Coping with the aftermath of trauma: Authors' reply

doi:10.1136/bmj.331.7507.50-b

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Berthold P R Gersons (b.p.gersons@amc.uva.nl), professor of psychiatry,
Miranda Olff, associate professor of psychotraumatology

Department of Psychiatry, Academic Medical Center, University of Amsterdam, 1105 BC Amsterdam, Netherlands
Department of Psychiatry, Academic Medical Center, University of Amsterdam, 1105 BC Amsterdam, Netherlands

EDITOR—Summerfield (and Hopkins et al, in their electronic response1) criticise the narrow, biomedical approach of the guidelines from the National Institute for Health and Clinical Excellence (NICE). Summerfield especially argues that the guideline is fundamentally flawed because the problems of a person, even many years after traumatic experiences, are framed within the diagnosis of post-traumatic stress disorder.

Psychological treatment for post-traumatic …