Article2008

Couple therapy with combat veterans and their partners

Christopher R. Erbes · Melissa Anderson Polusny · Shelley MacDermid Wadsworth · Jill S. Compton

107 citations0/0 files storedJournal of Clinical Psychology

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Posttraumatic Stress Disorder Research Psychotherapy Techniques and Applications Mindfulness and Compassion Interventions

Abstract

Service members returning from Iraq and Afghanistan face psychological challenges that can exert profound effects on families and couples, but can also be treated within a systemic context. Couple therapy offers a means of increasing social support, decreasing interpersonal conflict, and addressing the experiential avoidance that maintains posttraumatic symptoms. For combat veterans and their partners, we present an adaptation of integrative behavioral couple therapy (IBCT) that reduces conflict and encourages intimacy through acceptance and skills strategies. By doing so, IBCT exposes service members in couple therapy to emotions, interpersonal situations, and activities that facilitate recovery from combat-related distress. We illustrate common presenting problems in this population and the utilization of IBCT with a case example.

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References

2004Loss, Trauma, and Human Resilience: Have We Underestimated the Human Capacity to Thrive After Extremely Aversive Events?1999Acceptance and Commitment Therapy: An Experiential Approach to Behavior Change 2000Meta-analysis of risk factors for posttraumatic stress disorder in trauma-exposed adults.2004Combat Duty in Iraq and Afghanistan, Mental Health Problems, and Barriers to Care 1996Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment.2003Motivational Interviewing: Preparing People for Change, 2nd ed.2007Longitudinal Assessment of Mental Health Problems Among Active and Reserve Component Soldiers Returning From the Iraq War 1997Treating the Trauma of Rape: Cognitive-Behavioral Therapy for PTSD

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2011Couple adjustment and posttraumatic stress disorder symptoms in National Guard veterans of the Iraq war.2013PTSD symptoms, disclosure, and relationship distress: Explorations of mediation and associations over time 2011Associations among experiential avoidance, couple adjustment, and interpersonal aggression in returning Iraqi war veterans and their partners.2013Combat disclosure in intimate relationships: Mediating the impact of partner support on posttraumatic stress.

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