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Behavior Modification, Vol. 29, No. 1, 189-215 (2005)
DOI: 10.1177/0145445504270884

Behavioral Interventions for Recent Trauma

Empirically Informed Practice Guidelines

Matt J. Gray

University of Wyoming

Brett T. Litz

National Center for Posttraumatic Stress Disorder

Despite the successes in the treatment of chronic trauma-related distress, little attention has been devoted to developing behavioral interventions to be delivered soon after traumatic exposure in an effort to promote positive posttraumatic adjustment and to minimize the likelihood of enduring psychopathology. As a result, other forms of early intervention have filled this void and have been widely disseminated and applied, despite the lack of compelling evidence attesting to their efficacy. This article reviews the literature bearing on early interventions for trauma, including the encouraging outcomes of recently developed behavioral treatments. Empirically informed practice guidelines for intervening with recently traumatized individuals are presented. Future treatment development efforts will need to address an issue that has been largely neglected in traditional treatment models for traumatized populations—that of traumatic bereavement. Behavioral interventions may be particularly well-equipped to address this source of distress.

Key Words: early intervention for trauma • psychological debriefing • CISD


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