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[Angel] Stages of Trauma Clearing

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  • Cynthia Schlosser
    Additional print out for your trauma clearing workbook... *STAGES OF TRAUMA CLEARING* *I. General Dumping* *II. Identifying What Trauma To Clear **(I.D. find
    Message 1 of 2 , Apr 14 4:38 PM
    • 0 Attachment


      Additional print out for your trauma clearing workbook...

      STAGES OF TRAUMA CLEARING

      I. General Dumping

      II. Identifying What Trauma To Clear  (I.D. find the infectedwound)

      III. Setting The Stage (fill out trauma clearing form .  I.E. ask SUDS. Subjective Units of Distress Scale], , write down SUDS, name of trauma, list of feelings that are being felt, negative ideas about reality that come from this trauma list and positive ideas list. Write description of still photo of trauma. This is a description of what the trauma would look like if he had a picture of it in a scrapbook.)

      IV. Clearing: a. Telling-Retelling, first outloud, then quietly, repeat until SUDS at 0  [get new SUDS Ratings after each retell] c. Take last healing image and merge into original 'still photo'. to get Resolution Image:

      V.ask for and write down new Emotionally Positive Words and positive Ideas about reality. Enter 'healing bubble' of protection and stay for as long as necessary for new healing to integrate. Could be several days to several weeks usually.

      I. GENERAL DUMPING:

      Often a person doesn't really know what trauma or scene underlies 'present feelings' of upsetness.

      He/she just knows that he/she is angry or upset or ~ down,i.e. very triggered.

       

      When this isthe case, the clearing has to start with "general dumping," in which the patient "vents" for a

      while totally convinced that present day stress is the cause of his /her distress. Mirror, or repeat back, any stated

      feelings back; watch for any strong feelings. This can take anywhere from two minutes to half an

      hour or so, until the triggered person (TP) begins to center in on a particular, volatile feeling,

      theme, etc.

       

      For example, he/she may tell several stories which all have the theme "I was ripped

      off" or have a common feeling of being very afraid. As facilitator, just let the TP talk freely until

      he/she uncovers any very strong feelings, then ask the question: "Is there any time in the past

      when you remember feeling bad this same way before?" 

       

      II. IDENTIFYING THE TRAUMA TO WORK ON:

      The "infected wound" (see back of check-in). Once a theme or strong feeling has begun to

      emerge, ask. "When have you felt like this before?" If t he patient gives more than one traumatic

      memory, list thetrauma, and one by one. have him evaluate the emotional impact of each one

      by asking him how much relief he would get by clearing that trauma. He must get in touch with

      the emotions of each trauma briefly in order to approximate the emotional impact of the trauma,

      and thus judge how much relief hewould get by being free of it. Ask, "If you cleared this, what

      difference would it make in your overall SUDS?" Again, The way to pick out theone, infected

      wound, is to look for the trauma that would afford the greatest relief, if cleared, in terms of

      lowest overall SUDS rating (7 to 1, e.g.). Even if he has trouble estimating the SUDS if he

      cleared it, the TP may say, "If I could just clear that one, it would make a huge difference in the

      way I feel now." This is the kind of comment that shows you have found the right trauma to clear.

      Obviously, you don't want to waste 3+ hours clearing a a trauma that affords him little or no

      relief (no difference in overall SUDS).

       

      RULE: Usually the earlierthe trauma, the more powerful the relief you get by clearing it. These

      traumas are often called the "core" or original scenes. What you are looking for is the core

      scene in which all the later, (similar) traumas are replays of Clearing childhood traumas

      usually helps the most. For a war veteran, the "core" may be an incidentin Vietnam, or it may

      be a scene fromchildhood, and much less often one from the recent past.

       

      Ideally, the identified traumawill be a distinct, clearly defined incident, with a definite beginning point and ending

      point, as these are the easiest traumas to bring quickly to resolution. If it is not a clear, distinct

      scene, the process may take longer but can definitely be done. Occasionally the patient cannot

      identify an earlier trauma. In this case you would allow the patient to stay in present time, telling

      and retelling the current trauma until it goes to zero.

       

      RULE: You alwayswant to choose the trauma which, if cleared, would give the greatest relief ~

      as shown by the biggest reduction in overall SUDS rating.

       

      Ill. SETTING THE STAGE:

      Complete the top of the TC Form after you have ident{fied the infected wound (handout #8).

