Harold Stephen Kudler | Scholars@Duke

Harold Stephen Kudler
Adjunct Associate Professor in the Department of Psychiatry and Behavioral Sciences

The nature and action of psychological trauma in producing posttraumatic stress disorders. The integration of psychoanalytic, descriptive, and biological perspectives on psychological trauma. The biological assessment and treatment of posttraumatic stress disorder. The development of treatment guidelines for the treatment of posttraumatic stress disorder. Intergenerational effects of traumatic stress. The neurobiology of dreaming. Development of educational programs for mental health professionals that provide a practical synthesis of psychodynamic and descriptive psychiatric perspectives and clinical skills. The development of educational programs for the teaching of psychodynamic psychiatry including the supervision of psychodynamic psychotherapy. The history of psychiatry with special reference to the history of the concept of psychological trauma.

Current Appointments & Affiliations

Adjunct Associate Professor in the Department of Psychiatry and Behavioral Sciences, Psychiatry & Behavioral Sciences, General Psychiatry, Psychiatry & Behavioral Sciences 2014

Contact Information

VA Med Ctr, 508 Fulton St, Durham, NC 27705
VA Medical Center 116A, Durham, NC 27705
kudle001@duke.edu (919) 286-6933

Background
Education, Training, & Certifications
- M.D., State University of New York at Brooklyn 1979
Duke Appointment History
- Associate Professor of Psychiatry and Behavioral Sciences, Psychiatry & Behavioral Sciences, General Psychiatry, Psychiatry & Behavioral Sciences 2006 - 2014
- Associate Clinical Professor of Psychiatry and Behavioral Sciences, Psychiatry & Behavioral Sciences, General Psychiatry, Psychiatry & Behavioral Sciences 2002 - 2006
- Assistant Clinical Professor of Psychiatry and Behavioral Sciences, Psychiatry & Behavioral Sciences, General Psychiatry, Psychiatry & Behavioral Sciences 1994 - 2002
Recognition
In the News
- JUN 26, 2013 TIME magazine
  
