Traumatic memories in acute stress disorder: An analysis of narratives before and after treatment
Abstract
The dissociative reactions in acute stress disorder purportedly impede encoding and organization of traumatic memories and consequently impair the individual's ability to retrieve trauma-related details. A qualitative examination was conducted on trauma narratives of individuals with acute stress disorder (N = 15) prior to cognitive behavior therapy (including prolonged exposure and cognitive restructuring) and following treatment. Trauma narratives prior to and after therapy were coded on the constructs of dissociation, disorganization and perception of threat. Significant correlations demonstrated a relationship between improvement in the coherence and organization of trauma memories and reference to dissociative symptoms in the narrative.
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In Moulds and Bryant (2005), individuals whose narratives became more organized over treatment also showed less dissociative content at post-treatment.
“Interestingly, individuals showing increased organization over the course of treatment also showed less dissociative content at post-treatment, at a relatively high level.”
From Dissociation and memory fragmentation in post-traumatic stress disorder: An evaluation of the dissociative encoding hypothesis (2012) · cites this paper as Moulds & Bryant, 2005
Decreases in subjectively coded peritraumatic dissociation may be an artifact of changes in coded narrative organization, and peritraumatic dissociation was not associated with fragmentation.
“Thus, decreases in subjectively coded peritraumatic dissociation may be an artifact of the changes in coded narrative organization, and peritraumatic dissociation was not associated with fragmentation.”
From Dissociation and memory fragmentation in post-traumatic stress disorder: An evaluation of the dissociative encoding hypothesis (2012) · cites this paper as Moulds & Bryant, 2005
In Moulds and Bryant (2005), there were no pre- to post-treatment differences in disorganization despite symptom decreases.
“In addition, there were no pre- to post-treatment differences for disorganization despite symptom decreases, suggesting that symptom changes were not associated with changes in disorganization.”
From Dissociation and memory fragmentation in post-traumatic stress disorder: An evaluation of the dissociative encoding hypothesis (2012) · cites this paper as Moulds & Bryant, 2005
Cites
Dissociation and the fragmentary nature of traumatic memories: Overview and exploratory study
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Emotional Dissociation in Response to Trauma: An Information-Processing Approach
Foa, E. B., & Hearst-Ikeda, D. (1996) · Handbook of Dissociation · doi:10.1007/978-1-4899-0310-5_10 · Cited by 210 · see citing works
A qualitative investigation of the organization of traumatic memories
Harvey, A. G., & Bryant, R. A. (1999) · British Journal of Clinical Psychology · doi:10.1348/014466599162999 · Cited by 138 · see citing works
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Metacognition, memory disorganization and rumination in posttraumatic stress symptoms
Bennett, H., & Wells, A. (2010) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2010.01.004 · Cited by 117 · see citing works
Bedard-Gilligan, M., & Zoellner, L. A. (2012) · Memory · doi:10.1080/09658211.2012.655747 · Cited by 116 · see citing works
“Moulds and Bryant (2005) compared pre- and post-cognitive-behavioural treatment changes in subjectively coded narrative disorganisation in a small sample (n 15) immediately following MVA or non-sexual assault.”
InfluentialTrauma narratives: it’s what you say, not how you say it
Jaeger, J., Lindblom, K. M., Parker-Guilbert, K., & Zoellner, L. A. (2014) · Psychological Trauma: Theory, Research, Practice, and Policy · doi:10.1037/a0035239 · Cited by 70 · see citing works
Narrative fragmentation in child sexual abuse: the role of age and post-traumatic stress disorder
Miragoli, S., Camisasca, E., & Di Blasio, P. (2017) · Child Abuse & Neglect · doi:10.1016/j.chiabu.2017.09.028 · Cited by 46 · see citing works
Zoellner, L. A., Sheikh, I. S., Walker, R. W., Rosencrans, P., Garcia, N. M., Marks, E. H., Ojalehto, H. J., & Bedard-Gilligan, M. A. (2019) · Handbook of Sexual Assault and Sexual Assault Prevention · doi:10.1007/978-3-030-23645-8_20 · Cited by 6 · see citing works
- Authors
- Moulds, M. L., & Bryant, R. A.
- Affiliations
- UNSW Sydney (AU)
- Venue
- Clinical Psychologist
- Publisher
- Informa UK Limited
- Published
- 2005-01-01
- Volume
- 9
- Issue
- 1
- Pages
- 10-14
- ISSN
- 1328-4207 (ISSN-L)
- 1742-9552
- OpenAlex
- W2171593144
- Cited by
- 19
- References
- 3
- Citations by year
- 2022: 1 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 3 · 2016: 1 · 2014: 2 · 2012: 2
- FWCI
- 1.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- Locations
- Clinical Psychologist (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Life Sciences › Neuroscience › Cognitive Neuroscience › Memory Processes and Influences
- Social Sciences › Psychology › Developmental and Educational Psychology › Identity, Memory, and Therapy
- Keywords
- acute stress disorder, traumatic memory, dissociation, trauma narratives, cognitive behavioral therapy, prolonged exposure, cognitive restructuring, memory organization, threat perception, memory coherence
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