레이블이 Psychotherapy Techniques인 게시물을 표시합니다. 모든 게시물 표시
레이블이 Psychotherapy Techniques인 게시물을 표시합니다. 모든 게시물 표시

2013년 11월 27일 수요일

About 'phd in psychotherapy'|An Interview With Psychotherapist Louis Breger, Author Of "Psychotherapy: Lives Intersecting" - Part 1 (Norman Costa)







About 'phd in psychotherapy'|An Interview With Psychotherapist Louis Breger, Author Of "Psychotherapy: Lives Intersecting" - Part 1 (Norman Costa)








Post-Traumatic               Stress               Disorder               is               a               severe               psychological               condition               some               individuals               develop               after               witnessing               or               experiencing               a               traumatic               event.

Recent               research               has               shown               that               using               MDMA               (also               know               as               ecstasy)               in               conjunction               with               therapy               can               help               reduce               the               symptoms               of               Post-Traumatic               Stress               Disorder               in               those               suffering               from               it.

Rick               Doblin               PhD.,               based               in               Massachusetts,               Michael               Mithoefer               M.D.,               a               South               Carolina-based               psychiatrist,               and               colleagues               conducted               a               study               with               20               participants               who               had               suffered               from               Post-Traumatic               Stress               Disorder               (PTSD)               on               average               for               over               19               years.

Each               participant               in               the               study               was               required               to               have               tried               psychotherapy               and               psychopharmacology               for               his               or               her               PTSD               symptoms               and               both               types               of               treatment               must               have               failed               to               have               worked               to               improve               his               or               her               symptoms               significantly.

It               is               important               to               note               that               the               purpose               of               using               MDMA               was               to               temporarily               increase               trust               while               reducing               fear               and               without               inhibiting               painful               emotions,               which               allows               individuals               to               process               emotions               that               come               up               in               psychotherapy               for               PTSD.
               In               the               study,               12               participants               were               randomly               assigned               to               receive               MDMA               and               psychotherapy               for               the               treatment               of               PTSD               while               eight               participants               received               a               placebo               and               psychotherapy.

Each               individual               underwent               two               eight-hour               psychotherapy               sessions               3-5               weeks               apart,               with               some               receiving               MDMA               before               each               of               these               sessions               occurred.

Additionally,               each               participant               in               the               study               received               weekly               psychotherapy               sessions               both               before               and               after               each               day-long               therapy               session.
               An               independent               tester,               who               was               not               aware               which               participants               received               MDMA               versus               placebo               measured               each               individual's               PTSD               symptoms               utilizing               a               PTSD               scale.

Each               participant's               symptoms               were               assessed               at               baseline,               four               days               after               each               day-long               psychotherapy               session,               and               two               months               after               the               second               day-long               therapy               session               occurred.
               The               researchers               discovered               that               10               of               the               12               individuals               who               received               MDMA               in               conjunction               with               therapy               experienced               significant               improvement               in               their               PTSD               symptoms.

In               fact,               the               three               individuals               participating               in               the               study               who               stated               they               could               not               work               due               to               their               PTSD               symptoms               at               the               beginning               of               the               study               were               all               working               at               the               end               of               the               study.

On               the               other               hand,               only               two               of               the               participants               who               received               the               placebo               experienced               significant               improvement               in               their               symptoms.
               Furthermore,               after               the               two-month               follow-up               was               completed,               those               who               had               initially               received               the               placebo               were               offered               therapy               with               MDMA.

Seven               out               of               the               eight               participants               in               the               placebo               group               decided               to               try               MDMA               in               conjunction               with               therapy,               and               attained               similar               improvements               to               those               seen               in               individuals               who               initially               received               MDMA               assisted               psychotherapy.
               It               is               also               important               to               note               that               individuals               who               received               MDMA               during               the               study               did               not               experience               any               severe               adverse               events               from               the               drug.

In               addition,               the               researchers               indicate               the               participants               did               not               experience               any               clinically               significant               increases               in               temperature               or               blood               pressure               or               experience               any               adverse               neurocognitive               effects.
               This               research               may               have               clinical               significance               for               individuals               suffering               from               PTSD               in               the               future.

Individuals               can               develop               Post-Traumatic               Stress               Disorder               after               experiencing               or               witnessing               a               traumatic               event,               such               as               a               natural               disaster,               rape,               car               accident,               war,               and               domestic               violence.

During               the               event,               the               individual               felt               intense               helplessness,               horror,               or               fear,               and               the               event               posed               an               actual               or               threatened               serious               injury,               death,               or               physical               harm               to               oneself               or               others.
               According               to               the               National               Center               for               PTSD,               individuals               suffering               from               this               condition               may               experience               a               number               of               symptoms               that               interfere               with               their               lives.

An               individual               may               feel               as               if               he               or               she               is               reliving               the               traumatic               event               through               flashbacks               or               hallucinations,               experience               physiological               and/or               psychological               reactions               to               internal               or               external               stimuli               that               symbolize               some               part               of               the               traumatic               event,               experience               intrusive               images,               perceptions,               and/or               thoughts               of               the               event,               and/or               have               recurring               nightmares               or               dreams               of               the               trauma.

Individuals               who               suffer               with               PTSD               also               experience               avoidance               symptoms,               such               as               avoiding               conversations,               feelings,               and               thoughts               associated               with               the               event,               diminished               participation               or               interest               in               one's               usual               activities,               an               inability               to               experience               a               variety               of               emotions,               avoiding               places,               people,               and/or               activities               that               remind               them               of               the               trauma,               feeling               detached               from               other               people,               an               inability               to               remember               an               important               part               of               the               trauma,               and/or               possesses               a               sense               that               they               have               a               foreshortened               future.
               Hyperarousal               symptoms               are               also               seen               in               individuals               suffering               from               Post-Traumatic               Stress               Disorder.

These               symptoms               include               concentration               difficulties,               sleeping               difficulties,               an               exaggerated               startle               response,               outbursts               of               anger               or               irritability,               and/or               hypervigilance.

An               individual               is               diagnosed               with               PTSD               when               he               or               she               exhibits               symptoms               for               the               duration               of               one               month               or               longer.

In               addition,               the               symptoms               significantly               interfere               with               one's               work,               academic,               and/or               social               life.
               PTSD               can               be               a               debilitating               condition,               which               may               affect               those               who               have               witnessed               or               experienced               a               traumatic               event.

While               this               study               was               quite               small,               it               may               lead               to               new               research,               which               could               further               support               using               MDMA               (ecstasy)               in               conjunction               with               psychotherapy               for               the               treatment               of               PTSD.
               Sources:
               Psych               Central:               MDMA               May               Have               Role               in               Treatment               of               PTSD:               
               http://psychcentral.com/news/2010/07/20/mdma-may-have-role-in-treatment-of-ptsd/15778.html
               United               States               Department               of               Veterans               Affairs:               National               Center               for               PTSD:               DSM-IV-TR               Criteria               for               PTSD:               
               http://www.ptsd.va.gov/professional/pages/dsm-iv-tr-ptsd.asp






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