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People may have difficulty remembering specific episodes of abuse, particularly if they have gone through a great many episodes, but they typically have no difficulty recalling that they were abused and can readily recall particular, unusually aversive episodes (McNally, 2003b). Cognitive and Behavioral Features of PTSD 31 Avoidance and Thought Suppression Avoidance of trauma-related stimuli, which is a diagnostic feature of PTSD, prevents the person from being exposed to corrective information.

1995; Yehuda & Wong, 2001), yet only a fraction develop PTSD (8%: APA, 2000). This suggests that trauma alone is insufficient to cause PTSD and that other factors must be taken into consideration. One of the first steps in identifying vulnerability factors is to identify risk factors. These are variables that predict the development of PTSD. A risk factor need not play a causal role—it could simply be a correlate of a causal factor. One should not confuse risk factors with causal factors, although the former can provide clues about the latter.

Memory of the birth of my son, Alex, at St. , “Knowl- 26 CONCEPTUAL AND EMPIRICAL FOUNDATIONS edge that I am a father”) (Conway, Singer, & Tagini, 2004). People with PTSD, compared to people exposed to traumatic events without developing PTSD, have “overgeneral” autobiographical memories in that their recollections are vague and lacking in detail (Harvey, Bryant, & Dang, 1998; McNally, Litz, Prassas, Shin, & Weathers, 1994; McNally, Lasko, Macklin, & Pitman, 1995). , happy), they recall general categories of memories (“When I was kayaking”) rather than specific episodes (“The kayaking trip I took to the Queen Charlotte Islands last summer”).

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