Trauma-Centered Psychotherapy
Trauma-centered psychotherapy is an approach to trauma treatment that grounds the clinical encounter in the detailed inquiry of the client's traumatic experiences. It integrates elements of psychodynamic, cognitive-behavioral, and humanistic models to provide an effective and respectful engagement with the client in mutually countering the avoidance surrounding trauma.
AXIOMS
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Trauma Schemas arise in order to reduce the primary emotions of fear and shame.
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Both client and therapist will be participating in avoidance to some degree all the time.
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The client's trauma narrative is always incomplete.​
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Trauma Schemas are relational.
PRINCIPLES
Immediacy - The therapist proceeds with the trauma inquiry from the first session.​​
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Engagement - The therapist demonstrates an active, engaged stance that reflects the horror or shame of the traumatic events.​
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Emotionality - The therapist tolerates strong expressions of grief, anger, fear, and shame, and does not attempt to dampen or manage their emergence.
TECHNIQUES
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Getting the Details
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Decoding Current Behavior
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Introducing Discrepancy
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Disclosing the Perpetrator
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