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Article

Patient and Therapist Perspectives on Treatment for Adults with PTSD from Childhood Trauma

1
Faculty of Health and Medical Sciences, University of Western Australia, 35 Stirling Highway, Crawley, WA 6009, Australia
2
College of Science, Health, Engineering and Education, Murdoch University, 90 South Street, Murdoch, WA 6150, Australia
3
Department Psychotrauma, PsyQ Beverwijk, Leeghwaterweg 1a, 1951 NA Velsen-Noord, The Netherlands
4
Department of Psychiatry and Psychotherapy, University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany
5
Department of Clinical Psychology, University of Amsterdam, PO Box 15933, 1018 WS Amsterdam, The Netherlands
*
Author to whom correspondence should be addressed.
Academic Editor: Sarah Kittel-Schneider
J. Clin. Med. 2021, 10(5), 954; https://doi.org/10.3390/jcm10050954
Received: 31 January 2021 / Revised: 11 February 2021 / Accepted: 20 February 2021 / Published: 1 March 2021
This study aimed to explore patients’ and therapists’ experiences with trauma-focused treatments in patients with posttraumatic stress disorder from childhood trauma (Ch-PTSD). Semi-structured interviews were conducted with patients (n = 44) and therapists (n = 16) from an international multicentre randomised clinical trial comparing two trauma-focused treatments (IREM), imagery rescripting and eye movement and desensitisation (EMDR). Thematic analysis was used to identify key themes within the data. Patients and therapists commented about the process of therapy. The themes that emerged from these comments included the importance of the patients’ willingness to engage and commit to the treatment process; the importance and difficulty of the trauma work, observations of how the trauma focused therapy produced changes in insight, and sense of self and empowerment for the future. In addition, therapists made suggestions for optimising the therapist role in the trauma-focused treatment. This included the importance of having confidence in their own ability, confronting their own and their client’s avoidance and the necessity and difficulties of adhering to the treatment protocols. These reported experiences add further support to the idea that trauma-focused treatments, without a stabilisation phase, can be tolerated and deepens our understanding of how to make this palatable for individuals with Ch-PTSD. View Full-Text
Keywords: post-traumatic stress disorder (PTSD); trauma-focused treatment; childhood; patients; therapists post-traumatic stress disorder (PTSD); trauma-focused treatment; childhood; patients; therapists
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MDPI and ACS Style

Boterhoven de Haan, K.L.; Lee, C.W.; Correia, H.; Menninga, S.; Fassbinder, E.; Köehne, S.; Arntz, A. Patient and Therapist Perspectives on Treatment for Adults with PTSD from Childhood Trauma. J. Clin. Med. 2021, 10, 954. https://doi.org/10.3390/jcm10050954

AMA Style

Boterhoven de Haan KL, Lee CW, Correia H, Menninga S, Fassbinder E, Köehne S, Arntz A. Patient and Therapist Perspectives on Treatment for Adults with PTSD from Childhood Trauma. Journal of Clinical Medicine. 2021; 10(5):954. https://doi.org/10.3390/jcm10050954

Chicago/Turabian Style

Boterhoven de Haan, Katrina L., Christopher W. Lee, Helen Correia, Simone Menninga, Eva Fassbinder, Sandra Köehne, and Arnoud Arntz. 2021. "Patient and Therapist Perspectives on Treatment for Adults with PTSD from Childhood Trauma" Journal of Clinical Medicine 10, no. 5: 954. https://doi.org/10.3390/jcm10050954

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