Foreword

Robert L. Leahy

Preface

Acknowledgments

Part I Childhood Trauma and Its Aftermath

1. Introduction

Childhood Sexual Abuse

Trauma-Related Beliefs and Schemata

Traumagenic Schemas and the Link to PTSD

PTSD: Characteristics and Symptoms

The Nature of Traumatic Memory

Type I vs. Type II Trauma

Information-Processing Models of PTSD

Indicators of Emotional Processing

Transforming Trauma into Words: A Critical Component of Healing

2. A Conceptual Overview

Clinical Applications of Imagery: An Historical Overview

Imagery Applications Within a Cognitive-Behavioral Context

Attachment Theory and Its Relevance

Object Relations Theory and the Role of Introjects

Primary vs. Secondary Cognitive Processing

Goals of IRRT

Part II Imagery Rescripting and Reprocessing Therapy

3. Pretreatment Evaluation

Recommended Inclusion Criteria

Recommended Exclusion Criteria

Concomitant Use of Medication

Introducing IRRT to the Patient

4. Exposure, Rescripting, and Self-Nurturing Imagery

Session 1: Beginning Treatment

Presenting the Treatment Rationale

Introducing Subjective Units of Distress (SUDs)

Imaginal Exposure: Reexperiencing the Traumatic Event

Mastery Imagery: Rescripting the Traumatic Imagery

Developing Adult-Nurturing-Child Imagery

Administering the Post-Imagery Questionnaire

Processing and Debriefing

Assessing Self-Calming and Self-Soothing Abilities

Contracting for Safety

Homework

Sessions 2 Through 8

Guidelines for Crisis

5. Self-Nurturing Imagery Only Sessions 9 Through 13

6. A Higher Order Cognitive/Linguistic Processing

Sessions 14 Through 18

Posttreatment Assessment

Relapse Prevention/Maintenance Sessions

Part III Special Considerations

7. Imagery Rescripting Format for Each Additional Recurring Traumatic Memory

8. When Difficulties Arise During the Imagery Session

9. When IRRT Is Not Indicated: Alternate Cognitive-Behavioral Treatment Options Treating Partial PTSD-Related Symptoms

Part IV Case Studies

10. Case Example 1: One-Session IRRT

11. Case Example 2: Eight-Session IRRT

12. Case Example 3: Extended IRRT with Higher Order Cognitive/Linguistic Processing

Appendices

Appendix A: Treatment Rationale

Appendix B: The Post-Imagery Questionnaire

Appendix C: Therapist Record

Appendix D: Homework Record

Appendix E: Traumatic Flashback Incident Record

References

Index