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Accelerated resolution therapy and a thematic approach to military experiences in US Special Operations Veterans
  1. Diego Hernandez1,2,
  2. K E Kip2,3,
  3. C J Long2 and
  4. J L Redman4
  1. 1 Balanced Living Psychology, Tampa, Florida, USA
  2. 2 College Public Health, University of South Florida, Tampa, Florida, USA
  3. 3 Health Services Division, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
  4. 4 Division of Counseling and Family Therapy, Regis University, Denver, Colorado, USA
  1. Correspondence to Dr Diego Hernandez, Balanced Living Psychology, Tampa, FL 33618, USA; docdiego{at}earthlink.net

Abstract

Accelerated Resolution Therapy (ART) is an emerging therapeutic intervention that has demonstrated effectiveness in treating post-traumatic stress, anxiety and depression. The ART protocol aligns with first-line trauma-focused psychotherapies and clinical guides in the USA and UK. This review addresses previous ART research that includes members of US Special Operations Forces. Observations from that research has led to a thematic conceptualisation of trauma through ART interventions. These include three clusters of traumatic memories and several themes relevant to individual distress but not necessarily symptoms that meet diagnostic criteria for PTSD. ART represents a movement in treatment away from the symptoms, to the individuals’ story. Not only the story of an event, but how that experience becomes incorporated into one’s sense of identity. The themes identified (and treated with ART) appear to have broader application to the entirety of one’s military experience, not just PTSD. These themes may be helpful in directing treatment and may help to focus on significant aspects of service not traditionally associated with PTSD. Theoretically, some of these areas may have protective implications in suicide.

  • public health
  • adult psychiatry
  • suicide & self-harm
  • depression & mood disorders

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Footnotes

  • Collaborators Jessika Redman.

  • Contributors DH is the main author of this paper. KEK and CJL have made intellectual contributions. KEK planned and directed each study with input from DH and from CJL. DH was the clinical director for each study. KEK, DH and CJL collaborated on the clinical, theoretical unintellectual aspects of each study and this paper. DH coordinated and organised the reporting in this paper. Collaborator: JLR provided input and editing on this paper.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests DH provides accelerated resolution therapy (ART) training for non-profit ARTinternational. KEK has no financial interest in ART. However, he does advise ISART and organisation that supports ART trained therapists. CJL assists ART training for non-profit ARTinternational. JLR has no financial interest in ART.

  • Provenance and peer review Commissioned; externally peer reviewed.