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Abstract

An old soldier who is now a successful professional contemplates his time as a prisoner of war (POW) during the Vietnam conflict. He describes himself as young fearless pilot, a master of himself and of his machine. Captured and beaten, he realized that his arms were broken in several places so badly he could not lift a finger. Fellow captive squadron mates took turns spooning food so he could eat. They did this for several weeks. He would not have survived without their aid. The experience transformed his understanding of himself and others. He says, “In the sky, alone, I believed I was invincible but I realized we are all individually nothing. We cannot live without each other, plain and simple.”

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References

  • Arias, I. (2004). Report from the CDC. The legacy of child maltreatment: Long-term health consequences for women. Journal of Women's Health, 13(5), 468–473.

    Article  PubMed  Google Scholar 

  • Bowlby, J. (1988). A secure base. New York: Basic Books.

    Google Scholar 

  • Brown, A. D., Root, J. C., Cloitre, M., Perez, D., Teuscher, O., Pan, H., & Stern, E. (2011, November). Changes in fear reactivity in response to STAIR/NST: A preliminary analysis. Paper presented at the Symposium at the Annual Conference International Society for Traumatic Stress Society, Baltimore.

    Google Scholar 

  • Browne, A., & Finkelhor, D. (1986). Impact of child sexual abuse: A review of the research. Psychological Bulletin, 99(1), 66.

    Article  CAS  PubMed  Google Scholar 

  • Charuvastra, A., & Cloitre, M. (2008). Social bonds and posttraumatic stress disorder. Annual Review of Psychology, 59, 301.

    Article  PubMed Central  PubMed  Google Scholar 

  • Cloitre, M., Cohen, L. R., & Scarvalone, P. (2002a). Understanding revictimization among childhood sexual abuse survivors: An interpersonal schema approach. Journal of Cognitive Psychotherapy, 16(1), 91–111.

    Article  Google Scholar 

  • Cloitre, M., Koenen, K. C., Cohen, L. R., & Han, H. (2002b). Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuse. Journal of Consulting and Clinical Psychology, 70(5), 1067–1074.

    Article  PubMed  Google Scholar 

  • Cloitre, M., Chase Stovall-McClough, K., Miranda, R., & Chemtob, C. M. (2004). Therapeutic alliance, negative mood regulation, and treatment outcome in child abuse-related posttraumatic stress disorder. Journal of Consulting and Clinical Psychology, 72(3), 411.

    Article  PubMed  Google Scholar 

  • Cloitre, M., Miranda, R., Stovall-McClough, K. C., & Han, H. (2005). Beyond PTSD: Emotion regulation and interpersonal problems as predictors of functional impairment in survivors of childhood abuse. Behavior Therapy, 36(2), 119–124.

    Article  Google Scholar 

  • Cloitre, M., Cohen, L. R., & Koenen, K. C. (2006). Treating survivors of childhood abuse: Psychotherapy for the interrupted life. New York: Guilford Press.

    Google Scholar 

  • Cloitre, M., Stovall-McClough, K. C., Zorbas, P., & Charuvastra, A. (2008). Adult attachment, emotion regulation and expectations of support among treatment seeking adults with childhood maltreatment. Journal of Traumatic Stress, 21, 282–289.

    Article  PubMed  Google Scholar 

  • Cloitre, M., Stovall-McClough, K. C., Nooner, K., Zorbas, P., Cherry, S., Jackson, C. L., & Petkova, E. (2010). Treatment for PTSD related to childhood abuse: A randomized controlled trial. The American Journal of Psychiatry, 167(8), 915–924. doi: 10.1176/appi.ajp.2010.09081247 [pii].

    Article  PubMed  Google Scholar 

  • Coifman, K. G., & Bonanno, G. A. (2007). Emotion context sensitivity in adaptation and recovery. In A. M. Kring & D. M. Sloan (Eds.), Emotion regulation and psychotherapy: A transdiagnostic approach to etiology and treatment. New York: Guilford Press.

    Google Scholar 

  • Copeland, W. E., Keller, G., Angold, A., & Costello, E. J. (2007). Traumatic events and posttraumatic stress in childhood. Archives of General Psychiatry, 64, 577–584.

    Article  PubMed  Google Scholar 

  • Fergusson, D. M., Horwood, L. J., & Lynskey, M. T. (1996). Childhood sexual abuse and psychiatric disorder in young adulthood: II. Psychiatric outcomes of childhood sexual abuse. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1365–1374.

