Review2005

Treatment of complex posttraumatic self-dysregulation

Julián D. Ford · Christine A. Courtois · Kathy Steele · Onno van der Hart · Ellert R. S. Nijenhuis

262 citations0/0 files storedJournal of Traumatic Stress

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Posttraumatic Stress Disorder Research Psychoanalysis and Psychopathology Research Psychotherapy Techniques and Applications

Abstract

The authors describe a three-phase sequential integrative model for the psychotherapy of complex posttraumatic self-dysregulation: Phase 1 (alliance formation and stabilization), Phase 2 (trauma processing), and Phase 3 (functional reintegration). The technical precautions designed to maximize safety, trauma processing, and reintegration regardless of the specific treatment approach are discussed. Existing and emerging treatment models that address posttraumatic dysregulation of consciousness, bodily functioning, emotion, and interpersonal attachments are also described. The authors conclude with suggestions for further clinical innovation and research evaluation of therapeutic models that can enhance the treatment of PTSD by addressing complex posttraumatic self-dysregulation.

Citations in this library

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References

1992Trauma and Recovery 1989Bulletin of the Menninger Clinic 2001Effective Treatments for PTSD 2002A comparison of cognitive-processing therapy with prolonged exposure and a waiting condition for the treatment of chronic posttraumatic stress disorder in female rape victims.2005Disorders of extreme stress: The empirical foundation of a complex adaptation to trauma 2001The APSAC Handbook on Child Maltreatment 2002Skills training in affective and interpersonal regulation followed by exposure: A phase-based treatment for PTSD related to childhood abuse.2001Effective Treatments for PTSD: Practice Guidelines from the International Society for Traumatic Stress Studies

Cited by

2015The Relationship of Psychological Trauma and Dissociative and Posttraumatic Stress Disorders to Nonsuicidal Self-Injury and Suicidality: A Review 2006Trauma-Focused, Present-Centered, Emotional Self-Regulation Approach to Integrated Treatment for Posttraumatic Stress and Addiction: Trauma Adaptive Recovery Group Education and Therapy (TARGET)2005Phase-Oriented Treatment of Structural Dissociation in Complex Traumatization: Overcoming Trauma-Related Phobias 2009Defining and understanding complex trauma and complex traumatic stress disorders.

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