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(p. 287) Trauma Narrative Development and Processing Part II 

(p. 287) Trauma Narrative Development and Processing Part II
(p. 287) Trauma Narrative Development and Processing Part II

Esther Deblinger

, Anthony P. Mannarino

, Judith A. Cohen

, Melissa K. Runyon

, and Anne H. Heflin

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date: 21 October 2020

This chapter introduces the principles and methods utilized to help youth cognitively process and correct dysfunctional thoughts about themselves and others as well as the world that may have developed in the aftermath of CSA. Socratic questioning and the use of positive self-statements are highlighted as methods therapists can use to help youth challenge cognitive distortions, while replacing them with more helpful and optimistic thoughts. Guidance for assisting youth in developing a final narrative chapter or processed summary is also offered. Methods for determining the clinical appropriateness of sharing the trauma narrative with parents are discussed. Parent sessions highlight the importance of continuing to review coping and parenting practices, while also evaluating their progress and readiness for reviewing the child’s narrative. Suggestions for eliciting and discussing clarification questions with youth and their parents are also offered. Case examples and dialogues are used to illustrate this important aspect of treatment.

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