Narrative exposure therapy

A therapeutic approach for treating trauma-related disorders

Narrative Exposure Therapy (NET) is a psychotherapy approach designed to treat individuals suffering from post-traumatic stress disorder (PTSD) and other trauma-related disorders. It is particularly effective for survivors of multiple traumatic events, such as those experienced in war zones or through prolonged abuse.

Overview

NET is a structured therapeutic intervention that combines elements of cognitive behavioral therapy (CBT) with the principles of narrative therapy. The therapy involves the patient creating a detailed chronological narrative of their life, focusing on traumatic experiences. This process helps the individual integrate these experiences into their broader life story, reducing the emotional impact of the trauma.

Methodology

Lifeline and narration in NET

The therapy typically begins with the creation of a "lifeline," a visual representation of the patient's life events, both positive and negative. This lifeline serves as a guide for the narrative process. The therapist and patient work together to construct a coherent narrative, with the therapist providing support and guidance.

During sessions, the patient recounts their traumatic experiences in detail, while the therapist helps them to process these memories. The goal is to transform fragmented and distressing memories into a coherent narrative, which can reduce symptoms of PTSD and improve overall mental health.

Applications

NET is particularly useful in settings where individuals have experienced multiple traumas, such as in refugee camps or post-conflict regions. It has been used effectively with children, adolescents, and adults, and can be adapted for group therapy settings.

Benefits

The benefits of NET include its structured approach, which provides a clear framework for both therapists and patients. It is also culturally adaptable, making it suitable for diverse populations. By focusing on the individual's entire life story, NET helps to contextualize traumatic events, reducing their power and helping individuals to regain control over their lives.

Limitations

While NET is effective for many, it may not be suitable for individuals who are unable to engage in the narrative process due to severe mental health issues or cognitive impairments. Additionally, the therapy requires trained professionals, which can be a limitation in resource-poor settings.

Related pages

• Post-traumatic stress disorder
• Cognitive behavioral therapy
• Narrative therapy
• Trauma-focused cognitive behavioral therapy