Trauma and anxiety: The cognitive approach

Journal of Traumatic Stress - Tập 1 - Trang 35-56 - 1988
Shulamith Kreitler1, Hans Kreitler1
1Department of Psychology, Tel-Aviv University, Ramat Aviv, Israel

Tóm tắt

The purpose was to show how anxiety, the perception of the input and predisposing personality factors are interrelated in the generation of the post-traumatic stress disorder (PTSD). After a review of the role of each of these elements in regard to the PTSD, a new conception of anxiety, the core element of trauma, is introduced, grounded in an innovative system of meaning assessment. Two experiments are summarized demonstrating that anxiety is a pattern of meaning assignment tendencies of the individual and that changing these tendencies brings about the expected changes in the level of anxiety and of cognitive performance. The findings are applied to the treatment and prevention of the PTSD by showing how changing the meaning of specific inputs and of the relevant meaning assignment tendencies of individuals suffering from PTSD or at risk may help to reduce anxiety and increase coping abilities.

Tài liệu tham khảo

Arnon, R., and Kreitler, S. (1984). Effects of meaning training on functional fixedness.Curr. Psychol. Res. Rev. 3: 11–24.

Davis, R. C., and Friedman, L. N. (1985). The emotional aftermath of crime and violence. In Figley, C. R. (ed.),Trauma and Its Wake: The Study and Treatment of Post-traumatic Stress Disorder Brunner/Mazel, New York, pp. 90–112.

Donaldson, M. A., and Gardner, R., Jr. (1985). Diagnosis and treatment of traumatic stress among women after childhood incest. In Figley, C. R. (ed.),Trauma and Its Wake: The Study and Treatment of Post-traumatic Stress Disorder Brunner/Mazel, New York, pp. 356–377.

Figley, C. R. (1978).Stress Disorders among Vietnam Veterans Brunner/Mazel, New York.

Figley, C. R. (1979). Combat as disaster: Treating combat veterans as survivors. Paper presented at the Annual Meeting of the American Psychiatric Association, Chicago, Ill., May 14.

Fisher, S. (1984).Stress and the Perception of Control Erlbaum, Hillsdale, N.J.

Frederick, C. J. (1980). Effects of natural versus human-induced violence upon victims.Eval. Change (special issue) 71–75.

Freud, S. (1926).The Problem of Anxiety Norton, New York.

Goldenson, R. M. (1984).Longman Dictionary of Psychology and Psychiatry Longman, New York.

Green, B. L. (1980). Prediction of long-term psychosocial function following the Beverly Hills fire. Doctoral dissertation, University of Cincinnati (university microfilm).

Grinker, R. R., and Spiegel, J. P. (1945).Men under stress Blakinston, Philadelphia.

Horowitz, M. J. (1979). Psychological response to serious life events. In Hamilton, V., and Warburton, D. M. (eds.),Human Stress and Cognition Wiley, New York, pp. 235–263.

Janis, I. L. (1958).Psychological Stress Wiley, New York.

Janis, I. L. (1965). Psychodynamic aspects of stress tolerance. In Klausner, S. A. (ed.),The Quest for Self-Control Free Press, New York, pp 215–246.

Janis, I. L., Mahl, G. F., Kagan, J., and Holt, R. R. (1969).Personality: Dynamics, Development, and Assessment Harcourt, Brace and World, New York.

Janoff-Bulman, R. (1985). The aftermath of victimization: Rebuilding shattered assumptions. In Figley, C. R. (ed.),Trauma and Its Wake: The Study and Treatment of Post-traumatic Stress Disorder Brunner/Mazel, New York, pp. 15–35.

Kilpatrick, D. G., and Veronen, L. J. (1984).Treatment of Fear and Anxiety in Victims of Rape, Final Report, NIMH Grant No. HMH29602.

Kilpatrick, D. G., Veronen, L. J., and Resick, P. A. (1982). Psychological sequelae to rape: Assessment and treatment strategies. In Doleys, D. M., Meredith, R. L., and Ciminero, A. R. (eds.),Behavioral Medicine: Assessment and Treatment Strategies Plenum, New York, pp. 473–497.

Kluckhohn, C. (1951). Values and value-orientations in the theory of action: An exploration in definition and classification. In Parson, T., and Shils, E. A. (eds.),Toward a General Theory of Action Harvard University Press, Cambridge, Mass.

Kreitler, H., and Kreitler, S. (1976).Cognitive Orientation and Behavior Springer, New York.

Kreitler, H., and Kreitler, S. (1977). Cognitive habilitation by meaning of aphasic patients and imbecile children. Invited address, Meetings at the 500th Anniversary of the Johannes Gutenberg University, Mainz, W. Germany.

Kreitler, S., and Kreitler, H. (1984a). Meaning assignment in perception. In Froehlich, W. D., Smith, G. J. W., Draguns, J. G., and Henschel, U. (eds.),Psychological Processes in Cognition and Personality Hemisphere Publishing, Washington, D.C., pp. 173–191.

Kreitler, S., and Kreitler, H. (1984b). Traits and situations: A semantic reconciliation in the research of personality and behavior. In Bonarius, H., van Heck, G., and Smid, N. (eds.),Personality Psychology in Europe: Theoretical and Empirical Developments Swets and Zeitlinger, Lisse, The Netherlands, pp. 233–251.

