USING THE IMAGINATION TECHNIQUES FOR COMBATANTS’ PTSD CORRECTION

Authors

  • Khrystyna TURETSKA

Keywords:

post-traumatic stress disorder, combat stress, imagery, exposure therapy, guided affective imagery.

Abstract

Anti-terrorist operation in eastern Ukraine has created a major challenge for the Ukrainian psychology concerning the problem of rehabilitation of military-combatants. The need for a quality system of psychological correction veterans ATO requires theoretical approaches to the analysis of the symptoms psychotrauma and its consequences and the practical implementation of the most appropriate and effective in the psychological services. Psychological consequences of participation in wars are known in psychological science for a long time. Thus, in the United States during the Civil War soldier symptoms such as shortness of breath, sleeplessness, palpitations called «irritable heart». After the Vietnam War, the researchers found that many veterans suffer from chronic psychological problems, which were the cause of social and occupational dysfunction. The number and significance of such disorders were the reason for the formal recognition of post-traumatic stress disorder as a separate diagnosis in the third edition of DSM, which was published in 1980. To correct the symptoms of PTSD are used as pharmacotherapy and various psychotherapeutic approaches. In our article the factors efficiency imagination techniques when dealing with PTSD. Empirical studies show high efficacy imagination techniques in correction PTSD, including combatants PTSD. Imagination is a dynamic, physiological process by which a person thinks, feels and experiencing internal reality in the absence of external stimulation. Therapeutic significance of imagination is based on a corresponding emotional, behavioral or psychophysiological activity without real-stimulus event. Thus, images of the imagination can be used to change physiological processes, mental states, self-esteem, performance and behavior. At the psychophysiological level imagination helps to lower the level of activation of the hypothalamic-pituitary-adrenal axis, which can lead to lower levels of glucocorticoids and catecholamines and increase endorphins; is overwriting memory traces in the brain areas responsible for anxiety reaction. At the psychological level imagery imagination provides the context by which the patient can relive trauma, while helping the therapist is to encourage the patient to use internal resources.

References

Малкина-Пых И.Г. Психологическая помощь в кризисных ситуациях / И.Г. Малкина-Пых. – М. : Эксмо, 2005. – 960 с.

Amygdala depotentiation and fear extinction / [J. Kim, S. Lee, K. Park та ін.] // Proceedings of the National Academy of Sciences. – 2007. – № 104. – P. 20955 – 20960.

APA (American Psychiatric Association). 2000. Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR). Washington, DC : American Psychiatric Publishing Association.

Arntz A. Imagery Rescripting as a therapeutic technique: review of clinical trials, basic studies, and research agenda / А. Arntz // Journal of Experimental Psychopathology. – 2012. – № 3. – P. 189 – 208.

Arntz A. Treatment of PTSD: A comparison of imaginal exposure with and without imagery rescripting / A. Arntz, М. Tiesema, M. Kindt // 38. – 2007. – P. 345 – 370.

Barolin G. Spontane Altersregression im Symboldrama und ihre klinische Bedeutung / G. Barolin // Psychother. Med. Psychol. – 1961. – № 11. – P. 77 – 84.

Barolin G. Spontane kontrollierte Altersregrcssion im Katathymen Bilderleben / G. Barolin, G. Bartl, G. Krapf // Psychother. Med. Psychol. – 1983. – № 32. – P. 111 – 117.

Bartl G. Der Umgang mit der Grundstörung im katathymen Bilderleben / G. Bartl // Konkrete Phantasie / G. Bartl. – Bern, Stuttgart, Wien : Huber, 1984. – P. 117 – 129.

Bloom F. Neuropeptides / F.E. Bloom // Scientific American. – 1981. – № 254. – P. 148 – 168.

Comparative Efficacy, Speed, and Adverse Effects of Three PTSD Treat-ments: Exposure Therapy, EMDR, and Relaxation Training / S. Taylor, D. Thordarson, L. Maxfield, I. Fedoroff // Journal of Consulting and Clinical Psychology. – 2003. – № 71. – P. 330 – 338.

Elliott R. Research on Experiential Psychotherapies / R. Elliott, L. Green-berg, G. Lietaer // Handbook of psychotherapy and behavior change. – New York : Wiley., 2004. – P. 493 – 539.

