A collection of the most important writings on understanding and treating PTSD Essential Papers on Post Traumatic Stress Disorder collects the most important writings on the comprehension and treatment of Post Traumatic Stress Disorder. Editor Mardi J. Horowitz provides a concise and illuminating introductory essay on the evolution of our understanding of Post Traumatic Stress Disorder, and establishes the conceptual framework and terminology necessary to understand the disorder. The collected essays which follow provide a rich and comprehensive take on the complexity of Post Traumatic Stress Disorder, illuminating such issues as the variety of individual and cultural responses, the roles of pre- and post-traumatic causative forces, and the fluctuating complexities of diagnostic categories. Divided into sections addressing the broad topics of diagnosis, etiology, and treatment, Essential Papers on Post Traumatic Stress Disorder combines classic essays with more challenging and controversial approaches. Contributors include Sigmund Freud, Erich Lindemann, Leo Eitinger, Carol C. Nadelson, Malkah T. Notman, Hannah Zackson, Janet Gornick, Bonnie L. Green, Mary C. Grace, Jacob D. Lindy, James L. Titchener, Joanne G. Lindy, Lenore C. Terr, Rosemarie Galante, Dario Foa, Edna B. Foa, Barbara Olasov Rothbaum, David S. Riggs, Tamara B. Murdock, James H. Shore, Ellie L. Tatum, William M. Vollmer, Roger K. Pittman, Scott P. Orr, Dennis F. Forgue, Bruce Altman, Jacob B. de Jong, Lawrence R. Herz, Judith Lewis Herman, Rachel Yehuda, Alexander McFarlane, Frank W. Putnam, Robert Jay Lifton, Eric Olson, Nancy Wilner, Nancy Kaltrider, William Alvarez, Michael R. Trimble, Epstein, Terence M. Keane, Rose T. Zinering, Juesta M. Caddell, John H. Krystal, Thomas R. Kosten, Steven Southwick, John W. Mason, Bruce D. Perry, Earl L. Giller, David Spiegel, Thurman Hunt, Harvey E. Dondershire, Bessel A. van der Kolk, Peter J. Lang, Robert S. Pynoos, Spencer Eth, Matthew J. Friedman, Francine Shapiro, John P. Wilson, Jacob D. Lindy, I. Lisa McCann, and Laurie Anne Pearlman.

Post-traumatic stress disorder is a psychiatric illness that can occur in anyone who has experienced a life-threatening or violent event. The trauma can be due to war, terrorism, torture, natural disasters, violence, or rape. In PTSD the brain areas that are likely to be affected are the hippocampus (memory), amygdala (fear association), the prefrontal cortex (cognitive processing), and the ascending reticular activating system (arousal). The chemical of interest is norepinephrine, which is released during a stressful event and is part of the fight-or-flight response meant to mobilize the body to action.The objective of this title is to outline the neurobiology of post-traumatic stress disorder and provide treatment strategies for clinicians. The chapter material from this book has evolved from a seminar on PTSD held recently under the auspices of the VA Boston Healthcare System, Boston University Medical Center and Harvard Medical School. We propose a book that will focus on the epidemiology, neurobiology, MRI studies, animal models, arousal and sleep issues, clinical trials, and treatment strategies for clinicians. Treatment will cover such topics as guidelines for treating posttraumatic stress disorder, PTSD and the use of mental health services, cognitive intervention therapy, and large scale clinical trials in PTSD. This collection will be a vital source of information to clinicians and neuroscientists.

