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The Effectiveness of Trauma-Focused Psychodrama in the Treatment of PTSD in Inpatient Substance Abuse Treatment

By Scott Giacomucci & Joshua Marquit

Just writing to share of my new trauma-focused psychodrama research study, “The Effectiveness of Trauma-Focused Psychodrama in the Treatment of PTSD in Inpatient Substance Abuse Treatment” in the Frontiers in PsychologyJournal.
This study comes from my work at Mirmont Treatment Center (Philadelphia area) demonstrating hopeful outcomes for the treatment of PTSD with trauma-focused psychodrama – the Therapeutic Spiral Model (TSM) & Relational Trauma Repair Model (RTR).

Results demonstrated over 25% decrease in PTSD symptoms for participants in Mirmont’s “Phoenix/Trauma Group” which is based on trauma-focused psychodrama. Considering the average patient only attended the group 4-5 times (2x per week), these results are quite meaningful and 2.5x the level of change in a residential trauma-focused CBT program with similar qualities.

Available here (full article available open access soon): https://www.frontiersin.org/articles/10.3389/fpsyg.2020.00896/abstract
Abstract
This single group pretest-posttest study explores the effectiveness of trauma-focused psychodrama in the treatment of post-traumatic stress disorder (PTSD) at an inpatient addiction treatment center. The results contribute to the limited research bases of both psychodrama and PTSD treatment outcomes in inpatient addiction treatment. The present study supports the potential effectiveness of two trauma-focused psychodrama models, the Therapeutic Spiral Model and the Relational Trauma Repair Model. Findings of the research demonstrate clinically significant reductions in overall PTSD symptoms (over 25% change) and each PTSD symptom cluster (i.e., re-experiencing and intrusion, avoidance and numbing, and hyper-arousal). Additionally, patient satisfaction exit survey data support overall treatment effectiveness and highlight its tolerability, and capacity for establishing emotional safety, connection, and group cohesion. Patients even described the trauma-focused psychodrama treatment approach as enjoyable and helpful. Overall, the results of this study are promising, and support continued clinical application of trauma-focused psychodrama treatment with other subpopulations diagnosed with PTSD. However, the ability to isolate effects of trauma-focused psychodrama in this study is compromised due to the absence of a control group and participants’ involvement in other inpatient treatment services.
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You Can’t Say That

By Anath Garber, PhD, TEP

Anath Garber is a friend and colleague whose expertise in psychotherapy and particularly the technique of psychodrama is very intriguing to me because I believe live theater can be religion and therapy and therapy as drama and healing may be the best invention since the wheel …

Listen to Part 1 Here

Listen to Part 2 Here

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Working with projective identification in the Therapeutic Spiral Model (TSM)

Working with projective identification in the Therapeutic Spiral Model (TSM)

by Ina Hogenboom