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J Am Psychiatr Nurses Assoc. 2018 Jan/Feb;24(1):76-84. doi: 10.1177/1078390317745133. Epub 2017 Dec 3.

The Trauma Resiliency Model: A "Bottom-Up" Intervention for Trauma Psychotherapy.

Author information

1
1 Linda Grabbe, PhD, FNP-BC, PMHNP-BC, Emory University, Atlanta, GA, USA.
2
2 Elaine Miller Karas, LCSW, Trauma Resource Institute, Claremont, CA, USA.

Abstract

BACKGROUND:

The Trauma Resiliency Model (TRM) is an innovative therapeutic approach for trauma. This "bottom-up" somatic approach comprises nine skills that use sensory awareness for emotion regulation and integration. Body-based therapies may be more effective for trauma than currently used cognitive ('top-down") and exposure therapies.

OBJECTIVE:

The purpose of this article is to present TRM and current literature on the neuroscience of trauma and resiliency, and the rationale for body-based therapy. Two case examples illustrate the practical use of TRM therapy.

DESIGN:

The literature on the neuroscience of trauma, resiliency, and somatic approaches in therapy is reviewed.

RESULTS:

TRM teaches the biology of trauma responses and the practice of emotion regulation through biologically based skills. Neuroscience theory supports somatic awareness models; however, research on somatic therapies is limited.

CONCLUSIONS:

Chronic distress from trauma derails the ability to live life resiliently. TRM addresses trauma processing in a gentle and invitational manner and is a novel departure from existing therapies. Despite a paucity of research on body-based therapy, these therapies have strong neurophysiologic underpinnings.

KEYWORDS:

PTSD; mindfulness; posttraumatic stress disorder; psychotherapy; resilience; trauma-informed care

PMID:
29199520
DOI:
10.1177/1078390317745133

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