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Yıl:2018; Cilt: 3; Sayı: 3>> Özet
Türkiye Klinikleri Psikoloji Özel Dergisi; 2018;3(3):31-38
Travma Merkezli Alyans Model Terapi: Dissosiyatif Kimlik Bozukluğunun Psikoterapisi
E Öztürk
İstanbul Üniversitesi, İstanbul
"Travma Merkezli Alyans Model Terapi" (TMAMT) Öztürk tarafından dissosiyatif kimlik bozukluğunun psikoterapisi için geliştirilmiştir. TMAMT modelinde alter kişiliklerin alyansı önemli bir konudur. Bütün negatif doğadaymış gibi görünen ya da olan alter kişilikler kişiliklerle psikoterapi içerisinde alyans (ittifak) kurulabilmektedir. Dissosiyatif kimlik bozukluğuna özgü olan TMAMT, özellikle dissosiyatif kimlik bozukluğunun tedavi süresini kısaltmak amacıyla uzun yıllar sadece bu psikiyatrik tanı grubu ile ilgili olarak yoğun bir şekilde çalışan Öztürk'ün mesleki tecrübelerine dayanarak yapılandırılmıştır. Bu açıdan dissosiyatif kimlik bozukluğunun kısa dönem psikoterapisi olarak da düşünülebilir. TMAMT, genel olarak dissosiyatif kimlik bozukluğunda ev sahibi (host) ve alter kişiliklerin alyansı sonrasında travmanın proses edilmesine odaklı, travma merkezli, stratejik ve hem krize müdahale, hem de entegratif bir psikoterapi yöntemidir. TMAMT, "çok odaklı terapötik alyans", "kısa süreli ve etkin travma çalışması", "dissosiyatif kimlik bozukluğuna özgü "krizlere entegre edici müdahale ve kontrol", "host ve alter kişiliklerin misyonları ve stratejik işlevleri", "güvensiz bağlanma ve patojen aile dinamiklerine çözüm odaklı yaklaşımlar", "host ve alter kişiliklerin farklı zaman algısı ve bilişsel çarpıtmalarının düzeltilmesi", "entegrasyon; host üzerinden yapılan birleşmeler" ve "entegrasyon sonrası kendileşme psikoterapisi" olmak üzere birbiriyle bağlantılı sekiz ana faz (evre) üzerine kurulmuştur. Her ana evre yaklaşık üç haftalık periyotlardan oluşur ve dissosiyatif kimlik bozukluğunun psikoterapisi yaklaşık altı ayda tamamlanır. A
Trauma Based Alliance Model Therapy: Psychotherapy of Dissociative Identity Disorder
"Trauma Based Alliance Model Therapy" (TBAMT) was developed by Öztürk for the psychotherapy of dissociative identity disorder. Alliance with alter personalities is an important issue in TBAMT model. Alliance can be formed with all alter personalities that seem like or situated in negative nature. TBAMT, which is specific to dissociative identity disorder, was structured based on proffessional experinces of Öztürk, who has been working intensively and only with this psychiatric diagnosis group for long years in order to shorten the duration of the treatment period. Thus, it can also be considered as short-term psychotherapy of dissociative identity disorder. TBAMT is generally a trauma centered, strategic, both crisis intervention and an integrated psychotherapy method focused on the processing of trauma following the alliance of the host and alter personalities in dissociative identity disorder. TBAMT is based on eight main phases linked to each other; "multifocal therapeutic alliance", "short-term and efficient trauma practice", "integrative intervention and control" specific to dissociative identity disorder, "missions and strategic functions of host and alter personalities", "solution oriented approaches to insecure attachment and pathogen family Dynamics", "correction of different time perceptions and cognitive detortions of host and alter personalities", "integration; fusions with host" and "post-integration autonomy psychotherapy". Every basic phase has three-week periods and the treatment of dissociative identity disorder is completed nearly in six months.

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