Skip to main content

Diagnosis and Phase-Oriented Treatment of Post-Traumatic Stress Disorder

  • Chapter

Part of the book series: The Springer Series on Stress and Coping ((SSSO))

Abstract

During the past decade, there has been increasing research and clinical interest in the diagnostic entity of post-traumatic stress disorder. A number of factors have contributed to interest in the phenomenology of traumatic reactions to stress. Publication of the DSM-III criteria for this disorder (American Psychiatric Association Press, 1980), systematic studies of the long-term consequences of exposure to traumatic events in war (Egendorf, Kadushin, Laufer, Rothbart, & Sloan, 1981; Figley, 1978; Laufer, Yager, Frey-Wouters, & Doneallan, 1981; Sonnenberg, Blank, & Talbot, 1985; Wilson, 1987), advances in the understanding and treatment of stress disorders in civilian populations (Horowitz, 1986; Horowitz, Marmar, Weiss, DeWitt, & Rosenbaum, 1984; Marmar, Horowitz, Weiss, Wilner, & Kaltreider, 1988), research on the effects of psychic trauma in children (Frederick, 1984; Terr, 1983), and advances in the measurement of post-traumatic stress disorder (Keane, Malloy, & Fairbank, 1984; Horowitz, Wilner, & Alvarez, 1979; Malloy, Fairbank, & Keane, 1983; Weiss, Horowitz, & Wilner, 1984; Wilson & Krauss, 1985) have stimulated further inquiry.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • American Psychiatric Association (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: American Psychiatric Association Press.

    Google Scholar 

  • American Psychiatric Association (1987). Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: American Psychiatric Association Press.

    Google Scholar 

  • Archibald, H. C., & Tuddenham, R. D. (1965). Persistent stress reaction after combat: A 20-year follow-up. Archives of General Psychiatry, 12, 475–481.

    Article  PubMed  Google Scholar 

  • Archibald, H. C., Long, D. M., Miller, C., & Tuddenham, R. D. (1962). Gross stress reaction in combat—A 15-year follow-up. American Journal of Psychiatry, 119, 317–322.

    PubMed  Google Scholar 

  • Baker, G. W., & Chapman, D. W. (1962). Man and society in disaster. New York: Basic Books.

    Google Scholar 

  • Brett, E. A., Spitzer, R. L. & Ostroff, R. (1987). The DSM-III-R diagnostic criteria for post-traumatic stress disorder. American Journal of Psychiatry,.

    Google Scholar 

  • Brill, N. Q., & Beebe, G. W. (1955). A follow-up study of war neuroses. Washington DC: Veterans Administration Medical Monograph.

    Book  Google Scholar 

  • Brill, N. Q. (1967). Gross stress reactions II: Traumatic war neuroses. In A. M. Freedman & H. J. Kaplan (Eds.), Comprehensive textbook of psychiatry (pp. 1031–1035). Baltimore: Williams & Wilkens.

    Google Scholar 

  • Chodoff, P. (1970). German concentration camp as psychological stress. Archives of General Psychiatry, 22, 78–87.

    Article  PubMed  Google Scholar 

  • Cobb, S., & Lindemann, E. (1943). Neuropsychiatric observation after the Coconut Grove fire. Annals of Surgery, 117, 814–824.

    PubMed  Google Scholar 

  • Danieli, Y. (1982). Families of survivors of the Nazi Holocaust: Some short and long term effects. In C. Spielberger, N. Sarason, & N. Milgram (Eds.), Stress and anxiety (Vol. 8, pp. 405–423). New York: Hemisphere Publishing.

    Google Scholar 

  • Davis, D. (1966). An introduction to psychopathology. London: Oxford University Press.

    Google Scholar 

  • DeFazio, V.J. (1975). Vietnam era veteran: Psychological problems. Journal of Contemporarv Psychotherapy, 7, 9–15.

