Autumn 1998
Overcoming Past Trauma
Judy Cook
This past year I have
attended two different therapy conferences which both had the same focus: how
to overcome the effect of past trauma which seems to persist or even get worse
over time and which is not much alleviated through conventional talk therapy.
These two new therapies
discussed are:
1) Traumatic
Incident Reduction Therapy (TIR) developed by Dr. Frank Gerbode of the Institute for
Research in Metapsychology in
2) TheoPostic
Therapy, developed
by Dr. Ed Smith of the Alathia Equipping Centre in
Both therapies seek to
bypass a focus on insight, and instead focus on connecting negative emotional
experience in the present with past trauma through the use of visualization. To
understand how each therapy works, let's take a case illustration.
Case Illustration
Ann is experiencing
nightmares, panic attacks, and feelings of depression. She has no appetite, has
no energy to be with friends or do other activities she formerly enjoyed, and
has trouble concentrating at work. Ann is exhibiting classic signs of
post-traumatic stress disorder (PTSD).
When Ann was 16 she had
been date raped. For two years she never told anyone, but with PTSD symptoms
becoming more severe, she eventually confided in a friend, and then saw a
counsellor for about a year. This course of action helped her feel more normal,
and alleviated her sense of isolation. She began to cope better with her
symptoms, and learned to control and manage them to a certain extent with the
help of relaxation techniques and positive self-talk.
Traumatic Incident
Reduction Therapy
If Ann had gone to see a
Traumatic Incident Reduction therapist (TIR) she would have been told that this
is a one-session therapy which could last as long as four or five hours, and
that the therapy would be finished when the past incident was resolved for her.
The TIR therapist would have her close her eyes and "view" in her
mind the rape incident from beginning to end, at which time the therapist would
ask her to "tell me what happened."
This process would be
repeated until the "endpoint" was reached, and the negative feelings
connected to the traumatic incident were gone. After going over the same
incident again and again Ann would come to a new understanding of the meaning
of what happened, and would slowly begin to draw different conclusions each
time she visualized that particular event in her life.
She might come to the
realization that she could not have prevented it, and is therefore not to
blame. Her belief about herself as dirty or tainted might change to
acknowledgment of the event belonging in the past and having no power in the
present. Her perspective slowly would have changed from subjective, with its
corresponding irrational beliefs such as "I should never let my guard
down, ever," to a more objective perspective with a corresponding belief
such as "I am not always able to prevent every bad thing that happens to
me."
The strength of this
therapy as described by Dr. Gerbode is that repeated visualization of the
entire trauma creates the necessary distance to the event which allows for a
more rational, and therefore resolved, interpretation of the initial trauma.
TheoPhostic Therapy
TheoPhostic therapy has
some elements in common with TIR, but there are also some important
differences. Both therapies are short term. Both therapies try to bring present
negative feelings back to root incidents of trauma. Both use visualization of
the trauma memory as the point where new thinking must be developed to
counteract hurtful thinking about oneself and one's world.
If Ann had gone to a
TheoPhostic (TP) therapist, however, the process would be quite different. The
name "TheoPhostic" implies the process of this therapy.
"Theo" meaning, God, and "Phostic" meaning, to illuminate,
signifies that the light of Gods truth will dispel the darkness experienced in
the trauma.
She would be told that this
is a Christian therapy where Jesus Christ does the healing. Her therapist would
tell her that her negative emotions and her post-traumatic stress disorder
symptoms persist because of lies she has incorporated at the point of trauma.
She would learn that divine truth will set her free from her symptoms when the
lies are identified and matched with the memory picture which was the occasion
for the lies to become embedded.
The therapist would begin
by asking Ann to close her eyes. Then he would pray "Lord Jesus, would you
bring the memory to which the pain is connected." Ann might envision the
rape, and would then be asked to identify and stay with the negative feelings
(e.g. of shame or fear).
The task of the therapist
would be to identify and name the lie or lies incorporated in Ann's thinking
about herself (e.g. I should have prevented it; I will never be safe again). He
would ask her to embrace those lies and say them to herself.
Then he would ask Jesus to
reveal his truth to Ann. She would either see an image of Jesus, hear his
voice, or sense his presence, and he would impart his truth to her, such as: it
was not your fault; you are safe now. Then, when Ann focuses on this same
memory again, all feelings of shame and fear would be lifted and be replaced by
feelings of calm and peace.
If Ann was unable to access
a sense of Jesus' presence, the therapist would assume some obstacle to be in
the way. This obstacle could be unconfessed sin, anger which would have to be
given up first, or some defence such as a rational belief that what is heard
could not possibly be Jesus speaking to her. Dr. Smith also describes that some
obstacles are caused by demons, which must be bound in Jesus' name.
When obstacles have been
removed, the lies identified in conjunction with the negative emotion in the
memory picture, Jesus' presence can be seen, heard, or felt, and healing takes
place.
Dr. Smith has found no exceptions,
and reiterates that this process works equally well with Christians and
non-Christians.
He gives all the credit to
God, explaining that it is Jesus who heals, and that the therapist follows
Jesus' lead to identify lies matched to memory which are released by hearing or
experiencing God's truth.
Comparing the
Theories
Although this quick
overview cannot do justice to the intricacies of these two therapies, it does
describe how some of the same principles about trauma and cognition underlie
both. The fundamental difference is that with TIR a person develops new insight
based on his or her own innate wisdom and understanding, whereas TP relies on
specific insight given by the Holy Spirit during therapy. One way this
difference could be characterized is to see God's healing manifested through
TIR by common grace, and through TP by special grace.
Although both therapies are
dynamic in bringing quick release for long suffered psychic pain, it would make
sense for a christian agency such as Salem to pay particular attention to this
new christian approach of inner healing called TheoPhostic therapy. Jesus came
not only to save, but also to heal and to set free. This therapy equips us to
participate with our Saviour by allowing us to assist sufferers to meet Jesus
at the point of their suffering, so that his healing truth can dispel the
darkness of lies in the trauma experienced.