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Equine-Assisted Psychotherapy Among Adolescents with ACEs: Cultivating Altercentrism, Expressiveness, Communication Composure, and Interaction Management

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Abstract

Adverse childhood experiences (ACEs) can produce long-lasting effects for individuals. Mental health practitioners in clinical psychology and social work have utilized equine assisted psychotherapy (EAP) to treat trauma related to adverse experiences; however, few studies have centralized communication messages and processes in EAP. The current qualitative study included observations and interviews with 11 adolescents with ACEs and examined (a) equine communication as a mechanism for client awareness and emotion regulation, (b) the development of communication competencies for adolescents with ACEs, and (c) transference of communication competencies in other relational contexts. Adolescents cultivated altercentrism (e.g., ability to decode communication, to focus consciously on the other), communication composure (e.g., ability to deal with psychological stress, while engaging assertiveness), communication coordination (e.g., ability to effectively communicate, manage misunderstandings), and expressiveness (e.g., provide clarity and emotional control in one’s own communication). Finally, adolescents described how these communication competencies transferred to other relationships (e.g., family, peers, and teachers). Implications for understanding communication competence, the practitioner’s role in supporting communication skill development in EAP, and the unique role of equines in mitigating the negative effects of ACEs are discussed.

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Data Availability

The data generated during and/or analyzed during the current study are available from the corresponding author on reasonable request.

Notes

  1. The EAGALA model is a team approach (i.e., mental health professional, equine specialist, horses and clients) focused on horses as large, powerful, prey animals that live in herds and have distinct personalities for solution focused treatment (EAGALA, 2018). OK Corral centers on principles of pressure/pain, attention/at-ease, reciprocal process, and the nonverbal zones of horses as a way to focus on “natural horse and herd behavior as a model for human mental and emotional health” (OK Corral, 2019). Natural Lifemanship’s Trauma-Focused Equine Assisted Psychotherapy (TF-EAP) combines the neurobiology of trauma, and how equines assist in the identification of relationship patterns, reformation of new behaviors, and formation of new relationships to accomplish therapeutic outcomes (Natural Lifemanship, 2019). Finally, Eponaquest integrates interaction with horses and other tools (e.g., an emotional message chart, the false self/authentic self-paradigm, the body scan, and a boundary handout) to teach leadership, assertiveness, empowerment, intuition, and emotional fitness skills (Eponaquest, 2018).

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Authors

Contributions

The author contributed to the study conception and design. Material preparation, data collection and analysis were performed by EAC. The first draft of the manuscript was written by EAC. This author read and approved the final manuscript.

Corresponding author

Correspondence to Elizabeth A. Craig.

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The author declares that the author has no conflict of interest.

Ethical Approval

All procedures performed in this study involving human participants were in accordance with the ethical standards of the author’s University IRB Office for human subject research at North Carolina State University. No animals were harmed in this process of conducting this research.

Informed Consent

Informed consent was obtained from all participants over the age of 18. Informed assent (with parental/guardian informed consent) was obtained from children and adolescents under the age of 18.

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Craig, E.A. Equine-Assisted Psychotherapy Among Adolescents with ACEs: Cultivating Altercentrism, Expressiveness, Communication Composure, and Interaction Management. Child Adolesc Soc Work J 37, 643–656 (2020). https://doi.org/10.1007/s10560-020-00694-0

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  • DOI: https://doi.org/10.1007/s10560-020-00694-0

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