Cognitive–behavior therapy for PTSD in rape survivors
- 1 July 2002
- journal article
- research article
- Published by Wiley in Journal of Clinical Psychology
- Vol. 58 (8), 891-906
- https://doi.org/10.1002/jclp.10065
Abstract
In recent years, new data have appeared, further suggesting the utility of cognitive–behavioral interventions for posttraumatic stress disorder (PTSD) subsequent to sexual assault. In this article, we present a model of cognitive–behavioral treatment (CBT) for PTSD in rape survivors. Emotional-processing theory, which proposes mechanisms that underlie the development of disturbances following rape, is reviewed. A CBT-based therapy (Prolonged Exposure) is presented that entails education about common reactions to trauma, relaxation training, imaginal reliving of the rape memory, exposure to trauma reminders, and cognitive restructuring. Current research regarding the use of prolonged exposure is discussed. The case example of a young female rape survivor is described in detail, and her prior substance dependence and intense shame are highlighted. The therapy was successful in reducing the client's symptoms of PTSD, as well as her depressive symptoms, and these gains were maintained at a one-year follow-up assessment. © 2002 Wiley Periodicals, Inc. J Clin Psychol/In Session 58: 891–906, 2002.Keywords
This publication has 5 references indexed in Scilit:
- A comparison of exposure therapy, stress inoculation training, and their combination for reducing posttraumatic stress disorder in female assault victims.Journal of Consulting and Clinical Psychology, 1999
- Influence of emotional engagement and habituation on exposure therapy for PTSD.Journal of Consulting and Clinical Psychology, 1998
- Obstacles in Implementing Exposure Therapy for PTSD: Case Discussions and Practical SolutionsClinical Psychology & Psychotherapy, 1996
- Posttraumatic Stress Disorder in the National Comorbidity SurveyArchives of General Psychiatry, 1995
- A prospective examination of post‐traumatic stress disorder in rape victimsJournal of Traumatic Stress, 1992