Trauma Informed Guilt Reduction Therapy: Treating Guilt and Shame Resulting from Trauma and Moral Injury

Cover
TRAUMA INFORMED
GUILT REDUCTION
THERAPY:
Treating Guilt and Shame
Resulting from Trauma
and Moral Injury
Copyright
Bios
Acknowledgments
Part 1: Introduction and background
1
Introduction
	Overview of this book
2
The connection between guilt and shame and mental health problems
	Defining trauma-related guilt and shame
	Guilt and shame related to traumatic events
	Guilt and shame related to interpersonal violence
	Military veterans and moral injury
	Why do some people feel guilt and shame after trauma?
	The impact of trauma-related guilt and shame on mental health
	Putting it all together: The NAGS model
3
Overview of TrIGR
Part 2: Preparation and case related considerations
4
Is TrIGR the right choice for your client?
	Signs that TrIGR may be a good option for your client
	Signs that TrIGR is not a good choice
	When is the best time for a client to complete TrIGR?
5
Assessment of guilt, shame, PTSD, and other posttraumatic distress
	Examples of validated measures
		Assessing trauma-related guilt and shame
		Assessment of moral injury among Veteran clients
		Assessment of other common posttraumatic symptoms and reactions
		Assessment of additional recovery-focused outcomes
6
Preparing clients for TrIGR
	Motivational interviewing prior to starting TrIGR to prepare clients for therapy
		Addressing ambivalence throughout TrIGR
7
Considerations for therapists
	Working with military service members: A focus on moral injury
		Military experiences in the context of a client’s core values
		Military life and culture
		Inability to disclose aspects of the trauma
	Clients who intentionally perpetrated a trauma
	Survivors of interpersonal trauma
	Working with comorbid alcohol and substance use disorders
	Religious beliefs
		Clients who want to make amends or take reparative actions
	Conclusion
8
Therapist self-care
	Risks of burnout
	Signs of burnout
	Preventing and addressing burnout
9
TrIGR in a group format
	Introduction
	Preliminary considerations
	Overview of TrIGR group format
	Additional considerations
References
Part 3: Therapist manual
Module 1, Sessions 1 and 2Introduction to posttraumatic guilt and shame
	Session 1: Overview of TrIGR, Introduction to Guilt and Shame
	Session 2: Common Problems and Types of Guilt Related to Trauma
Module 2, Sessions 3 and 4 Debriefing the traumatic event and appraising trauma-related guilt and shame
	Sessions 3 and 4: Guilt appraisal
Module 3: Sessions 5 and 6 Commitment to living a value-driven life and setting value-driven goals
	Session 5: Commitment to living a value-driven life and setting value-driven goals
	Session 6: A plan to live a valued life
	Optional for Module 4: Making amends
Part 4: Client workbook
Module 1, Sessions 1 and 2 Introduction to posttraumatic guilt and shame
Module 2, Sessions 3 and 4
Debriefing the traumatic event and appraising trauma related guilt and shame
	Attitudes About Guilt Survey (AAGS)
		A systematic way of examining guilt and shame
	Attitudes about Guilt Survey (AAGS) (extra)
		Daily activity log
Module 3: Sessions 5 and 6
Commitment to living a value-driven life and setting value-driven goals
	Session 5: Commitment to living a value driven life and setting value driven goals
		Your retirement party
		Values worksheet instructions
		Daily activity log
	Session 6: A plan to live a valued life
		Steps to living a valued life worksheet
		Daily activity log
		Attitudes about Guilt Survey (AAGS)
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