Imagery and posttraumatic stress disorder: an overview



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	Articles by Brett, E. A.
	Articles by Ostroff, R.

Am J Psychiatry 1985; 142:417-424
Copyright © 1985 by American Psychiatric Association

REGULAR ARTICLES

Imagery and posttraumatic stress disorder: an overview

EA Brett and R Ostroff

A review of theories of traumatic neurosis or posttraumatic stress disorder reveals a relative neglect of the role of posttraumatic imagery. The broad range of imagery has not been recognized, nor its role in the disorder adequately formulated. A two-dimensional framework for understanding posttraumatic stress disorder based on 1) repetitions of trauma-related images, affects, somatic states, and actions and 2) defensive functioning puts into perspective the centrality of traumatic imagery, implies a reorganization of DSM-III criteria, points to new directions for research, and clarifies diagnostic and clinical confusion.

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