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Korean Journal of Psychology: General

Psychotherapy of Complex PTSD: Focus on a Phase-Based Approach

Korean Journal of Psychology: General / Korean Journal of Psychology: General, (P)1229-067X; (E)2734-1127
2020, v.39 no.2, pp.307-333
https://doi.org/10.22257/kjp.2020.6.39.2.307

Abstract

The purpose of this study is to explore and review the existing theories and empirical studies on the symptoms and treatment of complex PTSD separated into independent diagnostic categories in the recent International Classification of Diseases(ICD-11). Symptoms of complex PTSD can be explained in three categories: emotional control disorders, loss of self-integrity, and impairment of interpersonal skills. And it includes various symptoms such as depression, anxiety, extreme emotions, sleep disorders, nightmares, dissociation, self-harm and suicidal thoughts, somatization disorders, and interpersonal problems. Complex PTSD clients may find it difficult to form rapport and continue psychotherapy because processing traumatic experience is painful and representations of themselves and others are negative. Therefore, it is necessary to provide phase-based treatment to provide the client with a sense of safety. The phases for complex PTSD treatment consists of (1) stabilization, (2) process of traumatic memory, and (3) integration of treatment benefits. The contents of each phase of treatment and empirical researches were outlined and discussed for the future application and development of complex PTSD treatment.

keywords
복합 외상, 복합 PTSD, 단계기반치료, 외상 치료, Complex trauma, Complex PTSD, phase-based treatment, trauma treatment

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Korean Journal of Psychology: General