At ETM TRT SHOM’s Core is its meaning to and of
“Structured and Strategic Psychodynamic”
pg 2 of 3
TRT ETM and SHOM combine to provide a Structured and Strategic Psychodynamic approach to the treatment
and management of psychological trauma and PTS for both single and multiple sources of trauma affecting
individuals and systems. The first page in this section introduces, chronicles and distinguishes the more than thirty
year history of this approach. This second page overviews the “structural” component as applied to individuals.
The third summarizes the “strategic” element as it is applied to systems.
ETM TRT Structure’s Description
ETM and TRT’s structure focuses clinical and human caring upon
the crux of the traumatic condition, its etiology, the goal of the
detailed attention being to reverse the etiology. The structure
consists of an ordered approach which directs both the client and
clinical procedures focuses upon and to the etiology(s). The ETM
component of the model refers to the subsections 1, 2, 3 and 6
below. TRT consists of subsections 4 and 5. And, the six
subsections function inseparably. One needs them all and applied
in the order referenced herein and in the ETM TRT Tutorial and
Professional Training and Certification Schools for the goals to be
achieved.
ETM TRT Structure’s Components
1.
Assessment, Evaluation, and Strategy (treatment plan) for
addressing Single and Multiple Sources of Trauma
2.
ETM TRT SHOM Etiotropically-Focused Patient, Family,
Organizational Management Education
3.
Module required for Application of TRT
4.
Core for and of Trauma’s Resolution-Cure is Applied Inside
the “TRT Module”
5.
TRT’s Interactive Rules for facilitation and Giving Feedback
by Group members
6.
Conclusion and Measuring for Trauma’s Resolution
1.a and 1.b
ETM TRT SHOM First Structural Element - ETM Assessment and Strategy
Assessment, Evaluation, and Strategy (treatment plan) for addressing Single and Multiple Sources of Trauma
Introduction to and Description of ETM TRT SHOM’s Structural Elements
Copyright 1979-2012
Jesse W. Collins II
3.
ETM TRT SHOM Third Structural Element - TRT Module
The “TRT Module” supports TRT’s application to a single Source of Trauma for an Individual.
The TRT Module
The goal of TRT’s application to an individual is to completely resolve that trauma attending a single source. “Complete resolution” is
analogized as a “cure” for psychological trauma and its Behaviorally codified manifestation, “PTSD.” Achievement of that goal depends from
the onset on the establishment of a clinical environment which precludes interference by certain exogenous or cultural variables with delivery
and thus use of the methodology. In TRT, that environment is called a clinical module. It consist of a set of rules, standards of clinical delivery of
the service, and agreements between TRT therapist and patient that when adhered to establish the referenced environment which supports
achievement of the noticed goal. Those rules, standards of delivery and agreements preclude:
1.
parallel application of psychotropic medications and previous applications of the same even though the patient has withdrawn from that
use; in the latter instance, a substantial period of time since the use may support TRT’s application in the current period, but not with the
expected complete resolution or “cure” level of results.
2.
periodic social drug / alcohol use (not chemical dependency – see “3” next), for example, the patient engages in TRT group on Wednesdays
and drinks even only two beers or glasses of wine on every Saturday, and no other alcohol or drug consumption occurs during the week.
3.
co-morbidly occurring issues, such as Bipolar Disorder and Chemical Dependency are not addressed within the module simultaneously
with the trauma. Should they present parallel or in concert with the source of trauma being addressed or considered at this stage, these
additional issues are addressed in separate clinical forums and not in this application of TRT.
4.
non pathological social use is treated herein as an exogenous variable that will preclude reaching the highest completion of resolution
(cure) level {see above “2”}; pathological drug / alcohol use is addressed as a primary issue of its own and one of the sources of trauma that
should be addressed after the patient attains substantial sobriety within the ETM multiple sources definition and instruction for treatment.
5.
application of TRT for the purpose of controlling or ending symptoms (meaning DON’T do this) rather than for resolving the trauma, that
is, reversing the trauma’s etiologies (there are two); do not apply TRT when or if the person is engaged in a rigorous Behavioral control or
modification program parallel to TRT’s application.
6.
addressing a traumatic event(s) that occurred before the age of three years (this is not exogenous variable, but a limitation of the therapy;
it can, however, possibly and even likely be addressed by TRT if done so within the multiple sources of trauma TRT application
guidelines).
7.
traditional application of TRT when a traumatized person is currently being exposed to an ongoing threat to the continuity of life, for
example, as is a person who is (currently) living in the role of a battered spouse; specialized - strategic application of TRT is required in
order to first protect the person’s life.
8.
psychotropically medicated, social drug / alcohol using, or Chemically Dependent using therapists from attempting to administer TRT.
4.
ETM TRT SHOM’s Fourth Structural Element - TRT’s Application
From with inside the TRT Module, Apply TRT Theory and Methodology to a Single Source of Trauma
TRT’s Interactive Rules for facilitation of and Giving Feedback by Group Members (inside the TRT Module)
5.
ETM TRT SHOM’s Fifth Structural Element - Interactive Rules
Two perspectives hallmark the structure comprising TRT’s interactive rules:
1.
