Posttraumatic stress disorder and positive memories: Clinical considerations

Ateka A. Contractor*, Lily A. Brown, Stephanie V. Caldas, Anne N. Banducci, Daniel J. Taylor, Cherie Armour, M. Tracie Shea

*Corresponding author for this work

Research output: Contribution to journalReview article

12 Citations (Scopus)

Abstract

Encoding and retrieval difficulties, and avoidance of both traumatic and positive memories, are associated with posttraumatic stress disorder (PTSD) symptoms. However, most PTSD research and clinical work has solely examined the role of traumatic memories in the maintenance/resolution of PTSD symptoms. This review provides a comprehensive discussion of the literature on positive memories and PTSD. First, we review theories and evidence on the relations between trauma, PTSD, and memory processes (particularly positive memories). Next, we propose a conceptual model that integrates evidence from experimental and positive/memory-based intervention research and highlights hypothesized mechanisms underlying the potential effectiveness of targeting positive memories in PTSD interventions. Specifically, we discuss how targeting positive memories could (1) increase positive affect and reduce negative affect, (2) correct negative cognitions, (3) increase specificity of retrieving autobiographical memories, and (4) be effectively integrated/sequenced with and enhance the effects of trauma-focused interventions. Lastly, we suggest clinical research avenues for investigating the relations between positive memories and PTSD, to possibly alter the current PTSD intervention paradigm focused only on traumatic memories. Overall, our proposed model drawing from experimental and intervention research, and outlining potential effects of targeting positive memories to reduce PTSD severity, needs further empirical investigation.

Original languageEnglish
Pages (from-to)23-32
Number of pages10
JournalJournal of Anxiety Disorders
Volume58
Early online date25 Jun 2018
DOIs
Publication statusPublished - 01 Aug 2018
Externally publishedYes

Keywords

  • Clinical considerations
  • Positive memories
  • Posttraumatic stress disorder
  • Traumatic memories

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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