Cognitive-Behavior and Expressive Arts Strategies Applied to the Treatment of PTSD: A Review of Clinical Reports
DOI:
https://doi.org/10.18533/jah.v10i07.2142Keywords:
Post-traumatic stress disorder;, psychotherapeutic strategies;, expressive arts strategies;, cognitive-behavior model of learning;, analytical psychologyAbstract
Post-traumatic stress disorder (PTSD) is a highly prevalent psychopathological condition that may develop after exposure to a single or to a series of threatening or traumatic events. In the absence of treatment, its course can be chronic causing significant distress. In this sense, psychotherapeutic interventions would allow for the relief of some symptoms with the improvement of one’s cognitive and behavior functioning. The aim of the present study was to identify, through a review of clinical reports, the choice of strategies made by psychologists and/or other health professionals for the psychotherapeutic treatment of PTSD. A review of clinical reports published in journals indexed in the Online Library of Knowledge (B-on) was carried out following specific criteria. Twenty-two publications that met the inclusion criteria were identified and the results pointed to the presence of strategies in line with the principles of the cognitive-behavior model of learning and/or with the analytical psychology. The present narrative review of the literature provides a clear picture of choices being made, in terms of specific approaches and derived strategies, in the field of psychological clinical practice.
References
American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). Washington, DC: American Psychiatric Publishing.
Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond (2nd ed.). New York: Guilford Press. ISBN 978-1-60918-504-6
Benuto, L. T., & Bennett, N. (2019). Written exposure therapy: The case for Latinos. Clinical Case Studies, 18(3), 1-10. doi: 10.1177/1534650119834359
Bergeron, M. A. Y. (2017). Factors that support the use of child-parent Psychotherapy as an intervention for child-parent dyads exposed to pediatric medical traumatic stress. Clinical Social Work Journal, 45(1), 77-87. doi: 10.1007/s10615-016-0585-2
Bertelli, R. (2017a). The effects of expressive arts on the evoking of automatic thoughts during the training at a graduate level of personal and professional development of cognitive-behavioural clinical psychologists: A qualitative study. Review of Arts and Humanities, 6(1), 7-11. Retrieved: http://rah-net.com/journals/rah/Vol_6_No_1_June_2017/2.pdf
Bertelli, R. (2017b). The generative process of professional and personal development of cognitive-behavioural clinical psychologists in training through the inclusion of strategies of expressive arts: A qualitative analysis and comparison. Journal of Arts & Humanities, 6(8), 37-46. Retrieved: https://theartsjournal.org/index.php/site/article/view/1244/600
Bertelli, R. (2019). The Application of an Expressive Arts Activity for the very First Session of Training of Personal and Professional Development of Cognitive-Behavioural Clinical Psychologists: Cognitive Content as Proxy Data to Study Core Beliefs. Advances in Social Sciences Research Journal, 6(7), 599-605.
Retrieved: https://journals.scholarpublishing.org/index.php/ASSRJ/article/view/6841/4361
Carneiro, J. M., & Bertelli, R. (2021). Psychotherapeutic Treatments to Relieve the Symptoms of Obsessive-Compulsive Disorder (OCD): A Review of Clinical Reports. Advances in Social Sciences Research Journal, 8(5), 643-666.
