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Restoring the sanctuary of the valued self: Working with post traumatic stress in brief dynamic therapy
Psychodynamic Practice Pub Date : 2021-01-18 , DOI: 10.1080/14753634.2020.1864457
Jonathan Derek Smith

Drawing principally from the conceptual framework of Horowitz the author outlines an effective method of working within a short-time frame to enable staff who have been traumatised in their working roles to restore a sense self-coherence and self-esteem with a resulting lessening of symptoms of Post Traumatic Stress. A traumatic event is seen to result in the activation of dormant enduring schemas emanating from childhood that are at odds with established adult internal working models of self and other that hitherto have formed the basis of an individual’s view of himself and others. This in turn results in a disruption to an individual’s sense of a coherent narrative and a concomitant fracturing of the sanctuary of the valued sense of self. Restoring a meaningful and coherent narrative, through processing the story of the trauma, and re-schematising, is highlighted as a key feature of therapeutic restoration. Grieving the loss of meaning that arises from the trauma in a way that is approached carefully to lessen the likelihood of emotional flooding which can otherwise overwhelm defences and retraumatise the client, is also seen to be a key aspect of healing and restoring the sanctuary of the valued self. These themes are illustrated by two case examples and three short vignettes.



中文翻译:

恢复有价值的自我的庇护所:在短暂的动态疗法中处理创伤后压力

作者主要从Horowitz的概念框架中提纲,概述了一种在短时间内工作的有效方法,以使遭受工作角色创伤的员工能够恢复感觉上的自我连贯性和自尊感,从而减轻症状创伤后压力 创伤事件被认为导致了从童年开始的休眠的持久模式的激活,这与已建立的成人内部自我和其他迄今已形成个体对自己和他人观点的基础的内部工作模型不符。反过来,这会破坏个人的连贯叙述感,并随之破坏珍贵的自我意识的庇护所。通过处理创伤故事,恢复有意义且连贯的叙述,再次化疗是治疗修复的关键特征。悲痛地对待创伤所造成的意义丧失,采取一种谨慎的方法,以减少情绪泛滥的可能性,否则情绪泛滥会淹没辩护,使服务对象重新受伤,这也被视为治愈和恢复精神创伤的关键方面。重视自我。通过两个案例和三个简短的插图来说明这些主题。

更新日期:2021-01-18
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