Tri-Phasic Model:Remembrance & Mourning

IATP Narrative Exposure Therapy Model

IATP NETIntegrates elements several methods including: Trauma-Focused CBT; EMDR; Cognitive Processing Therapy; Traumatic Incident Reduction; Prolonged Exposure

Non-abreactive narrative trauma memory processing for desensitization and integration

Excellent tool for helping survivors have a positive mastery experience with confronting trauma memory

Highly structured but simple and easy to use

Steps15 – 30 min set up in previous sesison

Instructions for Graphic Time Line

Homework

Written Narrative Two 5min halves

Pictorial Narrative

Verbal Narrative

Recursive Narrative

Closure

Graphic Time LineNarrative 1

Introduced in previous session

End Points (beginning & end)

BeginningWhen did you first perceive threat?

EndWhen did you first realize that you were going to survive?

Middle part completed as homework

Graphic Time Line

Beginning End

ImpactNissan

Unbuckle seat belts

Waiting w/ surgeon

EMT=OKUpside down

Flip &skid

Written NarrativeNarrative 2

5 min writing of the FIRST HALF of the GTL with RELAXED BODY

INTERMISSION: Relaxation Skill (i.e., Diaphragmatic Breathing)

5 min writing SECOND HALF of GTL with RELAXED BODY

90 second prompts (“Keep your body relaxed;” “With a relaxed body, take two more minutes.”

Pictorial NarrativeNarrative 3

Use template to have survivor draw six pictures that tell the story just written

Draw endpoints first (Beginning & End) then full in four middle drawings

10 minutes max

RELAXED BODY

Pictorial Narrative

Verbal NarrativeNarrative 4

As soon as survivor completes drawing ask: May I approach you?

Ask survivor to use the pictures to tell you their story with a REALAXED BODY

No interruptions unless dysregulation

Thank survivor when completed

15 min max

Recursive NarrativeNarrative 5

Ask survivor: May I see your pictures ? (survivor hands pix to therapist)

Tell back survivor’s story as accurately as possible using same language and inflections.

Use third-person (Survivor's name and gender-specific pronoun)

DO NOT embellish

Therapist MUST keep relaxed body

CLOSURE5 – 10 min at end of session to discuss survivor’s reactions

Suggestions Aerobic activity following session

Access & utilize support

36 hours of re-experiencing/dissipating within 72 hours

Call if any difficulties

Count backwards from 100 by 7s