Tijdschrift voor Psychotherapie

, Volume 23, Issue 5, pp 177–189 | Cite as

Psychotherapie bij posttraumatische stress–stoornis

De stand van zaken
  • Erik ten Broeke
  • Ad de Jongh
  • Kitty Wiersma
  • Felix Gimbrère
Article

semenvatting

In dit artikel wordt de stand van zaken besproken van het onderzoek naar de behandeling van posttraumatische stress–stoornis (PTSS). Aan de orde komen achtereenvolgens psychodynamische therapie, cognitieve therapie, exposure–therapie, cognitieve gedragstherapie en Eye Movement Desensitization and Reprocessing (EMDR). Ingegaan wordt op de verschillende theoretische modellen, de therapeutische toepassing en het beschikbare effect–evaluatieonderzoek. Zijdelings wordt aandacht besteed aan minder bekende en nog onvoldoende onderzochte behandelvormen voor PTSS. Naar voren komt dat gecontroleerd onderzoek naar de behandeling nog steeds betrekkelijk schaars is. Geconcludeerd wordt dat voor exposure en EMDR de meeste empirische steun bestaat. EMDR heeft wellicht een aantal klinisch relevante voordelen in vergelijking met exposure.

Literatuur

  1. Acierno, R., Hersen, M., Hasselt, V.B. van, Tremont, G., & Meuser, K.T. (1994). Review of validation and dissemination of eye–movement desensitization and reprocessing: A scientific and ethical dilemma. Clinical Psychology Review, 14, 287–299.CrossRefGoogle Scholar
  2. APA (American Psychiatric Association) (1994). Diagnostic and statistical manual of mental disorders, fourth edition. Washington: APA.Google Scholar
  3. Armstrong, M.S., & Vaughan, K. (1996). An orienting response model of eye movement desensitization. Journal of Behavior Therapy and Experimental Psychiatry, 27, 21–32.CrossRefPubMedGoogle Scholar
  4. Arntz, A. (1995). Exposure en de behandeling van posttraumatische stress–stoornis. In C.A.L. Hoogduin, P. Schnabel, W. Vandereycken, K. van der Velden, & F.C. Verhulst (red.), Jaarboek voor Psychiatrie en Psychotherapie, 1994–1995. Houten: Bohn Stafleu Van Loghum.Google Scholar
  5. Arntz, A. (1995). Psychologische behandelingen van de posttraumatische stress–stoornis. De Psycholoog, 30, 177–180.Google Scholar
  6. Bandler, R., & Grinder, J. (1979). Frogs into princes. Moab: Real People Press.Google Scholar
  7. Beck, A.T. (1976). Cognitive therapy and the emotional disorders. New York: International Universities Press.Google Scholar
  8. Beck, A.T., & Emery, G. (1985). Anxiety disorders and phobias: A cognitive perspective. New York: Basic Books.Google Scholar
  9. Becker, J.V., Skinner, L.J., Abel, G.G., Axelrod, R., & Cichon, J. (1984). Sexual problems of sexual assault survivors. Women & Health, 9, 5–20.PubMedGoogle Scholar
  10. Boudewyns, P.A., & Hyer, L. (1990). Physiological response to combat memories and preliminary treatment outcome in Vietnam veteran PTSD patients treated with direct therapeutic exposure. Behavior Therapy, 21, 63–87.CrossRefGoogle Scholar
  11. Boudewyns, P.A., Hyer, L.A., Peralme, L., Touze, J., & Kiel, A. (1995). Eye Movement Desensitization and Reprocessing ( EMDR ) and exposure therapy in the treatment of combat related PTSD: An early look.Paper gepresenteerd op de American Psychological Association Convention.Google Scholar
  12. Broeke, E. ten, & De Jongh, A. (1993). Eye movement desensitization and reprocessing (EMDR): theoretische overwegingen en therapeutische toepassing. Gedragstherapie, 26, 233–254.Google Scholar
  13. Broeke, E., ten, & De Jongh, A. (1995). Eye Movement Desensitization and Reprocessing. Gewoon imaginaire exposure? De Psycholoog, 30, 459–464.Google Scholar
  14. Broeke, E., ten, & De Jongh, A. (1997). Eye movement desensitization and reprocessing bij de behandeling van type II trauma: een casus. Tijdschrift voor Psychiatrie, 39, 249–255.Google Scholar
