ABSTRACT

Psychoanalysis offers the idea of stages in the life cycle where certain conflicts and themes are central. Major developmental tasks occur in a typical pattern. Extensive practical and theoretical works on the use of behavioural models in trauma therapy exist. Therapists trained in mainly dynamic models may miss the usefulness of this paradigm as they think about clients. The paradigm is useful in both creating a theory of the client and a model of change. Cognitive-behavioural theory and treatment work on the thought patterns that establish the filters and the interpretation of the firecrackers. For significant numbers of trauma patients, the exercises and homework of cognitive-behavioural therapy have been adjunctive aids in managing symptoms, while more relationship-based treatment has reduced the necessity of such symptoms. Other therapists claim success taking a totally cognitive-behavioural approach towards complex trauma. The therapist can understand their functions, and can create therapeutic foci and emphases.