Pub Date : 2018-02-25DOI: 10.14713/pcsp.v13i4.2021
L. McMullen
Sam Hamburg's (2018) case studies of the use of metaphoric tasks in psychotherapy take us into the storied course of therapy with "Margie" and with "Amy." In the nuances of Hamburg's accounts of these two sometimes similar, often different case studies, we see how metaphoric tasks can be conceived, implemented, and understood, and how the sensory-evoking, relationship-enhancing potential of metaphor can be enacted. We also see at work a deeply committed, thoughtful, and skilled practitioner-researcher who is, at once, cautious in his claims about the relation between metaphor use and therapy outcome, confident in what he knows about the practice of psychotherapy, and wise in his integration of the two.
Sam Hamburg（2018）关于在心理治疗中使用隐喻任务的案例研究将我们带入了“Margie”和“Amy”的传奇治疗过程。在Hamburg对这两个有时相似但往往不同的案例研究的描述中，我们看到了隐喻任务是如何被构思、实施和理解的，隐喻增强关系的潜力是可以发挥的。我们在工作中也看到了一位坚定、深思熟虑、技术娴熟的从业者研究人员，他对隐喻使用和治疗结果之间的关系持谨慎态度，对心理治疗实践的了解充满信心，并明智地将两者结合起来。
{"title":"When Skill and Wisdom Merge","authors":"L. McMullen","doi":"10.14713/pcsp.v13i4.2021","DOIUrl":"https://doi.org/10.14713/pcsp.v13i4.2021","url":null,"abstract":"Sam Hamburg's (2018) case studies of the use of metaphoric tasks in psychotherapy take us into the storied course of therapy with \"Margie\" and with \"Amy.\" In the nuances of Hamburg's accounts of these two sometimes similar, often different case studies, we see how metaphoric tasks can be conceived, implemented, and understood, and how the sensory-evoking, relationship-enhancing potential of metaphor can be enacted. We also see at work a deeply committed, thoughtful, and skilled practitioner-researcher who is, at once, cautious in his claims about the relation between metaphor use and therapy outcome, confident in what he knows about the practice of psychotherapy, and wise in his integration of the two.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"329-337"},"PeriodicalIF":0.0,"publicationDate":"2018-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42522322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-02-25DOI: 10.14713/PCSP.V13I4.2020
S. R. Hamburg
Metaphor exists not simply as figurative language but as a fundamental organizing principle of human thought. Given the appropriate context, anything can function metaphorically. In the presently described cases of "Margie" and "Amy," which differed in many ways, a common theme was the effective incorporation of simple tasks, assigned as homework, which were used metaphorically in successful psychotherapy. In Margie's case, the task was not self-consciously conceived as a metaphor by the therapist, but it functioned that way. The therapeutic power of that metaphoric task was confirmed by the client many years later. In the second case, the task was deliberately formulated as a metaphor. Whether this metaphoric task contributed to the case's initially positive outcome is uncertain. To provide background for understanding the integrative psychotherapy model that I bring to these two cases, a statement on my development as a psychotherapist is included as Appendix 1.
