The Dynamic Therapy Model in Treating Complex Trauma Syndrome

Vito Zepinic

Abstract


Severe trauma such as the war combat, being taken as a hostage, brutal or repeated rape, affects all structures of the victim’s personality—one’s image of the body and sense of self; and one’s values and ideals—and leads to a sense that coherence and continuity of the self is systematically broken down. Severe trauma overwhelms the ordinary human adaptation and resistance as it usually involves the threat to life or bodily integrity and confronts the victim with the extremities of the helplessness, hopelessness, and terror, and evokes the response of catastrophe. In this paper, we describe how effectively the complex trauma is treated using the Dynamic Therapy model.

We recognised five major alterations of the self as the aftermaths of severe trauma that should be targeted during treatment: (a) regulation of affected impulses; (b) attention and consciousness; (c) self-perception; (d) perception of the perpetrator; and (e) relation to others.

The Dynamic Therapy model is the three-phase oriented treatment which applies to holotropic integration of the distorted self into a whole: (a) Impulse containment; Engagement; Safety; (b) Understanding; Recalling traumatic memories; (c) Self-conception; Enhancing daily living; Relapse prevention; Independency; Steps forward.

The main concept of Dynamic Therapy model includes three treatment goals: (a) restoration of a form of the relatedness (“Interconnectivity”); (b) restoration of a sense of the aliveness/vitality (“Dynamism”); and (c) restoration of an awareness of self and inner events (“Insight”).

 


Keywords


Complex trauma syndrome; Sense of self; Self-continuity; Interconnectivity; Dynamism; Insight

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References


Allen, J. G. (2005). Coping with trauma (2nd ed.). American Psychiatric Publishing, Washington DC.

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-5). APA, Arlington.

Beck, A. T., Emery, G., & Greenberg, R. L. (2005). Anxiety disorders and phobias: A cognitive perspective. Basic Books, New York.

Burgess, A. W., & Holstrom, L. (1974). Rape trauma syndrome. American Journal of Psychiatry, 131, 981-986.

Cloitre, M., Garvert, D. W., Brewin, C. R., Bryant, R. A., & Maercker, A. (2013). Evidence for proposed ICD-11 PTSD: A latent profile analysis. European Journal of Psychotraumatology, 4, 20706.

Courtois, C. A. (2004). Complex trauma, complex reactions: Assessment and treatment. Psychotherapy: Theory, Research, Practice, Training, 41, 422-425.

Courtois, C. A., & Ford, J. D. (2009). Treating complex traumatic stress disorder. New York: The Guilford Press.

Erikson, E. H. (1968). Identity, youth & crisis. New York: WW Norton.

Foa, E. B., & Rothbaum, O. B. (2000). Treating the trauma of rape. New York: The Guilford Press.

Foa, E. B., Keane, T. M., Friedman, M. J., & Cohen, J. A. (2009). Effective treatments for PTSD. New York: The Guilford Press.

Ford, J. D., Courtois, A. C., Steele, K, van der Hurt, O., & Nijenhuis, E. R. S. (2005). Treatment of complex dysregulation. Journal of Traumatic Stress, 5, 437-447.

Gerson, B. P. R., & Off, M. (2005). Coping with the aftermath of trauma. British Medical Journal, 5, 1038-1039.

Heide, F. J. J., Mooren, T. M., & Kleber, R. J. (2016). Complex PTSD and phased treatment in refugees: A debate piece. European Journal of Psychotraumatology, 7, 28687.

Herman, J. L. (1992). Trauma and recovery. New York: Basic Books.

Horowitz, M. J., & Zilberg, N. (1983). Regressive alterations in the self-concept. American Journal of Psychiatry, 140, 284-289.

Horowitz, M. J. (1997). Formulation as a basis for planning psychotherapy treatment. Washington DC: American Psychiatric Press.

Horowitz, M. J. (2001). Stress response syndrome (4th ed.). New York: Jason Aronson Inc.

Hyer, L., McCranie, F. M., Boudewyns, P. A., & Sperr, E. (1996). Models of long-term coping trauma memories: relative use and associations with personality among Vietnam veterans chronic PTSD. Journal of Traumatic Stress, 9, 299-316.

