On the issue of personality context in the treatment of trauma survivors

Benveniste, Paul S.; Molteni, Andrew

doi:10.1007/bf02102795

J Trauma Stress

1994

DOI: 10.1007/bf02102795

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On the issue of personality context in the treatment of trauma survivors

Paul S. Benveniste

Andrew Molteni

Abstract: 485 0894-9867,94fl7006485S07.aM) 0 1994 Plenum Publishing Corporation

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Parson¹

1997

Journal of Contemporary Psychotherapy

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This article discusses a new personality disorder entity, "traumatic stress personality disorder," conceptualized as a composite organization with transactional properties that mutually structure post-traumatic stress disorder (PTSD) and personality disorders (PDs). The transactional/synergistic view of PTSD/PD comorbidity derives in part from scientific findings that PTSD's enduring biological effects are discernible in the personality of individuals 30 to 50 years or more after the overwhelming event, and from psychodynamic formulations on the development and structuring of personality defenses. An intertheoretical therapy model is also presented, and consists of multiple therapies actively integrated to meet the patient's complex post-trauma needs. This article argues for the development of theoretical, investigatory, and therapeutic measures to address PTSD/PD configurations in traumatized victims. Basically, the position espoused is that PTSD/PD should be measured as one rather than two entities, with neither component being considered as a confounding but integral factor in measurement. The eight components of traumatic stress personality disorder are discussed, along with a case study to demonstrate the model's clinical applications. The integration of cognitive, behavioral, psychodynamic, and existential treatment approaches is geared to assist the victim to developmental progress to survivor status, and then beyond this level of integration to thriven a person whose adaptational learning in therapy created a "vital psychological immune system" that consistently protects against dissociative regression in response to the daily stresses of life. Transference, countertransference, therapists' self-care and self-monitoring are seen as integral to the treatment of traumatic stress personality disorders.

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Parson¹

1997

Journal of Contemporary Psychotherapy

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On the issue of personality context in the treatment of trauma survivors

Abstract: 485 0894-9867,94fl7006485S07.aM) 0 1994 Plenum Publishing Corporation

Cited by 1 publication

References 2 publications

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