Narrative Processes in Emotion-focused Therapy for Trauma

by Paivio, Sandra C.; Angus, Lynne

• ISBN13: 9781433827808
• ISBN10: 1433827808
• Edition: 1st
• Format: Hardcover
• Copyright: 2017-06-19
• Publisher: American Psychological Association

Summary

This book describes an evidence-based, short-term individual therapy that is highly effective in treating clients with trauma, through its emphasis on both narrative and emotion processes.

Because dropout rates and noncompliance with exposure-based procedures are notoriously high in trauma therapies, effective treatment options are essential. Emotion-Focused Therapy for Trauma (EFTT) is an evidence-based, short-term individual therapy that has proven highly effective in treating clients with trauma through its emphasis on both narrative and emotion processes. A fundamental assumption underlying most trauma therapies, including EFTT, is that recovery requires the client to engage emotionally with trauma memories to achieve better affect regulation and self-understanding. EFTT draws upon storytelling as a fundamental aspect of the human experience that permits this kind of engagement with trauma memories, promoting a sense of continuity and self-coherence, and bringing meaning to the client’s emotional responses. 

Richly illustrated with clinical examples and excerpts from therapy sessions, this book fully integrates theory, research, practice, and training.

Author Biography

Sandra C. Paivio, PhD, CPsych, is currently a consultant at the York University Psychology Clinic, where she provides individual psychotherapy, graduate training, and supervision. She is professor emeritus in the psychology department at the University of Windsor, and has more than 20 years of clinical experience. She is one of the developers of emotion-focused therapy, particularly applied to complex trauma (EFTT), and has conducted clinical trials evaluating efficacy and processes of change in EFTT. Dr. Paivio is the author of numerous publications on trauma and psychotherapy, including Working With Emotions in Psychotherapy (with Leslie S. Greenberg), Emotion-Focused Therapy for Complex Trauma: An Integrative Approach (with Antonio Pascual-Leone), and she is featured in two APA videos illustrating EFTT. Dr. Paivio has presented numerous workshops nationally and internationally and provided intensive graduate student and professional training in EFT and EFT specifically for trauma. She also is an invited member of the APA Division 56 (Trauma Psychology) working group developing best practice guidelines for complex trauma and received a Lifetime Achievement Award from the Trauma Section of the Canadian Psychological Association (2014). Dr. Paivio maintains a part-time private practice in Toronto, Ontario, Canada.  

Lynne E. Angus, PhD, CPsych, is a professor of psychology at York University in Toronto, Ontario, Canada, and a clinical supervisor and therapist at the York University Psychology Clinic. Dr. Angus practices, supervises, and conducts psychotherapy research addressing the contributions of narrative and emotion processes for clinically significant change, particularly in the context of emotion-focused therapy. Over the past 25 years, she has published more than 90 publications addressing the unique contributions of metaphor, narrative, emotion, and meaning-making processes to productive client change, and has conducted numerous training workshops addressing implications for effective therapy practice. She coauthored Working With Narrative in Emotion-Focused Therapy: Changing Stories, Healing Lives (with Leslie S. Greenberg), and was featured in an APA therapy DVD with Sandra C. Paivio, Narrative Processes in Emotion-Focused Therapy for Trauma. Dr. Angus was the senior coeditor of The Handbook of Narrative and Psychotherapy: Practice, Theory, and Research and was also coeditor of Bringing Psychotherapy Research to Life: Understanding Change Through the Work of Leading Clinical Researchers. She is a past president of both the International Society for Psychotherapy Research and the North American Chapter, Society for Psychotherapy Research.

Table of Contents

Acknowledgments
Introduction

Part I: Theory and Research
Chapter 1: The Nature of Complex Trauma
Chapter 2: The Unique Contributions of EFTT
Chapter 3: Why Client Storytelling Matters
Chapter 4: A Narrative-Informed Approach to EFTT
Part II: Practice
Chapter 5: Assessing Narrative-Emotion Processes in EFTT
Chapter 6: Principles of Intervention With Narrative-Emotion Processes
Chapter 7: Cultivating the Alliance: Early-Phase EFTT
Chapter 8: Two Intensive Case Analyses: Early-Phase EFTT
Chapter 9: Promoting Self-Development: Middle-Phase EFTT
Chapter 10: Two Intensive Case Analyses: Middle-Phase EFTT
Chapter 11: Resolving Issues With Perpetrators and New Story Outcomes: Late-Phase EFTT
Chapter12: Two Intensive Case Analyses: Late-Phase EFTT

Afterword: Process-Diagnosis and Marker-Guided Intervention
Appendix: Abbreviated Degree of Resolution Scale
Glossary
References
Index
About the Authors