imagery rescripting
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eskripce v imaginaci je jednou ze základních technik integrativního psychoterapeutického směru schematerapie. Jádro techniky spočívá v identifikaci konkrétní bolestné nebo traumatické vzpomínky a zjištění nenaplněných potřeb v této situaci. Potřeby, které se k situaci vážou, se v rámci přepisu v imaginaci dosytí skrze "nový příběh", který si pacient s pomocí terapeuta vytvoří a představí. V průběhu individuální nebo skupinové terapie pacient zpravidla podstupuje přepis opakovaně a u různých vzpomínek. Vzpomínky postupně propojuje s každodenními situacemi a učí se je zvládat více adaptivně, v souladu se svými potřebami a s potřebami druhých. Zvyšuje tak postupně schopnost introspekce, sebekontroly a péče o vlastní potřeby. Při realizaci techniky se mohou objevit různé překážky, z nichž v textu rozvádíme především faktory na straně terapeuta a na straně pacienta. Text nabízí některé možnosti řešení těchto překážek.
Imaging rescripting is one of the basic techniques of schematherapy. The basic steps of this technique are: identification a specific painful or traumatic memory, recognising the unmet needs associated with the situation, and meeting them through a "new story" that the patient imagines. During the individual or group therapy, the patient usually undergoes the rescripting sessions repeatedly and with different memories. That gradually increases patient´s introspection, self-control, and self-care. Various obstacles may arise during the implementation of this technique. The text deals with common factors on the part of the therapist and the patient and offers potential solutions to overcome them.
- MeSH
- duševní poruchy psychologie terapie MeSH
- imaginace MeSH
- imaginativní postupy v psychoterapii * metody MeSH
- interview psychologický metody MeSH
- kognitivně behaviorální terapie metody MeSH
- lidé MeSH
- posttraumatická stresová porucha * psychologie terapie MeSH
- psychické trauma psychologie terapie MeSH
- psychický stres etiologie terapie MeSH
- úzkostné poruchy psychologie terapie MeSH
- výsledek terapie MeSH
- vztahy mezi zdravotnickým pracovníkem a pacientem MeSH
- Check Tag
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- klinická studie MeSH
INTRODUCTION: Transgerational transmitted trauma is the transmission of psychological injuries between generations. This article uses two case vignettes to explore selected schema therapy approaches that help clients process transgenerationally transmitted trauma from their ancestors. Specific methods of imagery rescripting and chair work enable clients to transform maladaptive patterns of experiencing into healthier coping strategies, support better stress management, improve emotional regulation and communication in relationships, and encourage more profound relationships with themselves and others. METHODS: Two case studies illustrate imagery rescripting and chair work, in which the client takes the role of their traumatised ancestor. The first case shows a schema therapy of a young woman struggling with repressed emotions related to her family history and the suicide of her grandfather. The second case demonstrates therapeutic work with a client struggling with emotional outbursts and self-harm that are a reflection of transgenerational traumatisation passed down from her mother and grandparents. RESULTS: Both clients experienced a significant reduction in borderline symptoms during the therapeutic work. At the same time, these clients progressed in understanding the inherited transgenerational family patterns and improved their behaviour towards themselves and others. DISCUSSION: Two case examples have shown that experiential interventions such as imagery rescripting and chairwork can help clients process transferred patterns of traumatic experience and behaviour and bring adaptive changes into their lives. Imagery rescripting as a therapeutic tool can bridge the emotional and physical aspects of transferred learned experiences and help clients integrate a new perspective on themselves and others. CONCLUSION: Imagery rescripting and chairwork can be effective therapeutic tools for addressing transgenerational trauma.
- MeSH
- adaptace psychologická MeSH
- dospělí MeSH
- imaginativní postupy v psychoterapii * metody MeSH
- lidé MeSH
- mladý dospělý MeSH
- psychické trauma * terapie psychologie MeSH
- vztahy mezi generacemi * MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mladý dospělý MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
OBJECTIVE: This article describes the role of imagery in supervision which is a part of the work of both the supervisee and the supervisor. Imagination bears outstanding importance in psychotherapy and supervision. METHOD: The relevant texts for this narrative review were identified through the Web of Science and PubMed databases, within the period 1990-2019. The search terms included: Supervision, Cognitive behavioural therapy, Imagination, Imagery, Imagery rescripting, Therapeutic relationship, Supervisory relationship. The report also includes information from the books referred to by the articles. The supervisory experiences of the authors were also incorporated. The theoretical part is supplemented with case vignettes of strategies using imagination in CBT supervision. RESULTS: Working with imagery can be used in transformative experiential learning. It can help to better map the situation with the patient, including its emotional components and basic psychological needs, to realise how the therapeutic relationship is set up, as well as to rework own therapist attitudes, schemas and emotional - behavioural responses, and plan future steps in the therapy. Many therapy steps could be learned during imagery exercises. Imagery also helps to understand and regulate the supervisory relationship. CONCLUSION: It is useful to integrate imagery to the supervision. Using imagery can help to understand the patient, the therapeutic relationship better, and to plan optimal therapeutic strategies, as well as reflect/self-reflect and train difficult skills which promote professional and personal growth.
- MeSH
- imaginativní postupy v psychoterapii * MeSH
- lidé MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- práce podpořená grantem MeSH
