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Cognitive therapy of trauma related guilt in patients with PTSD
 
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Interdyscyplinarne Centrum Genetyki Zachowania Uniwersytetu Warszawskiego
 
 
Submission date: 2014-01-13
 
 
Final revision date: 2014-03-01
 
 
Acceptance date: 2014-03-31
 
 
Publication date: 2014-06-28
 
 
Corresponding author
Agnieszka Popiel   

Interdyscyplinarne Centrum Genetyki Zachowania Uniwersytetu Warszawskiego, Chodakowska 19/31, 00-183 Warszawa, Polska
 
 
Psychiatr Pol 2014;48(3):615-625
 
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ABSTRACT
Objectives:
Various aspects of guilt are frequent problems of patients suffering from PTSD, though they have been included into the diagnostic criteria for PTSD just in the present version DSM-5. Some studies indicate limitation of effectiveness of exposure therapy in PTSD patients with predominant emotions of anger or guilt.

Methods:
The aim of this paper is to present cognitive conceptualization of guilt in PTSD proposed by Kubany, and a treatment protocol resulting from this conceptualization.The clinical application of the protocol is illustrated with preliminary results of systematic observation of 8 patients with moderate to severe PTSD who were treated with cognitive therapy for guilt followed by a standard prolonged exposure protocol.

Results:
The cognitive therapy of guilt can be a valuable supplement for treatment of PTSD. This protocol can also be an inspiration for therapists working with patients with dysfunctional guilt as a problem in other than PTSD disorders - like depression or adjustment disorders.

Conclusions:
In discussion the place of guilt in treatment according to different (PE-Foa et al.; CPT-Resick et al.; CT-Ehlers and Clark ) trauma focused therapy approaches is addressed, and the need for further studies is underlined.

eISSN:2391-5854
ISSN:0033-2674
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