Manual Writing: Learning As You Go
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Transcript of Manual Writing: Learning As You Go
Manual Writing: Learning As You Go
William R. Saltzman, Ph.D.The National Center for Child
Traumatic Stress&
Miller’s Child Abuse and Violence Intervention [email protected]
Distinct bodies of knowledge
Development of the UCLA Trauma-Grief Manualized
Program
Tuzla, Bosnia
Sarajevo, Bosnia
Multiple iterations
Accentuate the positive…eliminate the negative
Module I(6 sessions)
Module II(4-8 sessions)
Module III(8 sessions)
Module IV(2-4 sessions)
Group Phase
Opening Working Through Termination
ModuleTitle
Group Cohesion, Psychoeducation, and Basic Coping
Skills
Working Through Traumatic Experiences
Coping with Traumatic Loss
and Grief
Re-Focusing on the Present and Looking to the
FutureThera-peutic Tasks
1: Welcome and introduction (program overview, barriers, group contract, posttraumatic stress, depression, and grief reactions)2: Learning about trauma and loss reminders (how I react to, and cope with, reminders)3: Learning coping skills4: The event-thought-feeling link 5: Identifying and challenging distressing thoughts (“Three Steps to Taking Charge of Your Feelings”) 6: Support seeking (“Five Steps to Getting Support”)
First: Preparing for trauma narrative work (constructing the group narrative, constructing my personal trauma timeline)
Middle: Constructing the trauma narrative (prolonged therapeutic exposure; develop a vocabulary for communicating about the trauma)
Final: Exploring the worst moments (prolonged therapeutic exposure; using trauma reminders to understand the nature and personal meaning of traumatic experiences; cognitive restructuring cognitions associated with guilt and shame; exploring intervention fantasies)
1: Learning about grief (grief reactions, loss reminders, and grief processes / tasks) 2: Understanding grief reactions: Focus on anger3: Understanding grief reactions: Focus on guilt4: Remembering and reminiscing 5: Guided imagery: Retrieving a non-traumatic image of the deceased 6: Adjusting to a world in which the deceased is absent7: Planning for difficult days (relapse prevention)8: Saying goodbye in a good way
1: Resuming developmental progression2: Problem-solving current life (“Three Steps to Solving a Problem”)3: Dealing with problems that are not my job to fix 4: Saying goodbye in a good way
Columbine High School
Santana High School
World Trade Center
Pasadena, Trauma Group
VIII.
Practice Exercise
G0ALS:
•To introduce the necessity for practicing skills outside of group. •To describe practice task for this week.
· • Underscore the importance of practicing the assigned skills during the week. Meeting once a
week for an hour is not enough to effect change in our life. Research has shown that the on-going practice is critical.
Assignments· Distribute copies of the Practice Sheet.·
• During the week, members are to pay attention to post-traumatic feelings and reactions that they might experience during the week. Draw upon simple examples from the earlier discussion to remind group members what to look for. As a rule of thumb, you might suggest that they simply keep track of downward shifts in their mood or feelings or to the presence of strong emotions such as anger, sadness, guilt, or fear, which may be related to trauma or loss themes. These are possible signs that they may be in a trauma/loss reactive mode.
Discuss
Note
TOPIC #7 Practice Exercise
· Pay attention to post-traumatic feelings and reactions—like those we’ve just talked about· Use your worksheets in your workbook (or journal?)--track strong emotions such as anger, sadness, guilt, or fear, or negative shifts in emotion and mood.· Remember to focus on what is happening outside of you, and what is happening inside of you.S how them where it is, and tell them how to use it—show them where the instructions are on the worksheet itself as you cover them.. Help them translate an example from the session to the worksheet.
TOPIC #8 Transitional Activity / Close
(Worksheet: Monitoring Changes in My Mood / Feelings)
UCLA Program Core Components
• Trauma–loss psychoeducation• Normalizing and validating reactions• Enhancing emotional awareness• Identifying personal trauma / loss
reminders• Developing effective coping skills• Accessing appropriate support• Trauma narrative reconstruction• Cognitive restructuring
Promising Practices
• Take it one step at a time• Team up• Manuals come in different shapes
and sizes• Build in flexibility and support• Expand and formalize parent /
family components• Keep your voice