Kreitler, S., and Kreitler, H. (1985a). The psychosemantic determinants of anxiety: A cognitive approach. In van der Ploeg, H., Schwarzer, R., and Spielberger, C. D. (eds.),Advances in Text Anxiety Research, Vol. 4, Swets and Zeitlinger and Erlbaum, The Netherlands and Hillsdale, N.J., pp. 117–135.

Kreitler, S., and Kreitler, H. (1985b). The psychosemantic foundations of comprehension.Theoretical Linguistics 12, 185–195.

Kreitler, S., and Kreitler, H. (in press a).Cognitive Rehabilitation of the Retarded, Cambridge University Press, New York.

Kreitler, S., and Kreitler, H. (1987a). Plans and planning: Their motivational and cognitive antecedents. In Friedman, S. L., Scholnick, E. K., and Cocking, R. R. (eds.),Blueprints for Thinking: The Role of Planning in Cognitive Development Cambridge University Press, New York, pp. 110–178.

Kreitler, S., and Kreitler, H. (in press b).Personality Traits: The Cognitive View, Springer Publishing, New York.

Kreitler, S., and Kreitler, H. (1987c). The motivational and cognitive determinants of individual planning.Genet. Soc. Gen. Psychol. Monog. 113: 81–107.

Krug, S. E., Scheier, I. H., and Cattell, R. B. (1976).Handbook for the IPAT Anxiety Scale Institute for Personality and Ability Testing, Champaign, Ill.

Lahav, R. (1984). The influence of expansion of meaning on the level of meaning and creativity in disadvantaged and normal children, Unpublished Master's Thesis, Department of Psychology, Tel Aviv University.

Lazarus, R. S. (1966).Psychological Stress and the Coping Process McGraw-Hill, New York.

Lazarus, R. S., and Folkman, S. (1984).Stress, Appraisal, and Coping Springer, New York.

Lazarus, R. S., Kanner, A. D., and Folkman, S. (1980). Emotions: A cognitive phenomenological analysis. In Plutchik, R., and Kellerman, H. (eds.),Theories of Emotion, Vol. 1: Theory, Research, and Experience Academic Press, New York.

Lifton, R. J. (1983).The Broken Connection Basic Books, New York.

Lifton, R. J., and Olson, E. (1976). The human meaning of total disaster—the Buffalo Creek experience. Psychiatry 39: 1–18.

Logue, J. N. (1978). Long-term effects of a major natural disaster: The Hurricane Agnes flood in the Wyoming Valley of Pennsylvania, June, 1982, Doctoral Dissertation, School of Public Health, Department of Epidemiology, Columbia University, New York.

Mandler, G. (1962). Emotion. In Brown, R., Galanter, E., Hess, E., and Mandler, G. (eds.),New Directions in Psychology: No. 1 Holt, Rinehart and Winston, New York, pp. 267–343.

Marks, E. S., Fritz, C., Bucher, R., and Earle, D., (1954).Human Reactions in Disaster Situations National Opinion Research Center, University of Chicago, Chicago, Ill.

McDermott, W. F. (1980).The Influence of Vietnam Combat on Subsequent Psychopathology, paper presented at the Annual Meeting of the American Psychological Association, Los Angeles.

Moore, H. E. (1958).Tornadoes over Texas University of Texas Press, Austin.

Ohman, A. (1979). Fear relevance: Autonomic conditioning and phobias. In Sjoden, P. O., and Bets, S. (es.),Trends in Behavior Therapy Academic Press, New York.

Russell, P. A. (1979). Fear-evoking stimuli. In Sluckin, W. (ed.),Fear in Animals and Man Van Nostrand and Reinhold, New York.

Sarason, I. G. (1978). The Text Anxiety Scale: Concepts and research. In Spielberger, C. D., and Sarason, I. G. (eds.),Stress and Anxiety, Vol. 5, Hemisphere, New York.

Seligman, M. E. P. (1974).Learned Helplessness Freeman, San Francisco.

Solnit, A. J., and Kris, M. (1967). Trauma and infantile experiences: A longitudinal perspective. In Furst, S. S. (ed.),Psychic Trauma Basic Books, New York, pp. 175–220.

Spielberger, C. D., Gorsuch, R. L., Lushene, R. E., and Vagg, P. R. (1977).The State-Trait Anxiety Inventory: Form Y University of South Florida, Tampa.

Wolfenstein, M. (1957).Disaster Free Press, New York.

Zimering, R. T., Caddell, J. M., Fairbank, J. A., and Keane, T. M. (1984). Post-traumatic stress disorder in Vietnam veterans: An empirical evaluation of the diagnostic criteria, paper presented at the Association for Advancement of Behavior Therapy, Philadelphia, Pa.

Ziv, A., Levin, I., and Israeli, R. (1974).MIHALI, an anxiety test for children School of Education, Tel Aviv University Publications, Tel Aviv, Israel.

Zuckerman, M. (1979).Sensation-Seeking: Beyond the Optimal Level of Arousal Erlbaum, Hillsdale, N.J.

Zung, W. W. K., and Cavenar, J. O., Jr. (1980). Assessment scales and techniques. In Kutash, I. L., Schlesinger, L. B., and associates (eds.),Handbook on Stress and Anxiety Jossey-Bass, San Francisco.