Alers V.M. 2008 “The 20th Vona du Toit Memorial lecture 2007. Proposing the social atom of occupational therapy:Dealing with trauma as part of an integrated inclusive intervention.” South African Journal of Occupational Therapy, 38, 3, (3 – 10).  

Alers, V. & Crouch, R. (2014).  Trauma and its effects on children, adolescents and adults. Occupational Therapy in  Psychiatry and Mental Health, 337-355. doi:10.1002/9781118913536.ch21

Alexander, N. & Ciotola, L. (2014).  Teamwork and trauma recovery.  The Journal of Psychodrama, Sociometry and Group Psychotherapy.  Vol 62 (1), 91-104.

American Psychological Assocation.  PTSD: National Center for PTSD Comparison of the ICD-10 PTSD Diagnosis With the DSM-IV Criteria -. (n.d.). Retrieved September 02, 2016, from

TSI Research

Clark, T. L., & Davis-Gage, D. (2010). Treating trauma: Using psychodrama in groups. Retrieved from

Elliott, R., Greenberg, L., and Lietaer, G.  (2002). Research on experiential psychotherapy.  In M. Lambert, A. Bergin, and S. Garfield (5th Ed.), Handbook of psychotherapy and behavior Change (493-540). New York, NY: Wiley.

Elliott, R., Watson, J., Greenberg, L.S., Timulak, L., & Freire, E. (2013). Research on humanistic-experiential psychotherapies. In M. Lambert, A. Bergin, and S. Garfield (Eds.), Handbook of  psychotherapy and behavior Change. (6th Ed). (pp. 495-538).  New York, NY:  Wiley.. New York: Wiley.  ©Wiley.

Friedman, M. J. (2015). Overview of Posttraumatic Stress Disorder (PTSD). Posttraumatic and Acute Stress Disorders, (6th Ed) 1-8.  doi: 10.1007/978-3-319-15066-6_1

Greenberg, L. S. (2013).  Anchoring the therapeutic spiral model into research on experiential psychotherapies.In K. Hudgins &  F. Toscani (Eds.), Healing world trauma with the therapeutic spiral model. (pp. 132-148) London:  Jessica Kingsley Publishers.

Greenberg, L. S., Watson, J. C., & Lietaer, G. (1998). Handbook of experiential psychotherapy. New York: Guilford Press. 

Hudgins, M.K. (2007b). Clinical Foundations of the Therapeutic Spiral Model: Theoretical Orientations and Principles of Change. (eds)  In C. Baim, J. Burmeister & M. Maciel (Eds.) Psychodrama: Advances in Theory and Practice. (pp. 175-188) London: Routledge.

Hudgins, M.K. & Drucker, K. (1998).  The containing double as part of the therapeutic spiral model for treating trauma survivors.  The International Journal of Action Methods, 51, 2, 63-74.   

Hudgins, M.K., Drucker, K., & Metcalf, K. (2000).  The containing double:  A clinically  effective psychodrama intervention for PTSD.  The British Journal of Psychodrama and Sociodrama, 15, 1, 58-77.

Hudgins, M.K., and Kiesler, D.J. (1987). Individual experiential psychotherapy: An initial validation study of the intervention module of psychodramatic doubling. Psychotherapy, 24, 245-255.

Hudgins, M.K. & Kiesler, D.J. (1985). Individual Experiential Psychotherapy: An Initial Validation Study of the Intervention Module of Psychodramatic Doubling. Unpublished Dissertation. Virginia Commonwealth University.

Hudgins, M.K. and Kiesler, D.J. (1984). Instructional Manual for Doubling in Individual Psychotherapy. Richmond, Virginia: Virginia Commonwealth University.

Hudgins, M.K. & Preston, J.C. (1981). Psychodramatic expansion of the Johari window. Journal of Group Psychotherapy, Psychodrama, and Sociometry

Hudgins, M.K., Drucker, K., & Metcalf, K.. (1998). Instructional Manual for the intervention module of Containing Double. Charlottesville, VA.: The Center for Experiential Learning. A_clinically_effective_.pdf?paperid=765781

Forssmann-Falck, R.F. and Hudgins, M.K. (1992). “Therapist-Patient Transactions Early in Treatment with Borderline Patients. Clinical Review, 6, (1), 1-4.

