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You can watch or download my free presentations here: Mervin Smucker on Slideshare
A presentation about the early usage of imagery in trauma therapy.
Scoring and Interpretation of the PIQ-A.
The PIQ-A is administered to the client immediately after the completion of an Imagery Rescripting session (including all three phases). When the client’s responses to all of the PIQ-A items have been recorded, the clinician notes the items with an asterisks [*] next to them. These are the “reversed” items and are converted to “real” scores in the following manner:
Where X equals the Client Rating Score (i.e. the actual number reported on a reversed item): The Real Item Score = 100 – X
The Real Item Score of each item without an asterisks is the actual number reported by the client. The total PIQ-A quantitative score is the sum of all individual Real Item Scores of items 1-10. (Items A and B are not tabulated in the total score.) The total score of the PIQ-A form range from 0 to 1000. The higher the total PIQ-A score, the more acute is the degree of internalized abuse-related dysfunctionality and affective distress. At the completion of Imagery Rescripting treatment, a significant drop in the total PIQ-A scores should be noted. Although the PIQ-A appears to have good face validity, psychometric data are not yet available.
Mervin Smucker (2012)
IRRT is an imagery-based CBT treatment designed to alleviate PTSD symptoms and modify trauma-related images, beliefs and schemas. IRRT involves three phases of imagery:
- imaginal reliving – visually recalling and re-experiencing the traumatic imagery along with the associated thoughts, affect, and bodily sensations accompanied by the creation of a detailed, descriptive, verbal narrative;
- mastery imagery – visualizing oneself as a competent and capable ADULT (today) successfully confronting and disempowering the perpetrator (back then) while rescuing the CHILD from the trauma scene;
- self-calming/self-nurturing imagery – visualizing oneself as an ADULT (today) calming, soothing, and nurturing the traumatized CHILD (back then).
Through this 3-phase imaginal symbolic “psychodrama” (on the “inner stage”), the trauma material is initially activated and experienced through the eyes of the “traumatized child,” and then challenged, modified, and reprocessed through the eyes of the “empowered adult” today. Replacing victimization imagery with mastery imagery enables trauma victims to experience themselves responding to the traumatic event as an empowered individual today no longer “frozen” in a state of helplessness, uncertainty, and confusion. In addition, the overwhelming emotional and physiological distress that often accompanies trauma memories is replaced with positive feelings of self-nurturing and self-calm. Thus, through the re-living, re-scripting, and re-processing of the trauma memory, successful emotional and cognitive processing of the traumatic event may occur, allowing the individual’s response to the traumatic event to normalize.
Mervin Smucker (2012)
You can find a presentation about IRRT here: Mervin Smucker IRRT Presentation