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Changing Beliefs about Trauma: A Qualitative Study of Cognitive Processing Therapy
Jennifer L Price1, Helen Z MacDonald2, Kathryn C Adair3
1Georgetown College,Georgetown,USA.
Background:
Controlled qualitative methods complement quantitative treatment outcome research and enable a more thorough understanding of the effects of therapy and the suspected mechanisms of action.
Aims:
Thematic analyses were used to examine outcomes of cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD) in a randomized controlled trial of individuals diagnosed with military-related PTSD (n = 15).
Method:
After sessions 1 and 11, participants wrote "impact statements" describing their appraisals of their trauma and beliefs potentially impacted by traumatic events. Trained raters coded each of these statements using a thematic coding scheme.
Results:
An analysis of thematic coding revealed positive changes over the course of therapy in participants' perspective on their trauma and their future, supporting the purported mechanisms of CPT.
Conclusion:
Implications of this research for theory and clinical practice are discussed.
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