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A three tier evaluation of PTSD among Vietnam combat veterans

A three tier evaluation procedure for chronic Post-traumatic Stress Disorder victims from Vietnam was presented. This evaluation attempts to disaggregate clinical data on a chronic population for purposes of treatment. One hundred veterans with PTSD took personality inventories (MCMI and MMPI), were included in a life style analysis procedure (including early recollections and irrational beliefs), and were evaluated on symptoms. Tier 1 consisted of a life style analysis. This procedure was described and selected data on early recollections and irrational beliefs were presented. Results reflected negative or trauma themes and an excessive amount of irrational beliefs. Tier 2 involved the use of the MCMI. A typology was developed based on a traumatic personality (Passive Aggressive and Avoidant) and three variants. Tier 3 involved symptoms, psychosocial and trauma. Results showed multiple psychosocial symptoms and emphasized the need to contextualize these within the personality (and life style). Also, traumatic memories were collected and four questions were developed to “address” these in therapy. A case history was presented on the use of this evaluation method.