    Article  CAS  PubMed  Google Scholar 

  • Gudino, O. G., Wies, R., Havens, J. G., Biggs, E. A., Diamond, U. N., Marr, M., Jackson, C. J., & Cloitre, M. (2014). Group trauma-informed treatment for adolescent psychiatry inpatients: A preliminary uncontrolled trial. Journal of Traumatic Stress, 27(4), 496–500.

    Article  PubMed  Google Scholar 

  • Hobfoll, S. E. (2002). Social and psychological resources and adaptation. Review of General Psychology, 6(4), 307–324.

    Article  Google Scholar 

  • Jackson, C. L., Nissenson, K., & Cloitre, M. (2009). Treatment of complex PTSD. In R. Leahy & D. Sookman (Eds.), New approaches to treatment-resistant anxiety disorders (pp. 75–103). New York: Jason-Aronson.

    Google Scholar 

  • Johns, L. E., Aiello, A. E., Cheng, C., Galea, S., Koenen, K. C., & Uddin, M. (2012). Neighborhood social cohesion and posttraumatic stress disorder in a community-based sample: Findings from the Detroit Neighborhood Health Study. Social Psychiatry and Psychiatric Epidemiology, 47(12), 1899–1906. doi:10.1007/s00127-012-0506-9.

    Article  PubMed  Google Scholar 

  • Levitt, J. T., Malta, L. S., Martin, A., Davis, L., & Cloitre, M. (2007). The flexible application of a manualized treatment for PTSD symptoms and functional impairment related to the 9/11 World Trade Center attack. Behaviour Research and Therapy, 45(7), 1419–1433.

    Article  PubMed  Google Scholar 

  • Malta, L. S., Levitt, J. T., Martin, A., Davis, L., & Cloitre, M. (2009). Correlates of functional impairment in treatment-seeking survivors of mass terrorism. Behaviour Therapy, 40(1), 39–49. doi:10.1016/j.beth.2007.12.007.

    Article  Google Scholar 

  • Meewisse, M. L., Olff, M., Kleber, R., Kitchiner, N. J., & Gersons, B. P. (2011). The course of mental health disorders after a disaster: Predictors and comorbidity. Journal of Traumatic Stress, 24(4), 405–413. doi:10.1002/jts.20663.

    Article  PubMed  Google Scholar 

  • National Research Council. (2014). Preventing psychological disorders in service members and their families: An assessment of programs. Washington, DC: The National Academies Press.

    Google Scholar 

  • Norris, F. H., & Kaniasty, K. (1996). Received and perceived social support in times of stress: A test of the social support deterioration deterrence model. Journal of Personality and Social Psychology, 71(3), 498–511.

    Article  CAS  PubMed  Google Scholar 

  • North, C. S., Tivis, L., McMillen, J. C., Pfefferbaum, B., Cox, J., et al. (2002). Coping, functioning, and adjustment of rescue workers after the Oklahoma City bombing. Journal of Traumatic Stress, 15(3), 171–175.

    Article  PubMed  Google Scholar 

  • Papa, A., & Bonanno, G. A. (2008). Smiling in the face of adversity: The interpersonal and intrapersonal functions of smiling. Emotion, 8(1), 1–12. doi:10.1037/1528-3542.8.1.1.

    Article  PubMed  Google Scholar 

  • Saigh, P., Yasik, A., Sack, W., & Koplewicz, W. (1999). Child-adolescent post traumatic stress disorder: Prevalence, risk factors, and co-morbidity. In P. Saigh & J. D. Bremner (Eds.), Posttraumatic stress disorder: A comprehensive text (pp. 18–43). Boston: Allyn & Bacon.

    Google Scholar 

  • Schumm, J. A., Briggs-Phillips, M., & Hobfoll, S. E. (2006). Cumulative interpersonal traumas and social support as risk and resiliency factors in predicting PTSD and depression among inner-city women. Journal of Traumatic Stress, 19(6), 825–836. doi:10.1002/jts.20159.

    Article  PubMed  Google Scholar 

  • Seedat, S., Nyamai, C., Njenga, F., Vythilingum, B., & Stein, D. J. (2004). Trauma exposure and post-traumatic stress symptoms in urban African schools. Survey in Cape Town and Nairobi. British Journal of Psychiatry, 184, 169–175.

