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Interpersonal Psychotherapy for PTSD

  • Alexandra Klein Rafaeli
  • John C. Markowitz

Abstract

Interpersonal psychotherapy (IPT) is a time-limited, evidence-based treatment that focuses on patients’ social and interpersonal functioning, affect, and current life events. IPT helps patients to explore affective experiences through the lens of the social and the interpersonal, and offers techniques to help the patient translate feelings into interpersonal interventions that ameliorate functioning in those domains. IPT has been supported by numerous clinical trials over the last 40 years, and it continues to be applied and adapted across cultures, pathologies, and modalities. Among the many contemporary adaptations, is the use of IPT for posttraumatic stress disorder (PTSD). In this chapter, we will trace the theories that influenced the design, research, and practice of IPT as we describe in more detail the approach and its recent application to PTSD.

Keywords

Posttraumatic stress disorder Interpersonal therapy Exposure Interpersonal problems Psychotherapy Social support Emotion Affect 

References

  1. American Psychiatric Association. (2004). Practice guideline for the treatment of patients with acute stress disorder and posttraumatic stress disorder. American Journal of Psychiatry, 161, 3–31.CrossRefGoogle Scholar
  2. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, 4th edition, text revision. Washington, DC: American Psychiatric Association.Google Scholar
  3. Bowlby, J. (1988). A secure base: Parent-child attachment and healthy human development. London: Routledge.Google Scholar
  4. Bleiberg, K. L., & Markowitz, J. C. (2005). Interpersonal psychotherapy for posttraumatic stress disorder. American Journal of Psychiatry, 162, 181–183.CrossRefPubMedGoogle Scholar
  5. Bowlby, R., & King, P. (2004). Fifty years of attachment theory: Recollections of Donald Winnicott and John Bowlby. London: Karnac.Google Scholar
  6. Brewin, C. R., Andrews, B., & Valentine, J. D. (2000). Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults. Journal of Consulting Clinical Psychology, 68(5), 748–766.CrossRefPubMedGoogle Scholar
  7. Brom, D., Kleber, R. J., & Defares, P. B. (1989). Brief psychotherapy for posttraumatic stress disorders. Journal of Consulting Clinical Psychology, 57(5), 607–612.CrossRefPubMedGoogle Scholar
  8. Brown, G. W., & Harris, T. O. (1978). Social origins of depression. London: Tavistock.Google Scholar
  9. Cahill, S. P., & Foa, E. B. (2004). A glass half empty or half full? “Where we are and directions for future research in the treatment of PTSD”. In S. Taylor (Ed.), Advances in the treatment of posttraumatic stress disorder: Cognitive-behavioral perspectives (pp. 267–313). New York: Springer.Google Scholar
  10. Campanini, R. F., Schoedl, A. F., Pupo, M. C., Costa, A. C., Krupnick, J. L., & Melo, M. F. (2010). Efficacy of interpersonal therapy-group format adapted to post-traumatic stress disorder: an open-label add-on trial. Depression and Anxiety, 27, 72–77.CrossRefPubMedGoogle Scholar
  11. Cutrona, C. E., & Russell, D. W. (1990). Types of social support and specific stress: Toward a theory of optimal matching. In B. R. Sarason, I. G. Sarason, & G. R. Pierce (Eds.), Social support: An interactional view (pp. 319–366). New York: Wiley.Google Scholar
  12. Declercq, F., & Palmans, V. (2006). Two subjective factors as moderators between critical incidents and the occurrence of post traumatic stress disorders: Adult attachment and perception of social support. Psychology and Psychotherapy: Theory, Research and Practice, 79, 323–337.CrossRefGoogle Scholar
  13. Ehlers, A., Bisson, J., Clark, D. M., Creamer, M., Pilling, S., Richards, D., et al. (2010). Do all psychological treatments really work the same in posttraumatic stress disorder? Clinical Psychological Review, 30(2), 269–276.CrossRefGoogle Scholar
  14. Evans, F. B. (1996). Harry Stack Sullivan: Interpersonal theory and psychotherapy. London: Routledge.Google Scholar
  15. Fairburn, C. G., Jones, R., Peveler, R., Hope, R., & O’Connor, M. (1993). Psychotherapy and bulimia nervosa: Longer-term effects of interpersonal psychotherapy, behavior therapy, and cognitive behavior therapy. Archives of General Psychiatry, 50, 419–428.CrossRefPubMedGoogle Scholar
