Phase-Oriented Treatment of Structural Dissociation in Complex Traumatization: Overcoming Trauma-Related Phobias

Steele, Kathy; Hart, Onno van der; Nijenhuis, Ellert R. S.

doi:10.1300/j229v06n03_02

Cited by 128 publications

(78 citation statements)

References 54 publications

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“…Rather, it embraces aspects of metacompetence that are particularly emphasized in the literature on trauma, where a recurring theme concerns the challenges involved in the selection of the appropriate focus for therapy at any given time (Herman, 2001;Philips & Frederick, 1995;Steele, van der Hart & Nijenhuis, 2005). Given the complexity of the session-by-session decisions about treatment focus that need to be made, it is hard to see that models for guiding treatment could be derived in any other way than from the data of systematic case studies.…”

Section: Discussionmentioning

confidence: 99%

“…The model is based on a stage approach that is widely described in working with trauma (Herman, 2001;Philips & Frederick, 1995;Steele, van der Hart & Nijenhuis, 2005). The key principle is that problems at a lower level must be attended to before meaningful work can proceed at a higher level.…”

Section: Bongimentioning

confidence: 99%

“…There is not necessarily a simple linear progression. Depending on the needs of the client, arising out of the therapy process or from extra-therapy events, it is common for therapists to return to a lower level so that the process is often described as a spiral (Herman, 2001;Philips & Frederick, 1995;Steele et al, 2005).…”

Section: Bongimentioning

confidence: 99%

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Using Systematic Case Studies to Investigate Therapist Responsiveness: Examples from a Case Series of PTSD Treatments

Edwards

2010

PCSP

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This article highlights the emerging literature on therapist responsiveness in psychotherapy and examines several concepts used to identify dimensions of responsiveness. Some methodological obstacles are identified to studying responsiveness in a systematic manner, and several examples of existing responsiveness research are reviewed. It is argued that meaningful theory on responsiveness has emerged from research methods that are qualitative and interpretive and that the writing of systematic case studies can be of particular importance since only the presentation of a case unfolding over time can disclose some of the more complex aspects of therapist responsiveness. Examination of a series of systematic case studies of the treatment of posttraumatic case disorder in South Africa was used to derive a model for guiding therapist responsiveness with respect with what to focus on at a particular phase of the therapy within a particular session. Material from the cases is used to illustrate aspects of the model related to building social support for the client and promoting emotional processing of trauma memories.

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Section: Discussionmentioning

confidence: 99%

Section: Bongimentioning

confidence: 99%

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Using Systematic Case Studies to Investigate Therapist Responsiveness: Examples from a Case Series of PTSD Treatments

Edwards

2010

PCSP

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“…Most therapists agree that a kind of trauma work is inevitable for treatment of dissociative disorders and other trauma-related conditions [42]. The accent has shifted from abreaction to a more integrative working-through in a phase-oriented fashion throughout the last decades [9,30,43]. In our view, abreaction per se does not have any therapeutic value.…”

Section: Case Examplementioning

confidence: 99%

“…During the process of trauma, mutuality is lost in almost all relationships [29,30]. Because, one has been left alone and has not received adequate support.…”

Section: Oscillation In Relationshipsmentioning

confidence: 99%

The Trauma-Self and Its Resistances in Psychotherapy

Öztürk¹,

Şar²

2016

JPCPY

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This paper seeks to highlight phenomena related to resistance in the psychotherapy of dissociative disorders and other trauma-and stress-related psychiatric disorders. The authors consider a particular psychological construct to be at the origin of resistance: the trauma-self. The resistances of the trauma-self consist of three main groups: Depressive manifestations, traumatic obsessions, and loss of psychosocial mutuality. Detemporalization, treating oneself as an object, suicidality, obsessions of abnormality, rupturing the mutuality of the patient-therapist relationship, and dissociative somatic crises are clues of these resistances. Succesful treatment is expected to minimize the resistances of the trauma-self. This is expected to be achieved through the careful contextualization of the trauma-self while conducting psychotherapy. Approaching the patient's experiences from multiple angles not only from the angle of the therapist but also from the patient's distinct perspectives are crucial in working through the resistances of the trauma-self.

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2011

Rebuilding Shattered Lives

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Phase-Oriented Treatment of Structural Dissociation in Complex Traumatization: Overcoming Trauma-Related Phobias

Cited by 128 publications

References 54 publications

Using Systematic Case Studies to Investigate Therapist Responsiveness: Examples from a Case Series of PTSD Treatments

Using Systematic Case Studies to Investigate Therapist Responsiveness: Examples from a Case Series of PTSD Treatments

The Trauma-Self and Its Resistances in Psychotherapy

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