Figley C.R. Coping with stressors on the home front / C.R. Figley // Journal of Social Issues. – 1993. – № 49. – P. 51.

Foa E. Effective Treatments for PTSD: practice guidelines from the International Society for Traumatic Stress Studies / E. Foa, T. Keane, M. Friedman. – New York : Guildford Press, 2000. – 388 р.

Garakani A. Neurobiology of anxiety disorders and implications for treatment / A. Garakani, S. Mathew, D. Charney // Mount Sinai Journal of Medicine. – 2006. – № 73. – P. 941 – 948.

Hagbarth M. The creative and healing power of symbol drama / M. Hagbarth // Entwicklung in der Imagination-Imaginative Entvicklung. – Lengerich, Pabst Science : Pabst Science, 2008. – P. 200 – 208.

Hyams K. War syndromes and their evaluation: From the U.S. Civil War to the Persian Gulf War / K. Hyams, F. Wignall, R. Roswell // Annals of Internal Medicine. – 1996. – № 125. – P. 398 – 405.

Imagery rehearsal in the treatment of posttraumatic nightmares in Australian veterans with chronic combatrelated PTSD: 12-month follow-up data / [D. Forbes, A. Phelps, A. McHugh та ін.] // Journal of Traumatic Stress. – 2003. – № 16. – P. 509 – 513.

Krakow B. Imagery Rehearsal Therapy for Chronic Nightmares in Sexual Assault Survivors With Posttraumatic Stress Disorder A Randomized Controlled Trial / B. Krakow, M. Hollifield, L. Johnston // The Journal of the American Medical Association. – 2001. – № 286. – P. 537 – 545.

Kramer E. Healing factors in guided affective imagery: A qualitative meta-analysis : Dissertation / E. Kramer. – Uion Institute and University, 2010. – 368 с.

Leuner H. Lehrbuch des Katathymen Bilderlebens / H. Leuner. – Bern, Stuttgart, Toronto : Huber, 1987.

Leuner H. Zur psychoanalytischen Theorie Bilderleben / H. Leuner // Psychother. Med. Psychol. – 1983. – № 19. – P. 187 – 196.

Lowenstein K. Meditation and self-regulatory techniques / K. Lowenstein // Handbook of complementary and alternative therapies in mental health. – San Diego : Academic Press, 2002. – P. 159 – 181.

Marcus E. Gestalt Therapy and Beyond / E.H. Marcus. – СА : Metа, 1979. – 253 р.

Menzies V. The idea of imagination: An analysis of «imagery» / V. Menzies, A. Taylor // Advances. – 2004. – № 20. – P. 4 – 10.

Ruden R. When the past is always present: Emotional traumatization, causes, and cures / R.A. Ruden. – New York : Routledge, 2011. – 210 р.

Schaub B. Imagery / B. Schaub, B. Dossey // Holostic nursing: A handbook for practice. – Sudbury, 2009. – P. 295 – 326.

Shephard B. A War of Nerves: Soldiers and Psychiatrists in the Twentieth Century / B. Shephard. – Cambridge : Harvard University Press, 2001. – 487 р.

Singer J. Phantasie und Tagtraum: Imaginative Methoden in der Psycho-therapie / J.L. Singer. – München : Pfeiffer, 1971.

Utay J. Guided Imagery as an Effective Therapeutic Technique: A Brief Review of Its History and Efficacy Research / J. Utay, M. Miller // Journal of Instructional Psychology. – 2006. – № 33. – P. 40 – 43.

Wachter H. Möglichkeitendes tathymen Bilderlebens in der Behandlung psychosomatischer Krankheiten / H.M. Wachter // Konkrete Phantasie, neue Erfahrunj mit dem Katathymen Bilderleben. – Bern, Stuttgart, Wien : Huber, 1984. – P. 89 – 102.

Wachter Н. Kontrollierte Untersuchung einer extremen Kurzchotherapie (15 Stunden) mit dem Katathymen Bilderleben / H. Wachter, V. Pudel // Psychother. Med. Psychol. – 1980. – № 30. – P. 205.

Published

2023-03-21