Lai, N.W., (2013). A workshop using the therapeutic spiral model and art therapy with mothers and children affected by domestic abuse in Taiwan In K. Hudgins, & F. Toscani, Healing world trauma with the therapeutic spiral model, (241-265).  London: Jessica Kingsley. 

McVea, C. and Gow, K. (2006).  Healing a mother’s emotional pain:  Recall of a therapeutic spiral model session.  Journal of Psychodrama, Group Psychotherapy and Sociometry, 59, 1, 3-2

McVea, C., Gow, K., and Lowe, R. (2011).  Corrective interpersonal experience in psychodrama    group psychotherapy:  A comprehensive process analysis of significant therapeutic events.    Psychotherapy Research, 21, 4, 416-429.

Perry, R., Saby, K., Wenos, R., Hudgins, K. and Baller, M. (2016). Psychodrama intervention for   female service members using the therapeutic spiral model. The Journal of Psychodrama, Sociometry, and Group Psychotherapy, 64, 1, 11-23.

Ragsdale, K.G., Cox, R.D., Finn, P. and Eisler, R.M. (1996).  Effectiveness of short-term specialized inpatient treatment for war related posttraumatic stress disorder:  A role for         adventure-based counseling and psychodrama.  Journal of Traumatic Stress, 9, 269-283.

Rausch, S.L., van der Kolk,B., Fishler, R.E., Alpert, N.M. et al. (1996). A symptom provocation study of post-traumatic stress disorder using positron emission tomography and script- driven imagery. Archives of General Psychiatry 53,5, 380-387

Van der Kolk, B.  (2006). Clinical implications of neuroscience in PTSD.  Annals of the New York Academy of Sciences,1071(1), 277-293,

 Van der Kolk, B. A. (2014). The body keeps the score: Brain, mind, and body in the healing of trauma. New York,NY:  Viking.

Wieser, M. (2007). Studies on treatment effects of psychodrama psychotherapy. In C. Baim, Clark, J. Burmeister, & M. Maciel, Manuela (Eds.). (2007). Psychodrama: Advances in theory and practice (pp. 271-292). New York: Routledge/Taylor & Francis Group.

Wieser, M. (2011). Studies on Treatment Effects of Psychodrama Psychotherapy. In C. M. D. Sales, G. Moita, & J. Frommer (Eds.), Methodological Diversity in Psychotherapy and Counselling Research: Qualitative-Quantitative Approach. 1st International Summer School for Psychotherapy and Counseling Research – Proceedings (pp. 37-40, 111-124). Lisbon: Universidade Autónoma de Lisboa. Retrieved from

White, J. L., Fodor, K. E., Unterhitzenberger, J., Chou, C., Kartal, D., Leistner, S., . . . Alisic, E. (2014). Is traumatic stress research global? A bibliometric analysis. Retrieved August 23,