  What Is PTSD…And Who Is It For?
Expertise
Global Scholarship
- Research
  - Saudi Arabia (Country)
- Teaching
  - Saudi Arabia (Country)
Research
Selected Grants
- Fluoxetine Treatment Of Posttraumatic Disorder awarded by National Institutes of Health 1993 - 1998
- Fluoxetine Treatment Of Post Traumatic Stress Disorder awarded by National Institutes of Health 1993 - 1997
- Fluoxitine Treatment Of Posttraumatic Stress Disorder awarded by National Institutes of Health 1993 - 1997
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Calhoun, PS, Schry, AR, Dennis, PA, Wagner, HR, Kimbrel, NA, Bastian, LA, Beckham, JC, Kudler, H, and Straits-Tröster, K. "The Association Between Military Sexual Trauma and Use of VA and Non-VA Health Care Services Among Female Veterans With Military Service in Iraq or Afghanistan." Journal of Interpersonal Violence 33, no. 15 (August 2018): 2439-2464. Full Text
  - Calhoun, PS, Wilson, SM, Dedert, EA, Cunningham, KC, Burroughs, TK, Hicks, TA, Beckham, JC, Kudler, HS, and Straits-Troster, K. "The association of alcohol consumption patterns with self-rated physical health and psychiatric distress among Afghanistan- and Iraq-era U.S. veterans." Psychiatry Research 259 (January 2018): 142-147. Full Text
  - Brancu, M, Wagner, HR, Morey, RA, Beckham, JC, Calhoun, PS, Tupler, LA, Marx, CE, Taber, KH, Hurley, RA, Rowland, J, McDonald, SD, Hoerle, JM, Moore, SD, Kudler, HS, Weiner, RD, VA Mid-Atlantic MIRECC Workgroup, , and Fairbank, JA. "The Post-Deployment Mental Health (PDMH) study and repository: A multi-site study of US Afghanistan and Iraq era veterans." International Journal of Methods in Psychiatric Research 26, no. 3 (September 2017). Full Text
  - Green, KT, Wilson, SM, Dennis, PA, Runnals, JJ, Williams, RA, Bastian, LA, Beckham, JC, Dedert, EA, Kudler, HS, Straits-Tröster, K, Gierisch, JM, and Calhoun, PS. "Cigarette Smoking and Musculoskeletal Pain Severity Among Male and Female Afghanistan/Iraq Era Veterans." Pain medicine (Malden, Mass.) 18, no. 9 (September 2017): 1795-1804. Full Text
  - Carroll, D, and Kudler, H. "Measuring the Quality of VA Care." Psychiatric Services (Washington, D.C.) 68, no. 3 (March 2017): 308-null. (Letter) Full Text
  - Dillon, KH, Crawford, EF, Kudler, H, Straits-Troster, KA, Elbogen, EB, and Calhoun, PS. "An Investigation of Treatment Engagement Among Returning Veterans With Problematic Anger." The Journal of Nervous and Mental Disease 205, no. 2 (February 2017): 119-126. Full Text
  - Kudler, H, Day, K, and Schnurr, PP. "Treatment Options for Veterans With Posttraumatic Stress Disorder." Jama Psychiatry 73, no. 7 (July 2016): 756-757. (Letter) Full Text
  - Calhoun, PS, Schry, AR, Wagner, HR, Kimbrel, NA, Dennis, P, McDonald, SD, Beckham, JC, Dedert, EA, Kudler, H, and Straits-Troster, K. "The prevalence of binge drinking and receipt of provider drinking advice among US veterans with military service in Iraq or Afghanistan." The American journal of drug and alcohol abuse 42, no. 3 (May 2016): 269-278. Full Text
  - Fleming, E, Crawford, EF, Calhoun, PS, Kudler, H, and Straits-Troster, KA. "Veterans' Preferences for Receiving Information About VA Services: Is Getting the Information You Want Related to Increased Health Care Utilization?." Military medicine 181, no. 2 (February 2016): 106-110. Full Text
  - Allen, JP, Crawford, EF, and Kudler, H. "Nature and Treatment of Comorbid Alcohol Problems and Post Traumatic Stress Disorder Among American Military Personnel and Veterans." Alcohol Research : Current Reviews 38, no. 1 (January 2016): 133-140. (Review)
  - Naylor, JC, Kilts, JD, Strauss, JL, Szabo, ST, Dunn, CE, Wagner, HR, Hamer, RM, Shampine, LJ, Zanga, JR, Marx, CE, Department of Veterans Affairs Mid-Atlantic Mental Illness Research, Education, and and Clinical Center Workgroup, . "An exploratory pilot investigation of neurosteroids and self-reported pain in female Iraq/Afghanistan-era Veterans." Journal of Rehabilitation Research and Development 53, no. 4 (January 2016): 499-510. Full Text
  - Naylor, JC, Kilts, JD, Szabo, ST, Dunn, CE, Keefe, FJ, Tupler, LA, Shampine, LJ, Morey, RA, Strauss, JL, Hamer, RM, Wagner, HR, MIRECC Workgroup, , and Marx, CE. "Allopregnanolone Levels Are Inversely Associated with Self-Reported Pain Symptoms in U.S. Iraq and Afghanistan-Era Veterans: Implications for Biomarkers and Therapeutics." Pain Medicine (Malden, Mass.) 17, no. 1 (January 2016): 25-32. Full Text Open Access Copy
