This book is the first practical manual describing a new and successful short-term treatment for traumatic stress and PTSD called Narrative Exposure Therapy (NET). The manual provides both experienced clinicians and trainees with all the knowledge and skills needed to treat trauma survivors using this approach, which is especially useful in crisis regions where longer-term interventions are not possible. NET has been field tested in post-war societies such as Kosova, Sri Lanka, Uganda, and Somaliland. Its effectiveness was demonstrated in controlled trials in Uganda and Germany. Single case studies have also been reported for adults and children. Three to six sessions can be sufficient to afford considerable relief. Part I of this manual describes the theoretical background. Part II covers the therapeutic approach in detail, with practical advice and tools. Part III then focuses on special issues such as dealing with challenging moments during therapy, defense mechanisms for the therapist, and ethical issues.
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1. Introduction: Voices of Victims 2. Theoretical Background Traumatic Stress: Traumatic Events, Stress and Allostatic Load, Organized Violence, The Concept of Post-Traumatic Stress Disorder (PTSD), Psychosocial Problems and Comorbid Disorders in Adults and Children, Complex PTSD PTSD and Memory: The Nature of Traumatic Memory, Sensory-Perceptual Representation, Autobiographical Contextual Memory, Neurobiological Basis of Memory and PTSD Processing of Affective Experiences: Normal Emotional Processing, Implications for Treatment, Speechlessness of Trauma: Sociopolitical Implications Narrative Exposure Therapy (NET) - The Theoretical Model: Rationale of NET, Elements of NET 3. The Therapeutic Approach of NET The Basic Procedure of Narrative Exposure Therapy (NET) The NET Process Step by Step: Organization of Sessions, First Session, Second Session, The Following Sessions, The Last Session, Post-Treatment Diagnostic Sessions, KIDNET: Narrative Exposure Therapy with Children Challenging Moments In The Therapeutic Process - NET in Depth: The Patient Attempting to Avoid, The Patient Spaces Out: Dissociation and Flashbacks, The Patient Is Withholding Information, The Patient Has Concerns or Pain, There Seems to Be No Habituation, Therapist Avoidance, Memory and Reality, The Therapist-Patient Relationship: Rules of NET and Standard Ethical Principles Limitations of NET: General Limitations, Insufficient Motivation, Medication and Drugs, Guilt Feelings 4. Appendix Appendix A: Informed Consent Appendix B: Narration of The Life Experiences of Abdul Kadir Appendix C: Who is vivo 5. References
