“Safety building” as a key moment in therapy of polytraumatized children and adolescents Cover Image

Navození bezpečí jako klíčový moment v terapii polytraumatizovaných dětí a adolescentů
“Safety building” as a key moment in therapy of polytraumatized children and adolescents

Author(s): Jana Schmidtová, Petr Štěpánek, Ivo Čermák
Subject(s): Psychology, Evaluation research, Health and medicine and law, Victimology
Published by: Masarykova univerzita nakladatelství
Keywords: trauma focused therapy; therapeutic exposition; therapeutic window; therapeutic titration; polytraumatization; Complex PTSD; Developmental Trauma Disorder;

Summary/Abstract: Children who are victimized as a result of their experience with interpersonal violence are often overwhelmed by emotions, they have difficulties with concentration and are dissociated. Thus, their parents and caretakers are not a source of comfort and safety. Contrarily, they are a source of unpredictable danger, violence and maltreatment. This results to feelings of betrayal, extreme shame, helplessness, threat, intense fear and anger in the children. The core of traumatic stress is the collapse of the ability to regulate inner experience. In the initial phase of treatment, the clinician must prioritize basic stabilization of the client’s health over other psychotherapeutic interventions. Building a safe therapeutic relationship is a key moment of trauma psychotherapy. As a result, this process is extremely demanding for the psychotherapist who has to face a lot of difficulty.

  • Issue Year: 11/2017
  • Issue No: 2
  • Page Range: 132-147
  • Page Count: 16
  • Language: Czech