  - Pickett, T, Rothman, D, Crawford, EF, Brancu, M, Fairbank, JA, and Kudler, HS. "Mental Health Among Military Personnel and Veterans." North Carolina medical journal 76, no. 5 (November 2015): 299-306.
  - Schry, AR, Hibberd, R, Wagner, HR, Turchik, JA, Kimbrel, NA, Wong, M, Elbogen, EE, Strauss, JL, Veterans Affairs Mid-Atlantic Mental Illness Research, Education and Clinical Center Workgroup, , and Brancu, M. "Functional correlates of military sexual assault in male veterans." Psychol Serv 12, no. 4 (November 2015): 384-393. Full Text Link to Item
  - Schry, AR, Rissling, MB, Gentes, EL, Beckham, JC, Kudler, HS, Straits-Tröster, K, and Calhoun, PS. "The Relationship Between Posttraumatic Stress Symptoms and Physical Health in a Survey of U.S. Veterans of the Iraq and Afghanistan Era." Psychosomatics 56, no. 6 (November 2015): 674-684. Full Text
  - Crawford, EF, Elbogen, EB, Wagner, HR, Kudler, H, Calhoun, PS, Brancu, M, and Straits-Troster, KA. "Surveying treatment preferences in U.S. Iraq-Afghanistan Veterans with PTSD symptoms: a step toward veteran-centered care." Journal of traumatic stress 28, no. 2 (April 2015): 118-126. Full Text
  - Gentes, EL, Dennis, PA, Kimbrel, NA, Rissling, MB, Beckham, JC, VA Mid-Atlantic MIRECC Workgroup, , and Calhoun, PS. "DSM-5 posttraumatic stress disorder: factor structure and rates of diagnosis." Journal of Psychiatric Research 59 (December 2014): 60-67. Full Text
  - Guffanti, G, Ashley-Koch, AE, Roberts, AL, Garrett, ME, Solovieff, N, Ratanatharathorn, A, De Vivo, I, Dennis, M, Ranu, H, Smoller, JW, Liu, Y, Purcell, SM, Veterans Affairs Mid-Atlantic Mental Illness Research, Education, and Clinical Center Workgroup, , Beckham, J, Hauser, MA, and Koenen, KC. "No association between RORA polymorphisms and PTSD in two independent samples." Molecular Psychiatry 19, no. 10 (October 2014): 1056-1057. Full Text
  - Tupler, LA, Weiner, RD, Fernandez, A, Pickett, T, McDonald, SD, McGuire, HH, Hurley, R, Taber, KH, RuthYoash-Gantz, , Miller, M, and SarahIngle, . "The impact of social support on psychological distress for U.S. Afghanistan/Iraq era veterans with PTSD and other psychiatric diagnoses." Psychiatry Research 217, no. 1-2 (June 30, 2014): 86-92. Full Text
  - Kudler, H. "Helping clinicians who care for trauma survivors." JAAPA : official journal of the American Academy of Physician Assistants 27, no. 5 (May 2014): 12-13. Full Text
  - Brown, VM, LaBar, KS, Haswell, CC, Gold, AL, Mid-Atlantic MIRECC Workgroup, , McCarthy, G, and Morey, RA. "Altered resting-state functional connectivity of basolateral and centromedial amygdala complexes in posttraumatic stress disorder." Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology 39, no. 2 (January 2014): 351-359. Full Text Open Access Copy
  - Kudler, H. "Helping clinicians who care for trauma survivors." Journal of the American Academy of Physician Assistants 27, no. 5 (2014): 12-13. Full Text
  - Taber, KH, Hurley, R, Hayes, JP, Nasser, JD, Seth, S, Beall, SK, Beckham, JC, Tupler, LA, Weiner, R, Fairbank, J, Calhoun, PS, Green, KT, Brancu, M, Hoerle, JM, Pender, M, Strauss, JL, Kudler, H, Eggleston, AM, Guerra, VS, Payne, V, McDonald, SD, Van Voorhees, E, and Davison, R. "Effects of chronic mild traumatic brain injury on white matter integrity in iraq and afghanistan war veterans." Human Brain Mapping 34, no. 11 (November 1, 2013): 2986-2999. Full Text
  - Kudler, H, and Porter, RI. "Building communities of care for military children and families." The Future of Children 23, no. 2 (January 2013): 163-185. Full Text
  - Kudler, H. "A psychodynamic conceptualization of retraumatization." (January 1, 2012): 33-59. (Chapter) Full Text
  - Straits-Tröster, KA, Brancu, M, Goodale, B, Pacelli, S, Wilmer, C, Simmons, EM, and Kudler, H. "Developing community capacity to treat post-deployment mental health problems: A public health initiative." Psychological Trauma: Theory, Research, Practice, and Policy 3, no. 3 (September 1, 2011): 283-291. Full Text
  - Brancu, M, Straits-Tröster, K, and Kudler, H. "Behavioral health conditions among military personnel and veterans: prevalence and best practices for treatment." North Carolina medical journal 72, no. 1 (2011): 54-60.
