Trauma-focused cognitive behavior therapy: narratives of children and adolescents

Westerman, Nancy K., Cobham, Vanessa E., and McDermott, Brett (2016) Trauma-focused cognitive behavior therapy: narratives of children and adolescents. Qualitative Health Research, 27 (2). pp. 226-235.

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Abstract

Repeated retelling of trauma narratives within Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) assists participants to habituate to experiences that have precipitated symptoms of post-traumatic stress. In this study, the narratives produced by children and adolescents, who developed post-traumatic stress disorder following a natural disaster, and who were treated with a manualized TF-CBT intervention, were examined. The first author developed a coding system utilizing three major concepts (coherence, elaboration, and evaluation) to identify changes in the narratives as they were retold at each therapeutic session. Analysis using this coding system identified that the internal logic of the stories was maintained as the detail diminished, and that the level of evaluation increased. Compression emerged as a major pattern, alongside the reduction in participant distress over the course of the treatment. Although requiring replication, these trial concepts, developed by the coding system, have potential analyzing trauma narratives and enhancing clinician observations.

Item ID: 46211
Item Type: Article (Research - C1)
ISSN: 1049-7323
Keywords: adolescents; children; narrative inquiry; qualitative research; post-traumatic stress disorder (PTSD); trauma; therapeutic change process; Australia
Funders: Mater Hospital, Child Youth Mental Health Service, Kids in Mind Research, Queensland Government, Child Health, Child Youth Mental Health Service
Date Deposited: 31 Oct 2016 23:45
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1103 Clinical Sciences > 110319 Psychiatry (incl Psychotherapy) @ 100%
SEO Codes: 92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920111 Nervous System and Disorders @ 100%
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