Upcoming Events

9:30 am 2-Day Experiential Training: Tra...
2-Day Experiential Training: Tra...
Sep 28 @ 9:30 am – Sep 29 @ 5:30 pm
2-Day Experiential Training: Transforming the Trauma Triangle<h5>Ottawa, Canada</h5>
Hosted by Choices in Action Counseling Services, Dr. Kate Hudgins, TEP presents, “Transforming the Trauma Triangle.” The Therapeutic Spiral Model’s (TSM) “Trauma Triangle” is a unique configuration that clarifies the destructive cycle of victim, perpetrator,[...]
10:00 am The Neurobiology of Trauma<h5>Me... @ Penn State Brandywine
The Neurobiology of Trauma<h5>Me... @ Penn State Brandywine
Oct 19 @ 10:00 am – Oct 21 @ 5:00 pm
The Neurobiology of Trauma<h5>Media, PA</h5> @ Penn State Brandywine
Presented by Linda Ciotola, ME.d., TEP and Steven Durost, Ph.D. Time:  Friday & Saturday 10am – 6pm; Sunday 10am – 5pm Fee: $600.00 Venue: Penn State-Brandywine, 25 Yearsley Mill Rd., Media, PA 19063 Information:  Contact Dr. Kate[...]
9:00 am The Dance of Transference and Co...
The Dance of Transference and Co...
Nov 1 @ 9:00 am – Nov 4 @ 4:30 pm
The Dance of Transference and Counter-Transference<h5>Taipei, Taiwan</h5>
Focus on how to act and deal with PTSD, depression, anxiety disorder, eating disorder, personality disorder, and addiction and so on. Presented by Kate Hudgins, Ph.D., TEP Time:  Thursday & Friday 9am-12pm; Sunday 1:30pm-4:30pm  (Local Taipei Time)[...]
9:00 am The Neuroscience of Trauma: The ... @ Care Corner Counseling Centre
The Neuroscience of Trauma: The ... @ Care Corner Counseling Centre
Nov 8 @ 9:00 am – Nov 10 @ 4:00 pm
The Neuroscience of Trauma: The Brain in Action<h5>Singapore</h5> @ Care Corner Counseling Centre | Singapore
This is Workshop 1 of 2 events in the Taiwan Workshop Series Both Workshops must be attended. People who have experienced traumatic events can have significant changes in the neurobiology of their brain. The right[...]
9:00 am Containment: The Key to Safety ... @ Care Corner Counseling Centre
Containment: The Key to Safety ... @ Care Corner Counseling Centre
Nov 12 @ 9:00 am – Nov 14 @ 1:00 pm
Containment:  The Key to Safety with Action Methods for Trauma<h5>Singapore</h5> @ Care Corner Counseling Centre | Singapore
This is Workshop 2 of 2 for the Taiwan Tour series. Our brains are hardwired to Fight, Flight or Freeze from danger. Unfortunately, long after many traumatic experiences happened, the survivor continues to use those[...]
10:00 am Men’s Retreat at Brandywine<h5>M...
Men’s Retreat at Brandywine<h5>M...
Jan 12 @ 10:00 am – Jan 14 @ 6:00 pm
Presented by Steven Durost, Ph.D. and Action Team. More info. and registration: Steven Durost, Ph.D.    
10:00 am TSM Women’s Salon in the Bay Are...
TSM Women’s Salon in the Bay Are...
Jan 18 @ 10:00 am – Jan 20 @ 6:00 pm
With Dr. Kate Hudgins, Ph.D., TEP and Sylvia Israel, LMFT, BCT, TEP.   Cost: $1,000.00 Contact Kate for more information.
10:00 am Dr Steven Durost Takes TSM to In...
Dr Steven Durost Takes TSM to In...
Feb 15 @ 10:00 am – Feb 23 @ 6:00 pm
Bangalore: February 15-17, 2019 New Delhi, India: February 22-24, 2019 Please contact Steven Durost at the above email for further details.    
6:00 pm TSM Directing Practice: Psychod... @ Temenos Retreat Center
TSM Directing Practice: Psychod... @ Temenos Retreat Center
Mar 28 @ 6:00 pm – Mar 31 @ 6:00 pm
TSM Directing Practice:  Psychodrama and Trauma Done Safely!<h5>West Chester, PA</h5> @ Temenos Retreat Center
We invite you to attend this weekend residential training in using psychodrama for trauma-informed therapy.  While the Therapeutic Spiral Model is the primary lens we will look at to create containment, self-regulation and narrative label,[...]
6:00 pm Join us on the Orient Express Th... @ C.R.E.A.T.E.
Join us on the Orient Express Th... @ C.R.E.A.T.E.
Apr 26 @ 6:00 pm – Apr 28 @ 4:00 pm
Join us on the Orient Express The Therapeutic Spiral Model  and Cultural Exchange<h5>Manchester, NH</h5> @ C.R.E.A.T.E.
This workshop brings together two American psychodramatists who have brought TSM to over 40 countries over 25 years.  See how the trauma survivors’ internal role atom (TSIRA) has provided a clinical map of internal roles[...]