A READINESS TO CHANGE
APPROACH TO PREVENTING PTSD
Ronald T. Murphy, Craig Rosen, Karin Thompson, Marsheena Murray, and Quaneecia Rainey
The effectiveness of treatment for combat-related posttraumatic stress disorder (PTSD) has recently been called into question, at least for therapy as delivered in Veterans Administration (VA) programs (Fontana & Rosenheck, 1997; Schnurr et al., 2003). Treatment failure has long been a concern for clinicians working with individuals with PTSD, particularly Vietnam veterans who continue to seek treatment more than 30 years after their combat experiences. This chapter offers a new perspective on PTSD treatment that: (a) explains why patients may not respond to our attempts to help them eliminate their symptoms and (b) describes both general and specific approaches to improving patient response to treatment.
MODEL TO PTSD TREATMENT
There are numerous current conceptualizations of why PTSD treatment failure occurs, particularly for patients with long-standing symptoms. Generally, these theories tend not to focus on treatment methods or