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IRAQ WAR CLINICIAN GUIDE

Iraq War Clinician's Guide - Network Of Care

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Iraq War Clinician Guide 167 Appendix G<br />

-- -- -<br />

154 TERENCE M. KEANE el ni.<br />

Given the extent of his sy~lptomatology,we found it reasonable to<br />

approach the exposure phase of treahnent with Mr. G. by the initialuse of<br />

imaginal techniques. While Mr. G. found &is aspect of treahnent difficult,<br />

it did prepare i-dm for the even more trying phase of returning to the site<br />

of his victimization With the successful completion ofeach phase, he did<br />

gain a sense of mastery and efficacy that communicated to him that he<br />

could indeed overcome the fears and frightening images of his assault.<br />

These changes were accompanied by improvements in his substance<br />

abuse, depression, and his marital and interpersonalrelationships. Futher,<br />

Mr. G. was himself satisfied with the course of treatment that he received.<br />

REPElUiNCES<br />

de Girolamo, G.,&McFarlane, k C. (1997).The epidemiology of PTSD:A comprehensivereview<br />

of the international literature. In A. J. Marsella, M. J. Friedman,<br />

E. T Genity, & R M. Scurfield (Eds),Ethnocullural mpeclsofposnrnunrnlic streps<br />

diwrder: hes, rmarclr and cliriical nppliealioris (pp. 33-86). Washington DC:<br />

American PsychologicalAssociation<br />

Foa, E.B,& Kozak, M. 1. (1986). Emotionalprocessingof fa: Exposure to corrective<br />

info1rnation.PsyciiologicnIBuI1e1i1~, 9920-35.<br />

Keane, T. M. (1998). Psychological and behavioral treatments of post-traumatic<br />

stress disorder. In P. E. Nathan & J. M Gorman (Eds.),A guide lo lrealnierils llinf<br />

work(pp. 398-407). New Yo& Oxford University Press.<br />

Keane, T M,&Kaloupek, D. G. (1997). Comorbid psychiatric disorders in PTSD:<br />

Implicationsfor research InR. Yehuda &A. C. McFarhe(Eds.), P~yekobiology<br />

ifposlfmr~n~afic srrefs disorder. Amak of llie Nao York Acaden~y ofkiericer (VoL<br />

821, pp. 24-34). New Yo& New Yolk Academy of Sciences.<br />

Keane, T.M., Zimering, R. T,&Kaloupek, D.G. (inpress). Posttraumatic sbess<br />

disorder. Ink Bellack & Hersen (Eds.), Psycl~opalliologyin ndirltlimd: An<br />

adwrzed terl. Boston: Allyn &Bacon<br />

Kessler, R. C., Sonnega, A,, Brornet, E, Hughes, M.,&Nelson, C B. (1995). Posttraumatic<br />

stress disorder intheNationa1 CornorbiditySurvey.Arcl~iver6 Gsiernl<br />

Psychiatry, 52,1048-1060.<br />

Lang, P. J. (1979).A bia-infomtionaltheory ofernotionalimage~y. Psyclopl~ysiology,<br />

16,495-512.<br />

Lange, M., Chandler-Guy,C, Fo& R, Fostm-Moore, P., & Rohman, M. (1988).<br />

Providers' views of HMO mental health sewices.Pso1erap 25,=2.<br />

Linehan, M. M. (1993). Cognilive-belra~~ioraIIrenlme,if qfborderlinepersonalify disorder<br />

New Yo& Guilford.<br />

-<br />

DEPARTMENT OF VETERANS AFFAIRS<br />

NATIONAL CENTER FOR PTSD

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