Termination & Ethics, part 2

Last week I posted about the NASW’s ethical guidelines for Social Workers, particularly in regards to termination practices.

4113548Since then, I’ve been reading Treating Complex Traumatic Stress Disorders, by Christine A. Courtois and Julian D. Ford. Chapter 4, entitled “Best Practices in Psychotherapy for Adults”, outlines the best evidence-based practices for helping patients with C-PTSD and related disorders. They essentially highlight the same 3-phase model that Zooey’s DID “expert” supervisor advised her to use and that many trauma specialists accept as the best approach for trauma. I read the “expert”‘s book as well and I liked the model, so Zooey and I agreed to try that. It is also very similar to how they approach treatment in the residential trauma program I attended in the Fall. I’ll write more about that treatment and the phases in future posts, but here’s a basic rundown:

  • PHASE 1: Safety and Stabilization
  • PHASE 2: The Processing of Traumatic Memories
  • PHASE 3: Reintegration

My understanding is that the idea is to get the patient stable and in a safe place so that they are able to engage with their traumatic memories without resorting and/or regressing to unsafe/destructive coping skills. Then, once the memories have been processed, phase 3 is essentially a culmination of the previous two phases. The client is able to use their new skills and information to analyze themselves and move beyond the effects of abuse. Or something like that.

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