Accelerated Resolution Therapy (ART): a Review and Research to Date
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Purpose of Review
To describe and summarize published research on accelerated resolution therapy (ART), a promising and relatively new psychotherapy with the potential to offer rapid and effective resolution of a wide range of psychiatric symptoms. Unlike most evidence-based psychotherapies, ART is a predominately imaginative therapy that relies upon the rescripting of distressing events and metaphors as one of its key therapeutic elements.
The number of studies conducted on ART is limited, primarily consisting of one randomized, controlled trial (RCT) with 57 subjects and two large cohort studies involving 80 and 117 subjects, respectively. However, a growing body of research in the neuroscience field involving the initial creation (consolidation), activation, and reconsolidation of memories may also be relevant and is summarized herein.
ART appears to be an effective, efficient, and versatile form of psychotherapy. Future studies, particularly high-quality RCTs, are needed to more fully understand the potential reach of this promising therapeutic modality.
KeywordsPosttraumatic stress disorder Depression Psychotherapy Eye movement Reconsolidation
Compliance with Ethical Standards
Conflict of Interest
The authors declare that they have no conflict of interest.
Human and Animal Rights and Informed Consent
This article does not contain any studies with human or animal subjects performed by any of the authors.
The views expressed in this article are those of the authors and do not reflect the official policy of the Department of the Army/Navy/Air Force, Department of Defense, or the U.S. Government. The authors have no financial or ethical conflicts of interest to disclose.
Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance
- 5.Shapiro F. Eye movement desensitization and reprocessing: basic principles, protocols, and procedures. 2nd ed. New York: Guilford Press; 2001.Google Scholar
- 6.Schauer M. Narrative exposure therapy. A short-term treatment for traumatic stress disorders. 2nd ed. Gottingen: Hogrefe Press; 2011.Google Scholar
- 7.Gersons B, Schnyder U. Learning from traumatic experiences with brief eclectic psychotherapy for PTSD. Eur J Psychol Assess. 2013;4:21369–74.Google Scholar
- 17.• Kindt M, van Emmerik A. New avenues for treating emotional memory disorders: towards a reconsolidation intervention for posttraumatic stress disorder. Adv Psychopharmacol. 2016;6(4):283–95. Discusses a novel way of using propranolol to treat anxiety that exploits the memory reconsolidation window in a way similar to ART.CrossRefGoogle Scholar
- 18.• LeDoux J, Pine D. Using neuroscience to help understand fear and anxiety: a two-system framework. Am J Psychiatry. 2016;173(11):1083–93. Opinion paper by leading neuroscience experts proposing that fearful/anxious feeling states arise from different neurologic pathways than threat-induced physiological arousal and defensive behaviors.CrossRefPubMedGoogle Scholar
- 24.• Schiller D et al. Preventing the return of fear in humans using reconsolidation update mechanisms. Nature. 2010;463(7277):49–53. Research study demonstrating non-reemergence of fear response in humans up to 1 year after extinguishing the response within the memory reconsolidation window.CrossRefPubMedGoogle Scholar
- 26.• Kip K et al. Brief treatment of symptoms of posttraumatic stress disorder (PTSD) by use of accelerated resolution therapy (ART). Behav Sci. 2012;2(2):115–34. First major ART publication; demonstrated impressive results in a cohort study of 80 subjects with PTSD.CrossRefPubMedPubMedCentralGoogle Scholar
- 27.Kip K et al. Brief treatment of co-occurring post-traumatic stress and depressive symptoms by use of accelerated resolution therapy. Front Psychol. 2013;4(11):1–12.Google Scholar
- 30.Kip K et al. Accelerated resolution therapy for treatment of pain secondary to symptoms of combat-related posttraumatic stress disorder. Eur J Psychol Assess. 2014;5:1–12.Google Scholar
- 32.• Kip KE et al. Evaluation of brief treatment of symptoms of psychological trauma among veterans residing in a homeless shelter by use of accelerated resolution therapy. Nurs Outlook. 2016;64(5):411–23. Large cohort study evaluating the use of ART in veterans exposed to “real life” conditions (i.e., living in the community vs. homeless).CrossRefPubMedGoogle Scholar
- 33.The Management of Post-Traumatic Stress Working Group. 2010 VA/DoD clinical practice guideline for the management of post-traumatic stress. Department of Veteran’s Affairs and Health Affairs, Department of Defense. 2010.Google Scholar
- 35.Schnyder U et al. Psychotherapies for PTSD: what do they have in common? Eur J Psychol Assess. 2015;6:1–10.Google Scholar
- 38.Beck J, Beck A. Cognitive behavior therapy: basics and beyond. 2nd ed. New York: The Guilford Press; 2011.Google Scholar
- 40.Haley J. Problem solving therapy. 2nd ed. San Francisco: Jossey-Bass, Inc.; 1987.Google Scholar
- 41.Linehan M. DBT skills training manual. 2nd ed. New York: The Guilford Press; 2014.Google Scholar