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The process of structured psychotherapy training and supervision in facilitating a successful treatment of PTSD by a novice clinician: the case of "Leo"

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TitleInfo
Title
The process of structured psychotherapy training and supervision in facilitating a successful treatment of PTSD by a novice clinician: the case of "Leo"
Name (type = personal)
NamePart (type = family)
Ramos
NamePart (type = given)
Jared Alexander
NamePart (type = date)
1988-
DisplayForm
Jared Alexander Ramos
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Fishman
NamePart (type = given)
Daniel
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Daniel Fishman
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Advisory Committee
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chair
Name (type = personal)
NamePart (type = family)
Wilson
NamePart (type = given)
Godfrey Terence
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Godfrey Terence Wilson
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Advisory Committee
Role
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co-chair
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School of Applied and Professional Psychology
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school
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Text
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theses
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2019
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2019-08
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2019
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English
Abstract
This dissertation consists of the systematic, psychotherapy case study of "Leo," a 20-year-old Hispanic college junior who presented to therapy with Post-Traumatic Stress Disorder (PTSD), Major Depressive Disorder, mild, and Alcohol Use Disorder. Leo was the first Cognitive-Behavioral Therapy (CBT) case assigned to me in my first year of doctoral clinical training as part of an initial course on CBT, and treating Leo's comorbid diagnoses presented complex technical challenges. My supervision and the associated therapy in Leo's case involved two originally unplanned phases. Phase 1 (sessions 1-13) was associated with a traditional, less structured supervision model, which focused on targeting Leo's alcohol use with a generic modality of CBT that included such elements as Motivational Interviewing (MI) in order to lower the frequency of his dissociative episodes and to facilitate Leo's capacity to fully experience his emotions. Phase 2 (sessions 14-25) was associated with an emerging, more structured supervision model, which views the supervisory process as an explicit introduction to and the dedicated practice of specific interventions and skills--in this instance, those associated with Cognitive Processing Therapy (CPT; Resick & Schnicke, 1992). Specifically, this supervision targeted Leo's increased ability to fully experience his emotions by focusing on: (a) psychoeducation regarding the effects of trauma and how defensive avoidance interferes with adaptive processing of the trauma; (b) teaching Leo thought monitoring and assessing the impact of his trauma on his beliefs; and (c) using imaginal exposure to memories of his trauma in order to examine and challenge the emotions and beliefs impacted by his trauma, allowing for non-pathological re-encoding of his memories of the event. The first part of the case study briefly describes Leo's clinical situation at the end of Phase 1 and then focuses in detail upon Phase 2, illustrating the strengths of Phase 2 as a successful example of the structured psychotherapy training model in action. An analysis of the supervision and therapy in Phase 2 presents evidence that the successful resolution of Leo's PTSD immediately following treatment and at 18-month follow-up was facilitated by a number of elements in the supervision, including: (a) explicit training of the therapist in CPT prior to supervision; (b) process-oriented supervision of CPT via the microanalysis of taped sessions; and (c) continued CPT training to complement ongoing supervision
Subject (authority = ETD-LCSH)
Topic
Cognitive therapy
Subject (authority = RUETD)
Topic
Clinical Psychology
Subject (authority = ETD-LCSH)
Topic
Alcoholism -- Treatment
Subject
Topic
Post-traumatic stress disorder -- Treatment
RelatedItem (type = host)
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Title
Rutgers University Electronic Theses and Dissertations
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ETD
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ETD_9931
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application/pdf
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text/xml
Extent
1 online resource (vi, 123 pages) : illustrations
Note (type = degree)
Psy.D.
Note (type = bibliography)
Includes bibliographical references
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Graduate School of Applied and Professional Psychology Electronic Theses and Dissertations
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rucore10001800001
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NjNbRU
Identifier (type = doi)
doi:10.7282/t3-wv7b-r146
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

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The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Ramos
GivenName
Jared
MiddleName
Alexander
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2019-04-29 18:15:54
AssociatedEntity
Name
Jared Alexander Ramos
Role
Copyright holder
Affiliation
Rutgers University. Graduate School of Applied and Professional Psychology
AssociatedObject
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Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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2019-04-29T18:15:01
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