Every year thousands of returning military, state, and local police officers and civilians of every description suffer from the intrusive symptoms of posttraumatic stress disorder (PTSD). Current treatments rooted largely in extinction protocols require extensive commitments of time and money and are often ineffective. This study reviews several theories of PTSD and two important mechanisms that explain when treatment does and doesn’t work: extinction and reconsolidation. It then reviews the research about and suggests an explanatory mechanism for the visual-kinesthetic dissociation protocol (V/KD), also known as the rewind technique. The technique is notable for its lack of discomfort to the client, the possibility of being executed as a content-free intervention, its speed of operation, and its long-term, if largely anecdotal, efficacy. A case study, specific diagnostics for extinction, and reconsolidative mechanisms and suggestions for future research are provided.
AkiravI.MarounM. (2006). Ventromedial prefrontal cortex is obligatory for consolidation and reconsolidation of object recognition memory. Cerebral Cortex, 16(12), 1759-1765.
2.
AlberiniC. M. (2005). Mechanisms of memory stabilization: Are consolidation and reconsolidation similar or distinct processes?Trends in Neurosciences, 28(1), 51-56.
3.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
4.
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: Author.
5.
AndreasC.AndreasS. (1989). Heart of the mind. Moab, UT: Real People Press.
6.
BandlerR. (1985). Using your brain for a change. Moab, UT: Real People Press.
7.
BandlerR.GrinderJ. (1975a). Patterns in the hypnotic techniques of Milton H. Erickson, MD (Vol. 1). Cupertino, CA: Meta Publications.
8.
BandlerR.GrinderJ. (1975b). The structure of magic (Vol. 1). Cupertino, CA: Science and Behavior Books.
9.
BandlerR.GrinderJ. (1979). Frogs into princes. Moab, UT: Real People Press.
10.
BandlerR.MacDonaldW. (1987). An insider’s guide to submodalities. Moab, UT: Real People Press.
11.
BissonJ.EhlersA.MatthewsR.PillingS.RichardsD.TurnerS. (2007). Psychological treatments for chronic post-traumatic stress disorder: Systematic review and meta-analysis. The British Journal of Psychiatry, 190(2), 97-104.
12.
BodkinJ.DetkeM. J.PopeH.HudsonJ. (2007). Is PTSD caused by traumatic stress?Journal of Anxiety Disorders, 211, 76-18.
13.
BolstadR. (2002). Resolve: A new model of therapy. Williston, VT: Crown House Publishing.
14.
BosticSt.ClairC.GrinderJ. (2002). Whispering in the wind. Scotts Valley, CA: J & C Enterprises.
15.
BoutonM. (2004). Context and behavioral processes in extinction. Learning and Memory, 11(5), 485-494.
BrewinC. R.DalgleishT.JosephS. (1996). A dual representation theory of posttraumatic stress disorder. Psychological Review, 103(4), 670-686.
18.
CaoX.WangH.MeiB.AnS.YinL.WangL. P.TsienJ. Z. (2008). Inducible and selective erasure of memories in the mouse brain via chemical-genetic manipulation. Neuron, 60, 353-366.
19.
CarbonellJ.FigleyC. (1999). Promising PTSD treatment approaches: A systematic clinical demonstration of promising PTSD treatment approaches. Traumatology, 5(1), 32-48.
20.
DavidsonJ.FoaE. (1991). Diagnostic issues in posttraumatic stress disorder: Considerations for the DSM-IV. Journal of Abnormal Psychology, 100(3), 346-355.
21.
DebiecJ.DoyreV.NaderK.LeDouxJ. (2006). Directly reactivated, but not indirectly reactivated, memories undergo reconsolidation in the amygdala. Proceedings of the National Academy of Sciences of the United States of America, 103(9), 3428-3433.
22.
DebiecJ.LeDouxJ.NaderK. (2002). Cellular and systems reconsolidation in the hippocampus. Neuron, 36, 527-538.
23.
