- Case Study: Case Vignette: Rob (page 398-400)
Biopyschosocial (spiritual) Assessment: Please use the Biopyschosocial Assessment for assistance. Feel to add information that is not covered in the Case study.
Define DSM IV diagnose:
Evidenced-based practice intervention: Cognitive behavioral therapy for trauma-related guilt.
Focuses on helping people become more aware of the thoughts or beliefs that
underlie feelings of guilt (e.g., through self-monitoring).
Helps the person come up with more realistic interpretations of the situation.
The goal of cognitive therapy for trauma-related guilt (CT-TRG) is to help the client achieve an objective and accurate appraisal of his or her role in the trauma.
CT-TRG focuses on correcting thinking errors that can lead trauma survivors to draw faulty conclusions about the importance of the roles they played in traumatic events.
Three Phrases of CT-TRG
Guilt incident debriefings
- CT proper—involves separate, semistructured procedures for correcting thinking errors that lead to faulty conclusions associated with guilt
The development of a phase-oriented, culturally responsive, research- informed practice plan that involves diverse practice modalities (e.g., individual, group, couple/family therapy and/or clinical case management) should also be included.
* Assessment is an integral part of the CT-TRG model*
Issues of diversity, gender, race, ethics and use of professional self (including transference/countertransference phenomena) should be explored.
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