The theory of single-session manualized abreactive ego state therapy for combat stress injury PTSD and ASD
Barabasz, Arreed F.
Watkins, John G.
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Ego State Therapy (EST) had emerged from a psychodynamic understanding of personality as a product of an individual’s multiplicities (ego States), to a conceptualization of how ego-energized and object-energized elements are bound together to cope with a traumatic event. Neurobiological studies now substantiate Watkins’ 1949 war neuroses conceptualizations. Because of their severity, trauma memories are encoded in the subcortical (subconscious) brain regions which are accessed by our single session manualized EST procedure. The imprint of the trauma is not accessible nor resolvable by top-down cognitive reframing therapies. Manualized EST is bottom up. Abreactive hypnosis facilitates ego state expression at physiologically and psychologically intense levels sufficient to activate subcortical process. Thus, affect is released in the presence of supportive therapist who adds ego strength to the patient. This is followed by interpretation and reintegration. The result is a reconstructed personality which is adaptive, strong and resilient to retraumatization.