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Developing a Compassionate Mind to Enhance Trauma-Focused CBT with an Adolescent Female: A Case Study

Published online by Cambridge University Press:  17 May 2013

Laura Bowyer ,
Jennifer Wallis  and
Deborah Lee
Laura Bowyer*
Affiliation:
National and Specialist CAMHS, OCD and Related Disorders Service, London, UK
Jennifer Wallis
Affiliation:
Reading Child and Adolescent Mental Health Service, Berkshire, UK
Deborah Lee
Affiliation:
University College London, and Berkshire Traumatic Stress Service, UK
*
Reprint requests to Laura Bowyer, National and Specialist CAMHS OCD and Related Disorders Service, Michael Rutter Centre, Maudsley Hospital, De Crespigny Park, London SE5 8AZ, UK. E-mail: laura.bowyer@slam.nhs.uk
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Abstract

Background: Shame and disgust are often associated with posttraumatic stress disorder (PTSD) following interpersonal traumas such as sexual assault. It has been suggested that individuals with high levels of shame might do less well in standard cognitive behavioural (CBT) interventions. Aims: To see whether applying compassion-focused therapy and developing a compassionate mind can enhance trauma-focused CBT in an adolescent with high levels of shame and disgust the way it has been shown to within the adult population. Method: This single case study describes how trauma-focused CBT was enhanced by compassionate mind training. It details work using this approach with an adolescent female experiencing shame and disgust-based flashbacks. Treatment was provided for 20 sessions over 8 months. Symptoms of PTSD, depression and self-criticism, as well as the ability to self-soothe/reassure, were measured at assessment/start of treatment, mid- and end of treatment. Results: Clinically significant reductions in PTSD, depressive, shame and self-attacking symptoms were found between assessment and completion of treatment. Clinically significant increases in self-reassurance were also reported. Following treatment, symptoms of PTSD and depression were sub-clinical. Conclusion: This case study suggests that developing a compassionate mind alongside trauma-focused CBT may be beneficial to adolescents experiencing shame and disgust with consideration for the young person's level of development and personal circumstances.

Keywords

PTSDchildren and adolescentsshametherapy outcomeindividual CBT
Type
Brief Clinical Reports
Information
Behavioural and Cognitive Psychotherapy , Volume 42 , Issue 2 , March 2014 , pp. 248 - 254
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 2013 

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