By Brett T. Litz PhD, Leslie Lebowitz PhD, Matt J. Gray PhD, William P. Nash M.D.

A entire consultant to an cutting edge, research-based short therapy particularly constructed for provider contributors and veterans, this publication combines scientific knowledge and in-depth wisdom of army tradition. Adaptive disclosure is designed to assist these suffering within the aftermath of disturbing war-zone reports, together with existence probability, annoying loss, and ethical harm, the violation of heavily held ideals or codes. exact instructions are supplied for assessing consumers and offering individualized interventions that combine emotion-focused experiential thoughts with parts of cognitive-behavioral treatment (CBT). Reproducible handouts should be downloaded and revealed in a handy eight half" x eleven" size.

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Additional info for Adaptive Disclosure: A New Treatment for Military Trauma, Loss, and Moral Injury

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Loss, and inner conflict from morally injurious experiences, such as killing or failing to prevent unethical behavior, are coequal challenges to resilience (Nash, 2007). Each of these has a different phenomenology, etiology, and course than life-threatening experiences. Consequently, each requires a different perspective on treatment, but the focus to date has been on stress and fear. As we argued in Chapter 1, the conditioning and learning model built on the concept of high threat and fear does not sufficiently explain, predict, or address the needs of many who are exposed to the 19 20 ADAPTIVE DISCLOSURE divergent and diverse psychic injuries of war (and many other traumatic contexts).

These patients’ satisfaction ratings were particularly encouraging given the constraints and practical limitations of 28 ADAPTIVE DISCLOSURE garrison life. Finally, among the Marines treated in the original open trial, roughly one-third endorsed life-threatening danger, one-third endorsed traumatic loss, and one-third endorsed moral injury. Accordingly, adaptive disclosure appears to be broadly applicable to the varied presentations of military-related trauma that clinicians routinely see in practice.

Importantly, adaptive disclosure was very well-accepted and tolerated by the Marines we treated. ” These patients’ satisfaction ratings were particularly encouraging given the constraints and practical limitations of 28 ADAPTIVE DISCLOSURE garrison life. Finally, among the Marines treated in the original open trial, roughly one-third endorsed life-threatening danger, one-third endorsed traumatic loss, and one-third endorsed moral injury. Accordingly, adaptive disclosure appears to be broadly applicable to the varied presentations of military-related trauma that clinicians routinely see in practice.

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