Quantum transformation in trauma and treatment: Traversing the crisis of healing change

Fosha, Diana

doi:10.1002/jclp.20249

Cited by 50 publications

(92 citation statements)

References 8 publications

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“…These different research designs have utilised; pre-post outcome measures, criteria for clinical significance, reliable change, effect sizes, qualitative accounts, and measures of subjective well-being or functioning to describe change (Jacobson & Truax, 1991;Kazdin, 2008;Mueller, Tolman, Higa-McMillan, & Daleiden, 2010). From a phenomenological perspective, therapeutic change has been categorised as occurring either gradually, suddenly or a combination of both (Fosha, 2006;Gianakis & Carey, 2011). The moment of change itself is elusive, but has been described as the breaching of a kind of psychological barrier (Carey et al, 2007) and being facilitated by attending to problems more fully on intellectual and emotional levels (Giorgi, 2011).…”

Section: What Is Known About Therapeutic Changementioning

confidence: 99%

Therapeutic change in young people—A qualitative investigation of client and therapist perspectives

Donald

Carey

Rickwood

2018

Couns and Psychother Res

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Background Young people's vulnerability to developing mental illness makes it important to understand therapeutic change, integrating the views of both young people and their therapists, to improve treatment effectiveness. To date, qualitative research aiming to triangulate experiences of therapeutic change in young people has not clearly differentiated the unique perspectives of clients and therapists. Instead both groups’ perspectives have been analysed together, which may be phenomenologically problematic considering clients are the site of change, while therapists observe it. Aims This study explored experiences of therapeutic change from the perspectives of young people and their therapists. Three clients aged 17–19 years, and their two therapists, participated in semi‐structured interviews post‐therapy. Methods Six themes were identified for clients: facing problems alone; how the therapeutic space was used; change characteristics; partial changes; the role of context in change; and growing into the new self. Four themes were identified for therapists: problematic experiences; change processes; therapist‐related change process; and change qualities. Results Six themes were identified for clients: facing problems alone; how the therapeutic space was used; change characteristics; partial changes; the role of context in change; and growing into the new self. Four themes were identified for therapists: problematic experiences; change processes; therapist‐related change process; and change qualities. Conclusions Congruent with adult research, common and specific factors was important to change. Contextual and relational factors were particularly important for young people, who described that isolation caused by their problems caused distress beyond the impact of symptoms. Therapeutic change was facilitated through responsive therapy practices that led to developmentally normal levels of activity and changes in selfhood. Participants accepted a good‐enough level of recovery which was anticipated to continue post‐therapy.

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Section: What Is Known About Therapeutic Changementioning

confidence: 99%

Therapeutic change in young people—A qualitative investigation of client and therapist perspectives

Donald

Carey

Rickwood

2018

Couns and Psychother Res

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“…CT's effectiveness has only been reported experimentally effective in a pilot study on perfectionism (Rice, Neimeyer, & Taylor, 2009). Finally, AEDP has no research support but many anecdotal reports on successful cases of complex PTSD, depression, anxiety, and attachment related problems such as isolation, feelings of loneliness, and distrust (Fosha, 2000(Fosha, , 2006(Fosha, , 2008Fosha, Paivio, Gleiser, & Ford, 2009).…”

Section: Resultsmentioning

confidence: 99%

“…In a therapy where the client is intensely reliving memories of sexual abuse, the therapist by her strong presence, validation, and caring attitude may cause in the patient a new experience of safety and of not being alone. I believe in this case TES might take place, and this example resembles strongly the way Diana Fosha (2000Fosha ( , 2006Fosha ( , 2008Fosha ( , 2009 works in AEDP. In another case where the client is admitting homoerotic feelings and the therapist shows an accepting attitude, it would rather constitute an example of accepting and reowning through exposure.…”

Section: Tes In Other Therapiesmentioning

confidence: 99%

Transformative emotional sequence: Towards a common principle of change.

Welling¹

2012

Journal of Psychotherapy Integration

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“…It must not be "forgotten," as healing does not happen via numbing, detaching, or dissociating (Fosha, 2002a). As Fosha (2006a) writes, "There is a world of difference between being alone with overwhelming emotions and being with a trusted other in the affect storm" (p. 570). A related idea is expressed in the words of Gleiser, Ford, and Fosha (2008).…”

Section: Aedp and Traumamentioning

confidence: 99%

Combining Expressive Writing with an Affect- and Attachment-Focused Psychotherapeutic Approach in the Treatment of a Single-Incident Trauma Survivor: The Case of "Grace"

Pass¹

2012

PCSP

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The idea of using a phase-oriented model in the treatment of trauma is an established one. The first phase aims to establish safety, stabilization, and trust before moving onto the second phase, which involves more direct and intensive processing of trauma. The third phase serves to consolidate and integrate the gains made in treatment. The purpose of this study is to determine whether utilizing a phase-oriented model that combines Accelerated Experiential Dynamic Psychotherapy (AEDP), an affect and attachment-focused experiential treatment, with expressive writing enhanced the treatment of "Grace," a single-incident trauma survivor. While both AEDP and expressive writing are well developed methods, their combination has not been tried before. Focusing on a survivor of a single-incident trauma was chosen to best implement the goal of writing about a concrete traumatic event. In line with the three-phase approach, the "AEDPWriting" model first utilizes AEDP to build a secure attachment as well as affect tolerance, setting the stage for deeper exploration of a patient's traumatic history. Second, the expressive writing component then builds on this base by directly addressing the traumatic incident and processing it in a deeper and more comprehensive manner. Finally, utilizing both the AEDP and expressive writing approaches, the third phase involves reflection on the work done, consolidation, and celebration of the patient's true self state of being.

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Quantum transformation in trauma and treatment: Traversing the crisis of healing change

Cited by 50 publications

References 8 publications

Therapeutic change in young people—A qualitative investigation of client and therapist perspectives

Therapeutic change in young people—A qualitative investigation of client and therapist perspectives

Transformative emotional sequence: Towards a common principle of change.

Combining Expressive Writing with an Affect- and Attachment-Focused Psychotherapeutic Approach in the Treatment of a Single-Incident Trauma Survivor: The Case of "Grace"

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