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Practice for Psychotherapy & Counseling
Dr. Phil Stöckli , ph.D.
Gemeindestr. 26 | 8032 Zürich
Tel. 076 282 8885
Practice for Psychotherapy
Dr. Phil Stöckli, PhD
What is Trauma therapy?
The term ‘Trauma therapy’ is the collective name
for treatment of persons who have suffered a
psychological traumatization.
Definition of a psychological traumatization
The
Greek
word
‘trauma’
means
‘wound’
and
is
also
used
in
medical
lingo
meaning
a
physical
injury.
A
psychological
trauma
on
the
other
hand
-
and
that
is
what
we
are
talking
about
here
-
is
the
result
of
extraordinarily
stressful
events
that
shatter
your
sense
of
security,
making
you
feel
helpless
and
overwhelmed.
Symptoms
may
include
flashbacks,
nightmares,
anxiety,
hyperarousal,
avoidance
of
certain
particularly
stressful
aspects
related
to
the
trauma
and
hypoarousal
such
as
emotional
numbness,
and
more.
Different kinds of Trauma therapies
Lately,
the
field
of
psychotraumatology
is
being
researched
very
intesively.
There
is
a
vast
array
of
different
treatment
methods
which
focus
on
various
aspects
of
treatment,
for
example
on
the
cognitive
or
emotional
restructuring
of
hurtful
memories
or
the
embedding
of
the
trauma
in
your
life
history.
When
you
look
closer
at
the
many
methods
and
compare
them,
the
similarities
prevail.
How
you
choose
the
most
adequate
method
depends
on
the
kind
of
traumatization.
For
example:
A
person
who
has
lived
a
healthy
life
and
happened
to
have
a
tragic
accident
at
the
age
of
forty
might
suffer
from
a
different
kind
of
trauma
than
a
lady
who
has
been
sexually
and
emotionally
abused
between
age
three
and
age
ten.
Generally,
you
could
say,
the
earlier
and
the
longer
the
timeperiod
someone
has
suffered
from
a
traumatic
experiences,
the
profounder
the
effects
later
in
life.
In
such
cases
of
very
early
and
ongoing
traumatization,
the
entire
development
process
in
childhood
is
disturbed
and
negatively
influenced.
The
term
here
would
be
‘complex
PTSD’
as
opposed
to
‘classic
PTSD’
or
‘monotrauma’.
Most
treatment
methods
of
psychological
and
emotional trauma include the following elements:
•
Psychoeducation:
Definition
and
symptoms
of
trauma,
aspects
of
trauma
therapy,
what
to
expect, etc.
•
Learn
how
to
regulate
your
emotions
and
how
to
cope
with
stress
and
tension
with
the
goal
of achieving a psychological stability
•
Trauma
Exposition
:
Face
the
bad
memories
you have avoided so long
•
Restructure
cognitions:
Find
an
understanding,
making
sense,
change
irrational
convictions,
etc.
•
Working
with
emotions
:
anger,
sadness,
anxiety, shame, guilt, disgust, etc.
•
Reorganisation
of
memory
functions
:
Working
out a continuing narrative
Besides
these
methods,
there
are
also
body-
oriented
methods
such
as
Somatic
Experiencing
(SE),
which
focuses
on
nonverbal,
procedural
aspects
of
a
trauma.
These
are
are
stored
in
the
body’s
nervous
system.
The
goal
hereby
is
to
bring
the
overwhelming
traumatic
events
-
which
are
stored
in
the
nervous
system
-
to
a
inner
close.
Used methods
I work using the following methods:
EMDR
(Eye
Movement
Desensitization
and
Reprocessing):
The
traumatic
memories
as
well
as
irrational
cognitions
are
processed
through
rapid
eye
movement
until
they
change.
Very
effective
and
scientifically
proven
method.
It
is
a
‘soft method’.
More Info
.
Ego-State-Therapy
:
Working
with
your
‘inner
parts’
in
order
to
understand
one’s
behaviour.
Method
of
choice
for
complex
PTSD
patients,
and
for patients with dissociative phenomena.
NET (Narrative exposure therapy)
NET
is
a
language
based
method
which
focuses
on
trauma
exposition
and
embedding
of
the
traumatic events in a life narrative.
NARM
(Neuroaffective
Relational
Model):
The
Founder
Laurence
Heller
was
longtime
Trainer
of
Somatic
Experiencing
(SE).
NARM
goes
beyond
the
body-oriented
approach
of
SE
and
adds
a
psychodynamic,
development-oriented
perspective.
Through
this
gentle
and
resource-
based
method,
the
focus
lies
on
the
integration
of
mind and body.
More Info
.
Somatic Experiencing (SE)
Currently
still
in
training
until
5/2023.
SE
is
a
body-based
trauma-oriented
treatment
method
that
can
be
seen
as
a
practical
translation
of
the
Polyvagal
Theory
.
The
goal
is
to
restore
the
connection
to
one-self
and
with
that,
the
resilience
which
serves
as
the
basis
for
processing
trauma
and
difficult
experiences.
More Info
.
Treatment
of
trauma-associated
dissociation:
The
founder
Ellert
Nijenhuis
developed
this
systematic
treatment
model
relying
on
his
extensive
experience
with
patients
with
dissociative
identity
disorder
(DID).
It
is
based
on
the
idea
of
a
“democratic”
integration
of
the
personality parts.
Literature about Trauma therapy
•
What is EMDR?
•
NET - Narrative Exposure therapy
•
Ego-state-therapy
•
NARM (Neuroaffective Relational Model)
•
Treatment of the trauma-associated
dissociation of the personality