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
Trauma Schemas arise in order to reduce the primary emotions of fear and shame.
Both client and therapist will be participating in avoidance to some degree all the time.
The client's trauma narrative is always incomplete.
Trauma Schemas are relational.
PRINCIPLES
Immediacy - The therapist proceeds with the trauma inquiry from the first session.
Engagement - The therapist demonstrates an active, engaged stance that reflects the horror or shame of the traumatic events.
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
Into the Breach:
Clinical Perspectives on Trauma-Centered
Psychotherapy
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Principles and Techniques of Trauma-Centered Psychotherapy
Trauma-Centered Group Psychotherapy for Women
Trauma-Informed
Drama Therapy
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