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Translated article: Integrative kognitive Verhaltenstherapie für die anhaltende Trauerstörung: Vorstellung eines Behandlungsmanuals

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posted on 12.07.2019 by Rosner R., Pfoh G., Kotoučova M., Hannah Comtesse
This paper introduces the integrative cognitive-behavioral
treatment manual for prolonged grief disorder. This outpatient
treatment manual is suited for persons who suffer from
severe, disabling, and persistent grief reactions for more than
6 months after the loss of a loved person. The treatment aims
at resolving grief complications and adjusting to life without
the deceased. Cognitive-behavioral treatment strategies are
combined with systemic and gestalt therapy techniques. 20
weekly sessions are divided into 3 phases. The first phase concentrates
on stabilizing and motivating. The second phase allows
for different foci: feelings of guilt, adjustment to new living
conditions, attachment to the deceased, or avoidance.
Employed techniques are prolonged exposure, cognitive restructuring,
and empty-chair work. In vivo exposition is applied
if necessary. The third phase focuses on future prospects
while maintaining a healthy bond to the deceased, and relapse
prevention. Up to 5 optional sessions directed toward
special or critical situations (e.g., anniversaries) can be added.
Altogether, the manual facilitates a feasible and effective
treatment of prolonged grief disorder.

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