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Tri-Phasic Model:Remembrance & Mourning
IATP Narrative Exposure Therapy Model
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
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
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
Graphic Time Line
Beginning End
ImpactNissan
Unbuckle seat belts
Waiting w/ surgeon
EMT=OKUpside down
Flip &skid
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.”
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
Pictorial Narrative
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
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
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