    Article  Google Scholar 

  • Eaton, W. W., Sigal, J. J., & Weinfeld, M. (1982). Impairment in Holocaust survivors after 33 years: Data from an unbiased community sample. American Journal of Psychiatry, 139, 773–777.

    PubMed  Google Scholar 

  • Egendorf, A., Kadushin, C., Laufer, R., Rothbart, S., & Sloan, L. (1981). Legacies of Vietnam: Comparative adjustment of veterans and their peers. Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Eitinger, L. (1969). Psychosomatic problems in concentration camp survivors. Journal of Psychosomatic Research, 13, 183–189.

    Article  PubMed  Google Scholar 

  • Fairbairn, W. R. (1952). War neuroses: Their nature and significance. Boston: Rutledge, Regents, & Paul.

    Google Scholar 

  • Figley, C. R. (Ed.). (1978). Stress disorders among Vietnam veterans: Theory, research and treatment. New York: Brunner/Mazel.

    Google Scholar 

  • Figley, C. R. (Ed.). (1985). Trauma and its wake: The study and treatment of post-traumatic stress disorder. New York: Brunner/Mazel.

    Google Scholar 

  • Figley, C. R., & Leventman, S. (Eds.). (1982). Strangers at home: Vietnam veterans since the war. New York: Praeger.

    Google Scholar 

  • Foreman, S. A., & Marmar, C. R. (1985). Therapist actions that address initially poor therapeutic alliances in psychotherapy. American Journal of Psychiatry, 142, 922–926.

    PubMed  Google Scholar 

  • Frederick, C. (1984). Effects of natural vs. human-induced violence upon victims. Evaluation and change. Minneapolis Medical Research Foundation, Inc./NIMH, Mental Health Services Development Branch. Special Issue: Services for the Survivor, 71-75.

    Google Scholar 

  • Freud, S. (1955). Beyond the pleasure principle (Standard ed., Vol. 17). London: Hogarth Press.

    Google Scholar 

  • Friedman, O., & Linn, W. (1957). Some psychiatric notes on the Andrea Doria. American Journal of Psychiatry, 114, 426–432.

    PubMed  Google Scholar 

  • Furst, S. S. (1967). Psychic trauma: A survey. In S. S. Furst (Ed.), Psychic trauma (pp. 3–50). New York: Basic Books.

    Google Scholar 

  • Gorer, G. (1965). Death, grief and morners in contemporary Britain. New York: Doubleday.

    Google Scholar 

  • Grinker, R. R., & Spiegel, J. P. (1945). Men under stress. Philadelphia: Blakiston.

    Book  Google Scholar 

  • Haley, S. A. (1974). When the patient reports atrocities. Archives of General Psychiatry, 30, 191–196.

    Article  PubMed  Google Scholar 

  • Hendin, H., & Haas, A. P. (1984). Post-traumatic stress disorders in veterans of early American wars. Psychohistory Review, 12, 25–30.

    PubMed  Google Scholar 

  • Hendin, H., Haas, A. P., Singer, P., Gold, F., & Trigos, G. O. (1983). The influence of pre-combat personality on post-traumatic stress disorder. Comprehensive Psychiatry, 24, 530–534.

    Article  PubMed  Google Scholar 

  • Hocking, T. (1970). Extreme environmental stress and its significance for psychopathology. American Journal of Psychotherapy, 24, 4–26.

    PubMed  Google Scholar 

  • Horowitz, M. J. (1986). Stress response syndromes (2nd ed.). New Jersey: Jason Aronson.

    Google Scholar 

  • Horowitz, M. J., & Solomon, G. F. (1975). A prediction of stress response syndromes in Vietnam veterans: Observations and suggestions for treatment. Journal of Social Issues, 314, 67–80.

    Article  Google Scholar 

  • Horowitz, M. J., & Solomon, G. F. (1978). A prediction of stress response syndromes in Vietnam veterans. In C. R. Figley (Ed.), Stress disorders among Vietnam veterans (pp. 67–80). New York: Brunner/Mazel.

