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Progressive Counting (PC)
Progressive counting (PC) is a psychotherapy technique developed by Ricky Greenwald designed for trauma resolution based on the counting method. It is used to reduce or eliminate symptoms such as anxiety, depression, guilt, anger, and post-traumatic reactions. It can also be used to enhance psychological resources such as confidence and self-esteem. The procedure involves having the client visualize a series of progressively longer "movies" of the trauma memory while the therapist counts out loud (first to a count of 10, then 20, then 30, etc.). By repeatedly imagining the movie of the memory, the memory gets "digested" or healed, via desensitization, emotional processing, gaining perspective, or other means. Approach Prior to the session, the therapist actively guides the client in identifying the beginning moment of the chosen movie (before the trauma event happened) and the ending moment (a point after the trauma event which provided relief). The client is asked to watch, i ...
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Psychotherapy
Psychotherapy (also psychological therapy, talk therapy, or talking therapy) is the use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior, increase happiness, and overcome problems. Psychotherapy aims to improve an individual's well-being and mental health, to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions, and to improve relationships and social skills. Numerous types of psychotherapy have been designed either for individual adults, families, or children and adolescents. Certain types of psychotherapy are considered evidence-based for treating some diagnosed mental disorders; other types have been criticized as pseudoscience. There are hundreds of psychotherapy techniques, some being minor variations; others are based on very different conceptions of psychology. Most involve one-to-one sessions, between the client and therapist, but some are conducted with groups, incl ...
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Ricky Greenwald
Ricky Greenwald is a clinical psychologist and an expert on eye movement desensitization and reprocessing (EMDR). He is also the creator of progressive counting (PC), both psychotherapy methods for resolving traumatic memories and associated symptoms. He founded the Trauma Institute & Child Trauma Institute, a non-profit organization, and is currently its executive director and chair of the faculty. Education Greenwald holds a B.S. in Psychology from Lesley College (1988) and an M.A. degree in Psychology from Forest Institute of Professional Psychology (1989). After completing a two-year certificate in Family Therapy at the Kantor Family Institute (1991), Greenwald returned to the Forest Institute and earned his Psy.D. in Clinical Psychology (1994) followed by a post-doc in Child and Adolescent Trauma from Community Services Institute (1996). Professional contributions Assessment Greenwald has developed various assessment instruments for children's post-traumatic symptoms, inc ...
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Counting Method
The counting method (CM), also known as Ochberg's counting method, is a therapeutic treatment designed to help with the desensitization of post traumatic stress disorder (PTSD) symptoms. The method was designed by psychiatrist Frank Ochberg in the early 1990s. Ochberg, who'd previously helped to define and characterize post traumatic stress disorder, began using the CM in his private practice as a means of combating PTSD symptoms. The method During the CM, the clinician asks the PTSD client to recall a traumatic memory while the clinician counts out loud to 100. After the counting the client is asked to discuss their memory. Subsequently, clinician and client work to reframe that traumatic memory and minimize or eliminate the discomfort associated with it. Results A recent study sought to compare the CM to other existing forms of PTSD treatment. The study divided 38 women among three forms of PTSD therapy, including the CM. All three treatments worked very well in minimizin ...
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Desensitization (psychology)
In psychology, desensitization is a treatment or process that diminishes emotional responsiveness to a negative, aversive or positive stimulus after repeated exposure to it. Desensitization also occurs when an emotional response is repeatedly evoked in situations in which the action tendency that is associated with the emotion proves irrelevant or unnecessary. The process of desensitization was developed by psychologist Mary Cover Jones, and is primarily used to assist individuals in unlearning phobias and anxieties. Joseph Wolpe (1958) developed a method of a hierarchal list of anxiety evoking stimuli in order of intensity, which allows individuals to undergo adaption. Although medication is available for individuals with anxiety, fear or phobias, empirical evidence supports desensitization with high rates of cure, particularly in clients with depression or schizophrenia. Steps The hierarchical list is constructed between client and therapist in rank ordered series of steps fro ...
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Subjective Units Of Distress Scale
A Subjective Units of Distress Scale (SUDS – also called a Subjective Units of Disturbance Scale) is a scale ranging from 0 to 10 measuring the subjective intensity of disturbance or distress currently experienced by an individual. Respondents provide a self report of where they are on the scale. The SUDS may be used as a benchmark for a professional or observer to evaluate the progress of treatment. In desensitization-based therapies, such as those listed below, the patients' regular self assessments enable them to guide the clinician repeatedly as part of the therapeutic dialog. The SUD-level was developed by Joseph Wolpe in 1969. It has been used in cognitive-behavioral treatments for anxiety disorders (e.g. exposure practices and hierarchy) and for research purposes. There is no hard and fast rule by which a patient can self assign a SUDS rating to his or her disturbance or distress, hence the name '' subjective''. Some guidelines are: * The intensity recorded must be ...
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Eye Movement Desensitization And Reprocessing
Eye movement desensitization and reprocessing (EMDR) is a form of psychotherapy developed by Francine Shapiro in the 1980s that was originally designed to alleviate the distress associated with traumatic memories such as post-traumatic stress disorder (PTSD). In EMDR, the person being treated recalls distressing experiences whilst doing bilateral stimulation, such as side-to-side eye movement or physical stimulation, such as tapping either side of the body. The 2013 World Health Organization (WHO) practice guideline states that EMDR "is based on the idea that negative thoughts, feelings, and behaviors are the result of unprocessed memories. The treatment involves standardized procedures that include focusing simultaneously on spontaneous associations of traumatic images, thoughts, emotions and bodily sensations and bilateral stimulation that is most commonly in the form of repeated eye movements." EMDR is included in several evidence-based guidelines for the treatment of PTSD, ...
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