Iraq War Clinician Guide 167 Appendix G -- -- - 154 TERENCE M. KEANE el ni. Given the extent of his sy~lptomatology,we found it reasonable to approach the exposure phase of treahnent with Mr. G. by the initialuse of imaginal techniques. While Mr. G. found &is aspect of treahnent difficult, it did prepare i-dm for the even more trying phase of returning to the site of his victimization With the successful completion ofeach phase, he did gain a sense of mastery and efficacy that communicated to him that he could indeed overcome the fears and frightening images of his assault. These changes were accompanied by improvements in his substance abuse, depression, and his marital and interpersonalrelationships. Futher, Mr. G. was himself satisfied with the course of treatment that he received. REPElUiNCES de Girolamo, G.,&McFarlane, k C. (1997).The epidemiology of PTSD:A comprehensivereview of the international literature. In A. J. Marsella, M. J. Friedman, E. T Genity, & R M. Scurfield (Eds),Ethnocullural mpeclsofposnrnunrnlic streps diwrder: hes, rmarclr and cliriical nppliealioris (pp. 33-86). Washington DC: American PsychologicalAssociation Foa, E.B,& Kozak, M. 1. (1986). Emotionalprocessingof fa: Exposure to corrective info1rnation.PsyciiologicnIBuI1e1i1~, 9920-35. Keane, T. M. (1998). Psychological and behavioral treatments of post-traumatic stress disorder. In P. E. Nathan & J. M Gorman (Eds.),A guide lo lrealnierils llinf work(pp. 398-407). New Yo& Oxford University Press. Keane, T M,&Kaloupek, D. G. (1997). Comorbid psychiatric disorders in PTSD: Implicationsfor research InR. Yehuda &A. C. McFarhe(Eds.), P~yekobiology ifposlfmr~n~afic srrefs disorder. Amak of llie Nao York Acaden~y ofkiericer (VoL 821, pp. 24-34). New Yo& New Yolk Academy of Sciences. Keane, T.M., Zimering, R. T,&Kaloupek, D.G. (inpress). Posttraumatic sbess disorder. Ink Bellack & Hersen (Eds.), Psycl~opalliologyin ndirltlimd: An adwrzed terl. Boston: Allyn &Bacon Kessler, R. C., Sonnega, A,, Brornet, E, Hughes, M.,&Nelson, C B. (1995). Posttraumatic stress disorder intheNationa1 CornorbiditySurvey.Arcl~iver6 Gsiernl Psychiatry, 52,1048-1060. Lang, P. J. (1979).A bia-infomtionaltheory ofernotionalimage~y. Psyclopl~ysiology, 16,495-512. Lange, M., Chandler-Guy,C, Fo& R, Fostm-Moore, P., & Rohman, M. (1988). Providers' views of HMO mental health sewices.Pso1erap 25,=2. Linehan, M. M. (1993). Cognilive-belra~~ioraIIrenlme,if qfborderlinepersonalify disorder New Yo& Guilford. - DEPARTMENT OF VETERANS AFFAIRS NATIONAL CENTER FOR PTSD
Iraq War Clinician Guide 168 Appendix C PP P POSTTRAUMATIC STRESS DISORDER 155 McFarlane,A. C,&Yehuda, R. (1997).Resilience, vulne~ability, and the course ct posteaumatioreactiom.InB.Van der KO&, A. McFarlane, &L. Weisaefh, (Eds.), Tmrinuticsfrers:Theeffelrofovenvhelnrin~ -. anerimeon themind. bodv. andmcielv. .~ New Yo& ~uilfordr Newman, E, Kaloupek, D. G, & Keane,T M. (1937).Assessment of posttraumatic s&essdisorderinc]inicalandresearchsetlings.1~B. Van der KO&, k McFarlane, & L. Weisaeih (Eds.), Tnrumaticstrers:The @emof ovenuhelming aperience on the mind, body, and sociely. New Ycdc Guilford Norris, E H. (1992). Epidemiology of &am: Frequency and impact of dlfferent potentially traumatic events on differentdemographio groups. Jounral6 Corrsullilrg and ClinicalPsychobgy, 60,409-418. DEPARTMENT OF VETERANS AFFAIRS -. P NATIONAL CENTER FOR PTSD