      (Filling out traumaclearing form  by asking patient and writing down the following:   ask SUDS using Subjective Units of Distress Scale where 0 is no distress and 10 is maximum distress], , write down present time SUDS, name of trauma, list of feelings that are being felt, list of negative ideas about reality that come from this trauma, write list of positive ideas [yes, there are some, hey, you survived! That's positive!]. Write description of still photo of trauma.)

      IV. CLEARING PROCESS:

      A. T elling-Retelling: The clearing process is pretty simple, in that it just requires the patient telling and

      retelling the traumatic incident over and over until it is no longer at all upsetting. After 'setting the scene'

      (describing the "still photo" the TP sees when looking at the beginning of the incident), the TP

      is asked to relivethe entire incident silently, as if he were re-experiencing the event. When

      finished, he/she is asked to tell the story out loud. At this point, ask what the SUDS level is.

       

      This process of retelling the story silently and then out loud is repeated over and over until resolution.

      As the TP tells the story, the facilitator  transcribes key ideas on the Trauma Clearing form for later use (during resolution).

       

      B. SUDS (Subjective Units of Distress) RATINGS: After each silent and out loud retelling, the

      TP is asked to rate his/her current level of upset-ness on a scale of0 to 10, with 0+ notat all

      upset and 10= as upset as you could possibly be. This rating is verv important as it lets you

      know whether there is movement in the experience of the trauma. Sometimes the rating will drop

      and then go back up as new, painful material is uncovered. It really doesn't matter which

      direction the rating is going in, as long as it's moving. If the rating stays at one point (e.g. 5) for

      several retells, that's an impasse. Usually, there is some important aspect of the trauma that the

      TP isn't lookingat or feeling. When this happens, you can get things moving again by asking the

      TP to tell it again, this time focusing on what's keeping it at a 5?" (See Handout #7) When the

      rating goes to 0, you are moving into the resolution phase.

       

      Now, you ask for a body scan as one wayto be sure its O. Have the TP relax and check his body for

      any tension. If there is any tension found, have the TP put his hands over this place in the body

      and ask the body what the tension is. One way to do this is to have the TP visualize that this part

      of the body has a mouth and can talk. He asks this part of the body "what is your message to me?"

      The body will tell him what feelings are causing the tension, or reveal some healing insight, etc.

      Always have the TP do one more silent review after he says his SUDS is O.

       

      C. RESOLUTION STAGE: THE CLEARING ENDS ONLY WHEN THE TP IS AT "0":

      FIRST, you want to make sure that the trauma is truly resolved at "0". That is, you want to be

      sure that there are no longer any painful feelings or negative ideas attached to the memory.

      One way to check this is to read back some of the negative ideas listed earlier and ask how much

      the TP still believesthose ideas. In the same way, you can check on the painful emotions the TP

      listed at the very beginning. Any negative emotions which can be stirred up by your reading the

      negative thoughts showyou that the trauma is not at "0" yet.

       

      When the TP feelscertain that the trauma is at zero, ask "What words go with it now?" Then ask the

       TC to look for what positive ideas are associated withit now! Ask the TP to reword negatively stated ideas,

      by asking "How can you say that positively?" At resolution, both emotions and ideas should be positive: E.g. Negative Positive

      "It wasn't my fault" -----" I did the best I could, " etc. "I'm not angry anymore" ----" I feelat

      peace (relieved) now". Thiswill serve as a further check and also begin attachinga positive

      frame to the memory.

       

      Healing Image: Finally, you ask the patient to create a healing image or positivemental picture,

      with which to remember the memory, thescene. Once at "0" with only positive ideas associated with the

      memory, it will be remarkably easy for him/her to evoke a beautiful visual picture of his new

      feelings. This "healing symbol" ,("healing image") visuallydepicts the new feelings at their most

      perfect. For example, one veteran imagines a "field of beautiful flowers" whenever he thinks of

      the new feelings and words associated with the previously traumatic event. For him, the field of

      flowers was a spontaneous healingimage at "0", which replaced the painful "still photo"

      which used to come to him when he thought of that particular incident.That's how he

      symbolized the peacehe felt at "0".

       

      RESOLUTION IMAGE: Ask the patient to merge together into one picture the newhealing

      image with the old traumatic "stillphoto". At this point, the original trauma has been totallv

      transformed at every level--emotionally, mentally, and visually.

      P.E.T stands for .Picture, Emotions. and Thoughts

      A memory is composed of only three elements, which are the P.E.T.  Now the original picture of the

      memory has changed, the feelings of the memory have changed, and the thoughts about the memory are

      changes.

      Follow up studies of veterans who did a clearing show that these changes are permanent, and that each time

      the memory is recalled from then on, the new P.E.T. are recalled instead of the original painful ones.





