Kronos devours his young son: A case study of severe interpersonal trauma, dissociation and survival in childhood and adolescence

Tessa Prattos, Penny Papanikolopoulos, Despina Konstas

Saturday 18 june 2016

16:30 - 17:00h at Kilimanjaro

Categories: Case studies, Children and adolescents, Dissociation, Research

Parallel session: Research track - case studies

The following case study presents the case conceptualization, therapeutic intervention, subjective and objective therapeutic progress of a 15 yr old boy with a fragmented-dissociated mind due to years of emotional, physical and sexual abuse by his father. The Adaptive Information Processing (AIP) model that informs Eye Movement Desensitization and Reprocessing Therapy (EMDR) and the Theory of Structural Dissociation of the Personality (TSDP) were utilized to conceptualize and guide the treatment. A single-case AB design was applied in assessing the impact of intervention while several instruments and measures were employed over time to assess changes in the youth's subjective emotional state. In addition, objective behavior change was also recorded over time. The data indicate that the youth's subjective emotional experience improved over time. In addition, there was a significant decrease in the frequency of targeted negative behaviors over time. Stabilization and orientation to the present were essential to the treatment while integrating the traumatic memories into a life narrative became a major goal of treatment in a guarded University Inpatient Hospital Unit for children and adolescents.


Learning objectives

The learning objectives for this presentation are for clinicians and researchers to:

1. Understand several dissociative symptoms in children and adolescents with complex trauma,

2. Understand the integrative approach of Adaptive Information Processing(AIP) and the Theory of Structural Dissociation of the Personality (TSDP),

3. Discern the right timing for EMDR Therapy to reprocess the traumatic memories

4. Understand the importance of orientation to the present and building a life narrative.