A patient’s/clients rules for giving feedback when TRT is applied in group address of trauma, and
2.
The facilitator’s rules for applying TRT in either individual or group clinical environments.
In both applications, the guidelines are engineered to focus all human caring and its quality upon the
trauma’s etiology pertaining to the source of trauma being addressed. Moreover, the application is
provided, as shown here graphically, within the TRT module. It enhances the capacity of the focused-
caring to its highest standard of influence, enabling individuals to exceed what otherwise they would
expect from themselves or others. The outcome of this directed method, which is called Etiotropic
Incremental Fusion Induction, is therapy that functions akin to the use of a laser’s address of etiology, as
opposed to the more generalized or broad brush approach that attends free association (from analysis),
Person Centered Therapy, or say for example, exposure therapy.
The specific rules and their rationales are studied and agreed to by all clients before entering TRT’s
treatment application. When the patient leaves the TRT setting, the method is left there and the patient
returns to standard interactive processing that attends traditional so called Person Centered Therapy
discussions and so forth . Importantly, however, Rational Emotive Therapy (RET) and the like emotional
and intellectual control constructs do not function congruously with simultaneous application of TRT,
even when applied in different settings (within the overall treatment regiment).
These interactive rules for facilitation and group member interaction and how to use them are described
in detail in the ETM TRT SHOM Professional Training and Certification Manual, the ETM TRT Tutorial
(online), and for patients in the booklet Giving Feedback in TRT. Both facilitator and patient educational
materials strengthen the ETM TRT structured approach to psychological trauma’s complete resolution
(cure) and its remedy for Post Traumatic Stress (PTS).
ETM, through TRT’s application, ascertains trauma’s complete resolution or not of each element of the
traumatic sequela (the previously referenced four patterns) as the patient progresses through it. If the
resolution is not completed fully for a particular sequela element, the patient will not progress to the next one.
Because much of the application of TRT engages the patient in written description of the trauma’s etiology and
its reversal, the process of resolution is naturally demonstrable. Nevertheless, ETM’s measurement of the
completeness or no of trauma’s resolution is codified in its documentation, which formats can be found in both
the ETM TRT SHOM Professional Training and Certification Manual and within the ETM TRT Tutorial.
ETM’s measurement of trauma’s complete resolution focuses not upon the ending of post-trauma behaviors, but
upon the differences between pre trauma existential aspects of identity and post trauma elements of the same.
Generally speaking and in the end, that is, simplifying, ETM’s measurement of the efficacy of TRT’s application
shows to the patient, therapists and any third party observer at least and primarily three perspectives, albeit
they are detailed (within the clinical setting) for thoroughness:
1.
Who the person was before the traumatic event occurred.
2.
Who he or she became during the event’s occurrence and aftermath.
3.
Who he or she is now that the trauma has been resolved.
The resolution process and measurement of each stage’s completion (for the source of trauma being addressed)
is documented in writing as a part of clinical charting of patient progress and correlated to the goals established
at the initial treatment planning activity. When both patient and facilitator (Certified ETM TRT Therapist)
agree that the trauma for this source has been completely resolved, the patient exits the TRT clinical process.
If there are additional sources of trauma discovered during the application of ETM TRT SHOM’s structure, the
patient is apprised of them (it) and encouraged to address them (it) at a later date. The patient then exits this
application of ETM TRT until such time that he or she wishes to address the other source(s) of trauma.
2.
ETM TRT SHOM Second Structural Element - Etiotropically-Focused Education
ETM TRT SHOM Patient, Family, Organizational Management Etiotropically-Focused Education
Etiotropically-Focused Education
“Etiotropically-Focused Education” means that all educational materials didactically define psychological trauma, post-traumatic stress disorder
(PTSD), and ETM TRT SHOM’s theories and applications (remedies) in terms of their individual and systemic etiologies and reversals. Thus,
education in ETM TRT SHOM, whether on the individual or system (families and organizations), focuses on the influence of a traumatic event or
series of events (multiple incidents and sources of trauma) on individual and systemic identities. Significantly, considerable attention is accorded
distinctions between the trauma’s influences and its resolution by didactic-styled education on identity as opposed to behavior. That is, the
education reinforces the goals of resolving (curing) trauma, as opposed to teaching affected people to cope with it (the Behavioral or Cognitive
Behavioral approach which is the identification and attempted, but almost always whack-o-molic-styled and -outcomed psuedo-control of PTSD
symptoms).
Three coordinated (for therapists, organizational treatment and crisis managers, and patient) educational levels comprise the Etiotropically-
Focused curriculum. They are:
1.
ETM TRT SHOM Professional Training and Certification which support ETM TRT SHOM Therapists and Managers; included are
o
The ETM TRT SHOM Professional Training and Certification Program School
o
The ETM TRT SHOM Professional Training and Certification Program Manual
o
The ETM TRT (online) Tutorial
2.
The TRT Patient Educational Program; it is comprised of nineteen pamphlets and booklets which provide patients/clients both theory and
instruction for completing all applications of TRT with the coordinated facilitation by a Certified ETM TRT SHOM clinician.
3.
The ETM TRT SHOM Management Program for implementation within and to crisis management organizations, also referring to application
to communities.