Emotion in cognitive processing therapy for PTSD

The following chapter examines the role of emotions in cognitive processing therapy (CPT) for posttraumatic stress disorder (PTSD). An overview of CPT is provided, with an emphasis on its application and efficacy in treating PTSD in a variety of populations (e.g., military veterans, community samples, and survivors of interpersonal trauma). Although CPT is primarily based on cognitive theory, the role of emotions and emotional processing in treatment is of particular importance in reducing PTSD symptomatology. In the current literature, CPT is shown to not only reduce PTSD symptoms in these populations but also be effective in reducing associated emotions such as guilt, shame, depression, anxiety, fear, and anger. Findings support CPT’s theoretical rationale that, if maladaptive beliefs about trauma are recalibrated to become more balanced and realistic, the emotional response to these beliefs will also become more balanced. Mechanisms of actions are proposed in relation to CPT’s influence on emotions, and a review of limitations and future directions is provided.