Veterans Affairs banner with U.S. FlagVeterans Affairs banner with U.S. Flag

National Center for PTSD

Readiness to Change in PTSD Treatment

Satellite Broadcast
Original Air Date 09/25/01
102 minutes

Speaker:
Ronald T. Murphy, Ph.D., Assistant Professor of Psychology, Dillard University, New Orleans, LA

Overview:
The purpose of this broadcast is to review clinical issues and research findings in the treatment of combat-related PTSD, which led to the application of readiness to change concepts to PTSD; review research on readiness to change PTSD among inpatient combat veterans; present an overview of the PTSD Motivation Enhancement Group; and describe a proposed model of PTSD treatment failure based on the Stages of Change model.

Goals:
After the completion of this program, participants should be able to:

  1. discuss a Stages of Change model of readiness to change PTSD, and the relevance of this model to client response to treatment;
  2. describe research findings regarding readiness to change PTSD;
  3. explain the rationale and techniques of the PTSD Motivation Enhancement Group, a brief therapy intervention aimed at reducing patients' ambivalence about changing PTSD symptoms; and
  4. describe a proposed model of PTSD treatment failure based on a readiness to change conceptualization.

Part 1: Introduction; PTSD Readiness to Change Model (21:24)

Symptoms of PTSD. PTSD Treatment outcome. Common attributions for treatment failure. Clinical experience with vets; patient vs. therapist. Readiness to change; stages of change model.
  RealPlayer, 9189 kb
Quicktime Low-Bandwidth, 13056 kb
Quicktime Medium, 19692 kb
Quicktime Hi-Bandwidth, 32568 kb
Windows Media Low-Bandwidth, 10922 kb
Windows Media Hi-Bandwidth, 31488 kb

Part 2: Why PTSD Patients may be unaware of the need to change (17:42)

How can someone be unaware of a serious problem? Why PTSD patients may be ambivalent about changing. Treatment outcome implications of a stage of change approach. First Q and A Session.
  RealPlayer, 7647 kb
Quicktime Low-Bandwidth, 11074 kb
Quicktime Medium, 16860 kb
Quicktime Hi-Bandwidth, 27149 kb
Windows Media Low-Bandwidth, 8847 kb
Windows Media Hi-Bandwidth, 25780 kb

Part 3: Research Findings (14:54)

Research findings on readiness to change PTSD. Preliminary data on readiness to change PTSD Sx and related behaviors; several studies.
  RealPlayer, 6395 kb
Quicktime Low-Bandwidth, 8467 kb
Quicktime Medium, 12178 kb
Quicktime Hi-Bandwidth, 20652 kb
Windows Media Low-Bandwidth, 7641 kb
Windows Media Hi-Bandwidth, 21899 kb

Part 4: PTSD Readiness to Change; Treatment Approaches (12:49)

General approach to working with patients and motivating change. Development of PTSD (Motivation Enhancement) ME group. Objective, non-confrontational theraputic stance.
  RealPlayer, 5520 kb
Quicktime Low-Bandwidth, 7600 kb
Quicktime Medium, 11344 kb
Quicktime Hi-Bandwidth, 18608 kb
Windows Media Low-Bandwidth, 6555 kb
Windows Media Hi-Bandwidth, 18869 kb

Part 5: PTSD ME Group (16:40)

Confrontation & limit setting PTSD Motivation enhancement group: rationale, goals, session sequence. Opositional and Difficult clients. Preliminary evaluation of PTSD ME group.
  RealPlayer, 7185 kb
Quicktime Low-Bandwidth, 9913 kb
Quicktime Medium, 14558 kb
Quicktime Hi-Bandwidth, 25890 kb
Windows Media Low-Bandwidth, 8584 kb
Windows Media Hi-Bandwidth, 24503 kb

Part 6: Research Agenda; Summary (18:37)

Client satisfaction data. Research agenda. Summary of conclusions. Second Q and A session.
  RealPlayer, 7984 kb
Quicktime Low-Bandwidth, 11621 kb
Quicktime Medium, 17597 kb
Quicktime Hi-Bandwidth, 29127 kb
Windows Media Low-Bandwidth, 9537 kb
Windows Media Hi-Bandwidth, 27260 kb