  15. Brom, D., Kleber, R.J., & Defares, P.B. (1989). Brief psychotherapy for posttraumatic stress disorders. Journal of Consulting and Clinical Psychology, 57, 607–612.CrossRefPubMedGoogle Scholar
  16. Calhoun, K.S., & Resick, P.A. (1993). Post–traumatic stress disorder. In D.H. Barlow (Ed.), Clinical Handbook of Psychological Disorders. New York: Guilford Press.Google Scholar
  17. Callahan, R.J. (1996). A Thought field therapy (TFT) algorithm for trauma. The international electronic journal of innovations in the study of the traumatization process and methods for reducing or eliminating related human suffering. Google Scholar
  18. Chambless, D.L., Sanderson, W.C., Shoham, V., Bennett Johnson, S., Pope, K.S., Crits–Christoph, P., Baker, M., Johnson, B., Woody, S.R., Sue, S., Beutler, L., Williams, D.A., & McCurry, S. (1996). Un update on empirically validated therapies. The Clinical Psychologist, 49, 5–18.Google Scholar
  19. Chemtob, C., Roitblat, H.L., Hamada, R.S., Carlson, J.G., & Twentyman, C.T. (1988). A cognitive action theory of post–traumatic stress disorder. Journal of Anxiety Disorders, 2,253–275.CrossRefGoogle Scholar
  20. Cooper, N.A., & Clum, G.A., (1989). Imaginal flooding as a supplementary treatment for PTSD in combat veterans: A controlled study. Behavior Therapy, 20, 381–391.CrossRefGoogle Scholar
  21. Davey, G.C.L. (1992). Classical conditioning and the acquisition of human fears and phobias: A review and synthesis of the literature. Advances in Behaviour Research and Therapy, 31,495–498.Google Scholar
  22. Davidson, J.R.T., & Van der Kolk, B.A. (1996). The psychopharmacological treatment of posttraumatic stress disorder. In B.A. Van der Kolk, A.C. McFarlane, & L. Weisaeth (Eds.), Traumatic Stress. New York: Guilford Press.Google Scholar
  23. Dyck, M.J. (1993). A proposal for a conditioning model of eye movement desensitization treatment of posttraumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 24, 201–210.CrossRefPubMedGoogle Scholar
  24. Emery, P.F., & Emery, O.B. (1989). Psychoanalytic considerations on posttraumatic stress disorder. Journal of Contemporary Psychotherapy, 19, 39–53.CrossRefGoogle Scholar
  25. Figley, C.R. (1995). Compassion fatigue: Coping with secondary traumatic stress disorder in those who treat the traumatized.New York: Brunner/Mazel.Google Scholar
  26. Figley, C.R., & Carbonell, J. (1995). The ‘active ingredient’ project: the systematic clinical demonstration of the most efficient treatments of PTSD , a research plan.Tallahassee: Florida State University Psychosocial Stress Research Program and Clinical Laboratory.Google Scholar
  27. Foa, E.B., & Kozak, M.J. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99, 20–35.CrossRefPubMedGoogle Scholar
  28. Foa, E.B., Rothbaum, B.O., Riggs, D.S., & Murdock, T.B. (1991). Treatment of posttraumatic stress disorder in rape victims: A comparison between cognitive–behavioral procedures and counselling. Journal of Consulting and Clinical Psychology, 59,715–723.CrossRefPubMedGoogle Scholar
  29. Foa, E.B., Steketee, G., & Rothbaum, B.O. (1989). Behavioral/cognitive conceptualization of posttraumatic stress disorder. Behavior Therapy, 20, 155–176.CrossRefGoogle Scholar
  30. Frueh, B.C., Turner, S.M., & Beidel, D.C. (1995). Exposure therapy for combat–related PTSD: A critical review. Clinical Psychology Review, 15, 799–817.CrossRefGoogle Scholar
  31. Frueh, B.C., Turner, S.M., Beidel, D.C., Mirabella, R.F., & Jones, W.J. (1996). Trauma management therapy: a preliminary evaluation of a multicomponent behavioral treatment for chronic combat–related PTSD. Behavior Research and Therapy, 34,533–543.CrossRefGoogle Scholar
