The first thing to emphasize is the absolute necessity for the therapist to establish a very strong, very solid relational climate with his patient.
The therapist must deploy great empathy , great warmth and at the same time show that he has all the technical background necessary to position himself as the one who will help . And he will oscillate between one and the other of these postures: "I understand you, I feel what you feel but I am at the same time the professional who has the instruments to get you out of there".
The 1st session must be very highly empathetic; then sufficient trust must be established for the patient to hear the prescription as part of the treatment.
It's called the novel of trauma
The thing that will seem very difficult and painful to the patient but which is fundamental, is to take a paper and a pencil every day and write down, in the smallest details, EVERYTHING of the traumatic event, then to collect these daily writings in a notebook and give this notebook to the therapist.
The essential effects of the process:
- Put down on paper all the memories, the emotions, everything related to the event,
- This is what will allow to evacuate all these emotional things accumulated over time,
- Doing this inventory every day creates a habituation effect,
- The memories that come are authentic memories and this is what causes a phenomenon of neurophysiological attenuation,
- It allows a progressive detachment from all the emotional details resulting from the trauma.
In the first days, it is an extremely painful experience because little by little, all the discarded images come back.
This step is essential to finally arrive at a situation whereby the memories of the past settle definitively in the past.
At that moment, the past no longer makes an incursion into the present; the trauma wound becomes a scar.
The image of the wound we use when communicating with patients is that of a wound that has become infected; and when there is pus, one can only intervene in a way that can only be painful.
The novel of trauma is this: transforming the wound into a scar.
My last observation will be the following: all the patients who have agreed to respect this process have all succeeded in overcoming their trauma. This represents 95% of patients .
This is why I must emphasize once again that the empathic capacities of the therapist are fundamental.
To conclude, I would say that like many human situations, the best way out is to get to the heart of things and get through them.