NCJ Number
138095
Journal
Journal of American College Health Volume: 40 Issue: 4 Dated: (January 1992) Pages: 189-196
Date Published
1992
Length
8 pages
Annotation
A new conceptual framework for the assessment and treatment of traumatized college students, many of whom have been sexually assaulted, relies upon constructivist self-development theory (CSDT), which blends object relations, self-psychology, and social cognition theories.
Abstract
The framework is founded upon a constructivist view of trauma in which the individual's unique history shapes his/her experience of traumatic events and defines the adaptation to trauma. Within this theory, the authors suggest approaches to setting the framework for trauma therapy, including the stabilization of acute symptoms and the setting of appropriate expectations for treatment. CSDT provides a framework for the systematic assessment and practical treatment of three aspects of the self that are affected by trauma. These include self-capacities, or the ability to tolerate strong affect and regulate self-esteem; cognitive schemas, or beliefs and expectations about self and others in the areas of frame of reference (or identity and world view), safety, trust, esteem, intimacy, power, and independence; and intrusive trauma memories and related distressing affect. The authors provide guidelines for the assessment of the need for longer term treatment. 12 references