Working with Emotion in Cognitive Behavioral TherapyChapter 9Imagery Rescripting for Posttraumatic Stress Disorder. Imagery resccripting (ImRs) is a powerful treatment with high acceptability that can be used for simple as well as complex PTSD. The basic idea of ImRs in the treatment of PTSD is to activate the trauma memory and imagine a different ending that better matches the needs of the patient.The facts of the original trauma memory are not forgotten or overwritten by rescripting.The mechanism of ImRs seems to be a change in the meaning of the trauma memory, brought about by experiencing in fantasy what one needed in the situation and getting these lingering, unmet needs in fantasy. This is a change in meaning of the original unconditioned stimulus (the traumatic experience).With US revaluation, new information is fed into the memory representation of the US. If this information is helpful, it will reduce the dysfunctional meaning of the trauma memory.Independent of context, a trauma reminder will trigger the changed memory representation of the trauma and, if the meaning change was successful, this memory will no longer lead to dysfunctional responses.The effects of treatment using this mechanism are not context-dependent.Another possibility is that the expression of needs, feelings, and actions in ImRs, which were inhibited at the time, is a healing factor. Empirical evidence Studies of ImRs for PTSD show positive results, especially regarding dysfunctional interpretations and emotional...

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Psychotherapy

Psychotherapy

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This is a bundle about the ussage and efficacy of psychotherapy. This bundle contains the literature used in the course 'DSM-5 and psychotherapy' at the third year of psychology at the University of Amsterdam.