  32. Gersons, B.P.R., & Carlier, I.V.E. (1994). Treatment of work related trauma in police officers: Post–traumatic stress disorder and post traumatic decline. In M.B. Williams, & J.F. Sommer (Eds.), Handbook of Post–trauma therapy. Westport: Greenwood Press.Google Scholar
  33. Hacker Hughes, J.G.H., & Thompson, J. (1994). Post traumatic stress disorder: An evaluation of behavioural and cognitive behavioural interventions and treatments. Clinical Psychology and Psychotherapy, 1, 125–142.CrossRefGoogle Scholar
  34. Harber, K.D., & Pennebaker, J.W. (1992). Overcoming traumatic memories. In S. Christianson (Ed), The Handbook of emotion and memory: Research and Theory. Hillsdale: Lawrence Erlbaum.Google Scholar
  35. Herman, J.L.H. (1992a). Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. Journal of Traumatic Stress, 5, 377–391.CrossRefGoogle Scholar
  36. Herman, J.L.H. (1992b). Trauma and recovery. New York: Basic Books.Google Scholar
  37. Hollon, S.D., & Garber, J. (1988). Cognitive therapy. In L.Y. Abramson (Ed.), Social cognition and clinical psychology: A synthesis. New York: Guilford Press.Google Scholar
  38. Horowitz, M.J. (1976). Stress response syndromes. New York: Jason Aronson.Google Scholar
  39. Horowitz, M.J., & Kaltreider, N.B. (1980). Brief psychotherapy of stress response syndromes. In T.B. Karasu, & L. Bellak, Specialised techniques in individual psychotherapy. New York: Mazel/Brunner.Google Scholar
  40. Jensen, J.A. (1994). An investigation of eye movement desensitization and reprocessing (EMDR) as a treatment for posttraumatic stress disorder (PTSD) symptoms of Vietnam combat veterans. Behavior Therapy, 25, 311–326.CrossRefGoogle Scholar
  41. Jongedijk, R.A., Carlier, I.V.E., Schreuder, J.N., & Gersons, B.P.R (1995). Is er plaats voor de complexe stress stoornis? PTSSDES NOS nader beschouwd. Tijdschrift voor Psychiatrie, 37, 43–54.Google Scholar
  42. Jongh, A., de, & Broeke, E., ten (1996). Eye movement desensitization and reprocessing (EMDR): een procedure voor de behandeling van aan trauma gerelateerde angst. Tijdschrift voor Psychotherapie, 22, 93–114.Google Scholar
  43. Keane, T.M., Albano, A.M., & Blake, D.D. (1992). Current trends in the treatment of post–traumatic stress symptoms. In M. Babsoglu (Ed.), Torture and its consequences: Current treatment approaches. Cambridge.Google Scholar
  44. Keane, T.M., Zimmering, R.T., & Caddell, J.M. (1985). A behavioral formulation of post–traumatic stress disorder in Vietnam veterans. The Behavior Therapist, 8, 9–12.Google Scholar
  45. Keane, T.M., Fairbank, J.A., Caddell, J.M., & Zimmering R.T. (1989). Implosive (flooding) therapy reduces symptoms of PTSD in Vietnam combat veterans. Behavior Therapy, 20, 245–260.CrossRefGoogle Scholar
  46. Kilpatrick, D.G., Veronen, L.J., & Best, C.L., (1985). Factors predicting psychological disstress among rape victims. In C.R. Figley (Ed.), Trauma and its wake. New York: Brunner/Mazel.Google Scholar
  47. Kolk, B.A., van der, McFarlane, A.C., & Van der Hart, O. (1996). A general approach to treatment of posttraumatic stress disorder. In B.A. Van der Kolk, A.C. McFarlane, & L. Weisaeth (Eds.), Traumatic stress. New York: Guilford Press.Google Scholar
  48. Lang, P.J. (1977). Imagery in therapy: An information processing analysis of fear. Behavior Therapy, 8, 862–886.CrossRefGoogle Scholar
  49. Levis, D.J. (1991). A clinician's plea for a return to the development of nonhuman models of psychopathology: New clinical observations in need of laboratory study. In M.R. Denny (Ed.), Fear, Avoidance and Phobias. Hillsdale: Lawrence Erlbaum.Google Scholar
  50. Lohr, J.M., Kleinknecht, R.A., Tolin, D.F., & Barrett, R.H. (1995). The empirical status of the clinical application of eye movement desensitization and reprocessing. Journal of Behavior Therapy and Experimental Psychiatry, 26, 285–302.CrossRefPubMedGoogle Scholar
