Guided imagery is a behavioral technique used to direct individuals to effectively create and manipulate mental representations to produce therapeutic changes. A growing empirical literature supports the use of these techniques in a variety of physical and emotional conditions. The focus of our research program is on applying these techniques to the treatment of post-traumatic stress disorder (PTSD). We have developed and piloted a clinician-facilitated, self-management intervention for PTSD called guided imagery for trauma (GIFT). We describe the rationale for this approach, its conceptual framework, and the treatment protocol. We present preliminary findings in a sample of women with PTSD related to military sexual trauma, which demonstrate feasibility, tolerability, and a large effect on PTSD symptoms. We also describe our current research efforts, including a randomized controlled trial of the GIFT intervention in women survivors of military sexual trauma, and the extension of this intervention to the treatment of combat-related PTSD.
- Guided imagery
- post-traumatic stress disorder
- sexual trauma
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Graffam, S., and Johnson, A. (1987) A comparison of two relaxation strategies for the relief of pain and its distress. J Pain Symptom Manage 2, 229–31.
Syrjala, K. L., Donaldson, G. W., Davis, M. W., and Kippes, M. E., and Carr, J. E. (1995) Relaxation and imagery and cognitive-behavioral training reduce pain during cancer treatment: a controlled clinical trial. Pain 63, 189–98.
Lyles, J. N., Burish, T. G., Krozely, M. G., and Oldham, R. K. (1982) Efficacy of relaxation training and guided imagery in reducing the aversiveness of cancer chemotherapy. J Consult Clin Psychol 50, 509–24.
Auerbach, J. E., Oleson, T. D., and Solomon, G. F. (1992) A behavioral medicine intervention as an adjunctive treatment for HIV-related illness. Psychol Health 6, 325–34.
Eller, L. S. (1995) Effects of two cognitive-behavioral interventions on immunity and symptoms in person with HIV. Ann Behav Med 17, 339–48.
Mannix, L. K., Chandurkar, R. S., Rybicki, L. A., Tusek, D. L., and Solomon, G. D. (1999) Effect of guided imagery on quality of life for patients with chronic tension-type headache. Headache 39, 326–34.
McKinney, C. H., Antoni, M. H., Kumar, M., Tims, F. C., and McCabe, P. M. (1997) Effects of guided imagery and music (GIM) therapy on mood and cortisol in healthy adults. Health Psychol 16, 390–400.
Hammer, S. E. (1996) The effects of guided imagery through music on state and trait anxiety. J Music Ther 33, 47–70.
Schandler, S. L., and Dana, E. R. (1983) Cognitive imagery and physiological feedback relaxation protocols applied to clinically tense young adults: a comparison of state, trait, and physiological effects. J Clin Psychol 39, 672–81.
Gordon, J. S., Staples, J. K., Blyta, A., and Bytyqi, M. (2004) Treatment of posttraumatic stress disorder in postwar Kosovo high school students using mind-body skills groups: a pilot study. J Trauma Stress 17, 143–47.
Krakow, B., Hollifield, M., Johnston, L., et al. (2001) Imagery rehearsal therapy for chronic nightmares in sexual assault survivors with posttraumatic stress disorder: a randomized controlled trial. JAMA 286, 537–45.
Root, L. P., Koch, E. I., Reyntjens, J. O., Alexander, S. K., and Gaughf, N. W. (2002) Trauma-specific guided imagery: a systematic evaluation of an adjunct intervention to group psychotherapy. Abstract presented at International Society for Traumatic Stress Studies annual meeting; Baltimore, MD; November.
Guided Imagery. Available at http://www.holisticonline.com/guided-imagery.htm.
Foa, E. B., Keane, T. M., and Friedman, M. J. (2000) Effective Treatments for PTSD: Practice Guidelines from the International Society for Traumatic Stress Studies. New York: Guilford Press.
Foa, E. B., and Rothbaum, B. O. (1998) Treating the Trauma of Rape: Cognitive-Behavioral Therapy for PTSD. New York: Guilford Press.
Ehlers, A., Clark, D. M., Hackmann, A., et al. (2003) A randomized controlled trial of cognitive therapy, a self-help booklet, and repeated assessments as early interventions for posttraumatic stress disorder. Arch Gen Psychiatry 60, 1024–32.
Horvath, A. O., and Bedi, R. P. (2002) The alliance. In: Norcross, J. C., Psychotherapy Relationships that Work: Therapist Contributions and Responsiveness to Patients. New York: Oxford University Press; pp. 37–69.
