Tri-Phasic Model: Remembrance & Mourning IATP Narrative Exposure Therapy Model.
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Transcript of Tri-Phasic Model: Remembrance & Mourning IATP Narrative Exposure Therapy Model.
![Page 1: Tri-Phasic Model: Remembrance & Mourning IATP Narrative Exposure Therapy Model.](https://reader036.fdocuments.net/reader036/viewer/2022082317/56649ebf5503460f94bca8f0/html5/thumbnails/1.jpg)
Tri-Phasic Model:Remembrance & Mourning
IATP Narrative Exposure Therapy Model
![Page 2: Tri-Phasic Model: Remembrance & Mourning IATP Narrative Exposure Therapy Model.](https://reader036.fdocuments.net/reader036/viewer/2022082317/56649ebf5503460f94bca8f0/html5/thumbnails/2.jpg)
IATP NETIntegrates elements several methods including: Trauma-Focused CBT; EMDR; Cognitive Processing Therapy; Traumatic Incident Reduction; Prolonged Exposure
Non-abreactive narrative trauma memory processing for desensitization and integration
Excellent tool for helping survivors have a positive mastery experience with confronting trauma memory
Highly structured but simple and easy to use
![Page 3: Tri-Phasic Model: Remembrance & Mourning IATP Narrative Exposure Therapy Model.](https://reader036.fdocuments.net/reader036/viewer/2022082317/56649ebf5503460f94bca8f0/html5/thumbnails/3.jpg)
Steps15 – 30 min set up in previous sesison
Instructions for Graphic Time Line
Homework
Written Narrative Two 5min halves
Pictorial Narrative
Verbal Narrative
Recursive Narrative
Closure
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Graphic Time LineNarrative 1
Introduced in previous session
End Points (beginning & end)
BeginningWhen did you first perceive threat?
EndWhen did you first realize that you were going to survive?
Middle part completed as homework
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Graphic Time Line
Beginning End
ImpactNissan
Unbuckle seat belts
Waiting w/ surgeon
EMT=OKUpside down
Flip &skid
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Written NarrativeNarrative 2
5 min writing of the FIRST HALF of the GTL with RELAXED BODY
INTERMISSION: Relaxation Skill (i.e., Diaphragmatic Breathing)
5 min writing SECOND HALF of GTL with RELAXED BODY
90 second prompts (“Keep your body relaxed;” “With a relaxed body, take two more minutes.”
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Pictorial NarrativeNarrative 3
Use template to have survivor draw six pictures that tell the story just written
Draw endpoints first (Beginning & End) then full in four middle drawings
10 minutes max
RELAXED BODY
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Pictorial Narrative
![Page 9: Tri-Phasic Model: Remembrance & Mourning IATP Narrative Exposure Therapy Model.](https://reader036.fdocuments.net/reader036/viewer/2022082317/56649ebf5503460f94bca8f0/html5/thumbnails/9.jpg)
Verbal NarrativeNarrative 4
As soon as survivor completes drawing ask: May I approach you?
Ask survivor to use the pictures to tell you their story with a REALAXED BODY
No interruptions unless dysregulation
Thank survivor when completed
15 min max
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Recursive NarrativeNarrative 5
Ask survivor: May I see your pictures ? (survivor hands pix to therapist)
Tell back survivor’s story as accurately as possible using same language and inflections.
Use third-person (Survivor's name and gender-specific pronoun)
DO NOT embellish
Therapist MUST keep relaxed body
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CLOSURE5 – 10 min at end of session to discuss survivor’s reactions
Suggestions Aerobic activity following session
Access & utilize support
36 hours of re-experiencing/dissipating within 72 hours
Call if any difficulties
Count backwards from 100 by 7s