  16. Foa, E. B., & Rothbaum, B. O. (1998). Treating the trauma of rape: Cognitive-behavioral therapy for PTSD. New York: Guilford Press.Google Scholar
  17. Fonagy, P., Steele, H., Moran, G., Steele, M., & Higgitt, A. (1991). The capacity for understanding mental states: The reflective self in parent and child and its significance for security of attachment. Infant Mental Health Journal, 13, 200–217.Google Scholar
  18. Frank, E. (2005). Treating bipolar disorder: A clinician’s guide to interpersonal and social rhythm therapy. New York: Guilford.Google Scholar
  19. Graf, E. P., & Markowitz, J. C. (2012). IPT for posttraumatic stress disorder. In J. C. Markowitz & M. M. Weismann (Eds.), Casebook of interpersonal psychotherapy (pp. 149–168). New York: Oxford University Press.Google Scholar
  20. Henderson, S., Byrne, D. G., Duncan-Jones, P., Adock, S., Scott, R., & Steele, G. P. (1978). Social bonds in the epidemiology of neurosis. British Journal of Psychiatry, 132, 463–466.CrossRefPubMedGoogle Scholar
  21. Hinrichsen, G. A. (1999). Treating older adults with interpersonal psychotherapy for depression. Psychotherapy in Practice, 55(8), 949–960.Google Scholar
  22. Hirshfeld-Becker, D. R., Biederman, J., Faraone, S. V., Segool, B. A., Buchwald, B. A., Jerrold, F., et al. (2004). Lack of association between behavioral inhibition and psychosocial adversity factors in children at risk for anxiety disorders. American Journal of Psychiatry, 161(3), 547–555.CrossRefPubMedGoogle Scholar
  23. Jacobson, E. (1938). Progressive relaxation. Chicago: University of Chicago Press.Google Scholar
  24. Kobak, R., & Madsen, S. (2008). Disruption in attachment bonds. In J. Cassidy & P. R. Shaver (Eds.), Handbook of attachment: Theory, research and clinical applications (pp. 23–47). New York: Guilford Press.Google Scholar
  25. Krupnick, J. L., Green, B. L., Stockton, P., Miranda, J., Krause, E., & Mete, M. (2008). Group interpersonal psychotherapy with low-income women with posttraumatic stress disorder. Psychotherapy Research, 18, 497–507.CrossRefPubMedGoogle Scholar
  26. Lanius, R. A., Vermetten, E., Loewenstein, R. J., Brand, B., Schmal, C., Bremner, J. D., et al. (2010). Emotion modulation in PTSD: Clinical and neurobiological evidence for a dissociative subtype. American Journal of Psychiatry, 167, 640–647.CrossRefPubMedCentralPubMedGoogle Scholar
  27. Manassis, K., Bradley, S., Goldberg, S., Hood, J., & Swinson, R. P. (1995). Behavioural inhibition, attachment and anxiety in children of mothers with anxiety disorders. Canadian Journal of Psychiatry, 40(2), 87–92.Google Scholar
  28. Markowitz, J. C. (1996). Psychotherapy for dysthymic disorder. Psychiatric Clinics of North America, 19, 133–149.CrossRefPubMedGoogle Scholar
  29. Markowitz, J. C., Bleiberg, K. L., Christos, P., & Levitan, E. (2006). Solving interpersonal problems correlates with symptom improvement in interpersonal psychotherapy: preliminary findings. Journal of Nervous and Mental Disease, 194, 15–20.Google Scholar
  30. Markowitz, J. C. (2010). IPT and PTSD. Depression and Anxiety, 27(10), 879–881.CrossRefPubMedCentralPubMedGoogle Scholar
  31. Markowitz, J. C., Milrod, B., Blieberg, K., & Randall, D. (2009). Interpersonal factors in understanding and treating posttraumatic stress disorder. Journal of Psychiatric Practice, 15, 133–140.CrossRefPubMedCentralPubMedGoogle Scholar
  32. Markowitz, J. C., & Weissman, M. M. (2012a). IPT: Past, present, and future. Clinical Psychology and Psychotherapy, 19, 99–105.CrossRefPubMedCentralPubMedGoogle Scholar
  33. Markowitz, J. C., & Weissman, M. M. (Eds.). (2012b). Casebook of interpersonal psychotherapy. New York: Oxford University Press.Google Scholar
  34. Meehan, K. B., Levy, K. N., Reynoso, J. S., Hill, L. L., & Clarkin, J. F. (2009). Measuring reflective function with a multidimensional rating scale: Comparison with scoring reflective function on the AAI. Journal of American Psychoanalytic Association, 57, 208–213.CrossRefGoogle Scholar
  35. Meyer, A. (1957). Psychobiology: A science of man. Springfield, IL: Thomas, C.T.Google Scholar
