By Richard A. Bryant

Acute rigidity sickness: A instruction manual of concept, overview, and remedy is the 1st accomplished medical textual content on Acute pressure sickness (AS D) because its 1994 advent into DSM-IV as a diagnostic class. A uthors Richard A. Bryant and Allison G. Harvey define the reason a nd suggestions to avoid the advance of PTSD by way of opting for and tr consuming people with ASD. Drawing from their pioneering scientific and rese arch adventure, they evaluation the underlying theoretical concerns, then p resent a step by step advisor to assessing and treating ASD, and aspect the strategies for utilizing cognitive habit remedy to regard ASD. The authoritative e-book is a must-read for educational and medical psychologi sts, psychiatrists, and different psychological wellbeing and fitness execs operating with sufferers of trauma.

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Example text

Many traumas are prolonged, and it may be premature to attempt assessment before the stressor has terminated. For example, assessing a firefighter before firefighting duties are completed may be unreliable because of the necessity for heightened arousal and coping skills to maintain adequate performance during the stressor. Third, many acutely traumatized people require some period of time to integrate the effects of a traumatic experience before they can adequately participate in an assessment.

1988). Apart from the problems associated with its poor predictive power, the current definition of avoidance behavior in ASD is problematic because of its flexibiliy. Whereas the PTSD diagnosis requires that the person display at least three specified avoidance symptoms, the ASD diagnosis simply requires marked avoidance. This vague definition is troublesome because diagnosticians are not provided with any index of what constitutes marked avoidance. This ambiguity can lead to considerable variability in the context of acute stress because individuals can be exposed to a range of posttrauma events that either limit their capacity to avoid trauma reminders or restrict their opportunities to be exposed to trauma reminders.

It is critical in the assessment of ASD to not focus exclusively on posttraumatic stress reactions because this narrow attention can result in neglect of other disorders. Identification of other psychiatric disorders is important because of the implications for management of the acutely traumatized person. Individuals who present with other psychiatric disorders in the acute trauma phase have often suffered these symptoms before the recent traumatic event. , 1996; Harvey & Bryant, in press-c). Moreover, the distress caused by the recent stressor can exacerbate the previously existing disorder.

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