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Emotional processing of traumatic emotions and early experiences using the therapeutic letters, role playing and imagination in borderline and other difficult patients

Published online by Cambridge University Press:  16 April 2020

D. Jelenova
Affiliation:
Department of Psychiatry, University Palacky Olomouc, University Hospital Olomouc, Olomouc, Czech Republic
A. Kovacsova
Affiliation:
Department of Psychiatry, University Palacky Olomouc, University Hospital Olomouc, Olomouc, Czech Republic
T. Diveky
Affiliation:
Department of Psychiatry, University Palacky Olomouc, University Hospital Olomouc, Olomouc, Czech Republic
D. Kamaradova
Affiliation:
Department of Psychiatry, University Palacky Olomouc, University Hospital Olomouc, Olomouc, Czech Republic
J. Prasko
Affiliation:
Department of Psychiatry, University Palacky Olomouc, University Hospital Olomouc, Olomouc, Czech Republic
A. Grambal
Affiliation:
Department of Psychiatry, University Palacky Olomouc, University Hospital Olomouc, Olomouc, Czech Republic
Z. Sigmundova
Affiliation:
Department of Psychiatry, University Palacky Olomouc, University Hospital Olomouc, Olomouc, Czech Republic
B. Bulikova
Affiliation:
Department of Psychiatry, University Palacky Olomouc, University Hospital Olomouc, Olomouc, Czech Republic

Abstract

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In many patients cognitive reconstruction helps to understand their problems in life and symptoms of stress or psychiatric disorders. Change in the thoughts and beliefs help them to feel better. But there are many patients who suffer with strong traumatic experiences deep in their mind and typically dissociate them or want to avoid them voluntarily. There is typical for patients suffering with dissociative disorders, borderline personality disorder and many people with various psychiatric disorders who were abused in childhood. The processing of the traumatic emotions from childhood can be helpful in the treatment of these patients. For the help is important:

  • a) Understanding what was happen in childhood

  • b) Making clear of repeated figures of maladaptive behaviors, mostly in interpersonal relations

  • c) Making a connection between childhood experiences and here and now emotional reactions on various triggers

  • d) Experiencing repeatedly the traumatic memories and elaborate them with imaginal coping.

We describe:

  • - how to map and elaborate emotional schemas

  • - Socratic questioning with the patients with traumatic memories

  • - how to work with traumatic experiences from childhood in borderline personality disorder.

Supported by the research grant IGA MZ CR NS 10301-3/2009

Type
P03-147
Copyright
Copyright © European Psychiatric Association 2011
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