    Google Scholar 

  • Horowitz, M. J., Wilner, N., & Alvarez, W. (1979). Impact of event scale: A study of subjective stress. Psychosomatic Medicine, 41, 3, 209–218.

    PubMed  Google Scholar 

  • Horowitz, M. J., Wilner, N., Kaltreider, N., & Alvarez, W. (1980). Signs and symptoms of post-traumatic disorders. Archives of General Psychiatry, 37, 85–92.

    Article  PubMed  Google Scholar 

  • Horowitz, M. J., Marmar, C., Weiss, D., DeWitt, K., & Rosenbaum, R. (1984). Brief psychotherapy of bereavement reactions. Archives of General Psychiatry, 41, 438–448.

    Article  PubMed  Google Scholar 

  • Horowitz, M. J., Marmar, C., Krupnick, J., Wilner, N., Kalteider, N., & Wallerstein, R. (1984). Personality styles and brief psychotherapy. New York: Basic Books.

    Google Scholar 

  • Kardiner, A., & Spiegel, H. (1947). War stress and neurotic illness. New York: Paul B. Hoeber, Inc.

    Google Scholar 

  • Keane, T., Malloy, P., & Fairbank, J. (1984). Empirical development of an MMPI subscale for the assessment of combat-related post-traumatic stress disorder. Journal of Consulting and Clinical Psychology, 52, 888–891.

    Article  PubMed  Google Scholar 

  • Kolb, L. C. (1982). Healing the wounds of Vietnam. Hospital and Community Psychiatry, 33, 877.

    PubMed  Google Scholar 

  • Kolb, L. C. (1983). Return of the repressed: Delayed stress reaction to war. Journal of the American Academy of Psychoanalysis, 11, 531–545.

    PubMed  Google Scholar 

  • Kolb, L. C. (1984). The post-traumatic stress disorders of combat: A subgroup with a conditioned emotional response. Military Medicine, 149, 237–243.

    PubMed  Google Scholar 

  • Krystal, H. (1968). Massive psychic trauma. New York: International Universities Press.

    Google Scholar 

  • Krystal, H. (1985). Trauma and the stimulus barrier. Psychoanalytic Inquiry, 5, Hillsdale, NJ: Analytic Press.

    Google Scholar 

  • Krystal, H., & Niederland, W. G. (1971). Psychic traumatization. International Psychiatric Clinics, 8, 11–28.

    Google Scholar 

  • Laufer, R. S., Yager, T., Frey-Wouters, E., & Doneallan, J. (1981). Post-war trauma: Social and psychological problems of Vietnam veterans in the aftermath of the Vietnam War. In A. Egendorf, C. Kadushin, R. S. Laufer, G. Rothbart, & L. Sloan (Eds.), Legacies of Vietnam (Vol. 3, pp. 19–44). Washington, DC: U.S. Government Printing Office.

    Google Scholar 

  • Lewis, N. D., & Engel, B. (1954). Wartime psychiatry. New York: Oxford University Press.

    Google Scholar 

  • Lidz, T. (1946). Psychiatric casualties from Guadalcanal: A study of reactions to extreme stress. Psychiatry, 9, 193–215.

    PubMed  Google Scholar 

  • Lifton, R. J. (1967). Death in life: Survivors of Hiroshima. New York: Random House.

    Google Scholar 

  • Lifton, R. J. (1976). Life of the self. New York: Touchstone Books.

    Google Scholar 

  • Malan, D. H. (1963). A study of brief psychotherapy. London: Tavistock.

    Google Scholar 

  • Malan, D. H. (1976). Toward the validation of dynamic psychotherapy. New York: Plenum Press.

    Book  Google Scholar 

  • Malloy, P., Fairbank, J., & Keane, T. (1983). Validation of a multimethod assessment of post-traumatic stress disorders in Vietnam veterans. Journal of Consulting and Clinical Psychology, 51, 488–494.

