The Social Cognitive Theory Of Ptsd

Post-traumatic stress disorder (PTSD) is a relatively new diagnosis that was associated with survivors of war when it was first introduced. Its diagnosis was met largely with skepticism and dismissal by the public of the validity of the illness. PTSD was only widely accepted when it was included as a diagnosis in 1980 in the third edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-III) of the American Psychiatric Association. PTSD is a complex mental disorder that develops in response to exposure to a severe traumatic event that stems a cluster of symptoms. Being afflicted with the disorder is debilitating, disrupting an individual’s ability to function and perform the most basic tasks.

Post-traumatic disorder (PTSD) is one of the leading mental issues in the world right now. It includes introduction to injury including passing or the danger of death, genuine damage, or sexual brutality. Something is traumatic when it is exceptionally startling, overpowering and causes a considerable measure of pain. Injury is regularly sudden, and numerous individuals say that they felt feeble to stop or change the occasion. Traumatic occasions might incorporate wrongdoings, common fiascos, mishaps, war or strife, or different dangers to life. It could be an occasion or circumstance that one encounters or something that transpires, including friends and family. The post-traumatic stress is not subject to any definite experience a priori,

As stated by the name of this particular EBP, the focus is on cognition in those with PTSD. Cognitive Processing Therapy (CPT) is a form of the well-known cognitive behavioral therapy. For this particular therapy, the clients taking part are older adolescents and adults (18-55+) who have a PTSD diagnosis (SAMHSA, 2014). The preliminary focus on CPT is to look at the distorted thoughts about the trauma experienced by the client. Beliefs such as self-blame and denial are initial conative focus, then therapy moves on to looking at the clients how the clients think themselves, others, and the world (Resick, Nishith, Weaver, Astin, & Feuer, 2002). Clients who are undergoing this therapy use of worksheets and what is known as “Socratic questioning” (Resick,

Despite, all this benefit of using CPT in trauma treatments there are also limitation when using this method for a counsellor/therapist should be aware of. Notwithstanding, the impact CPT has in reducing erroneous thought with PTSD (Sobel, et al., 2009), still recommended for the need more in-depth further studies in understanding the cognitive process in recovery from PTSD. More so, research has to be done or studies that have proven to be successful in using this treatment should be replicated to determine the effectiveness of CPT with different population (Resick et al., 2002). CPT believes that homework and other written work is very vital with this treatment approach, and this could pose as a challenge for clients who might have difficulty

Evidence points to CPT’s efficacy as a psychological treatment for PTSD and has demonstrated potential to decrease symptoms of depression and guilt. Although more research is needed to determine the effectiveness of CPT with various populations, both the Department of Defense and the Department of Veterans Affairs are recommending CPT as an evidence-based treatment for PTSD. A major benefit of CPT the gains are noticeable in a very short period. The rapid response to treatment is particularly important to military and active-duty populations for whom time may be limited (Keane TM, Marshall AD, Taft

A study was conducted by Monson et al. (2006) to assess the effects of (CPT) Cognitive Processing Therapy on military veterans who were suffering from PTSD. The study included sixty participants with prolonged combat-related PTSD who partook in a wait-listed controlled experiment of a CPT treatment. More than sixteen percent of the participants dropped out of the study from the original ninety-three participants who were authorized to receive treatment. Out of the sixty participants that remained the group was equally split into two groups of thirty clients (Wait Group vs. Immediate Group). The Wait Group waited for a period of ten weeks before receiving the CPT treatment, whereas the immediate group received treatment immediately. The treatment was provided twice a week and consisted of twelve CPT sessions. The results revealed overall that there were significant improvements in PTSD and comorbid symptoms in the Immediate Group in comparison to the Wait Group. The study not only revealed the importance of immediacy in treating veterans with PTSD but supports the use of cognitive–behavioral treatments in this population as well (Monson et al.,

Cognitive processing therapy (CPT) was developed in order to facilitate the expression of affect and appropriate accommodation of the traumatic event. It begins with the trauma memory and focuses on the feelings, beliefs, and thoughts that are directly resulting from the traumatic event. During the treatment session, Sarah should be encouraged to examine whether the trauma appeared to disrupt or confirm prior beliefs to the experience. She should then be taught to challenger her self and modify her extreme beliefs.

This theory proposes that a traumatic event produces maladaptive assumptions and beliefs about the world, other people, and the self that interfere with recovery (Schultz, Barnes-Proby, Chandra, Jaycox, Maher, & Pecora, 2012). CBITS uses cognitive-behavioral techniques (for example, psychoeducation, relaxation, social problem solving, cognitive restructuring, and exposure). Cognitive-behavioral therapies work to teach people skills to combat these underlying issues, including correction of maladaptive assumptions, processing the traumatic experience instead of avoiding it, learning new ways to reduce anxiety and solve problems, building peer and parent support, and building confidence to confront stress in the future (Schultz, et al.,

