Treating Complex Traumatic Stress Disorders in Adults, Second Edition by Christine A. Courtois Julian D. Ford
Author:Christine A. Courtois Julian D. Ford [Julian D. Ford, Christine A. Courtois]
Language: eng
Format: epub
ISBN: 9781462542222
Publisher: Guilford Publications
Published: 2020-02-26T03:00:00+00:00
THE SEQUENCE OF THE THERAPEUTIC INTERVENTION IN NET
NET proceeds in three essential steps (see Figure 14.1). Since survivors of complex trauma fear a loss of control or abandonment, and expect an unpredictable response, the therapeutic alliance in NET commences at the diagnostic interview with the therapist who will conduct the treatment. To allow a sense of mastery, the initial interview (Step 1) is highly structured and predictable, including event checklists matching the experiences of the client (e.g., torture or sexual abuse events). Childhood experiences are specifically targeted (e.g., the Maltreatment and Abuse Chronology of Exposure [MACE]), as well as dissociative phenomena following traumatic stress (using the Shutdown Dissociation Scale [Shut-D], which is able to discriminate the dissociative subtype; Schalinski, Schauer, & Elbert, 2015). A brief psychoeducation and a step-by-step explanation of the therapeutic procedure is then used to normalize, legitimize, and explain complex trauma reactions, as well as fears, resistances, and worries about the treatment protocol and exposure work ahead.
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