Dissociative Reality and Dissociative Being in Therapy for Post traumatic Patients.

Post traumatic patients experience a wide range of symptoms, some of them existential in nature which we term "dissociative being." Many varied psychotherapeutic approaches are available for the treatment of post traumatic patients. Nevertheless, in view of this disorder's complexity, therapists face shortcomings when employing each of these therapeutic interventions. In order to understand this, we posit the principle we call "dissociative reality" for the treatment of trauma survivors. Our proposed method "speaks the patient's own language," harnessing dissociative elements to help individuals recall, re-enact and integrate traumatic experiences, where words are insufficient, while still upholding reality. We believe that this may be seen as an effective part of the therapeutic dialogue, and suggest that therapists may consider supplementing this approach in their treatment "toolkit" for patients with post traumatic stress and other trauma related disorders, irrespective of their declared therapeutic approach.

[Principles of orientation safety body dialogue (O.S.B.D) for primary intervention for acute stress events].

Acute stress reaction (ASR) is related to a serious threat to the security or wellness of the individual physical being, or someone close to him/her. The incidence of ASR is predominant in the Israeli population, who in the last decade, are particularly exposed to terrorist or war-like events that often lead to many both physical and/or emotional casualties being referred to the Emergency Rooms or primary care clinics, necessitating expert professional intervention. These emotional victims are "anxiety casualties". In this article, the authors present basic principles and intervention procedures, which do not require extensive training for the professionals involved and can be implemented quickly and relatively simply in the treatment of these cases. The authors chose the acronym OSBD (in Hebrew these are the first ABCD letters) that reflect the four principles, O-orientation, S-security, B-body, D-dialogue. In this article, this concept is developed in the hope that these procedures will be both of practical value and available to those professionals in the Emergency Rooms, immediately after the patient is released into the primary care system.