  51. Lipke, H. (1996). A four activity model of psychotherapy: Its relationschip to Eye Movement Desensitization and Reprocessing (EMDR) and other methods of psychotherapy. Traumatology (electronic journal).Google Scholar
  52. Macculloch, M.J., & Feldman, P. (1996). Eye movement desensitisation treatment utilises the positive visceral element of the investigatory reflex to inhibit the memories of post–traumatic stress disorder: A theoretical analysis. British Journal of Psychiatry, 169, 571–579.CrossRefPubMedGoogle Scholar
  53. McCann, I.L., & Pearlman, L.A. (1990). Vicarious traumatization: A framework for understanding the psychological effects of working with victims. Journal of Traumatic Stress, 3,131–149.CrossRefGoogle Scholar
  54. McCann, I.L., Sakheim, D.K., & Abrahamson, D.J. (1988). Trauma and victimization: A model of psychological adaptation. Counselling Psychologist, 16, 243–257.Google Scholar
  55. McFarlane, A.C. (1994). Individual psychotherapy for post–traumatic stress disorder. Psychiatric Clinics of North America, 17, 393–408.PubMedGoogle Scholar
  56. Merckelbach, H.L.G.I. (1994). Van leren naar informatieverwerking. In W.T.A.M. Everaerd (Red.), Handboek Klinische Psychologie. Houten: Bohn Stafleu Van Loghum.Google Scholar
  57. Moore, R.H. (1993). Traumatic Incident Reduction: A cognitive–emotive treatment of post–traumatic stress disorder. In W. Dryden, & L.K. Hill (Eds.), Innovations in rational emotive therapy. Londen: Sage.Google Scholar
  58. Mowrer, O.H. (1960). Learning theory and behavior. New York: Wiley.CrossRefGoogle Scholar
  59. Peniston, E.G. (1986). EMG biofeedback–assisted desensitisation treatment for Vietnam combat veterans post–traumatic stress disorder. Clinical Biofeedback Health, 9,35–41.Google Scholar
  60. Pierloot, R.A., & Thiel, J.H. (1986). Psychoanalytische therapieën. Deventer: Van Loghum Slaterus.Google Scholar
  61. Pitman, R.K., Altman, B., Greenwald, E., Longpre, R.E., Macklin, M.L., Poire, R.E., & Steketee, G. (1991). Psychiatric complications during flooding therapy for posttraumatic stress disorder. Journal of Clinical Psychiatry, 52, 17–20.PubMedGoogle Scholar
  62. Ploeg, H, van der, & Van Dyck, R. (1996). Posttraumatische stress–stoornis. In R. van Dyck, A.J.L.M. van Balkom, & P. van Oppen (Red.), Behandelingsstrategieën bij angststoornissen. Houten: Bohn Stafleu Van Loghum.Google Scholar
  63. Renfrey, G., & Spates, C.R. (1994). Eye movement desensitization and reprocessing: A partial dismantling procedure. Journal of Behavior Therapy and Experimental Psychiatry, 25, 231–239.CrossRefPubMedGoogle Scholar
  64. Resick, P.A., & Schnicke, M.K. (1992). Cognitive processing therapy for sexual assault victims. Journal of Consulting and Clinical Psychology, 60, 748–756.CrossRefPubMedGoogle Scholar
  65. Richards, D.A., Lovell, K., & Marks, I.M. (1994). Post–traumatic stress disorder: Evaluation of a behavioral treatment program. Journal of Traumatic Stress, 7, 669–680.CrossRefPubMedGoogle Scholar
  66. Rothbaum, B.O., & Foa, E.B. (1996). Cognitive behavioral therapy for posttraumatic stress disorder. In B.A. van der Kolk, A.C. McFarlane, & L. Weisaeth (Eds.), Traumatic Stress. New York: Guilford Press.Google Scholar
  67. Rothbaum, B.O., Foa, E.B., Rigga, D., Murdock, T., & Walsh, W. (1992). A prospective examination of posttraumatic stress disorder in rape victims. Journal of Traumatic Stress, 5, 455–475.CrossRefGoogle Scholar
  68. Schoutrop, M., & Lange, A. (1997). Gestructureerd schrijven over schokkende ervaringen: resultaten en werkzame mechanismen. Directieve therapie, 17, 77–96.Google Scholar