DiamondD.CampbellA.ParkC.HalonenJ.ZoladzP. (2007). The temporal dynamics model of emotional memory processing: A synthesis on the neurobiological basis of stress-induced amnesia, flashbulb and traumatic memories, and the Yerkes-Dodson Law. Neural Plasticity, 1-33. doi:10.1155/2007/6080310.1155/2007/60803
24.
DietrichA. (2000). A review of visual/kinesthetic disassociation in the treatment of posttraumatic disorders: Theory, efficacy and practice recommendations. Traumatology, 6(2), 85-107.
25.
DietrichA.BaranowskyA.Devich-NavarroM.GentryJ.HarrisC.FigleyC. (2000). A review of alternative approaches to the treatment of post traumatic sequelae. Traumatology, 6(4), 251-271.
26.
DillonD. G.PizzagalliD. A. (2007). Inhibition of action, thought, and emotion: A selective neurobiological review. Applied and Preventive Psychology, 12(3), 99-114.
27.
DiltsR.DelozierJ. (2000). The encyclopedia of systemic neuro-linguistic programming and NLP new coding. Retrieved from http://www.nlpu.com
28.
DiltsR.GrinderJ.BandlerR.DeLozierJ. (1980). Neuro-linguistic programming. Vol. 1: The structure of subjective experience. Cupertino, CA: Meta Publications.
29.
DuvarciS.NaderK. (2004). Characterization of fear memory reconsolidation. Neuroscience, 24(42), 9269-9275.
30.
EichenbaumH. (2006). The secret life of memories. Neuron, 50(3), 350-352.
31.
EricksonM. H. (1980a). The confusion technique in hypnosis. In RossiE. L. (Ed.), The collected papers of Milton H. Erickson on hypnosis. Vol. 1: The nature of hypnosis and suggestion (pp. 258-291). New York, NY: Irvington. (Original work published 1964)
32.
EricksonM. H. (1980b). An hypnotic technique for resistant patients: The patient, the technique, and its rationale and field experiments. In RossiE. L. (Ed.), The collected papers of Milton H. Erickson on hypnosis. Vol. 1: The nature of hypnosis and suggestion (pp. 299-330). New York, NY: Irvington. (Original work published 1964)
33.
EricksonM. H.RossiE. L. (1980). Indirect forms of suggestion. In RossiE. L. (Ed.), The collected papers of Milton H. Erickson on hypnosis. Vol. 1: The nature of hypnosis and suggestion (pp. 478-490). New York, NY: Irvington.
34.
FigleyC. (Ed.). (2002). Brief treatments for the traumatized. Westport, CT: Greenwood.
35.
FoaE.KeaneT.FriedmanM. (2000). Effective treatments for PTSD. New York, NY: Guilford.
36.
FoaE.KozakM. (1986). Emotional processing of fear: Exposure to corrective information. Psychological Bulletin, 99(1), 20-35.
37.
FoaE.MeadowsE. (1997). Psychosocial treatments for posttraumatic stress disorder: A critical review. Annual Review of Psychology, 48, 449-480.
38.
FoaE.TolinD. (2000). Comparison of the PTSD Symptom Scale—Interview Version and the Clinician-Administered PTSD Scale. Journal of Traumatic Stress, 13, 181-191.
39.
ForcatoC.BurgosV.ArgibayP.MolinaV.PedreiraM.MaldonadoH. (2007). Reconsolidation of declarative memory in humans. Learning & Memory, 14(4), 295-303.
40.
ForcatoC.PedreiraM.MaldonadoH. (2009). Human reconsolidation does not always occur when a memory is retrieved: The relevance of the reminder structure. Neurobiology of Learning and Memory, 91(1), 50-57.
41.
FrommE. (1965). Hypnoanalysis: Theory and two case excerpts. Psychotherapy: Theory, Research & Practice, 2(3), 127-133.
42.
GharakhaniA.MathewS.CharneyD. (2006). Neurobiology of anxiety disorders and implications for treatment. The Mount Sinai Journal of Medicine, 73(7), 941-949.