    Article  PubMed  Google Scholar 

  • Mann, J. (1973). Time limited psychotherapy. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Marmar, C. R., & Freedman, M. (in press). Brief dynamic therapy of post-traumatic stress disorder: Management of narcissistic regression. Journal of Traumatic Stress.

    Google Scholar 

  • Marmar, C. R., Horowitz, M. J., Weiss, D. S., Wilner, N., & Kaltreider, N. (1988). A controlled trial of brief psychotherapy and mutual help group treatment of conjugal bereavement. American Journal of Psychiatry, 145.

    Google Scholar 

  • Ostwald, P., & Bittner, E. (1968). Life adjustment after severe persecution. American Journal of Psychiatry, 124, 87–94.

    Google Scholar 

  • Parkes, C. M. (1964). Recent bereavement as a cause of mental illness. British Journal of Psychiatry, 110, 198–204.

    Article  PubMed  Google Scholar 

  • Popovic, M., & Petrovic, D. (1965). After the earthquake. Lancet, 2, 1169–1171.

    Google Scholar 

  • Shatan, C. (1973). The grief of soldiers: Vietnam combat veterans’ self-help movement. American Journal of Orthopsychiatry, 43, 640–653.

    Article  PubMed  Google Scholar 

  • Sifneos, P. (1972). Short-term psychotherapy and emotional crisis. Cambridge, MA: Harvard University Press.

    Google Scholar 

  • Sifneos, P. E. (1979). Short-term psychotherapy: Evaluation and technique. New York: Plenum Press.

    Book  Google Scholar 

  • Sonnenberg, S., Blank, A., & Talbott, R. (1985). War trauma and recovery from stress. Washington, DC: American Psychiatric Press.

    Google Scholar 

  • Terr, L. (1983). Chowchilla revisited: The effects of psychic trauma four years after a school-bus kidnapping. American Journal of Psychiatry, 140, 1543–1550.

    PubMed  Google Scholar 

  • Trimble, M. R. (1981). Post-traumatic neuroses. New York: Wiley.

    Google Scholar 

  • van der Kolk, B., Blitz, R., Burr, W., Sherry, S., & Hartman, E. (1984). Nightmares and trauma: A comparison of nightmares after combat with lifelong nightmares in veterans. American Journal of Psychiatry, 141, 187–190.

    PubMed  Google Scholar 

  • Weiss, D., Horowitz, M., & Wilner, N. (1984). Stress response rating scale: A clinician’s measure. British Journal of Clinical Psychology, 23, 202–215.

    Article  PubMed  Google Scholar 

  • Wilson, J. P. (1980). Conflict, stress and growth: Effects of war on psychosocial development among Vietnam veterans. In C. R. Figley & S. Leventman (Eds.), Strangers at home: Vietnam veterans since the war (pp. 123–166). New York: Praeger.

    Google Scholar 

  • Wilson, J. P. (1987). Understanding and treating the Vietnam veteran. In F. Ochberg (Ed.), Post-traumatic therapy. New York: Brunner/Mazel.

    Google Scholar 

  • Wilson, J. P., & Krauss, G. E. (1985). Predicting post-traumatic stress syndromes among Vietnam veterans. In P. Kelly (Ed.), Post-traumatic stress disorder and the war veteran patient. New York: Brunner/Mazel.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Springer Science+Business Media New York

About this chapter

Cite this chapter

Marmar, C.R., Horowitz, M.J. (1988). Diagnosis and Phase-Oriented Treatment of Post-Traumatic Stress Disorder. In: Wilson, J.P., Harel, Z., Kahana, B. (eds) Human Adaptation to Extreme Stress. The Springer Series on Stress and Coping. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-0786-8_4

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-0786-8_4

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-0788-2

  • Online ISBN: 978-1-4899-0786-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics