Background: Cognitive restructuring and imagery modification for posttraumatic stress disorder (CRIM-PTSD) is a new intervention that involves only three sessions and focuses on the self-concept. It combines cognitive restructuring of core trauma-related dysfunctional beliefs and mental imagery. The effectiveness of CRIM-PTSD has recently been demonstrated in a pilot study. Method: This article presents a step-by-step description of the administration of CRIM-PTSD in a female survivor of childhood sexual abuse (CSA) suffering from PTSD and major depressive disorder related to strong self-blame. Results: The intervention showed substantial reductions in PTSD symptoms and depression in the patient comparable to those observed in the pilot study. Conclusions: CRIM-PTSD might provide an economical tool for reducing PTSD symptoms when only a short time is available for intervention. Furthermore, this tool could be included in well-established PTSD treatments. In addition to the pilot study, a randomized controlled trial is needed to further explore the feasibility and effectiveness of this short intervention.

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Opfer sexualisierter Gewalt leiden h?ufig unter einem Gef?hl des Beschmutzt-Seins infolge der ?bergriffe. Mithilfe eines neu entwickelten Therapiemoduls, Cognitive Restructuring and Imagery Modification (CRIM), kann dieses Gef?hl wirksam behandelt werden. Die praktische Durchf?hrung der Intervention wird in diesem Beitrag Schritt f?r Schritt vorgestellt.