Retrieved: https://drive.google.com/file/d/1ngXKoMV-vev0sucv6WnzrfwtHaENahuM/view
Carpenter, J. K., Andrews, L. A., Witcraft, S. M., Powers, M. B., Smits, J. A. J., & Hoffmann, S. G. (2018). Cognitive behavioral therapy for anxiety and related disorders: A meta-analysis of randomized placebo-controlled trials. Depression and Anxiety, 35(6), 1-13. doi: 10.1002/da.22728
Carrigan, N., & Allez, K. (2017). Cognitive behaviour therapy for posttraumatic stress disorder in a person with an autism spectrum condition and intellectual disability: A case study. Journal of Applied Research in Intellectual Disabilities, 30(2), 326-335. doi: 10.1111/jar.12243
CISCO (2020). What is a VPN? Virtual Private Network. Retrieved: https://www.cisco.com/c/en/us/products/security/vpn-endpoint-security-clients/whatis-vpn.html
Conley, S., Faleer, H., & Wu, K. (2018). Integrating treatments for hd and PTSD: A clinical report. Clinical Case Studies, 17(5), 366-383. doi: 10.1177/1534650118793943
Feduccia, A. A., Jerome, L., Klosinski, B., Emerson, A., Mithoefer, M. C., & Doblin, R. (2019). Breakthrough for trauma treatment: safety and efficacy of mdma-assisted psychotherapy compared to paroxetine and sertraline. Frontiers in Psychiatry, 10, 650. doi: 10.3389/fpsyt.2019.00650
Gielkens, E. M. J., van Alphen, B., Sobczak, S., & Segal, D. L. (2014). Brief eclectic psychotherapy for an older dutch woman with late-onset posttraumatic stress disorder complicated by a cerebral vascular accident. Clinical Case Studies, 13(5), 423-435. doi: 10.1177/1534650113517933
Gielkens, E., Vink, M., Sobcazk, S., Rosowsky, E., & Van Alphen, B. (2018). EMDR in older adults with posttraumatic stress disorder. Journal of EMDR Practice and Research, 12(3), 132-141. doi: 10.1891/1933-3196.12.3.132
Gurak, K. K., Freund, B., & Ironson, G. (2016). The use of both prolonged exposure and cognitive processing therapy in the treatment of a person with PTSD, multiple traumas, depression, and suicidality. Clinical Case Studies, 15(4), 1-18. doi: 10.1177/1534650116641214
Harris, D. A. (2009). The paradox of expressing speechless terror: Ritual liminality in the creative arts therapies’ treatment of posttraumatic distress. The Arts in Psychotherapy, 36, 94-104.
Haviland, M. G., Banta, J. E., Sonne, J. L., & Przekop, P. (2016). Posttraumatic stress disorder–related hospitalizations in the united states (2002–2011): Rates, co-occurring illnesses, suicidal ideation/self-harm, and hospital charges. The Journal of Nervous and Mental Disease, 204(2), 78-86. doi: 10.1097/NMD.0000000000000432
Hodges, L. J., Walker, J., Kleiboer, A. M., Ramírez, A. J., Richardson, A., Velikova, G., & Sharpe, M. (2011). What is a psychological intervention? A metareview and practical proposal. Psycho-Oncology, 20, 470-478. doi: 10.1002/pon.1780
Jakobsen, M., Demott, M. A., & Heir, T. (2014). Prevalence of psychiatric disorders among unaccompanied asylum-seeking adolescents in Norway. Clinical Practice and Epidemiology in Mental Health, 10, 53-58. doi: 10.2174/1745017901410010053
Jansen, J. E., & Morris, E. M. J. (2017). Acceptance and commitment therapy for posttraumatic stress disorder in early psychosis: A case series. Cognitive and Behavioral Practice, 24(2), 187-199. doi: 10.1016/j.cbpra.2016.04.003
Jensen, T. K., Fjermestad, K. W., Granly, L., & Wilhelmsen, N. H. (2015). Stressful life experiences and mental health problems among unaccompanied asylum-seeking children. Clinical Child Psychology and Psychiatry, 20(1), 106-116. doi: 10.1177/1359104513499356
Jørgensen, I. M., Cantio, C., & Elklit, A. (2019). Trauma-focused cognitive behavioral therapy with a 6-year-old boy. Clinical Case Studies, 18(6), 1-16. doi: 10.1177/1534650119879508
Jung, C. G. (1953-71). The collected works of C. G. Jung (H. Read, M. Fordham, & G. Adler, Eds.). London: Routledge & Pinceton, NJ: Princeton University Press.
