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The process of structured psychotherapy training and supervision in facilitating a successful treatment of PTSD by a novice clinician: the case of "Leo"
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Ramos, Jared Alexander. The process of structured psychotherapy training and supervision in facilitating a successful treatment of PTSD by a novice clinician: the case of "Leo". Retrieved from https://doi.org/doi:10.7282/t3-wv7b-r146

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TitleThe process of structured psychotherapy training and supervision in facilitating a successful treatment of PTSD by a novice clinician: the case of "Leo"
NameRamos, Jared Alexander (author); Fishman, Daniel (chair); Wilson, Godfrey Terence (co-chair); Rutgers University; Graduate School of Applied and Professional Psychology
Date Created2019
Other Date2019-08 (degree)
SubjectCognitive therapy, Clinical Psychology, Alcoholism -- Treatment, Post-traumatic stress disorder -- Treatment
Extent1 online resource (vi, 123 pages) : illustrations
DescriptionThis dissertation consists of the systematic, psychotherapy case study of "Leo," a 20-year-old Hispanic college junior who presented to therapy with Post-Traumatic Stress Disorder (PTSD), Major Depressive Disorder, mild, and Alcohol Use Disorder. Leo was the first Cognitive-Behavioral Therapy (CBT) case assigned to me in my first year of doctoral clinical training as part of an initial course on CBT, and treating Leo's comorbid diagnoses presented complex technical challenges. My supervision and the associated therapy in Leo's case involved two originally unplanned phases. Phase 1 (sessions 1-13) was associated with a traditional, less structured supervision model, which focused on targeting Leo's alcohol use with a generic modality of CBT that included such elements as Motivational Interviewing (MI) in order to lower the frequency of his dissociative episodes and to facilitate Leo's capacity to fully experience his emotions. Phase 2 (sessions 14-25) was associated with an emerging, more structured supervision model, which views the supervisory process as an explicit introduction to and the dedicated practice of specific interventions and skills--in this instance, those associated with Cognitive Processing Therapy (CPT; Resick & Schnicke, 1992). Specifically, this supervision targeted Leo's increased ability to fully experience his emotions by focusing on: (a) psychoeducation regarding the effects of trauma and how defensive avoidance interferes with adaptive processing of the trauma; (b) teaching Leo thought monitoring and assessing the impact of his trauma on his beliefs; and (c) using imaginal exposure to memories of his trauma in order to examine and challenge the emotions and beliefs impacted by his trauma, allowing for non-pathological re-encoding of his memories of the event. The first part of the case study briefly describes Leo's clinical situation at the end of Phase 1 and then focuses in detail upon Phase 2, illustrating the strengths of Phase 2 as a successful example of the structured psychotherapy training model in action. An analysis of the supervision and therapy in Phase 2 presents evidence that the successful resolution of Leo's PTSD immediately following treatment and at 18-month follow-up was facilitated by a number of elements in the supervision, including: (a) explicit training of the therapist in CPT prior to supervision; (b) process-oriented supervision of CPT via the microanalysis of taped sessions; and (c) continued CPT training to complement ongoing supervision
NotePsy.D.
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-wv7b-r146
LanguageEnglish
CollectionGraduate School of Applied and Professional Psychology Electronic Theses and Dissertations
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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