HaleyJ. (1973). Uncommon therapy. New York, NY: Norton.
46.
HartleyC.PhelpsE. (2009). Changing fear: The neurocircuitry of emotion regulation. Neuropsychopharmacology, 35(1), 136-146.
47.
HogeC.CastroC.MesserS.McGurkD.CottingD.KoffmanR. (2004). Combat duty in Iraq and Afghanistan, mental health problems, and barriers to care. New England Journal of Medicine, 351(1), 13-22.
48.
HossackA.BentallR. (1996). Elimination of posttraumatic symptomatology by relaxation and visual-kinesthetic dissociation. Journal of Traumatic Stress, 9(1), 99-110.
49.
HupbachA.HardtO.GomezR.NadelL. (2008). The dynamics of memory: Context-dependent updating. Learning & Memory, 15(8), 574-579.
50.
JacekD.EcedilB.LeDouxJ. (2006). Noradrenergic signaling in the amygdala contributes to the reconsolidation of fear memory. Annals of the New York Academy of Sciences, 1071, 521-524.
51.
KaangB.LeeS.KimH. (2009). Synaptic protein degradation as a mechanism in memory reorganization. The Neuroscientist, 15(5), 430-435. doi:10738584083313741073858408331374
52.
KeaneT.WeathersF.FoaE. (2000). Diagnosis and assessment. In FoaE. B.KeaneT. M.FriedmanM. (Eds.), Effective treatment for PTSD (pp.18-36). New York, NY: Guilford.
53.
KindtM.SoeterM.VervlietB. (2009). Beyond extinction: Erasing human fear responses and preventing the return of fear. Nature Neuroscience, 12(3), 256-258.
54.
KozieyP.McLeodG. (1987). Visual-kinesthetic dissociation in treatment of victims of rape. Professional Psychology: Research and Practice, 18(3), 276-282.
55.
KringelbachM. (2005). The human orbitofrontal cortex: Linking reward to hedonic experience. Nature Reviews: Neuroscience, 6(9), 691-702.
56.
LabarK. (2007). Beyond fear: Emotional memory mechanisms in the human brain. Current Directions in Psychological Science, 16(4), 173-177.
LeeJ.MiltonA.EverittB. (2006). Reconsolidation and extinction of conditioned fear: Inhibition and potentiation. Neuroscience, 26(39), 10051-10056.
62.
LiberzonI.SripadaC. (2007). The functional neuroanatomy of PTSD: A critical review. Progress in Brain Research, 167, 151-169.
63.
LoftusE.YuilleJ. (1984). Departures from reality in human perception and memory. In WeingartnerH.ParkerE. S. (Eds.), Memory consolidation: Psychobiology of cognition (pp. 163-184). Hillsdale, NJ: Lawrence Erlbaum.
McDowellW.McDowellJ. (n.d.). Neuro-linguistic programming applied: The use of visual-kinesthetic dissociation to cure anxiety disorders. Brief Treatments for the Traumatized. Retrieved from http://mailer.fsu.edu/~cfigley/Book/BTT/VKDx.htm
66.
McHughP.TreismanG. (2007). PTSD: A problematic diagnostic category. Journal of Anxiety Disorders, 21, 211-222.
67.
McNallyR. (2007). Mechanisms of exposure therapy: How neuroscience can improve psychological treatments for anxiety disorders. Clinical Psychology Review, 27(6), 750-759.
68.
MilekicM.AlberiniC. (2002). Temporally graded requirement for protein synthesis following memory reactivation. Neuron, 36, 521-525.
69.
MillerG. (1956). The magical number seven, plus or minus two. The Psychological Review, 63, 81-97.
70.
MussD. (1991). A new technique for treating post-traumatic stress disorder. British Journal of Clinical Psychology, 30(1), 91-92.
71.
