Psychodynamic psychotherapy for posttraumatic stress disorder related to childhood abuse--Principles for a treatment manual.

Wolfgang Wöller, Falk Leichsenring, Frank Leweke, Johannes Kruse

Journal: Bulletin of the Menninger Clinic 2012;76(1):69-93

PMID: 22409207

Abstract

In this article, the authors present a psychodynamically oriented psychotherapy approach for posttraumatic stress disorder (PTSD) related to childhood abuse. This neurobiologically informed, phase-oriented treatment approach, which has been developed in Germany during the past 20 years, takes into account the broad comorbidity and the large degree of ego-function impairment typically found in these patients. Based on a psychodynamic relationship orientation, this treatment integrates a variety of trauma-specific imaginative and resource-oriented techniques. The approach places major emphasis on the prevention of vicarious traumatization. The authors are presently planning to test the approach in a randomized controlled trial aimed at strengthening the evidence base for psychodynamic psychotherapy in PTSD.

Address: Rhein-Klinik Bad Honnef, Krankenhaus für Psychosomatische Medizin und Psychotherapie, Luisenstr. 3, 53604 Bad Honnef, Germany. [email protected]

DOI: 10.1521/bumc.2012.76.1.69

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MeSH Terms: Adaptation, Psychological, Child, Child Abuse, Dissociative Disorders, Ego, Emotions, Humans, Imagination, Internal-External Control, Interpersonal Relations, Life Change Events, Manuals as Topic, Object Attachment, Reality Testing, Stress Disorders, Post-Traumatic