Interpersonal Psychotherapy for Posttraumatic Stress Disorder

by John C. Markowitz

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Author: John C. Markowitz

Publisher: Oxford University Press

Paperback:
ISBN 10: 019046559X
ISBN 13: 978-0190465599

Posttraumatic stress disorder (PTSD) is a prevalent, debilitating public health problem. Cognitive behavioral therapies (CBTs), and specifically exposure-based therapy, have long dominated PTSD treatment. Empirically supported treatments-Prolonged Exposure (PE), Cognitive Processing Therapy, Eye Movement Desensitization and Reprocessing (EMDR), and virtual reality therapy-all have relied upon the "fear extinction model" of exposing patients to reminders of their trauma until they grow accustomed to and extinguish the fear. While exposure-based treatments work, they (like all treatments) have their limits. Many patients refuse to undergo them or drop out of treatment prematurely; others may actually worsen in such treatment; and still others simply do not benefit from them.

Interpersonal Psychotherapy for Posttraumatic Stress Disorder describes a novel approach that has the potential to transform the psychological treatment of PTSD. Drawing on exciting new clinical research findings, this book provides a new, less threatening treatment option for the many patients and therapists who find exposure-based treatments grueling. Interpersonal Psychotherapy (IPT) for PTSD was tested in a randomized controlled trial that compared three psychotherapies. Dr. Markowitz and his group found that IPT was essentially just as effective as exposure-based Prolonged Exposure. IPT had higher response rates and lower dropout rates than did PE, particularly for patients who were also suffering from major depression. These novel findings suggest that patients need not undergo exposure to recover from PTSD. Interpersonal Psychotherapy for Posttraumatic Stress Disorder describes an exciting alternative therapy for PTSD, details the results of the study, and provides an IPT treatment manual for PTSD.

Review

"This author participated in a study to determine if this modality could also be effective for the treatment of PTSD, and this work is an extension of that research. Readers would benefit from some exposure to IPT before attempting to use this method with patients, but the description of IPT in the initial chapters is well done and useful. Overall, case examples illustrate important points and help readers stay focused on the practice of IPT. As a result, this book is a worthwhile addition to a clinician's library."

-- Doodys Health Science

"Given how frequently practitioners treat patients with PTSD and considering IPT's practical and humane approach, the respectable clinical response rates demonstrated here, and its high patient acceptance, I'd advise a wide range of clinicians to acquaint themselves with IPT's application for these conditions. Showing the hand of a thoughtful, experienced, wise clinician and scholar, this well-written volume is an excellent place to start."

-- American Journal of Psychiatry

"This exceptionally important volume details John Markowitz's ground-breaking approach to the treatment of trauma. Refusing to accept the conventional wisdom that only exposure therapies can address trauma symptoms, Markowitz clearly describes his empirically supported approach based on interpersonal psychotherapy that emphasizes the importance of relationships and social roles in the recovery from trauma experiences. Beautifully and lucidly written, this is a book that everyone who works with trauma survivors should read, regardless of theoretical orientation."
--Ellen Frank, PhD, Distinguished Professor Emeritus of Psychiatry and Distinguished Professor of Psychology, University of Pittsburgh

About the Author

John C. Markowitz, MD, is a Professor of Clinical Psychiatry at Columbia University College of Physicians and Surgeons and a Research Psychiatrist at New York State Psychiatric Institute. Dr. Markowitz is an internationally recognized expert in psychotherapy research, who has conducted several NIMH- and foundation-funded studies of interpersonal psychotherapy (IPT), cognitive behavioral therapies, and medications. He has studied treatments of mood, anxiety, and personality disorders, and has published more than 300 peer-reviewed articles, chapters, and reviews.

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Post-traumatic Stress Disorder

Interpersonal Psychotherapy for Posttraumatic Stress Disorder