  - Goodale, R, Abb, W, Meed, JT, Christian, T-M, Kudler, H, and Straits-Tröster, K. "The Citizen Soldier Support Program: a case study." North Carolina medical journal 72, no. 1 (2011): 55-56.
  - Kudler, H, Straits-Tröster, K, and Brancu, M. "Initiatives to improve access to behavioral health services in the Veterans Affairs Health System." North Carolina medical journal 72, no. 1 (2011): 40-42.
  - Wittmann, L, Halpern, J, Adams, CBL, Ørner, RJ, and Kudler, H. "Prolonged exposure and psychodynamic treatment for posttraumatic stress disorder." Journal of the American Academy of Child and Adolescent Psychiatry 50, no. 5 (2011): 521-522. Full Text
  - Forbes, D, Creamer, M, Bisson, JI, Cohen, JA, Crow, BE, Foa, EB, Friedman, MJ, Keane, TM, Kudler, HS, and Ursano, RJ. "A guide to guidelines for the treatment of PTSD and related conditions." Journal of Traumatic Stress 23, no. 5 (October 2010): 537-552. Full Text
  - Elbogen, EB, Wagner, HR, Fuller, SR, Calhoun, PS, Kinneer, PM, Mid-Atlantic Mental Illness Research, Education, and Clinical Center Workgroup, , and Beckham, JC. "Correlates of anger and hostility in Iraq and Afghanistan war veterans." Am J Psychiatry 167, no. 9 (September 2010): 1051-1058. Full Text Link to Item
  - Kudler, H, and Straits-Tröster, K. "Partnering in support of war zone veterans and their families." Psychiatric Annals 39, no. 2 (February 1, 2009): 64-70. Full Text
  - Eggleston, AM, Straits-Tröster, K, and Kudler, H. "Substance use treatment needs among recent veterans." North Carolina medical journal 70, no. 1 (2009): 54-58.
  - Calhoun, PS, Elter, JR, Jones, ER, Kudler, H, and Straits-Tröster, K. "Hazardous alcohol use and receipt of risk-reduction counseling among U.S. veterans of the wars in Iraq and Afghanistan." J Clin Psychiatry 69, no. 11 (November 2008): 1686-1693. Link to Item
  - Kudler, H, and Straits-Tröster, K. "Identifying and treating post deployment mental health problems among new combat veterans." North Carolina medical journal 69, no. 1 (2008): 39-42.
  - Kudler, H. "The need for psychodynamic principles in outreach to new combat veterans and their families." Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry 35, no. 1 (2007): 39-50. Full Text
  - Kudler, H. "Chronic stress and adaptation [12]." American Journal of Psychiatry 163, no. 3 (2006): 552-553. Full Text
  - Heldring, M, and Kudler, H. "The primary care health system as a core resource in response to terrorism." Journal of Aggression, Maltreatment and Trauma 10, no. 1-2 (May 31, 2005): 541-552. (Review) Full Text
  - PTSD Treatment Guidelines Task Force, . "Guidelines for treatment of PTSD." Journal of Traumatic Stress 13, no. 4 (October 2000): 539-588. Full Text
  - Hertzberg, MA, Feldman, ME, Beckham, JC, Kudler, HS, and Davidson, JR. "Lack of efficacy for fluoxetine in PTSD: a placebo controlled trial in combat veterans." Annals of Clinical Psychiatry : Official Journal of the American Academy of Clinical Psychiatrists 12, no. 2 (June 2000): 101-105. Full Text
  - Beckham, JC, Braxton, LE, Kudler, HS, Feldman, ME, Lytle, BL, and Palmer, S. "Minnesota Multiphasic Personality Inventory profiles of Vietnam combat veterans with posttraumatic stress disorder and their children." Journal of Clinical Psychology 53, no. 8 (December 1997): 847-852. Full Text
  - Beck, DA, Koenig, HG, Kudler, HS, and Cohen, HJ. "Minor depression in hospitalized elderly veterans." JOURNAL OF THE AMERICAN GERIATRICS SOCIETY 44, no. 9 (September 1996): P96-P96. Link to Item
  - Beckham, JC, Roodman, AA, Barefoot, JC, Haney, TL, Helms, MJ, Fairbank, JA, Hertzberg, MA, and Kudler, HS. "Interpersonal and self-reported hostility among combat veterans with and without posttraumatic stress disorder." J Trauma Stress 9, no. 2 (April 1996): 335-342. Link to Item
  - Beckham, JC, Roodman, AA, Shipley, RH, Hertzberg, MA, Cunha, GH, Kudler, HS, Levin, ED, Rose, JE, and Fairbank, JA. "Smoking in Vietnam combat veterans with post-traumatic stress disorder." J Trauma Stress 8, no. 3 (July 1995): 461-472. Link to Item
  - Koenig, HG, Cohen, HJ, Blazer, DG, Kudler, HS, Krishnan, KR, and Sibert, TE. "Religious coping and cognitive symptoms of depression in elderly medical patients." Psychosomatics 36, no. 4 (July 1995): 369-375. Link to Item
  - Kudler, HS. "Borderline personality disorder and PTSD." Am J Psychiatry 150, no. 12 (December 1993): 1906-1907. (Letter) Full Text Link to Item