Katsounari, I. (2015). Narrative exposure therapy for treating PTSD with psychotic features: A case study. Clinical Case Studies, 14(5), 342-356. doi: 10.1177/1534650114559831
Kazdin, A. E. & Rabbitt, S. M. (2013). Novel models for delivering mental health services and reducing the burdens of mental illness. Clinical Psychological Science, 1(2), 170-191. doi: 10.1177/2167702612463566
Kip, K. E., Shuman, A., Hernandez, D. F., Diamond, D. M., & Rosenzweig, L. (2014). Case report and theoretical description of accelerated resolution therapy (art) for military related post-traumatic stress disorder. Military Medicine, 179(1), 31-37. doi: 10.7205/MILMED-D-13-00229
Luedtke, B., Davis, L., & Monson, C. (2015). Mindfulness-based cognitive-behavioral conjoint therapy for posttraumatic stress disorder: A case study. Journal of Contemporary Psychotherapy, 45(4), 227-234. doi: 10.1007/s10879-015-9298-z
Mahr, F., McLachlan, N., Friedberg, R. D., Mahr, S., & Pearl, A. M. (2015). Cognitivebehavioral treatment of a second-generation child of pakistani descent: Ethnocultural and clinical considerations. Clinical Child Psychology, 20(1), 134-147. doi: 10.1177/1359104513499766
McCarthy, E., & Cook, J. M. (2018). Using prolonged exposure with an older male u.s. veteran with childhood sexual abuse-related PTSD. Clinical Case Studies, 18(2), 1-13. doi: 10.1177/1534650118819140
Mørkved, N., & Thorp, S. R. (2018). The treatment of PTSD in an older adult norwegian woman using narrative exposure therapy: a case report. European Journal of Psychotraumatology, 9(1), 1-5. doi: 10.1080/20008198.2017.1414561
Padmanabhanunni, A., & Edwards, D. (2015). A case study of social cognitive treatment of PTSD in a south african rape survivor: The central role of case formulation. Journal of Child Sexual Abuse, 24(2), 174-194. doi: 10.1080/10538712.2015.997412
Paul, L. A., Gros, D. F., Strachan, M., Worsham, G., Foa, E. B., & Acierno, R. (2014). Prolonged exposure for guilt and shame in a veteran of operation Iraqi freedom. American Journal of Psychotherapy, 68(3), 277-286. doi: 10.1176/appi.psychotherapy.2014.68.3.277
Pietrzak, R. H., Goldstein, R. B., Southwick, S. M., & Grant, B. F. (2012). Physical health conditions associated with posttraumatic stress disorder in U.S. older adults: Results from wave 2 of the national epidemiologic survey on alcohol and related conditions. American Journal of Geriatric Psychiatry, 60(2), 296-303. doi: 10.1111/j.1532-5415.2011.03788.x
Schnyder, U., Ehlers, A., Elbert, T., Foa, E. B., Gersons, B. P., Resick, P. A., ... Cloitre, M. (2015). Psychotherapies for PTSD: What do they have in common? European Journal of Psychotraumatology, 6(1), 1-10. doi: 10.3402/ejpt.v6.28186
Stevens, A. E., & Michael, K. D. (2014). Trauma-focused cognitive behavioral therapy applied to childhood traumatic grief in the aftermath of a motor-vehicle accident: A school-based case study. Clinical Case Studies, 13(5), 405-422. doi: 10.1177/1534650113517932
Tortella-Feliu, M., Vázquez, C., Valiente, C., Quero, S., Soler, J., Montorio, I., … Baños, R. M. (2016). Retos en el desarrollo de intervenciones psicológicas y la práctica asistencial en salud mental. Clínica y Salud, 27(2), 65-71. doi: 10.1016/j.clysa.2016.03.002
Unterhitzenberger, J., & Rosner, R. (2016). Case report: Manualized trauma-focused cognitive behavioral therapy with an unaccompanied refugee minor girl. European Journal of Psychotraumatology, 7(1), 1-5. doi: 10.3402/ejpt.v7.29246
Vervliet, M., Demott, M. A. M., Jakobsen, M., Broekaert, E., Heir, T., & Derluyn, I. (2014). The mental health of unaccompanied refugee minors on arrival in the host country. Scandinavian Journal of Psychology, 55(1), 33-37. doi: 10.1111/sjop.12094
Walker, M. S., Kaimal, G., Koffman, R., & DeGraba, T. J. (2016). Art therapy for PTSD and TBI: A senior active duty military service member’s therapeutic journey. The Arts in Psychotherapy, 49, 10-18. doi: 10.1016/j.aip.2016.05.015
Wanklyn, S. G., Brankley, A. E., Laurence, G., Monson, C. M., & Schumm, J. A. (2017). Relationship-based recovery case study: An interpersonally-empowering approach to recovery from substance use disorder and PTSD. Journal of Contemporary Psychotherapy, 47(1), 41-50. doi: 10.1007/s10879-016-9340-9
Woodward, M. J., Orengo-Aguayo, R., Stewart, R. W., & Rheingold, A. A. (2019). A case study of interpreter-mediated prolonged exposure therapy for posttraumatic stress disorder: Challenges and recommendations for effective implementation. Clinical Case Studies, 19(1), 1-17. doi: 10.1177/1534650119881787
World Health Organization. (2018). International Classification of Diseases - ICD-11. Geneva: World Health Organization.
Downloads
Published
Issue
Section
License
Copyright (c) 2021 Juliana Margarida Carneiro, Rosangela Bertelli
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).