Horvath, A. O., and Symonds, B. D. (1991) Relation between working alliance and outcome in psychotherapy: a meta-analysis. J Counsel Psychol 38, 139–49.
Martin, D. J., Garske, J. P., and Davis, M. K. (2000) Relation of the therapeutic alliance with outcome and other variables: a meta-analytic review. J Consult Clin Psychol 68, 438–50.
Orlinsky, D. E., Grawe, K., and Parks, B. K. (1994) Process and outcome in psychotherapy—noch einmal. In:Bergin, A. E., and Garfield, S. L., eds., Handbook of Psychotherapy and Behavior Change. New York: Wiley; pp. 270–376.
Hoge, C. W., Castro, C. A., Messer, S. C., McGurk, D., Cotting, D. I., and Koffman, R. L. (2004) Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. N Engl J Med 351, 13–22.
Miller, W. R., and Rollnick, S. (2002) Motivational Interviewing: Preparing People for Change. 2nd ed. New York: Guilford Press.
Von Korff, M., Gruman, J., Schaefer, J., Curry, S. J., and Wagner, E. H. (1997) Collaborative management of chronic illness. Ann Intern Med 127, 1097–1102.
Barlow, D. H. (1993) Clinical Handbook of Psychological Disorders: A Step-by-Step Treatment Manual. 2nd ed. New York: Guilford Press.
Beck, A. T., Rush, A. J., Shaw, B. F., and Emery, G. (1979) Cognitive Therapy for Depression. New York: Wiley.
DeBusk, R. F., Miller, N. H., Superko, H. R., et al. (1994) A case-management system for coronary risk factor modification after acute myocardial infarction. Ann Intern Med 120, 721–29.
Rich, M. W., Beckham, V., Wittenberg, C., Leven, C. L., Freedland, K. E., and Carney, R. M. (1995) A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med 333, 1190–95.
Wasson, J., Gaudette, C., Whaley, F., Sauvigne, A., Baribeau, P., and Welch, H. G. (1992) Telephone care as a substitute for routine clinic follow-up. JAMA 267, 1788–93.
Strauss, J. L., Marx, C. E., Morey, R. A., (2007) A brief, transportable intervention for women veterans with PTSD related to military sexual trauma. Paper presented at 10th Annual Force Health Protection Conference; Louisville, KY; August.
Strauss, J. L., Marx, C. E., Oddone, E. Z., O'Loughlin, S. H., and Butterfield, M. I. (2006) A transportable PTSD intervention shows promise for women veterans with military sexual trauma. Abstract presented at American Psychiatric Association Annual Meeting; Toronto, Canada; May.
Blake, D. D., Weathers, F. W., Nagy, L. M., Kaloupek, D. G., Charney, D. S., and Keane, T. M. (1998) Clinician-Administered PTSD Scale for DSM-IV. Boston: National Center for Posttraumatic Stress Disorder.
Bradley, R., Greene, J., Russ, E., Dutra, L., and Westen, D. (2005) A multidimensional meta-analysis of psychotherapy for PTSD. Am J Psychiatry 162, 214–27.
Blanchard, E. B., Jones-Alexander, J., Buckley, T. C., and Forneris, C. A. (1996) The psychometric properties of the PTSD Checklist (PCL). Behav Res Ther 34, 669–73
We acknowledge assistance from the Department of Veteran Affairs Research Career Development Award (J. L. S.), Samueli Foundation/VET-HEAL Award (J. L. S.); National Institute of Mental Health R03 Award (J. L. S.), Department of Veteran Affairs Advanced Research Career Development Award (CEM), and Veterans Affairs Mid-Atlantic Mental Illness Research, Education, and Clinical Center. The views expressed are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs. This chapter is presented in loving memory of Dr. Marian I. Butterfield, who died on June 26, 2006, after a courageous five-year battle with breast cancer. We wish to acknowledge her extensive contributions to the ideas and research presented and to celebrate her significant contributions to the field of psychiatry and to the care of our nation's veterans.
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Strauss, J., Calhoun, P., Marx, C. (2009). Guided Imagery as a Therapeutic Tool in Post-Traumatic Stress Disorder. In: LeDoux, J., Keane, T., Shiromani, P. (eds) Post-Traumatic Stress Disorder. Humana Press. https://doi.org/10.1007/978-1-60327-329-9_17
Publisher Name: Humana Press
Print ISBN: 978-1-60327-328-2
Online ISBN: 978-1-60327-329-9