Healing World Trauma with the Therapeutic Spiral Model. Группа авторов
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Название: Healing World Trauma with the Therapeutic Spiral Model

Автор: Группа авторов

Издательство: Ingram

Жанр: Медицина

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isbn: 9780857007001

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СКАЧАТЬ as the client is brought forward with a profound awareness of the vulnerability we all harbor in our souls, a process begins that is the equivalent of coming off a heart-lung machine, and sewing up the tissues around the heart. The client—the main player, or, in psychodrama, the protagonist—begins to learn by modeling how s/he can be the change agent, the manager of healthy functioning. Identifying with the roles played by the team and other group members, the recovering protagonist is ready to learn about how to be his/her own good parent. It doesn’t have to be perfect: good enough is okay—and that takes the pressure off. There’s even a built-in comfort that some relapse may well happen and correction can also happen. One identifies with being one’s own nurturing and limit-setting parent, significant other, even spiritual ideal; one integrates—that word needs to be emphasized—brings together and coordinates what is appropriate authority. Discrimination as to what is not appropriate authority is a role training skill here, too. And finally, there’s a re-grounding in whatever feels deeply good as ultimate authority. The patient comes out from the anesthetic.

      A TSM drama is an eventful ritual into the underworld and out, and there are many components that must be orchestrated. TSM is capable of being used along with a broad range of other theoretical constructs, as long as they don’t get too preoccupied by being orthodox. It complements attachment theory and how people are integrating the findings of interpersonal neurobiology. As such, it is a particularly powerful grid, a system that can be deep and broad enough to supplement many clinical modalities and psychological or even spiritual orientations. Moreover, these techniques have been tested over 20 years on a wide variety of patients, and the material in this book is rich in clinical anecdotes and reflections. Yet there is a core of themes that keeps this approach coherent—not only a value for the definitely increased need of traumatized people to be grounded, but also for therapists to have a sense of the underlying strategy of the approach.

      In summary, TSM is perhaps the most holistic and compelling approach yet devised, one that integrates the power of social support through the group or team setting with an approach that works at both the conscious and unconscious levels.

      Reference

      Blatner, A. (2000) Foundations of Psychodrama: History, Theory, and Practice. New York, NY: Springer Publishing.

      PART 1

      Therapeutic

      Spiral Model

      Beginnings and

      Evolution

      Kate Hudgins, Ph.D., TEP, Theraputic Spiral International, LLC, and Francesca Toscani, M.Ed., TEP

      While writing this manuscript containing several decades of work, our visual perspective broadened, as from an airplane, to encompass continents, bringing into focus the many treasured faces from over a dozen countries. Faces of many colors holding the deep angst and pain brought to our workshops. Faces also shining with the delight that the Therapeutic Spiral Model (TSM) conveyed to countless hearts. As therapists, we have been privileged to be allowed entry into pained hearts and minds, so it is with appreciation, respect, and humility that we recount these many stories.

      And it is with a sense of bounteousness and sharing that we invite you to touch down with us into diverse countries and cultures and into the varied applied modalities and the healing power of TSM. This is a journey of spontaneity and creativity that revitalizes bodies, minds, hearts, and spirits when we join together to face the trauma of the past and enter the future with hope.

      In many ways, TSM can be considered an “open source” model of theory, research, and practice of experiential psychotherapy to treat Post-Traumatic Stress Disorder (PTSD). While Kate Hudgins is credited with being its initiator (Hudgins 2000, 2002, 2007a, b) and Francesca Toscani the primary co-developer (Toscani and Hudgins 1993, 1995; Toscani 1995a, b, 1998), TSM has, in fact, been deeply enriched by what many others—students, colleagues, teachers, clients, and patients alike—have brought to it over several decades of healing.

      This book is a personal as well as a professional recounting and therefore is written oftentimes in storytelling style using first names. It allows the original threads to be seen as they evolved from Kate’s experience as a clinical psychologist, certified trainer in psychodrama, and a woman with a history of PTSD herself. Francesca joined Kate in the early 1990s and by 1995 projected the model into use as a healing method for cultural or collective, as well as personal, trauma. As shown here in these stories from the frontlines, many others have added their experiences and expertise to propel TSM into a seminal, experiential psychotherapy to treat the effects of trauma in the global community.

      The Therapeutic Spiral Model

      The Whole Person—Not Just the Brain

      PTSD has been recognized as a condition as long as there have been wars and trauma, but only recently has it been labeled as that and its symptomatic picture diagnosed as we know it today (DSM III 1980 – DSM IV-R 2000) (American Psychological Association 2000). Through the ages it has had several names that we recognize: stress reaction (Vietnam War), combat or battle fatigue (WWII and Korean War), and shell shock during WWI. However, a name given for this combination of symptoms during the American Civil War is one that rings true for TSM work—a condition then called “soldier’s heart,” because it is from the heart that TSM practitioners approach the work and connect with those who suffer from all types of trauma.

      Moreno is known to have said that all patients are doctors and that group members being auxiliaries for each other is actually the impetus for healing (Moreno 2008, personal communication). Classical psychodrama affirms the importance of interpersonal healing through personal sharing at the close of a drama. As TSM practitioners we carry on this personal touch, noting clearly that trauma survivors need to be met human-to-human and not doctor-to-patient—that the power of healing lies in the sharing of restorative stories and the connection from the heart. However, TSM emphasizes intrapsychic change as its primary focus in order to stabilize personality structure before interpersonal encounter.

      The Clinical System of the Therapeutic Spiral Model

      TSM is a clinical system or map of experiential psychotherapy to treat PTSD and other psychiatric disorders, as well as more general psychological problems in living, from an intrapsychic perspective. Predating recent trauma theory and trauma neurobiology, yet incorporating them, the operational underpinnings of TSM are founded in classical psychodrama (Moreno and Moreno 1969) and in clinical psychology. Beyond these elements, TSM practitioners have brought various theoretical and spiritual disciplines as even broader containers for the work.

      Trying to understand these relationships, one new trainee clearly and visually noted, “It’s as if there are three nesting bowls.” The first is classical psychodrama with its theory and experiential techniques. Holding it, the TSM bowl provides an extensive clinical framework or map yielding a more elucidated methodology for trauma. The largest bowl, encompassing the others, is the broader philosophical or spiritual orientation of the therapist. Seen as concentric circles, these modalities do not fight each other but co-exist with a constant give-and-take that nourishes.

      While TSM began as a Western model of treatment, today its roots tap into Native American and Eastern philosophies and practices as well, continuing to evolve as practitioners integrate their knowledge into the basic trauma template of the Therapeutic Spiral Model. Utilizing this potent and vibrant combination has allowed TSM to provide safe and effective experiential psychotherapy СКАЧАТЬ