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Emotional Processing of Traumatic Emotions and Early Experiences Using the Therapeutic Letters, Role Playing and Imagination in Borderline and Other Difficult Patients

Published online by Cambridge University Press:  15 April 2020

J. Prasko
Affiliation:
Department of Psychiatry, University Palacky Olomouc University Hospital Olomouc, Olomouc, Czech Republic
A. Kotianova
Affiliation:
Department of Psychology, ABC institut Liptovsky Mikulas, Liptovsky Mikulas, Slovakia
M. Slepecky
Affiliation:
Department of Psychology, ABC institut Liptovsky Mikulas, Liptovsky Mikulas, Slovakia
J. Vyskocilova
Affiliation:
Faculty of Humanities, Charles University Prague, Prague, Czech Republic

Abstract

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In many patients cognitivereconstruction helps to understand their problems in life and symptoms of stressor psychiatric disorders. Change in the thoughts and beliefs help them to feelbetter. But there are many patients who suffer with strong traumaticexperiences deep in their mind and typically dissociate them or want to avoidthem voluntarily. There is typical for patients suffering with dissociativedisorders, borderline personality disorder and many people with variouspsychiatric disorders who were abused in childhood. The processing of thetraumatic emotions from childhood can be helpful in the treatment of thesepatients. For the help is important:

  1. a) Understanding what washappen in childhood

  2. b) Making clear of repeatedfigures of maladaptive behaviors, mostly in interpersonal relations

  3. b) Making a connectionbetween childhood experiences and here and now emotional reactions on varioustriggers

  4. c) Experiencing repeatedlythe traumatic memories and elaborate them with imaginal coping.

We describe:
  1. - how to map and elaborate emotional schemas

  2. - Socratic questioning with the patients with traumatic memories

  3. - how to work with traumatic experiences from childhood in borderlinepersonality disorder.

Type
Article: 1518
Copyright
Copyright © European Psychiatric Association 2015
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