Staff Perspective: Social Factors in Military Patients with PTSD
When developing a case conceptualization, we often consider the co-occurring psychological factors at play; however, we may neglect to fully consider the many social factors involved. Maercker and Horn (2013) developed a three level model of socio-interpersonal factors related to the development of PTSD, which can be useful when forming a case conceptualization. The first level considers social affective changes and encompasses factors such as shame, guilt, anger, and revenge. The second level examines close social relationships including social support, and the third level includes distant social contexts such as one’s culture.