By Brett T. Litz PhD, Leslie Lebowitz PhD, Matt J. Gray PhD, William P. Nash M.D.
Read Online or Download Adaptive Disclosure: A New Treatment for Military Trauma, Loss, and Moral Injury PDF
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A whole advisor to an leading edge, research-based short therapy in particular built for carrier contributors and veterans, this ebook combines scientific knowledge and in-depth wisdom of army tradition. Adaptive disclosure is designed to assist these suffering within the aftermath of stressful war-zone reports, together with lifestyles risk, irritating loss, and ethical harm, the violation of heavily held ideals or codes.
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Additional info for Adaptive Disclosure: A New Treatment for Military Trauma, Loss, and Moral Injury
This is because moral reassurance cannot negate or Introduction 17 invalidate troubling and painful moral truths, though it can serve as a distraction. , by making amends, asking forgiveness, or repairing moral damage symbolically). In contrast to PE and CPT, adaptive disclosure attempts to help the patient integrate the discomfort of the moral injury through experiencing forgiveness, self-compassion, and engaging in reparative behaviors. The latter appears to be a new feature of PE and CPT, which is encouraging, but these components are not technically PE or cognitive therapy, respectively (they fit into a unique behavioral activation frame, it seems), and there are no specific instructions for carrying the assignments out or using the experiences in treatment in a sustained manner.
The defining act of war, killing, may only ever make moral sense in terms of the values and guiding ideals of the warfighter. Otherwise, killing is murder, an act with a very dark moral heritage. The relationship service members, veterans, and family members hold, after war zone deployments, with the once-cherished values and ideals that led them into and through their traumatic experiences in the first place may serve either as powerful risk or as protective factors: as either doorways or obstacles to meaning making, self-compassion, and acceptance.
Betrayal-related events are targeted by strategies that focus on seeking alternative explanations, challenging overgeneralized beliefs, and granting forgiveness to the perpetrator to attain “some peace of mind” (p. 21). No guidance is provided for implementing these new techniques, nor have they been subjected to testing as part of the treatment protocol. It appears that the CPT framework assumes that any currently distressing event that does not involve deliberate perpetration of unnecessary violence is caused by distorted thinking that needs to be reappraised.
Adaptive Disclosure: A New Treatment for Military Trauma, Loss, and Moral Injury by Brett T. Litz PhD, Leslie Lebowitz PhD, Matt J. Gray PhD, William P. Nash M.D.