion.<br />
ablc rouiinolp Indiuidmb rhouid be @vcn m anly<br />
PRACT1CT RECOMMlHDITlONI<br />
Bard 0x1 !he prrriolu revirw ofr,~ipitiul mcrrpiric=l qi~atiu~il lhrr rcyuire inn-<br />
~igrrion. rcvrial ofour iecommcndaiens arc rpccobti~r<br />
md iaquirccmpiric~l validarion. morr noubly hcraiomrnrndziion<br />
about pry~hologa~l fir$ lid. Nncrthclc$s.<br />
we rlxought it would br uwhsl to offer % sir ofpanitnaniow<br />
rliniml puidclincr and beurktiu. bxcd an mibblc<br />
ruid.,,cc.<br />
PsychoI0gi01 AmIAld<br />
ht $his point in lime. rhea i>no ciidtncc rhrt &lnb~l<br />
iamivcnuon Cur dl tnunn akrviion \\,dl rmt 2 fisnc6on<br />
i. p'~""'ingaikrqa.nr piyrhopllholagy There i, ion-<br />
$enlux, lhoweuer, llur providing camfon, informriio~>.<br />
i\lpi>orr. 2nd inrcrisg pecplc's itnmrdiarc poctiul at~d<br />
isrelvendonoprianr.r~hcrh~nthcprnrtipti\r~pproldl<br />
often rciol>m>cndcd by oqmintionr (r.g.. ClSD only).<br />
lndividurlr who chaow nor to paindparc in grovpr<br />
rllould be $wn he opponuuily ro n ~ctwit!! individml<br />
dlerxpbrc with !numa expcriie 2nd cxpetirnce. lllow<br />
rurvivari noiinrcrcrrcdin any forn,rl inlimntionjhoiild<br />
kxkcd ifthey care to discus hcir d~oi~gl~llu rud fcclinp<br />
about d,e c\,ei>rmd urscd[ifpasiblc) lo voxc their ides<br />
abolil d ~cpcr$onal implications ofthc exptticnre to rigtnifinnr<br />
ohm whcn they feel morr comforublc doinslo.<br />
Tlx 80.4 ¬to nnrimire cmo~ion~l-proic~rixgofhoriific<br />
wne, n in cxporurc thcnpy, but nllicr ra rcrpand<br />
ro hr mrta zmcd dm uunin mny 10 sh>rr their txpcncocc.<br />
u,hilr ths ra8nc ~inii rerprrting chorr whodo not<br />
wbh ia discus wha happened.<br />
InlLldYlrmio~<br />
TIC evidence thrc ti>e minotilg ofpcoplc ivllo \\.ill have<br />
pcrsdtcnt ponmuixutic dificulticr arc rlr~ncetiledby I<br />
nsge of vuienbiliry Bitan poirlv m dm utility of nirirlly<br />
rcr
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