What I have changed my mind about and why

This paper is based upon a panel discussion "What I Have Changed My Mind About and Why" held on 5 November in New Orleans, Louisiana (USA), as part of the ISTSS 2015 annual meeting "Back to Basics: Integrating Clinical and Scientific Knowledge to Advance the Field of Trauma." The...

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Bibliographic Details
Published in:European journal of psychotraumatology 2016-01, Vol.7 (1), p.33768-33768
Main Authors: Yehuda, Rachel, Spiegel, David, Southwick, Steven, Davis, Lori L., Neylan, Thomas C., Krystal, John H.
Format: Article
Language:English
Subjects:
alternative treatments
Behavioral sciences
evidenced based treatments
fear extinction
Highlights from ISTSS 2015
Hypotheses
Ketamine
Medicine
Mindfulness
Neurobiology
Neurosciences
novel approaches
pharmacotherapy
Post traumatic stress disorder
Psychiatry
PTSD
randomized clinical trials
resilience
Trauma
Veterans
Well being
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Summary:This paper is based upon a panel discussion "What I Have Changed My Mind About and Why" held on 5 November in New Orleans, Louisiana (USA), as part of the ISTSS 2015 annual meeting "Back to Basics: Integrating Clinical and Scientific Knowledge to Advance the Field of Trauma." The panel was chaired by Professor Dr. Rachel Yehuda of the Icahn School of Medicine at Mount Sinai and the James J. Peters Veterans Affairs, and included five clinician-scholars who exchanged thoughts about what they have changed their minds about over the years: Dr. David Spiegel, Dr. Steven Southwick, Dr. Lori Davis, Dr. Thomas Neylan, and Dr. John Krystal. This paper provides a summary of the salient points made by each expert and the questions and discussion that ensured. Major issues raised included the increasingly clear limitations to the fear-based model that has advanced the field. While treatments for PTSD have improved, there are some aspects of trauma exposure that cannot be entirely repaired. Research providing an evidence base to treatment has led to overly specific treatment guidelines that may obscure more general principles of effective treatment. Treatment might be viewed as a way to increase the plasticity of the brain in the context of processing social cues. A variety of novel and integrative therapies include comprehensive holistic care, exercise, returning to competitive work, logotherapy, mindfulness, enhancing well-being and resilience, and medications with novel mechanisms, such as ketamine.
ISSN:2000-8066
2000-8066
DOI:10.3402/ejpt.v7.33768