Treatment of complex posttraumatic self-dysregulation.
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.
Ford
Julian D
JD
Department of Psychiatry, University of Connecticut Health Center, Farmington, Connecticut 06030, USA. Ford@Psychiatry.uchc.edu
Courtois
Christine A
CA
Steele
Kathy
K
Hart
Onno van der
Ov
Nijenhuis
Ellert R S
ER
D000339:Affect; D015928:Cognitive Behavioral Therapy; D006801:Humans; D007398:Interpersonal Relations; D008016:Life Change Events; D008568:Memory; D011613:Psychotherapy / Q000379:methods*; D012649:Self Concept; D012720:Severity of Illness Index; D013313:Stress Disorders, Post-Traumatic / Q000523:psychology* / Q000628:therapy*