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By Richard A. Bryant

Acute rigidity ailment: A instruction manual of conception, overview, and therapy is the 1st accomplished scientific textual content on Acute rigidity ailment (AS D) due to the fact its 1994 advent into DSM-IV as a diagnostic classification. A uthors Richard A. Bryant and Allison G. Harvey define the explanation a nd ideas to avoid the advance of PTSD by way of opting for and tr consuming people with ASD. Drawing from their pioneering medical and rese arch event, they evaluation the underlying theoretical concerns, then p resent a step by step consultant to assessing and treating ASD, and aspect the systems for utilizing cognitive habit treatment to regard ASD. The authoritative e-book is a must-read for tutorial and medical psychologi sts, psychiatrists, and different psychological health and wellbeing pros operating with sufferers of trauma.

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Additional resources for Acute Stress Disorder: A Handbook of Theory, Assessment, and Treatment

Sample text

At the time the DSM-IV was written, there were no such studies available to justify the symptom selection of ASD. Third, Robins and Guze proposed that a new diagnosis must ensure that its defining criteria distinguished it from other disorders. At the time of its introduction, there had been no work conducted that ensured the delineation of ASD from other disorders, especially depression and other anxiety disorders. Fourth, Robins and Guze proposed that prospective studies should be conducted because variable long-term outcomes might highlight problematic original diagnoses.

These findings have been understood in terms of dysfunction in the feedback mechanism of the hypothalmic-pituitary-adrenal axis in PTSD populations (Yehuda, 1997). Specifically, it is proposed that cortisol functions as an antistress hormone that counters a series of biological reactions initiated by a stressful event. Consequently, reduced cortisol in the acute phase may contribute to dysfunctional elevated arousal. 2 present an integrative model of ASD that addresses the available evidence concerning ASD and its relationship to PTSD (Harvey & Bryant, 1999b).

The major independent predictors of PTSD at 6 months posttrauma were shame and anger with others, and when baseline symptom severity was controlled for, shame alone predicted PTSD. BIOLOGICAL PROCESSES In recent years, there has been increasing attention to biological processes that can mediate acute stress reactions. A major line of research has implicated elevated arousal in the acute phase as a primary mediator of subsequent PTSD. , 1998). Similarly, we found that heart rates obtained before people were discharged from a hospital after a motor vehicle accident were significantly higher in those who later developed PTSD than those who did not (Bryant, Harvey, Guthrie, & Moulds, in press).

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