Trauma Focused Psychodynamic Psychotherapy: A Step-by-Step Treatment Manual
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Exploration of the Connection Between PTSD Symptoms and Traumatic Events Exploration of the Connection Between PTSD Symptoms and Traumatic Events
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Clinical Example Clinical Example
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Exploration of the Context, Emotions, and Meaning of Symptoms Exploration of the Context, Emotions, and Meaning of Symptoms
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Case Example Case Example
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Exploration of Developmental Experiences, Past Traumas and Adverse Events Exploration of Developmental Experiences, Past Traumas and Adverse Events
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Case Example Case Example
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References References
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5 C5Phase 1: Initial Exploration of Symptoms
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Published:June 2021
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Abstract
This chapter examines the initial approach to PTSD symptoms using TFPP. Symptoms serve as a lens through which to explore and address contributory emotions, conflicts, and defenses. Symptoms may express or function to ward off intolerably painful emotions generated by the trauma. The therapist works to link the symptoms to relevant traumatic events, which patients have often avoided via dissociation or other defenses. The therapist is empathic with patients’ distress in describing trauma and also works with patients’ reactions to better understand the impact of trauma. Exploration of the context, emotions, and meanings of symptoms helps patients to gain a clearer understanding of past and present precipitants and the reasons that symptoms continue. The therapist additionally explores how developmental experiences, including early traumatic events, affect patients’ reactions to subsequent trauma.
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