1. The Tri-Phasic Model
TREATING TRAUMA

2. Tri-Phasic Model Herman, 1992
Safety (Stabilization)
Remembrance & Mourning
Trauma Resolution
Desensitization & reprocessing
Metabolization of trauma
Reconnection
Present & future

3. What is Safety? (Gentry & Schmidt, 1997)
 I. Resolution of impending environmental (ambient, interpersonal and intrapersonal) physical danger;
-Removal from “war zone” (e.g., domestic violence, combat, abuse)
-Behavioral interventions to provide maximum safety;
-Address and resolve self-harm.
II. Amelioration of self-destructive thoughts & behaviors (i.e., suicidal/homicidal ideation/behavior, eating disorders, persecutory alters/ego-states, addictions, trauma-bonding, risk-taking behaviors, isolation)
III. Restructuring victim mythology into intentional proactive survivor identity by development and habituation of life-affirming self-care skills (i.e., daily routines, relaxation skills, grounding/containment skills, assertiveness, secure provision of basic needs, self-parenting)

4. What is Necessary? Six Empirical Markers
From Survivor
Resolve (real) Danger
Distinguish between real vs. perceived threat
Develop battery of regulation/relaxation, grounding, and containment skills
Demonstrate ability to self-regulate
Demonstrate ability to self-rescue
Contract (verbal) to address traumatic material
From Clinician
Good Therapeutic Relationship
Clinician Non-anxious Presence
Good Prognosis/Positive Expectancy

5. What is Necessary?
1.     Resolution of impending environmental physical danger
Abusive Environment
Ambient Danger
Violence
Active Self Harm

6. What is Necessary?
2. Ability to distinguish between “Am Safe” and “Feel Safe.”
Outside Danger
Behavioral Intervention
Resolve Threat
Inside Danger
Self regulation
Anxiety Reduction
Cognitive Restructuring

7. What is Necessary?
3. Development of a battery of SELF-REGULATION, relaxation, grounding, containment and expression strategies AND the ability to utilize them for self-rescue from intrusions

8. Safety/Stabilization Interventions (Trauma Practice, 3rd Edition)
Additional
Progressive Relaxation
Anchoring
Transitional Object
Postural grounding
Internal vault
Timed/metered expression
Suggested
3-2-1 Sensory grounding
Diaphramatic breathing
Safe-place visualization
Thought Field Therapy (TFT)
Light Stream
Icon in envelope

9. Thought Field Therapy (TFT) Callahan
Perturbations in the thought field contain the active information (see physicist David Bohm***) which triggers and forms the sequence of activities - neurological, chemical, hormonal and cognitive - which result in the experience of a negative emotion such as fear, depression, anger, etc.
In TFT's unique diagnostic procedure the perturbations are revealed and quickly subsumed.
The perturbations are of low inertial ladeness (contained in an energy form as the information on an audio or video tape has less inertial quality than the tape itself) and this fact explains the unusual speed of the therapy; the unusual effectiveness is explained by the fundamental nature of the perturbations.

10. SUDs 10 9 8 7 6 5 4 3 2 1

11. Thought Field Therapy (TFT) Callahan
Eyes open
Eyes closed
eyes open down right
eyes open down left
eyes clockwise
eyes counterclockwise
hum a tune
count to five (aloud)
5. Repeat # 3
1. Trauma Memory
2. SUDS
3. Algorithm (trauma)
Eye brow (5-8 taps)
Under eye (5-8 taps)
Underarm (5-8 taps)
Collarbone (5-8 taps)
4. 9 Gamut
while continuously tapping 9-Gamut spot...

12. Thought Field Therapy (TFT) Callahan
6. SUDS
If decreased 2+ units then repeat until SUDS = 0
If decrease < 2, then:
7. Psychological Reversal
tap on heel of hand
“I accept myself event though I still _______” (3x)
Callahan Techniques®,Ltd Via Carmel La Quinta, CA (760)
FOR ORDERS CALL 1(800)359-CURE Dept. WB OR FAX Your Order to (760)

13. What is Necessary? 4. Ability to demonstrate self-regulation.
5. Ability to demonstrate self-rescue.
6. Contract (verbal) with client to address traumatic material
Good Therapeutic Relationship
Non-anxious presence and good prognosis from clinician.

14. Tri-Phasic Model: Remembrance & Mourning
Desensitization & Reprocessing