The document discusses assessment and treatment approaches for acute trauma in adults. It outlines various types of severe adult traumas including assaults, disasters, war experiences, and torture. When treating acute versus chronic trauma, safety assessment and support are priorities. Emotional processing is a key component of trauma treatment and involves exposure, activation, disparity, and counterconditioning within a supportive therapeutic relationship. Specific issues are discussed for treating different types of severe trauma such as combat exposure, rape, and torture.