{"title":"Metaphoric Tasks in Psychotherapy: Case Studies of \"Margie's\" Self-Image and \"Amy's\" Pain","authors":"S. R. Hamburg","doi":"10.14713/PCSP.V13I4.2020","DOIUrl":"https://doi.org/10.14713/PCSP.V13I4.2020","url":null,"abstract":"Metaphor exists not simply as figurative language but as a fundamental organizing principle of human thought. Given the appropriate context, anything can function metaphorically. In the presently described cases of \"Margie\" and \"Amy,\" which differed in many ways, a common theme was the effective incorporation of simple tasks, assigned as homework, which were used metaphorically in successful psychotherapy. In Margie's case, the task was not self-consciously conceived as a metaphor by the therapist, but it functioned that way. The therapeutic power of that metaphoric task was confirmed by the client many years later. In the second case, the task was deliberately formulated as a metaphor. Whether this metaphoric task contributed to the case's initially positive outcome is uncertain. To provide background for understanding the integrative psychotherapy model that I bring to these two cases, a statement on my development as a psychotherapist is included as Appendix 1.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"284-328"},"PeriodicalIF":0.0,"publicationDate":"2018-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42691119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-12DOI: 10.14713/PCSP.V13I3.2014
F. Caspar
Ciuca, Berger, and Miclea (2017) and Schulz, Vincent, & Berger (2017) each present a pair of process-focused, systematic case studies, one with good outcome and one with a poorer outcome. These cases were drawn from a randomized controlled trial (RCT) of an Online self-help therapy for panic disorder and social anxiety disorder, respectively. In both instances the cases were drawn from the clinician-guided arm of the RCT. This commentary reviews the kind of knowledge emerging from these pairs of case studies from a variety of perspectives, including: the practical advantages of online, clinician-guided treatment; client readiness for treatment; the role of the therapist alliance; the broad reach of online therapy; and the important complementary role that systematic case studies play in enhancing the knowledge that emerges from RCTs.
{"title":"Case Studies of Clinician-Guided, Online Therapy: Towards a Fuller Understanding of How and Under What Conditions Such Therapy Works","authors":"F. Caspar","doi":"10.14713/PCSP.V13I3.2014","DOIUrl":"https://doi.org/10.14713/PCSP.V13I3.2014","url":null,"abstract":"Ciuca, Berger, and Miclea (2017) and Schulz, Vincent, & Berger (2017) each present a pair of process-focused, systematic case studies, one with good outcome and one with a poorer outcome. These cases were drawn from a randomized controlled trial (RCT) of an Online self-help therapy for panic disorder and social anxiety disorder, respectively. In both instances the cases were drawn from the clinician-guided arm of the RCT. This commentary reviews the kind of knowledge emerging from these pairs of case studies from a variety of perspectives, including: the practical advantages of online, clinician-guided treatment; client readiness for treatment; the role of the therapist alliance; the broad reach of online therapy; and the important complementary role that systematic case studies play in enhancing the knowledge that emerges from RCTs.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"265-270"},"PeriodicalIF":0.0,"publicationDate":"2017-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49465566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-12DOI: 10.14713/PCSP.V13I3.2011
A. Ciuca, T. Berger, Mircea Miclea
Hundreds of clinical trials offer strong efficacy evidence that Internet-Based Cognitive-Behavioral Treatment (ICBT) interventions can contribute substantially to reducing the gap between mental health care needs and service use by providing better access to quality treatments. However, in order to use these interventions more efficiently, we need to find the best ways to tailor the interventions according to individual client characteristics, such as severity of symptoms, comorbidity problems, personality traits, life context, and position on the stage-of-change continuum. In line with this, this article documents how the individual process of psychological treatment unfolds during a specific IBCT program for Panic Disorder, called "PAXonline," with therapist guidance via Skype. The challenges and progress made by the two clients
{"title":"Maria and Andrea: Comparing Positive and Negative Outcome Cases in an Online, Clinician-Guided, Self-Help Intervention for Panic Disorder","authors":"A. Ciuca, T. Berger, Mircea Miclea","doi":"10.14713/PCSP.V13I3.2011","DOIUrl":"https://doi.org/10.14713/PCSP.V13I3.2011","url":null,"abstract":"Hundreds of clinical trials offer strong efficacy evidence that Internet-Based Cognitive-Behavioral Treatment (ICBT) interventions can contribute substantially to reducing the gap between mental health care needs and service use by providing better access to quality treatments. However, in order to use these interventions more efficiently, we need to find the best ways to tailor the interventions according to individual client characteristics, such as severity of symptoms, comorbidity problems, personality traits, life context, and position on the stage-of-change continuum. In line with this, this article documents how the individual process of psychological treatment unfolds during a specific IBCT program for Panic Disorder, called \"PAXonline,\" with therapist guidance via Skype. The challenges and progress made by the two clients","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"173-216"},"PeriodicalIF":0.0,"publicationDate":"2017-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44716787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-12DOI: 10.14713/PCSP.V13I3.2015
Alexandra Woods, Christopher B. Stults, Rachel Terry, S. Rego
This commentary discusses the strengths and limitations of internet-based cognitive-behavioral treatments (ICBT) for anxiety disorders, as highlighted by the case studies described in Ciuca, Berger, and Miclea (2017), and in Schulz, Vincent, and Berger (2017). In comparing the course of treatment for patients with contrasting clinical outcomes, the authors offer insights into the many benefits and challenges of ICBT. Suggestions for improving ICBT interventions for anxiety disorders, implications for implementation and dissemination, and ethical considerations are discussed.