    Article  CAS  PubMed  Google Scholar 

  • Shalev, A. R., Tuval-Mashiach, R., & Hadar, H. (2004). Posttraumatic stress disorder as a result of mass trauma. Journal of Clinical Psychiatry, 65(Suppl. 1), 4–10.

    PubMed  Google Scholar 

  • Shields, A. M., Cicchetti, D., & Ryan, R. M. (1994). The development of emotional and behavioral self-regulation and social competence among maltreated school-age children. Development and Psychopathology, 6(1), 57–75. doi:10.1017/s0954579400005885.

    Article  CAS  PubMed  Google Scholar 

  • Shipman, K. L., & Zeman, J. (2001). Socialization of children’s emotion regulation in mother-child dyads: A developmental psychopathology perspective. Development and Psychopathology, 13(2), 317–336.

    Article  CAS  PubMed  Google Scholar 

  • Shipman, K., Zeman, J., Penza, S., & Champion, K. (2000). Emotion management skills in sexually maltreated and nonmaltreated girls: A developmental psychopathology perspective. Development and Psychopathology, 12(1), 47–62.

    Article  CAS  PubMed  Google Scholar 

  • Shipman, K., Edwards, A., Brown, A., Swisher, L., & Jennings, E. (2005). Managing emotion in a maltreating context: A pilot study examining child neglect. Child Abuse and Neglect, 29(9), 1015–1029. doi:10.1016/j.chiabu.2005.01.006.

    Article  PubMed  Google Scholar 

  • Sroufe, L. A., Fox, N. E., & Pancake, V. R. (1983). Attachment and dependency in developmental perspective. Child Development, 54, 1615–1627.

    Article  Google Scholar 

  • Stevens, N. R., Gerhart, J., Goldsmith, R. E., Heath, N. M., Chesney, S. A., & Hobfoll, S. E. (2013). Emotion regulation difficulties, low social support, and interpersonal violence mediate the link between childhood abuse and posttraumatic stress symptoms. Behaviour Therapy, 44(1), 152–161. doi:10.1016/j.beth.2012.09.003.

    Article  Google Scholar 

  • Suess, G. J., Grossmann, K. E., & Sroufe, L. A. (1992). Effects of infants attachment to mother and father on quality of adaptation in preschool: From dyadic to individual organization of self. International Journal of Behavioral Development, 15(43–65), 43.

    Article  Google Scholar 

  • Trappler, B., & Newville, H. (2007). Trauma healing via cognitive behavior therapy in chronically hospitalized patients. Psychiatric Quarterly, 78(4), 317–325. doi:10.1007/s11126-007-9049-8.

    Article  PubMed  Google Scholar 

  • Van der Kolk, B. A. (1996). The complexity of adaptation to trauma: Self-regulation, stimulus discrimination, and characterological development. In B. A. van der Kolk, A. C. McFarlane, & L. Weisaeth (Eds.), Traumatic stress: The effects of overwhelming experience on mind, body, and society. New York: Guilford Press.

    Google Scholar 

  • Westphal, M., Olfson, M., Gameroff, M. J., et al. (2011). Functional impairment in adults with past posttraumatic stress disorder: Findings from primary care. Depression and Anxiety, 28(8), 686–695.

    Article  PubMed Central  PubMed  Google Scholar 

  • Whelton, W. J. (2004). Emotional process in psychotherapy: Evidence across therapeutic modalities. Clinical Psychology and Psychotherapy, 11(58–71), 58.

    Article  Google Scholar 

  • Zlotnick, C., Zakriski, A. L., Shea, M. T., Costello, E., Begin, A., Pearlstein, T., & Simpson, E. (1996). The long-term sequelae of sexual abuse: Support for a complex posttraumatic stress disorder. Journal of Traumatic Stress, 9(2), 195–205.

    Article  CAS  PubMed  Google Scholar 

  • Zoellner, L. A., Foa, E. B., & Brigidi, B. C. (1999). Interpersonal friction and PTSD in female victims of sexual and nonsexual assault. Journal of Traumatic Stress, 12, 689–700.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Marylène Cloitre .

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Cloitre, M., Schmidt, J.A. (2015). STAIR Narrative Therapy. In: Schnyder, U., Cloitre, M. (eds) Evidence Based Treatments for Trauma-Related Psychological Disorders. Springer, Cham. https://doi.org/10.1007/978-3-319-07109-1_14

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  • DOI: https://doi.org/10.1007/978-3-319-07109-1_14

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