A collection of the most important writings on understanding and treating PTSD Essential Papers on Post Traumatic Stress Disorder collects the most important writings on the comprehension and treatment of Post Traumatic Stress Disorder. Editor Mardi J. Horowitz provides a concise and illuminating introductory essay on the evolution of our understanding of Post Traumatic Stress Disorder, and establishes the conceptual framework and terminology necessary to understand the disorder. The collected essays which follow provide a rich and comprehensive take on the complexity of Post Traumatic Stress Disorder, illuminating such issues as the variety of individual and cultural responses, the roles of pre- and post-traumatic causative forces, and the fluctuating complexities of diagnostic categories. Divided into sections addressing the broad topics of diagnosis, etiology, and treatment, Essential Papers on Post Traumatic Stress Disorder combines classic essays with more challenging and controversial approaches. Contributors include Sigmund Freud, Erich Lindemann, Leo Eitinger, Carol C. Nadelson, Malkah T. Notman, Hannah Zackson, Janet Gornick, Bonnie L. Green, Mary C. Grace, Jacob D. Lindy, James L. Titchener, Joanne G. Lindy, Lenore C. Terr, Rosemarie Galante, Dario Foa, Edna B. Foa, Barbara Olasov Rothbaum, David S. Riggs, Tamara B. Murdock, James H. Shore, Ellie L. Tatum, William M. Vollmer, Roger K. Pittman, Scott P. Orr, Dennis F. Forgue, Bruce Altman, Jacob B. de Jong, Lawrence R. Herz, Judith Lewis Herman, Rachel Yehuda, Alexander McFarlane, Frank W. Putnam, Robert Jay Lifton, Eric Olson, Nancy Wilner, Nancy Kaltrider, William Alvarez, Michael R. Trimble, Epstein, Terence M. Keane, Rose T. Zinering, Juesta M. Caddell, John H. Krystal, Thomas R. Kosten, Steven Southwick, John W. Mason, Bruce D. Perry, Earl L. Giller, David Spiegel, Thurman Hunt, Harvey E. Dondershire, Bessel A. van der Kolk, Peter J. Lang, Robert S. Pynoos, Spencer Eth, Matthew J. Friedman, Francine Shapiro, John P. Wilson, Jacob D. Lindy, I. Lisa McCann, and Laurie Anne Pearlman.

The nosological roots of post-traumatic stress disorder (PTSD) may be traced back to th~American Psychiatric Association's DSM-I entry of gross stress reaction, as published in 1952. Yet the origins of the current enthusi asm with regard to post-traumatic stress can be traced back to 1980, which marked the emergence of the term post-traumatic stress disorder in the DSM III. This reflected the American Psychiatric Association's acknowledgment of post-traumatic stress as a discrete, phenomenologically unique, and reli able psychopathological entity at a time in American history when such recognition had important social, political, and psychiatric implications. Clearly, prior to DSM-I the lack of a generally accepted terminology did little to augment the disabling effects that psychological traumatization could engender. Nor did the subsequent provision of an official diagnostic label alone render substantial ameliorative qualities. Nevertheless, the post Vietnam DSM-III recognition of PTSD did herald a dramatic increase in research and clinical discovery. The American Red Cross acknowledged the need to establish disaster mental health services, the American Psychological Association urged its members to form disaster mental health networks, and the Veterans Administration established a national study center for PTSD.

PTSD is in no way an easy diagnosis for the patient, the provider, or the therapist. It is a diagnosis developed at the border of our capacity to handle extreme stress, a marker diagnosis denoting the limits of our capacity for functioning in the stress of this modern world. For both individuals and society, PTSD marks the limits of our available compassion and our capacity to protect ourselves from the dangers of the environment and other humans. PTSD is often a chronic disease, forming at a place where mind sometimes no longer equals the brain, a point at which individual patient requirements often trump theory and belief. There are treatments for PTSD that work, and many that do not. This book presents evidence, rather than theory, anecdote, or case report. Psychological approaches including prolonged exposure, imagery rehearsal therapy and EMDR have a greater than 75% positive short-term response when used to treat PTSD. Yet these treatments vary markedly and have different, even contradictory underlying theory and objectives for treatment. Medications, rarely indicated as primary therapy, can be used to treat symptoms and address comorbid PTSD diagnoses. Treatment of sleep apnea in the PTSD population produces a positive effect on symptoms and a reduction in morbidity and mortality across the span of life. Complementary treatments offer the many individuals chronically affected by PTSD assistance in coping with symptoms and opportunities to attempt to functionally integrate their experience of trauma.

This volume brings together the leaders in the field of PTSD research to present an up-to-date summary and understanding of this complex disorder. All of our current knowledge and controversies concerning the diagnosis, epidemiology, course, pathophysiology and treatment are described in detail. The evidence for efficacy for each of the different forms of psychotherapy and pharmacotherapy is reviewed. Particular attention is paid to at-risk groups, including minorities, and coverage of PTSD throughout the world is reviewed as well. The authors present state-of-the-art findings in genetics, epigenetics, neurotransmitter function and brain imaging to provide the most current and comprehensive review of this burgeoning field.