    • Cynthia Schlosser
      Additional print out for your trauma clearing workbook... *STAGES OF TRAUMA CLEARING* *I. General Dumping* *II. Identifying What Trauma To Clear **(I.D. find
      Message 2 of 2 , Apr 15 8:50 AM
      • 0 Attachment





        Additional print out for your trauma clearing workbook...

        STAGES OF TRAUMA CLEARING

        I. General Dumping

        II.Identifying What Trauma To Clear  (I.D. find the infectedwound)

        III.Setting The Stage (fill out trauma clearing form .  I.E. ask SUDS. Subjective Units of Distress Scale], , write down SUDS, name of trauma, list of feelings that are being felt, negative ideas about reality that come from this trauma list and positive ideas list. Write description of still photo of trauma. This is a description of what the trauma would look like if he had a picture of it in a scrapbook.)

        IV.Clearing: a. Telling-Retelling, first outloud, then quietly, repeat until SUDS at 0  [get new SUDS Ratings after each retell] c. Take last healing image and merge into original 'still photo'. to get Resolution Image:

        V.ask for and write down new Emotionally Positive Words and positive Ideas about reality. Enter 'healing bubble' of protection and stay for as long as necessary for new healing to integrate. Could be several days to several weeks usually.

        I. GENERAL DUMPING:

        Often a person doesn't really know what trauma or scene underlies 'present feelings' of upsetness.

        He/she just knows that he/she is angry or upset or ~ down,i.e. very triggered.

         

        When this isthe case, the clearing has to start with "general dumping," in which the patient "vents" for a

        while totally convinced that present day stress is the cause of his /her distress. Mirror, or repeat back, any stated

        feelings back; watch for any strong feelings. This can take anywhere from two minutes to half an

        hour or so, until the triggered person (TP) begins to center in on a particular, volatile feeling,

        theme, etc.

         

        For example, he/she may tell several stories which all have the theme "I was ripped

        off" or have a common feeling of being very afraid. As facilitator, just let the TP talk freely until

        he/she uncovers any very strong feelings, then ask the question: "Is there any time in the past

        when you remember feeling bad this same way before?" 

         

        II. IDENTIFYING THE TRAUMA TO WORK ON:

        The "infected wound" (see back of check-in). Once a theme or strong feeling has begun to

        emerge, ask. "When have you felt like this before?" If t he patient gives more than one traumatic

        memory, list the trauma, and one by one. have him evaluate the emotional impact of each one

        by asking him how much relief he would get by clearing that trauma. He must get in touch with

        the emotions of each trauma briefly in order to approximate the emotional impact of the trauma,

        and thus judge how much relief hewould get by being free of it. Ask, "If you cleared this, what

        difference would it make in your overall SUDS?" Again, The way to pick out the one, infected

        wound, is to look for the trauma that would afford the greatest relief, if cleared, in terms of

        lowest overall SUDS rating (7 to 1, e.g.). Even if he has trouble estimating the SUDS if he

        cleared it, the TP may say, "If I could just clear that one, it would make a huge difference in the

        way I feel now."This is the kind of comment that shows you have found the right trauma to clear.

        Obviously, you don't want to waste 3+ hours clearing a a trauma that affords him little or no

        relief (no difference in overall SUDS).

         

        RULE: Usually the earlier the trauma, the more powerful the relief you get by clearing it. These

        traumas are often called the "core" or original scenes. What you are looking for is the core

        scene in which all the later, (similar) traumas are replays of Clearing childhood traumas

        usually helps the most. For a war veteran, the "core" may be an incidentin Vietnam, or it may

        be a scene fromchildhood, and much less often one from the recent past.

         

        Ideally, the identified traumawill be a distinct, clearly defined incident, with a definite beginning point and ending

        point, as these are the easiest traumas to bring quickly to resolution. If it is not a clear, distinct

        scene, the process may take longer but can definitely be done. Occasionally the patient cannot

        identify an earlier trauma. In this case you would allow the patient to stay in present time, telling

        and retelling the current trauma until it goes to zero.

         

        RULE: You alwayswant to choose the trauma which, if cleared, would give the greatest relief ~

        as shown by the biggest reduction in overall SUDS rating.

         

        Ill. SETTING THE STAGE:

        Complete the top of the TC Form after you have ident{fied the infected wound (handout #8).

        (Filling out traumaclearing form  by asking patient and writing down the following:   ask SUDS using Subjective Units of Distress Scale where 0 is no distress and 10 is maximum distress], , write down present time SUDS, name of trauma, list of feelings that are being felt, list of negative ideas about reality that come from this trauma, write list of positive ideas [yes, there are some, hey, you survived! That's positive!]. Write description of still photo of trauma.)