这篇评论讨论了基于互联网的认知行为治疗(ICBT)治疗焦虑症的优势和局限性，正如Ciuca, Berger, and Miclea(2017)和Schulz, Vincent, and Berger(2017)所描述的案例研究所强调的那样。通过对比临床结果不同的患者的治疗过程，作者对ICBT的诸多益处和挑战提出了见解。讨论了改进ICBT干预焦虑障碍的建议、实施和传播的影响以及伦理考虑。
{"title":"Strengths and Limitations of Internet-Based Cognitive-Behavioral Treatments for Anxiety Disorders","authors":"Alexandra Woods, Christopher B. Stults, Rachel Terry, S. Rego","doi":"10.14713/PCSP.V13I3.2015","DOIUrl":"https://doi.org/10.14713/PCSP.V13I3.2015","url":null,"abstract":"This commentary discusses the strengths and limitations of internet-based cognitive-behavioral treatments (ICBT) for anxiety disorders, as highlighted by the case studies described in Ciuca, Berger, and Miclea (2017), and in Schulz, Vincent, and Berger (2017). In comparing the course of treatment for patients with contrasting clinical outcomes, the authors offer insights into the many benefits and challenges of ICBT. Suggestions for improving ICBT interventions for anxiety disorders, implications for implementation and dissemination, and ethical considerations are discussed.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"271-283"},"PeriodicalIF":0.0,"publicationDate":"2017-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43183363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-11-12DOI: 10.14713/PCSP.V13I3.2013
T. Eells
This commentary explores reasons why one client’s outcome was better than the other’s in two comparative case studies: the cases of "Maria" and "Andrea,” involving panic disorder (Ciuca, Berger, & Miclea, 2017); and the cases of "Daydreamer" and "Night Owl," involving social anxiety (Schulz, Vincent, & Berger, 2017). Findings suggest that both specific and common factors may explain the difference. Specific factors include the extent to which exteroceptive exposure was implemented and avoidant behaviors were relaxed. Common factors that may explain the difference in outcome include acceptance of the treatment model, number of success experiences, perceived self-efficacy, and the logical link between the client’s explanation of problems and the treatment offered.
{"title":"Why Do Some Psychotherapy Clients Get Better Than Others","authors":"T. Eells","doi":"10.14713/PCSP.V13I3.2013","DOIUrl":"https://doi.org/10.14713/PCSP.V13I3.2013","url":null,"abstract":"This commentary explores reasons why one client’s outcome was better than the other’s in two comparative case studies: the cases of \"Maria\" and \"Andrea,” involving panic disorder (Ciuca, Berger, & Miclea, 2017); and the cases of \"Daydreamer\" and \"Night Owl,\" involving social anxiety (Schulz, Vincent, & Berger, 2017). Findings suggest that both specific and common factors may explain the difference. Specific factors include the extent to which exteroceptive exposure was implemented and avoidant behaviors were relaxed. Common factors that may explain the difference in outcome include acceptance of the treatment model, number of success \u0000experiences, perceived self-efficacy, and the logical link between the client’s explanation of problems and the treatment offered.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"253-264"},"PeriodicalIF":0.0,"publicationDate":"2017-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42007135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-20DOI: 10.14713/PCSP.V13I2.2004
J. Cigrang, A. Peterson
Austern (2017) presents three composite Veteran case studies using Written Exposure Therapy (WET; Sloan, Lee, Litwack, Sawyer, & Marx, 2013) as a first-level intervention in a larger stepped-care model for PTSD. The relatively minimalist WET intervention may be appealing to Veterans with PTSD who have opted not to seek out more time and therapist-intensive treatments. In addition, writing has been used effectively in other protocols as a method of achieving exposure to memories of traumatic experiences. Austern’s three cases demonstrate a range of success in using WET to engage Veterans in evidence-based treatment and reduce suffering associated with PTSD. We comment on the current status of the research literature on stepped-care models for PTSD, the potential value of incorporating Motivational Interviewing principles and specific homework tasks into these efforts, and the promise that abbreviated interventions and stepped-care approaches may hold for helping clinicians manage their clinical caseloads and avoid burnout.