  36. Mufson, L., Moreau, D., Weissman, M. M., et al. (1993). Interpersonal Psychotherapy for Depressed Adolescents. New York: Guilford Press.Google Scholar
  37. National Collaborating Centre for Mental Health. (2004). Eating disorders: Core interventions in the treatment and management of anorexia nervosa. Bulimia nervosa, and related eating disorders developed by National Collaborating centre for Mental Health. London: British Psychological Society and Gaskell.Google Scholar
  38. Ozer, E. J., Best, S. R., Lipsey, T. L., & Weiss, D. S. (2003). Predictors of posttraumatic stress disorder and symptoms in adults: A meta-analysis. Psychological Bulletin, 129, 52–73.CrossRefPubMedGoogle Scholar
  39. Parsons, T. (1951). Illness and the role of the physician: A sociological perspective. The American Journal of Orthopsychiatry, 21, 452–460.CrossRefPubMedGoogle Scholar
  40. Pearlin, L. I., & Lieberman, M. A. (1979). Social sources of emotional distress. Research in Community Mental Health, 1, 217–248.Google Scholar
  41. Perry, H. S. (1982). Psychiatrist of America. The life of Harry Stack Sullivan. Cambridge: Belknap Press.Google Scholar
  42. Rafaeli, A. K., & Markowitz, J. C. (2011). Interpersonal psychotherapy (IPT) for PTSD: A case study. American Journal of Psychotherapy, 65, 205–223.PubMedCentralPubMedGoogle Scholar
  43. Ray, R. D., & Webster, R. (2010). Group interpersonal psychotherapy for veterans with posttraumatic stress disorder: A pilot study. International Journal of Group Psychotherapy, 60, 131–140.CrossRefPubMedGoogle Scholar
  44. Robertson, M., Rushton, P., Bartrum, D., Moore, E., & Morris, P. (2007). Open trial of interpersonal psychotherapy for posttraumatic stress disorder. Australian Psychiatry, 15, 375–379.CrossRefGoogle Scholar
  45. Robertson, M., Rushton, P. J., Bartrum, M. D., & Ray, R. (2004). Group-based interpersonal psychotherapy for posttraumatic stress disorder: Theoretical and clinical aspects. International Journal of Group Psychotherapy, 54, 145–175.CrossRefPubMedGoogle Scholar
  46. Stovall-McClough, K. C., & Cloitre, M. (2006). Unresolved attachment, PTSD, and dissociation in women with childhood abuse histories. Journal of Consulting Clinical Psychology, 74, 219–228.CrossRefPubMedGoogle Scholar
  47. Taylor, S. E. (2011). Social support: A review. In M. S. Friedman (Ed.), The handbook of health psychology (pp. 189–214). New York: Oxford University Press.Google Scholar
  48. Verdeli, H., Clougherty, K. F., Bolton, P., Speelman, L., Ndogoni, L., Bass, J., et al. (2003). Adapting group interpersonal psychotherapy for a developing country: Experience in rural Uganda. World Psychiatry, 2(2), 114–120.PubMedCentralPubMedGoogle Scholar
  49. Warren, S. L., Huston, L., Byron, E., & Sroufe, L. A. (1997). Child and adolescent anxiety disorders and early attachment. Journal of the American Academy of Child & Adolescent Psychiatry, 36(5), 637–644.CrossRefGoogle Scholar
  50. Weissman, M. M. (1987). Advances in psychiatric epidemiology: Rates and risks for major depression. American Journal of Public Health, 77, 445–451.CrossRefPubMedCentralPubMedGoogle Scholar
  51. Weissman, M. (2006). A brief history of interpersonal therapy (IPT). Psychiatric Annals, 36(8), 553–557.Google Scholar
  52. Weissman, M. M., & Markowitz, J. C. (1998). An overview of interpersonal psychotherapy. In J. Markowitz (Ed.), Interpersonal psychotherapy (pp. 1–33). Washington, DC: American Psychiatric Press.Google Scholar
  53. Weissman, M. M., Markowitz, J. C., & Klerman, G. L. (2000). Comprehensive guide to interpersonal psychotherapy. New York: Basic Books.Google Scholar
  54. Weissman, M. M., Verdeli, H., Gameroff, M. J., Bledsoe, S. E., Betts, K., Mufson, L., et al. (2006). A national survey of psychotherapy training in psychiatry, psychology and social work. Archives of General Psychiatry, 63(8), 925–934.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Alexandra Klein Rafaeli
    • 1
    • 2
  • John C. Markowitz
    • 3
    • 4
  1. 1.The Ruth and Allen Ziegler Student Services DivisionTel Aviv UniversityTel AvivIsrael
  2. 2.The New School of PsychotherapyTel AvivIsrael
  3. 3.New York State Psychiatric InstituteNew YorkUSA
  4. 4.Columbia University College of Physicians & SurgeonsNew YorkUSA

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