        IV. CLEARING PROCESS:

        A. T elling-Retelling: The clearing process is pretty simple, in that it just requires the patient telling and

        retelling the traumatic incident over and over untilit is no longer at all upsetting. After 'setting the scene'

        (describing the "still photo" the TP sees when looking at the beginning of the incident), the TP

        is asked to relivethe entire incident silently, as if he were re-experiencing the event. When

        finished, he/she is asked to tell the story out loud. At this point, ask what the SUDS level is.

         

        This process of retelling the story silently and then out loud is repeated over and over until resolution.

        As the TP tells the story, the facilitator  transcribes key ideas on the Trauma Clearing form for later use (during resolution).

         

        B. SUDS (Subjective Units of Distress) RATINGS: After each silent and out loud retelling, the

        TP is asked to rate his/her current level of upset-ness on a scale of 0 to 10, with 0+ not at all

        upset and 10= as upset as you could possibly be. This rating is verv important as it lets you

        know whether there is movement in the experience of the trauma. Sometimes the rating will drop

        and then go back up as new, painful material is uncovered. It really doesn't matter which

        direction the rating is going in, as long as it's moving. Ifthe rating stays at one point (e.g. 5) for

        several retells, that's an impasse. Usually, there is some importantaspect ofthe trauma that the

        TP isn't lookingat or feeling. When this happens, you can get things moving again by asking the

        TP to tell it again, this time focusing on what's keeping it at a 5?" (See Handout #7) When the

        rating goes to 0, you are moving into the resolution phase.

         

        Now, you ask for a body scan as one way to be sure its O. Have the TP relax and check his body for

        any tension. If there is any tension found, have the TP put his hands over this place in the body

        and ask the body what the tension is. One way to do this is to have the TP visualize that this part

        of the body has a mouth and can talk. He asks this part of the body "what is your message to me?"

        The body will tell him what feelings are causing the tension, or reveal some healing insight, etc.

        Always have the TP do one more silent review after he says his SUDS is O.

         

        C. RESOLUTION STAGE: THE CLEARING ENDS ONLY WHEN THE TP IS AT "0":

        FIRST, you want to make sure that the trauma is truly resolved at "0". That is, you want to be

        sure that there are no longer any painful feelings ornegative ideas attached to the memory.

        One way to check this is to read back some of the negative ideas listed earlier and ask how much

        the TP still believesthose ideas. In the same way, you can check on the painful emotions the TP

        listed at the very beginning. Any negative emotions which can be stirred up by your reading the

        negative thoughts show you that the trauma is not at "0" yet.

         

        When the TP feels certain that the traumais at zero, ask "What words go with it now?" Then ask the

         TC to look for what positive ideas are associated withit now! Ask the TP to reword negatively stated ideas,

        by asking "How can you say that positively?" At resolution, both emotions and ideas should be positive: E.g. Negative Positive

        "It wasn't my fault" ----- " I did the best I could, " etc. "I'm not angry anymore" ----" I feelat

        peace (relieved) now". This will serve as a further check and also begin attaching a positive

        frame to the memory.

         

        Healing Image: Finally, you ask the patient to create a healing image or positivemental picture,

        with which to remember the memory, thescene. Once at "0" with only positive ideas associated with the

        memory, it will be remarkably easy for him/her to evoke a beautiful visual picture of his new

        feelings. This "healing symbol" ,("healing image") visually depicts the new feelings at their most

        perfect. For example, one veteran imagines a "field of beautiful flowers" whenever he thinks of

        the new feelings and words associated with the previously traumatic event. For him, the field of

        flowers was a spontaneous healingimage at "0", which replaced the painful "stillphoto"

        which used to come to him when he thought of that particular incident.That's how he

        symbolized the peacehe felt at "0".

         

        RESOLUTION IMAGE: Ask the patient to merge together into one picture the newhealing

        image with the old traumatic "stillphoto". At this point, the original trauma has been totallv

        transformed at every level--emotionally, mentally, and visually.

        P.E.T stands for .Picture, Emotions. and Thoughts

        A memory is composed of only three elements, which are the P.E.T.  Now the original picture of the

        memory has changed, the feelings of the memory have changed, and the thoughts about the memory are

        changes.

        Follow up studies of veterans who did a clearing show that these changes are permanent, and that each time

        the memory is recalled from then on, the new P.E.T. are recalled instead of the original painful ones.







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