A Clinical Guide to the Treatment of the Human Stress Response

Over a decade has passed since the first edition of this critically acclaimed volume was published. Much is new, but much has remained the same. The reader will find that the primary efferent biological mechanisms of the stress response are largely the sa

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The Plenum Series on Stress and Coping Series Editor:

Donald Meichenbaum, University of Waterloo, Waterloo, Ontario, Canada Current Volumes in the Series:

BEYOND TRAUMA Cultural and Societal Dynamics Edited by Rolf J. Kleber, Charles R. Figley, and Berthold P. R. Gersons A CLINICAL GUIDE TO THE TREATMENT OF THE HUMAN STRESS RESPONSE Second Edition George S. Everly, Jr. and Jeffrey M. Lating CREATING A COMPREHENSIVE TRAUMA CENTER Choices and Challenges Mary Beth Williams and Lasse A. Nurmi ETHNICITY, IMMIGRATION, AND PSYCHOPATHOLOGY Edited by Ihsan Al-Issa and Michel Tousignant INTERNATIONAL HANDBOOK OF HUMAN RESPONSE TO TRAUMA Edited by Arieh Y. Shalev, Rachel Yehuda, and Alexander C. McFarlane INTERNATIONAL HANDBOOK OF MULTIGENERATIONAL LEGACIES OF TRAUMA Edited by Yael Danieli THE MENTAL HEALTH CONSEQUENCES OF TORTURE Edited by Ellen Gerrity, Terence M. Keane, and Farris Tuma PSYCHOTRAUMATOLOGY Key Papers and Core Concepts in Post-Traumatic Stress Edited by George S. Everly, Jr. and Jeffrey M. Lating STRESS, CULTURE, AND COMMUNITY The Psychology and Philosophy of Stress Stevan E. Hobfoll TRAUMA, WAR, AND VIOLENCE Public Mental Health in Socio-Cultural Context Edited by Joop de Jong TRAUMATIC STRESS From Theory to Practice Edited by John R. Freedy and Stevan E. Hobfoll A Continuation Order Plan is available for this series. A continuation order will bring delivery of each new volume immediately upon publication. Volumes are billed only upon actual shipment. For further information please contact the publisher.

A Clinical Guide to the Treatment of the Human Stress Response Second Edition

George S. Everly, Jr. Loyola College in Maryland and The Johns Hopkins University Baltimore, Maryland

and

Jeffrey M. Lating Loyola College in Maryland Baltimore, Maryland

KLUWER ACADEMIC PUBLISHERS NEW YORK, BOSTON, DORDRECHT, LONDON, MOSCOW

eBook ISBN: Print ISBN:

0-306-47800-5 0-306-46620-1

©2002 Kluwer Academic Publishers New York, Boston, Dordrecht, London, Moscow Print ©2002 Kluwer Academic/Plenum Publishers New York All rights reserved No part of this eBook may be reproduced or transmitted in any form or by any means, electronic, mechanical, recording, or otherwise, without written consent from the Publisher Created in the United States of America Visit Kluwer Online at: and Kluwer's eBookstore at:

http://kluweronline.com http://ebooks.kluweronline.com

To Marideth Rose Everly and to George S. Everly, Sr., both of whom have taught me some of the most important lessons in life that I have ever learned GSE

To Austin and Jenna, I am so grateful for the immense love, joy, and balance you have brought to my life. JML

Preface to the Second Edition

Over a decade has passed since the first edition of this critically acclaimed volume was published. Much is new, but much has remained the same. The reader will find that the primary efferent biological mechanisms of the stress response are largely the same as described in 1989. This underscores the brilliance of Selye, Cannon, Mason, Gellhorn, and Levi as they sought t