  - Davidson, JR, Kudler, HS, Saunders, WB, Erickson, L, Smith, RD, Stein, RM, Lipper, S, Hammett, EB, Mahorney, SL, and Cavenar, JO. "Predicting response to amitriptyline in posttraumatic stress disorder." Am J Psychiatry 150, no. 7 (July 1993): 1024-1029. Full Text Link to Item
  - Kahn, EM, Weiner, RD, Coppola, R, Kudler, HS, and Schultz, K. "Spectral and topographic analysis of EEG in schizophrenic patients." Biol Psychiatry 33, no. 4 (February 15, 1993): 284-290. Link to Item
  - Koenig, HG, Goli, V, Shelp, F, Kudler, HS, Cohen, HJ, and Blazer, DG. "Major depression in hospitalized medically ill older men: Documentation, management, and outcome." International Journal of Geriatric Psychiatry 7, no. 1 (January 1, 1992): 25-34. Full Text
  - KUDLER, HAROLDS. "Cultivating Freud's Garden in France." American Journal of Psychiatry 147, no. 6 (June 1990): 806-807. Full Text
  - Davidson, J, Kudler, H, Smith, R, Mahorney, SL, Lipper, S, Hammett, E, Saunders, WB, and Cavenar, JO. "Treatment of posttraumatic stress disorder with amitriptyline and placebo." Archives of General Psychiatry 47, no. 3 (March 1990): 259-266. Full Text
  - Davidson, JR, Kudler, HS, Saunders, WB, and Smith, RD. "Symptom and comorbidity patterns in World War II and Vietnam veterans with posttraumatic stress disorder." Compr Psychiatry 31, no. 2 (March 1990): 162-170. Link to Item
  - Kudler, H. "The tension between psychoanalysis and neuroscience: A perspective on dream theory in psychiatry." Psychoanalysis and Contemporary Thought 12, no. 4 (December 1, 1989): 599-617.
  - Kudler, HS, Davidson, JR, Stein, R, and Erickson, L. "Measuring results of treatment of PTSD." The American journal of psychiatry 146, no. 12 (December 1989): 1645-1646. (Letter) Full Text
  - Koenig, HG, Goli, V, Shelp, F, Kudler, HS, Cohen, HJ, Meador, KG, and Blazer, DG. "Antidepressant use in elderly medical inpatients: lessons from an attempted clinical trial." Journal of General Internal Medicine 4, no. 6 (November 1989): 498-505. Full Text
  - Smith, MA, Davidson, J, Ritchie, JC, Kudler, H, Lipper, S, Chappell, P, and Nemeroff, CB. "The corticotropin-releasing hormone test in patients with posttraumatic stress disorder." Biological Psychiatry 26, no. 4 (August 1989): 349-355. Full Text
  - Davidson, J, Smith, R, and Kudler, H. "Familial psychiatric illness in chronic posttraumatic stress disorder." Comprehensive psychiatry 30, no. 4 (July 1989): 339-345. Full Text
  - Davidson, J, Smith, R, and Kudler, H. "Validity and reliability of the DSM-III criteria for posttraumatic stress disorder. Experience with a structured interview." The Journal of nervous and mental disease 177, no. 6 (June 1989): 336-341.
  - Davidson, J, Glover, V, Clow, A, Kudler, H, Meador, K, and Sandler, M. "Tribulin in post-traumatic stress disorder." Psychological medicine 18, no. 4 (November 1988): 833-836.
  - Kudler, H, Davidson, J, Meador, K, Lipper, S, and Ely, T. "The DST and posttraumatic stress disorder." The American journal of psychiatry 144, no. 8 (August 1987): 1068-1071. Full Text
  - Davidson, J, Kudler, H, and Smith, R. "Personality in chronic post-traumatic stress disorder:." Journal of Anxiety Disorders 1, no. 4 (January 1987): 295-300. Full Text
  - Conrad, CD, and Kudler, HS. "Symptom exacerbation in psychotically depressed adolescents due to high desipramine plasma concentrations." J Clin Psychopharmacol 6, no. 3 (June 1986): 161-164. Link to Item
  - KUDLER, HAROLDS. "The Lives and Legends of Jacques Lacan." American Journal of Psychiatry 142, no. 6 (June 1985): 766-766. Full Text
  - Kudler, HS. "Disclosing diagnosis, continued." Hosp Community Psychiatry 35, no. 7 (July 1984): 731-732. (Letter) Link to Item
- Book Sections
  - Kudler, H. "Statement of Dr. Harold Kudler, Chief Mental Health Consultant, Veterans Health Administration. Hearing on "Mental health and suicide among veterans"." In Major Depressive Disorder in Veterans: Antidepressant Use and Suicide Prevention, 25-34. January 1, 2015.
- Conference Papers
  - DAVIDSON, JRT, KUDLER, HS, and SMITH, RD. "ASSESSMENT AND PHARMACOTHERAPY OF POSTTRAUMATIC-STRESS-DISORDER." 1990. Link to Item

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Education, Training, & Certifications

Duke Appointment History

In the News

Global Scholarship

Research

Teaching

Selected Grants

Selected Publications

Academic Articles

Book Sections

Conference Papers