Take a look at ‘Personalising Trauma Treatment: Reframing and Reimagining’ here https://doi.org/10.4324/9781003178132. To access the abstracts of each chapter you have to first register with Taylor and Francis Publishers
New youtube video https://youtu.be/3UeJ1Lux4pU detailing how to help the client back to their old selves post trauma – Restorative CBT (RCBT). Not only for those who have developed PTSD but also for those who have acquired other disorders, whether singly or in combination. The video is based on my new book ‘Personalising Trauma Treatment: Reframing and Reimagining’, available from amazon https://images-na.ssl-images-amazon.com/images/I/5141wjLVgrL._SX331_BO1,204,203,200_.jpg. and published by Routledge.
RCBT is likened to restoring a dilapidated property but in some instances it may be a rebuild on the same site, for those who feel they have never functioned well. Mental time travel to a trauma/s is inevitable but it is what the person takes it to mean about today that is crucial for possible ongoing psychological debility. It is the centrality accorded to the trauma that is pivotal in the development of disorder. The book is replete with metaphor making for ease of dissemination. For example, PTSD clients are invited to consider that they are wearing a pair of ‘war-zone’ glasses and are invited to practice swapping these for the ‘spectacles’ that they would have worn in the weeks before the trauma.
It is suggested that a) there is no credible evidence that traumatic memories are different in kind to ordinary autobiographical memories and b) traumatic memories do not have unique neural basis. Consequently there is no need for clients to relive their trauma. It is much easier for clinicians and clients to consider the adaptiveness of a memory than to relive it to the point of desensitisation. In randomised control trials, trauma focused interventions result in recovery in about 50% of cases. However in routine practice because of comorbidity and population differences, the proportion is likely to be significantly less. Further to the extent that trauma-focussed interventions work, they may do so simply because the client collects experimental evidence that they are not in a ‘war zone’. There is then ample justification for approaching the psychological sequelae of trauma from an RCBT perspective.
Dr Mike Scott
Restorative CBT(RCBT) focuses on getting the trauma victim back to their old selves, as far as possible. It does not require the client to relive the trauma. The difference between RCBT and trauma focussed CBT (TFCBT) is stark when it comes to considering long-term psychological help for those affected by the war in Ukraine. A theme throughout the book is helping trauma victims forgo the ‘war zone glasses’ through which they may view their current environment. The RCBT approach is likely to be more acceptable and easier to disseminate. The specifics are in my book ‘Personalising Trauma Treatment: Reframing and Reimagining’ https://www.google.co.uk/url?sa=t&rct=j&q=&esrc=s&source=web&cd=&ved=2ahUKEwi_sby24qz2AhUOa8AKHfyaCFYQFnoECAEQAQ&url=https%3A%2F%2Fwww.taylorfrancis.com%2Fbooks%2Fmono%2F10.4324%2F9781003178132%2Fpersonalising-trauma-treatment-michael-scott&usg=AOvVaw1vevwk6WE3_-ghkv14ZpM2 published by Routledge, March 2022. The accompanying commentary and slides give a taster http://www.cbtwatch.com/wp-content/uploads/2022/03/Forget-Trauma-Focussed-Interventions-1.pptx see also Youtube https://studio.youtube.com/video/FN_ck6iCIpE/edit . Do get back to me if you would like to discuss cases.
In this book, clients are taught to rediscover their sense of self by reframing the trauma. Within this new framework the focus is on the client’s mental time travel from the trauma to today and reimagining their future. The therapeutic targets are the thoughts and images (cognitions) that interfere with day-to-day functioning. It does not assume that arrested information processing lies at the heart of the development of PTSD, with a consequent need for the client to re-live the trauma. For those clients who were abused in childhood, their experiences are viewed through a particular central window, but other ‘windows’ may make for more appropriate engagement with their personal world and a reimagining of their view of themselves. Treatment delivery options from telephone consultation, group work and videoconferencing are discussed. With illustrative examples, the author highlights the pathway to recovery for a wide range of clients with the comorbidity often found in real-world settings.
The book will be essential reading for therapists and other mental health professionals working with trauma survivors.
Dr Mike Scott