Re:Exposure and retraumatization

Two things strike me from your recent posts, Shawn. I'll put one here and one will follow:

1) I can tell from the particulars of your method, that this is the kind of skill that in a therapist could be challenging to put into place. That is, its all well and good for someone to be in situ at Edna Foa's clinic, and get superivision in the methods. But a) how many clinical chickens have been incubated in that nest? And moreover, how b) how many people world wide have the particularized exposure training? with supervision? corrective feedback? c)How would you really take this method on the road for wide dissemination? d) How would you make sure that clients were appropriately screened and prepared for the work? e) And is wide dissemination a goal? If so, as to the marriage and family therapists and social workers for example without prior exposure to traumatology and dissociation and PTSD per se, f) what core nuggets of knowledge would they need to have in place for their safe and effective use of exposure treatment for PTSD? And even if the procedure can be manualized, g) how many clinicians learn clinical procedures well from a manual? h) How much drift would there be as they integrated the procedure into their long-standing clinical habits?

Replies:

Disseminating exposure therapy, by Cahill, 02/10/03

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