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Returning to the scene of the trauma in PTSD treatment – why, how and when?

Published online by Cambridge University Press:  09 November 2015

Hannah Murray ,
Christopher Merritt  and
Nick Grey
Hannah Murray*
Affiliation:
Traumatic Stress Service, South-West London and St Georges NHS Trust, London, UK
Christopher Merritt
Affiliation:
Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
Nick Grey
Affiliation:
Centre for Anxiety Disorders and Trauma, South London and Maudsley NHS Foundation Trust, London, UK
*
*Author for correspondence: Dr H. Murray, Traumatic Stress Service, South-West London and St Georges NHS Trust, London, UK (email: [email protected]).
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Abstract

Returning to the scene of the trauma is often recommended as part of trauma-focused cognitive-behavioural therapies for post-traumatic stress disorder (PTSD). Many clinicians avoid site visits due to lack of confidence or practical constraints; however, recent research suggests this is a valuable part of treatment. This article summarizes a rationale for including the site visit as part of cognitive therapy for PTSD, as well as the main considerations about when to carry it out in treatment. A practical framework for planning and implementing site visits is described.

Keywords

Cognitive behaviour therapy (CBT)post-traumatic stress disorder (PTSD)site visittraumatraumatic stress
Type
Practice article
Information
the Cognitive Behaviour Therapist , Volume 8 , 2015 , e28
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2015 

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References

Recommended follow-up reading

Ehlers, A, Clark, DM, Hackmann, A, McManus, F, Fennell, M (2005). Cognitive therapy for posttraumatic stress disorder: development and evaluation. Behaviour Research and Therapy 43, 413–431.CrossRefGoogle ScholarPubMed
Grey, N, McManus, F, Hackmann, A, Clark, DM, Ehlers, A (2009). Intensive cognitive therapy for post-traumatic stress disorder: case studies. In: A Casebook of Cognitive Therapy for Traumatic Stress Reactions (ed. Grey, N.), pp. 111–130. Hove: Routledge.Google Scholar
Murray, H, Merritt, C, Grey, N (2015). Clients’ experiences of returning to the trauma site during PTSD treatment: an exploratory study. Behavioural and Cognitive Psychotherapy 43, 1–11.Google Scholar

References

Becker, CB, Zayfert, C, Anderson, E (2004). A survey of psychologists’ attitudes towards and utilization of exposure therapy for PTSD. Behaviour Research and Therapy 42, 277–292.Google Scholar
Ehlers, A, Clark, DM (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy 38, 319–345.CrossRefGoogle ScholarPubMed
Ehlers, A, Clark, DM, Hackmann, A, McManus, F, Fennell, M, Herbert, C, Mayou, R (2003). A randomized controlled trial of cognitive therapy, a self-help booklet, and repeated assessments as early interventions for PTSD. Archives of General Psychiatry 60, 1024–1032.Google Scholar
Ehlers, A, Clark, DM, Hackmann, A, McManus, F, Fennell, M (2005). Cognitive therapy for posttraumatic stress disorder: development and evaluation. Behaviour Research and Therapy 43, 413–431.Google Scholar
Ehlers, A, Grey, N, Wild, J, Stott, R, Liness, S, Deale, A, Handley, R, Albert, I, Cullen, D, Hackmann, A, Manley, J, McManus, F, Brady, F, Salkovskis, P, Clark, DM (2013). Implementation of cognitive therapy for PTSD in routine clinical care: effectiveness and moderators of outcome in a consecutive sample. Behaviour Research and Therapy 51, 742–752.Google Scholar
Ehlers, A, Hackmann, A, Grey, N, Wild, J, Liness, S, Albert, I, Deale, A, Stott, R, Clark, DM (2014). A randomized controlled trial of 7-day intensive and standard weekly cognitive therapy for PTSD and emotion-focused supportive therapy. American Journal of Psychiatry 171, 294–304.Google Scholar
Foa, E, Hembree, E, Rothbaum, BO (2007). Prolonged Exposure Therapy for PTSD: Emotional Processing of Traumatic Experiences, Therapist Guide. Oxford: Oxford University Press.Google Scholar
Foa, EB, Rothbaum, BO (1998). Treating the trauma of rape. Cognitive Behavior Therapy for PTSD. New York: Guilford.Google Scholar
Grey, N, McManus, F, Hackmann, A, Clark, DM, Ehlers, A (2009). Intensive cognitive therapy for post-traumatic stress disorder: case studies. In: A Casebook of Cognitive Therapy for Traumatic Stress Reactions (ed. Grey, N.), pp. 111–130. Hove: Routledge.Google Scholar
Jones, RSP, Banks, R (2007). Behavioural treatment of PTSD in a person with Intellectual Disability. European Journal of Behaviour Analysis, 8, 251–256.Google Scholar
Murray, H, Merritt, C, Grey, N (2015). Clients’ experiences of returning to the trauma site during PTSD treatment: an exploratory study. Behavioural and Cognitive Psychotherapy 43, 1–11.Google Scholar
Tolin, DF, Foa, EB (1999). Treatment of a police officer with PTSD using prolonged exposure. Behavior Therapy 30, 527–538.Google Scholar
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