By Richard A. Bryant
Acute pressure sickness: A instruction manual of concept, evaluation, and remedy is the 1st complete medical textual content on Acute pressure disease (AS D) on the grounds that its 1994 creation into DSM-IV as a diagnostic type. A uthors Richard A. Bryant and Allison G. Harvey define the explanation a nd suggestions to avoid the improvement of PTSD by means of picking and tr consuming people with ASD. Drawing from their pioneering medical and rese arch event, they assessment the underlying theoretical matters, then p resent a step by step advisor to assessing and treating ASD, and element the systems for utilizing cognitive habit treatment to regard ASD. The authoritative e-book is a must-read for educational and medical psychologi sts, psychiatrists, and different psychological well-being pros operating with sufferers of trauma.
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Extra info for Acute Stress Disorder: A Handbook of Theory, Assessment, and Treatment
These findings agree with previous reports of cognitive bias in other anxiety disorders (Butler & Mathews, 1983; Foa, Franklin, Perry, & Herbert, 1996). , 1996). In contrast, trauma survivors with ASD display exaggerated estimates about threats pertaining to external harm, somatic sensations, and social situations (Smith & Bryant, in press). , 1989). A study with a similar focus assessed 157 crime victims within 1 month of the trauma and then again 6 months later (Andrews, Brewin, Rose, & Kirk, 1998).
Criterion E: Arousal The ASD diagnosis requires that arousal symptoms be present for at least 2 days after the trauma. Whereas the diagnosis of PTSD requires that HOW TO DIAGNOSE 47 at least two arousal symptoms be evident, the ASD diagnosis requires only marked arousal. Arousal symptoms may include restlessness, insomnia, hypervigilance, concentration difficulties, and irritability. The definition of marked arousal suffers from the same ambiguity as the loosely defined avoidance criterion. Considering that most trauma survivors experience arousal symptoms in the acute trauma phase (Cardefia & Spiegel, 1993; Feinstein, 1989; Sloan, 1988; Titchener & Kapp, 1976) and that there is evidence that most arousal symptoms remit in the initial weeks after a trauma (Cardeiia & Spiegel, 1993), the probability of overdiagnosis of arousal is high.
Timing of Assessment Although the diagnosis of ASD can be made after 2 days following a traumatic event, several issues should be considered in determining the HOW TO DIAGNOSE 55 optimal time for assessment. , 1996). Consequently, assessing a trauma survivor 2 days after the stressor may result in diagnostic decisions that would not have been made if the assessment had been conducted a week later. Second, the clinician should determine that the traumatic event has ceased before deciding to assess for ASD.