  69. Scott, M.J., & Stradling, S.G. (1992). Counselling for posttraumatic stress disorder. Londen: Sage.Google Scholar
  70. Shalev, A.Y., Bonne, O., & Eth, S. (1996). Treatment of posttraumatic stress disorder: A review. Psychosomatic Medicine, 58, 165–182.PubMedGoogle Scholar
  71. Shapiro, F. (1989). Efficacy of the eye movement desensitization procedure in the treatment of traumatic memories. Journal of Traumatic Stress, 2, 199–223.CrossRefGoogle Scholar
  72. Shapiro, F. (1995). Eye movement desensitization and reprocessing: Basic principles, protocols, and procedures. New York: Guilford Press.Google Scholar
  73. Shapiro, F. (1996a). Eye movement desensitization and reprocessing (EMDR): Evaluation of controlled PTSD research. Journal of Behavior Therapy and Experimental Psychiatry, 27, 1–10.CrossRefGoogle Scholar
  74. Shapiro, F. (1996b). Errors of context and review of eye movement desensitization and reprocessing research. Journal of Behavior Therapy and Experimental Psychiatry, 27, 313–317.CrossRefGoogle Scholar
  75. Silver, S.M., Brooks, A., & Obenchain, J. (1995). Treatment of Vietnam war veterans with PTSD: A comparison of eye movement desensitization and reprocessing, biofeedback, and relaxation training. Journal of Traumatic Stress, 8, 337–342.CrossRefPubMedGoogle Scholar
  76. Smucker, M.R., Dancu, C., Foa, E.B., & Niederee, J.L. (1995). Imagery rescripting; A new treatment for survivors of childhood sexual abuse suffering from posttraumatic stress. Journal of Cognitive Psychotherapy: An International Quarterly, 49, 3–17.Google Scholar
  77. Solomon, S.D., Gerrity, E.T., & Muff, A.M. (1992). Efficacy of treatments for posttraumatic stress disorder. JAMA, 268,633–638.CrossRefPubMedGoogle Scholar
  78. Sweet, A.A. (1995). A theoretical perspective on the clinical use of EMDR. The Behavior Therapist, 18,5–6.Google Scholar
  79. Turner, S.W., McFarlane, A.C., & Van der Kolk, B.A. (1996). The therapeutic environment and new explorations in the treatment of postttraumatic stress disorder. In B.A. van der Kolk, A.C. McFarlane, & L. Weisaeth (Eds.), Traumatic stress. New York: Guilford Press.Google Scholar
  80. Vaughan, K. (1992). The use of image habituation training with post–traumatic stress disorder. British Journal of Psychiatry, 161, 658–664.CrossRefPubMedGoogle Scholar
  81. Vaughan, K., Armstrong, M.S., Gold, R., O'Conner, N., Jenneke, W., & Tarrier, N. (1994). A trial of eye movement desensitization compared to image habituation and applied muscle relaxation in post–traumatic stress disorder. Journal of Behavior Therapy and Experimental Psychiatry, 25, 283–291.CrossRefPubMedGoogle Scholar
  82. Veronen, L.J., & Kilpatrick, D.G. (1983). Stress management for rape victims. In D. Meichenbaum, & M.E. Jaremko (Eds.), Stress reduction and prevention. New York: Plenum Press.Google Scholar
  83. Wilson, D., Silver, S.M., Covi, W., & Foster, S. (1996). Eye movement desensitization and reprocessing: Effectiveness and autonomic correlates. Journal of Behavior Therapy and Experimental Psychiatry, 27, 928–937.CrossRefGoogle Scholar
  84. Wilson, S.A., Becker, L.A., & Tinker, R.H. (1995). Eye movement desensitization and reprocessing (EMDR) treatment for psychologically traumatized individuals. Journal of Consulting and Clinical Psychology, 63, 928–937.CrossRefPubMedGoogle Scholar
  85. Young, J.E. (1990). Cognitive therapy for personality disorders: A schema focused approach. Sarasota: Professional Resources Exchange.Google Scholar

Copyright information

© Bohn Stafleu van Loghum 1997

Authors and Affiliations

  • Erik ten Broeke
    • 1
  • Ad de Jongh
  • Kitty Wiersma
  • Felix Gimbrère
  1. 1.

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