Post-traumatic stress disorder (PTSD) is a mental condition caused by a terrifying event. Usually seen in war veterans, this disorder can change anyone’s life forever. An individual will show generally four types of symptoms: intrusive memories, avoidance, negative changes in thinking and mood, or changes in emotional reactions. Intrusive memories consist of unwanted memories of the traumatic event such as flashbacks. Avoidance symptoms may include trying not thinking about the traumatic event. Negative changes in thinking and mood symptoms may include negative feelings about one’s self, lack of interests in activities one used to enjoy, and difficulty maintaining close relationships. Changes in emotional reaction symptoms may include angry

PE is built on the assumption that retelling an account of a traumatic experience repeatedly will allow the brain to fully process the memory of that experience, which makes it less painful and something that no longer dominates their life. Additionally, PE is based in Emotional Processing Theory, which posits that PTSD symptoms arise as a result of cognitive and behavioral avoidance of trauma-related thoughts, reminders, activities and situations. PE helps the client interrupt and reverse this process by blocking cognitive and behavioral avoidance, by introducing corrective information. Finally, PE facilitates in organizing and processing of the trauma memory and associated thoughts and

The disorder did not become more common until it was affecting the veterans at war who are haunted by the tragedies of war. “PTSD did not become an official disorder until the American Psychiatric Association added it to the Diagnostic and Statistical Manual of Mental Disorders or DSM-III in 1980.” (Friedman) The DSM-III is a criterion for the classification of mental disorders that was first published in 1952. In today’s world, it is known as the DSM-V. PTSD in the DSM-III was classified as an anxiety disorder. However, today PTSD is now diagnosed as a trauma and stressor-related disorder. What we know now about PTSD is that under the classification of trauma and stressor- related disorder, a person must be exposed to a life stress related event to cause the disorder. What we also know now about PTSD is that it can occur in one of four ways: “direct exposure to trauma; witnessing trauma in person; learning a close friend or relative experienced trauma (indirect exposure); and repeated or extreme indirect exposure to aversive details of the event”

Natural environments and outdoor settings are common places people go when they want to relax or temporarily escape life’s problems. Most often, when choosing where to vacation, people commonly select a destination with picturesque sceneries or serene landscapes. For this reason, natural outdoor settings seem like an ideal place to incorporate recreational therapy activities for those with physical and mental health issues. Recreational therapists should consider several aspects of their patients lives when creating these outdoor therapy programs. This paper explores the social cognitive theory and the behavioral, personal, and environmental constructs that affect the behavior of veterans with PTSD and other psychological health issues. There will be a brief discussion regarding the details of the study as well as the author’s findings. In particular, the role of the environment on one’s behavior will be examined.

If veterans do struggle with PTSD after they return from combat the Department of Veterans Affairs, a governmental agency that helps struggling veterans recover, offers two treatments. Studies have been done to see if one of the therapies is more effective than the other. There is not yet evidence that one therapy is better than the other. Cognitive processing therapy, CPT, helps by giving the vet a new way to deal with the maladaptive thoughts that come with PTSD. It also comforts them in gaining a new understanding of the traumatic events that happened to them. One of the other benefits of CPT is that it assists the person in learning how these disturbing events change the way they look at everything in life and helps them cope with that (“PTSD: National”). The second newer option of the two is prolonged exposure therapy, which is repeated exposure to these thoughts, feelings, and situations (“Most PTSD”). This type of therapy is now a central piece in the VA’s war on PTSD. “The problem with prolonged exposure is that it also has made a number of veterans violent, suicidal, and depressed, and it has a dropout rate that some researchers put at more than 50 percent, the highest dropout rate of any PTSD therapy that has been widely studied so far,”(“Trauma Post”). Both of the therapies are proven to reduce the symptoms but both have extremely high drop out rates and low follow through. It

This treatment approach is based on cognitive and learning theories, tackling-misleading beliefs related to the traumatic events of acknowledgments related to the abuse and provides a supportive environment of which individuals are encouraged to talk about their traumatic experience. A numerous amount of research has been carried out to investigate into how effective CBT really can be for PTSD. (Resick et al, 2002) carried out an investigation comparing CBT with strong cognitive restructuring focus and CBT with a strong exposure focus and to a waiting-list control of rape survivors. Prior to this experiment approximately 80% of patients who completed either form of CBT no longer met the criteria for PTSD. Once this investigation was complete a follow up treatment took place of which it was noted 2% of the waiting list group had lost the PTSD diagnoses. Only a year after this investigation Bryant, Moulds, Guthrie, Dang & Nixon, (2003) restructured the experiment comparing exposure alone, exposure plus cognitive restructuring, and supportive counselling in civilians with PTSD resulting from various traumatic events. At this particular follow up 65-80% of participants who either completed either form of CBT were now clear of PTSD diagnosis, compared to less than 40% of those who completed supportive counselling.

Two treatment models that are used for survivors of PTSD are Cognitive processing therapy (CPT) and spirituality. The effectiveness of these two treatment models are supported by several resources. Resick (2001) notes that “CPT is a manualized, 12-session, specific form of CBT for PTSD that has a primary focus on cognitive interventions.” The first session of CPT is