urn:uuid:30432ffd-a716-6273-6f42-960c97c5eeb3 RUcore Syndication System, v1.0 Copyright 2018, Rutgers, The State University of New Jersey https://doi.org/doi:10.7282/T3S75J96 Vermillion, Timothy D. 2018-05-07T20:15:00-04:00

This narrative case study explores the phenomenon of manualized evidence-­‐based treatments (EBT) from the perspective of a clinician treating a combat veteran. The Veterans Affairs Administration (VA) mandates two EBT’s be made available for veterans suffering from Post-­‐Traumatic Stress Disorder (PTSD): Cognitive Processing Therapy (CPT) and Prolonged Exposure Therapy (PE). This paper reflects the use of CPT. While evidence is available that CPT has positive effects relieving symptoms of some veterans, the veteran in this study is one of the many that fail to benefit. Strict fidelity to an EBT diminishes a clinician’s flexibility and ability to react with interventions in the moment. Filtered through a treatment manual, a clinician’s conception of their client is limited and treatment may be negatively affected. Flexing the manual and allowing for clinician’s tacit knowledge to intervene provides the client the principles of CPT in a manner appropriate to his learning style and at a pace comfortable for him.