Kartal, D., & Kiropoulos, L. (2016). Effects of accumulative stress on PTSD, depressive, and anxiety symptoms among refugees resettled in Australia and Austria. European Journal of Psychotraumatology, 7, 28711.

Lazarus, A. A. (1972). Behaviour therapy and beyond. New York: McGraw-Hill.

Meares, R. (1987). The secret and the self: One new direction in psychotherapy. Australian and New Zealand Journal of Psychiatry, 21, 545-559.

Ogden, P., Minoth, K., & Pain, C. (2006). Trauma and the body. New York: WW Norton.

Putnam, F. (1989). Diagnosis and treatment of multiple personality disorder. New York: The Guilford Press.

Rosen, G. M. (2004). Posttraumatic stress disorder, issues and controversies. Chichester: Wiley & Sons.

Schore, A. N. (2003). Affect dysregulation and disorders of the self. New York: WW Norton.

Steele, K, van der Hurt, O., & Nijenhuis, E. R. S. (2005). Phase oriented treatment of structural dissociation in complex traumatisation: Overcoming trauma-related phobias. Journal of trauma and Dissociation, 6, 11-53.

Stern, D. N. (2004). The present moment. New York: WW Norton.

Ulman. R. B., & Brothers, D. (1988). The shattered self: A psychoanalytic study of trauma. Hillsdale: The Analytic Press.

van der Hurt, O., Steele, K., Boon, S., & Brown, P. (1993). The treatment of traumatic memories: Synthesis, realisation, and integration. Dissociation, 6, 162-180.

van der Hurt, O., Nijenhuis, E., & Steel, K. (2006). The haunted self. New York: WW Norton.

van der Kolk, B. A., & Fisler, R. (1995). Dissociation and the fragmentary nature of traumatic memories: Overview and explanatory study. Journal of Traumatic Stress, 8, 607-627.

van der Kolk, B. A, MacFarilane, A., & Weiseath, L. (1996). Traumatic stress. New York: The Guilford Press.

van der Kolk. B. A., Roth, S. H., Pelcowitz, D., Sunday, S., & Spinazzola, J. (2005). Disorder of extreme stress. Journal of Traumatic Stress, 18, 389-399.

Wilson, J. P., & Drozdek, B. (Eds.) (2004). Broken spirit. New York: Brunner-Routledge.

Wilson, L. P. (2006). The posttraumatic self. New York: Routledge.

Wolpe, J. (1969). The practice of behaviour therapy. New York: Penguin Press.

Zepinic, V. (2001). Suicidal risk with war-related posttraumatic stress disorder. In B. Raphael & A. E. Malak (Ed.). Diversity and mental health in challenging times (Chapter 14). Sydney: TCMH.

Zepinic, V. (2008). Healing traumatic memories: A case study. Dinamische Psychiatrie, (5-6), 279-287.

Zepinic, V. (2010). Treating war-related complex trauma using dynamic therapy. The International Journal of Medicine, 3, 384-390.

Zepinic, V. (2012). The self and complex trauma. London: Xlibris Publishing.

Zepinic, V. (2015). Persistence of “survival skills” as a risk factor for suicided in severely traumatised individuals. International Journal of Emergency Mental Health and Human Resilience, 2, 552-558.

Zepinic, V. (2015a). Treatment resistant symptoms of complex PTSD caused by torture during war, Canadian Social Science, 9, 26-32.

Zepinic, V. (2016). Disintegration of the self-structure caused by severe trauma. Psychology and Behavioural Science, 5, 83-92.

Zepinic, V., Bogic, M., & Priebe, S. (2012). Refugees’ views of the effectiveness of support provided by their host countries. European Journal of Psychotraumatology, 3, 8447.

Zepinic V (2011). Hidden scars: Understanding and treating complex trauma. Xlibris Publishing, London.

Zlotnick, C., Warshaw, M., Shea, M. T., Allsworth, J., Pearlstein, T., & Keller, M. B. (1999). Chronicity in posttraumatic stress disorder (PTSD) and predictors of course of comorbid PTSD in patients with anxiety disorders. Journal of Traumatic Stress, 12, 89-100.




DOI: http://dx.doi.org/10.3968/n

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