MussD. (2002). The rewind technique in the treatment of post-traumatic stress disorder: Methods and application. In FigleyC. R. (Ed.), Brief treatments for the traumatized (pp. 306-314). Westport, CT: Greenwood.
72.
NaderK.SchafeG.LeDouxJ. (2000). The labile nature of consolidation theory. Nature Reviews: Neuroscience, 1(3), 216-219.
73.
PedreiraM.Perez-CuestaL.MaldonadoH. (2004). Mismatch between what is expected and what actually occurs triggers memory reconsolidation or extinction. Learning & Memory, 11(5), 579-585.
74.
PitmanR. K.OrrS. P.AltmanB.LongpreR. E.PoiréR. E.MacklinM. L.. (1996). Emotional processing and outcome of imaginal flooding therapy in vietnam veterans with chronic posttraumatic stress disorder. Comprehensive Psychiatry, 37(6), 409-418.
75.
QuirkG.MuellerD. (2007). Neural mechanisms of extinction learning and retrieval. Neuropsychopharmacology, 33(1), 56-72.
76.
RescorlaR. (1988). Pavlovian conditioning: It’s not what you think it is. American Psychologist, 43(3), 151-160.
77.
RiccioD.MillinP.BogartA. (2006). Reconsolidation: A brief history, a retrieval view, and some recent issues. Learning & Memory, 13(5), 536-544.
78.
RothbaumB.DavisM.KingJ.FerrisC.LederhendlerI. (2003). Applying learning principles to the treatment of post-trauma reactions. In KingJ. A.FerrisC. F.LederhendlerI. I. (Eds.), The roots of mental illness in children (pp. 112-121). New York, NY: New York Academy of Sciences.
79.
SchillerD.MonfilsM.RaioC.JohnsonD.LeDouxJ.PhelpsE. (2010). Preventing the return of fear in humans using reconsolidation update mechanisms. Nature, 463(7277), 49-53.
80.
ShalevA.BonneO.EthS. (1996). Treatment of posttraumatic stress disorder: A review. Psychosomatic Medicine, 58(2), 165-182.
81.
SimonsR.DetenberB.ReissJ.ShultsC. (2000). Image motion and context: A between- and within-subjects comparison. Psychophysiology, 37(5), 706-710.
82.
SpitzerR.WakefieldJ.FirstM. (2007). Saving PTSD from itself in DSM-V. Journal of Anxiety Disorders, 21, 233-241.
UrsanoR.BellC.EthS.FriedmanM.NorwoodA.PfefferbaumB.PynoosR. S.ZatzickD. F.BenedekD. M. (2004). Practice guideline for the treatment of patients with acute stress disorder and posttraumatic stress disorder. Washington, DC: APA Practice Guidelines.
86.
van der KolkB. (2006). Clinical implications of neuroscience research in PTSD. Annals of the New York Academy of Sciences, 1071, 277-293.
87.
VervlietB. (2008). Learning and memory in conditioned fear extinction: Effects of d-cycloserine. Acta Psychologica, 127(3), 601-613.
88.
WakeL. (2008). Neurolinguistic psychotherapy: A postmodern perspective. London: Routledge.
89.
WeathersF.LitzB.HermanD.HuskaJ.KeaneT. (1993, October). The PTSD checklist (PCL): Reliability, validity, and diagnostic utility. The Annual Meeting of International Society for Traumatic Stress Studies. San Antonio, TX. Retrieved from http://www.pdhealth.mil/library/downloads/PCL_sychometrics.doc
WessaM.FlorH. (2007). Failure of extinction of fear responses in posttraumatic stress disorder: Evidence from second-order conditioning. American Journal of Psychiatry, 164(11), 1684-1692.
92.
WilliamsL.KempA.FelminghamK.BartonM.OlivieriG.PedutoA.KempA. H.FelminghamK.BartonM.OlivieriG.PedutoA.GordonE.BryantR. A. (2006). Trauma modulates amygdala and medial prefrontal responses to consciously attended fear. NeuroImage, 29(2), 347-357.
