Journal of Traumatic Stress

, Volume 7, Issue 2, pp 217–235 | Cite as

The concept of the second generation program in the treatment of post-traumatic stress disorder among vietnam veterans

  • David Read Johnson
  • Susan C. Feldman
  • Steven M. Southwick
  • Dennis S. Charney


The concepts of First and Second Generation treatment programs for Vietnam veterans with post-traumatic stress disorder are presented, based on a developmental theoretical model of adaptation. First Generation programs focus on accessing and then working through the effects of the war trauma and aim to diminish the intensity of core PTSD symptoms. Second Generation programs focus on reintegrating veterans into the social context of family and work, and aim to improve their ability to function in society. Both types of treatment may be required in order to help veterans resume their psychological and social development. The need to develop sophisticated models of comprehensive inpatient treatment in order to support scholarly discourse and outcome research is emphasized.

Key words

PTSD Vietnam veterans inpatient treatment developmental theory 


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Copyright information

© Plenum Publishing Corporation 1994

Authors and Affiliations

  • David Read Johnson
    • 1
    • 2
  • Susan C. Feldman
    • 1
    • 2
  • Steven M. Southwick
    • 1
    • 2
  • Dennis S. Charney
    • 1
    • 2
  1. 1.National Center for PTSDVeterans Affairs Medical CenterWest Haven
  2. 2.Department of PsychiatryYale University School of MedicineNew Haven

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