A comparison of narrative exposure therapy, supportive counseling, and psychoeducation for treating posttraumatic stress disorder in an african refugee settlement.

TL;DR: If the superiority of the experimental intervention over usual care can be demonstrated, the combination of brief NET and case management could be a treatment option to relieve PTSD-related symptoms and to improve primary care after intensive care.

TL;DR: A model, 'Threat to the Conceptual Self' model, is developed that accounts for these two bodies of literature and suggests how cultural differences in the conceptual self may play a role in the etiology and maintenance of PTSD.

TL;DR: One-day training in exposure therapy significantly increased therapist beliefs about its effectiveness.

TL;DR: Two therapeutic interventions, Narrative Exposure Therapy (NET) and Motivational Interviewing plus Skills Training (MIST), were adapted for Native American (NA) populations in the U.S.A. The interventions were adapted through a three-step iterative process involving feedback from the community advisory board, counselors, and NA clients. Common adaptations included surface-level changes such as incorporating guidelines for working with NA clients, adjusting the number and length of sessions, and culturally tailoring the visual content and illustrations in the treatment manual. Deeper changes included language revitalization, changing naming convention, modifying the included examples to better fit the lived experiences, and addressing historical trauma in a way that was validating for the community.

Abstract: 1. The integrated wholeness of the organism must be one of the foundation stones of motivation theory. 2. The hunger drive (or any other physiological drive) was rejected as a centering point or model for a definitive theory of motivation. Any drive that is somatically based and localizable was shown to be atypical rather than typical in human motivation. 3. Such a theory should stress and center itself upon ultimate or basic goals rather than partial or superficial ones, upon ends rather than means to these ends. Such a stress would imply a more central place for unconscious than for conscious motivations. 4. There are usually available various cultural paths to the same goal. Therefore conscious, specific, local-cultural desires are not as fundamental in motivation theory as the more basic, unconscious goals. 5. Any motivated behavior, either preparatory or consummatory, must be understood to be a channel through which many basic needs may be simultaneously expressed or satisfied. Typically an act has more than one motivation. 6. Practically all organismic states are to be understood as motivated and as motivating. 7. Human needs arrange themselves in hierarchies of prepotency. That is to say, the appearance of one need usually rests on the prior satisfaction of another, more pre-potent need. Man is a perpetually wanting animal. Also no need or drive can be treated as if it were isolated or discrete; every drive is related to the state of satisfaction or dissatisfaction of other drives. 8. Lists of drives will get us nowhere for various theoretical and practical reasons. Furthermore any classification of motivations

TL;DR: Twenty cross-sectional and longitudinal tests of empirical validity previously published for the 36-item short-form scales and summary measures were replicated for the 12-item Physical Component Summary and the12-item Mental Component Summary, including comparisons between patient groups known to differ or to change in terms of the presence and seriousness of physical and mental conditions.

TL;DR: A cognitive model of persistence of PTSD is proposed that is consistent with the main clinical features of PTSD, helps explain several apparently puzzling phenomena and provides a framework for treatment by identifying three key targets for change.