{"title":"Stepped-Care Approaches to Posttraumatic Stress Disorder: Sharpening Tools for the Clinician’s Toolbox","authors":"J. Cigrang, A. Peterson","doi":"10.14713/PCSP.V13I2.2004","DOIUrl":"https://doi.org/10.14713/PCSP.V13I2.2004","url":null,"abstract":"Austern (2017) presents three composite Veteran case studies using Written Exposure Therapy (WET; Sloan, Lee, Litwack, Sawyer, & Marx, 2013) as a first-level intervention in a larger stepped-care model for PTSD. The relatively minimalist WET intervention may be appealing to Veterans with PTSD who have opted not to seek out more time and therapist-intensive treatments. In addition, writing has been used effectively in other protocols as a method of achieving exposure to memories of traumatic experiences. Austern’s three cases demonstrate a range of success in using WET to engage Veterans in evidence-based treatment and reduce suffering associated with PTSD. We comment on the current status of the research literature on stepped-care models for PTSD, the potential value of incorporating Motivational Interviewing principles and specific homework tasks into these efforts, and the promise that abbreviated interventions and stepped-care approaches may hold for helping clinicians manage their clinical caseloads and avoid burnout.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"142-153"},"PeriodicalIF":0.0,"publicationDate":"2017-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45357357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-20DOI: 10.14713/PCSP.V13I2.2005
D. Sloan, B. Marx
We provide commentary on the article by Austern (2017) in which several composite PTSD treatment cases with veteran clients are presented. Written Exposure Therapy (WET) was implemented in each case, with varying levels of success. We provide additional background on the development of WET to provide readers with a better understanding of how this treatment was created. We also describe the available efficacy data supporting the use of WET as well as describe efficacy studies that are currently underway. Lastly, we comment on Austern’s use of WET in the three composite veteran cases that are described.
{"title":"On the Implementation of Written Exposure Therapy (WET) with Veterans Diagnosed with PTSD","authors":"D. Sloan, B. Marx","doi":"10.14713/PCSP.V13I2.2005","DOIUrl":"https://doi.org/10.14713/PCSP.V13I2.2005","url":null,"abstract":"We provide commentary on the article by Austern (2017) in which several composite PTSD treatment cases with veteran clients are presented. Written Exposure Therapy (WET) was implemented in each case, with varying levels of success. We provide additional background on the development of WET to provide readers with a better understanding of how this treatment was created. We also describe the available efficacy data supporting the use of WET as well as describe efficacy studies that are currently underway. Lastly, we comment on Austern’s use of WET in the three composite veteran cases that are described.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"154-164"},"PeriodicalIF":0.0,"publicationDate":"2017-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46052427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-20DOI: 10.14713/PCSP.V13I2.2003
David J. Austern
The purpose of this study is to explore the effects of a stepped-care model of treatment on Posttraumatic Stress Disorder (PTSD) symptomatology and sequelae in United States' Veterans. The study provides a literature review of the burden of PTSD, describes current best treatment practices, and illustrates key processes in the service-delivery of these treatments. Treatment considerations are demonstrated via three hybrid case examples, which serve as vivid portrayals of Veteran clients who struggle with research-consistent PTSD symptomatology and difficulties engaging in psychotherapy. In addition to being informed by clinical examples in relevant psychological literature, these composite cases, "Alex," "Bruno," and "Charles," contain disguised aspects drawn from psychotherapy clients who have been in my caseload in a PTSD clinic. Demonstrating these clients
