PMID: 11932133Apr 5, 2002Paper

Clinicians' views on treating posttraumatic stress disorder and substance use disorder

Journal of Substance Abuse Treatment
Lisa M Najavits

Abstract

The dual diagnosis of posttraumatic stress disorder (PTSD) and substance use disorder (SUD) is reported to be both highly prevalent and highly challenging. In this study, 147 clinicians were surveyed on their degree of difficulty and gratification in working with each disorder (PTSD, SUD) and their combination; specific types of difficulties and gratifications; and personal and professional characteristics. The dual diagnosis was perceived as more difficult than either disorder alone; but, interestingly, gratification in the work was higher than its difficulty. Areas of greatest difficulty were clients' self-destructiveness, case management, and dependency; areas of greatest gratification were teaching new coping, developing expertise, and helping clients achieve abstinence. In general, difficulty and gratification appeared to be separate constructs, rather than simply opposites. Those finding the work most difficult were more likely to be in a mental health setting and to have no personal history of trauma. Clinical implications are discussed.

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Citations

Jun 1, 2005·Journal of Substance Abuse Treatment·Helena E YoungJohn W Finney
Apr 18, 2003·Journal of Consulting and Clinical Psychology·Paige OuimetteJohn W Finney
Aug 21, 2007·Journal of Psychoactive Drugs·Amy A MericleBarbara E Havassy
May 15, 2010·Journal of Psychoactive Drugs·Sonya B NormanLisa M Najavits
Mar 3, 2010·Annual Review of Clinical Psychology·G Alan Marlatt, Katie Witkiewitz
Apr 3, 2009·Journal of Substance Abuse Treatment·Alexandre B LaudetBrian Sands
Sep 5, 2013·Public Health Nursing·Alison M ColbertSusan M Cohen
Jun 9, 2010·The American Journal on Addictions·Lisa M NajavitsThomas R Kosten
Jan 6, 2010·Journal of Clinical Psychology·Diane E Logan, G Alan Marlatt
Feb 11, 2015·The Journal of the Association of Nurses in AIDS Care : JANAC·Allison J ApplebaumConall O'Cleirigh
Jul 2, 2016·Alcoholism, Clinical and Experimental Research·Elizabeth RalevskiIsmene Petrakis
Mar 7, 2014·Journal of Psychoactive Drugs·Vivian Barnett BrownRoger Fallot
Nov 29, 2012·International Journal of Offender Therapy and Comparative Criminology·Dominique E Roe-SepowitzE C Hedberg
Jan 4, 2017·Clinical Psychological Science : a Journal of the Association for Psychological Science·Sean P LaneTimothy J Trull
Apr 5, 2016·The Cochrane Database of Systematic Reviews·Neil P RobertsJonathan I Bisson
Oct 9, 2007·Current Opinion in Psychiatry·Ingo Schäfer, Lisa M Najavits
Jul 20, 2007·Pharmacy World & Science : PWS·Marie Christine BretAnnie Fourier-Réglat
Feb 18, 2010·The Clinical Neuropsychologist·Manfred F GreiffensteinDavid D Fox
Mar 30, 2018·The American Journal on Addictions·Lisa M NajavitsEdward Federman
Nov 20, 2019·The Cochrane Database of Systematic Reviews·Bradley E BelsherPaula P Schnurr
Dec 1, 2009·Journal of Addiction Medicine·Kathleen T BradyHugh Myrick
Nov 15, 2016·Journal of Child & Adolescent Substance Abuse·Zachary W AdamsCarla Kmett Danielson
Feb 21, 2019·Substance Abuse Treatment, Prevention, and Policy·Germa Catherina Maria NassBoukje Arnolda Gerdina Dijkstra

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