{"title":"Written Exposure Therapy as Step One in Reducing the Burden of PTSD: The Composite Cases of \"Alex,\" \"Bruno,\" and \"Charles\"","authors":"David J. Austern","doi":"10.14713/PCSP.V13I2.2003","DOIUrl":"https://doi.org/10.14713/PCSP.V13I2.2003","url":null,"abstract":"The purpose of this study is to explore the effects of a stepped-care model of treatment on Posttraumatic Stress Disorder (PTSD) symptomatology and sequelae in United States' Veterans. The study provides a literature review of the burden of PTSD, describes current best treatment practices, and illustrates key processes in the service-delivery of these treatments. Treatment considerations are demonstrated via three hybrid case examples, which serve as vivid portrayals of Veteran clients who struggle with research-consistent PTSD symptomatology and difficulties engaging in psychotherapy. In addition to being informed by clinical examples in relevant psychological literature, these composite cases, \"Alex,\" \"Bruno,\" and \"Charles,\" contain disguised aspects drawn from psychotherapy clients who have been in my caseload in a PTSD clinic. Demonstrating these clients","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"82-141"},"PeriodicalIF":0.0,"publicationDate":"2017-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46458599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-07-20DOI: 10.14713/pcsp.v13i2.2006
David J. Austern
In "Written Exposure Therapy as Step One in Reducing the Burden of PTSD: The Composite Cases of "Alex,' 'Bruno,' and 'Charles'"(Austern, 2017), I presented three composite case study examples of how veterans suffering from PTSD may benefit from written exposure to their trauma memories. For one case (Bruno), Written Exposure Therapy (WET) was the initial treatment in a stepped-care approach that culminated in Prolonged Exposure therapy. However, for the two others, WET became a standalone treatment. In two commentaries on the cases, Cigrang and Peterson (2017) and Sloan and Marx (2017) discuss the development and efficacy of WET, WET implementation strategies, and practice implications of WET (e.g., the potential to reduce clinician burnout). In my response to these commentaries, I aim to contribute to the bourgeoning discussion of how mental health providers can best incorporate this promising writing-based treatment (WET) into their existing approaches to working with veterans suffering from Post-Traumatic Stress Disorder (PTSD). My response will address themes raised by my composite case studies and by the commentaries, including how stepped-care service delivery models may have the potential to make PTSD care more efficient.
{"title":"Beyond Binary Thinking: Providing Best Practice Treatment to Veterans with PTSD","authors":"David J. Austern","doi":"10.14713/pcsp.v13i2.2006","DOIUrl":"https://doi.org/10.14713/pcsp.v13i2.2006","url":null,"abstract":"In \"Written Exposure Therapy as Step One in Reducing the Burden of PTSD: The Composite Cases of \"Alex,' 'Bruno,' and 'Charles'\"(Austern, 2017), I presented three composite case study examples of how veterans suffering from PTSD may benefit from written exposure to their trauma memories. For one case (Bruno), Written Exposure Therapy (WET) was the initial treatment in a stepped-care approach that culminated in Prolonged Exposure therapy. However, for the two others, WET became a standalone treatment. In two commentaries on the cases, Cigrang and Peterson (2017) and Sloan and Marx (2017) discuss the development and efficacy of WET, WET implementation strategies, and practice implications of WET (e.g., the potential to reduce clinician burnout). In my response to these commentaries, I aim to contribute to the bourgeoning discussion of how mental health providers can best incorporate this promising writing-based treatment (WET) into their existing approaches to working with veterans suffering from Post-Traumatic Stress Disorder (PTSD). My response will address themes raised by my composite case studies and by the commentaries, including how stepped-care service delivery models may have the potential to make PTSD care more efficient.","PeriodicalId":53239,"journal":{"name":"Pragmatic Case Studies in Psychotherapy","volume":"13 1","pages":"154-172"},"PeriodicalIF":0.0,"publicationDate":"2017-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47096623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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