摘要：This is a case study of the successful treatment of Mr. G. A young paramedic in the Israeli army, Mr. G had recently experienced a severe traumatic event that involved the grisly task of carrying a terrorist’s body parts past a dangerous border, while fearing capture or injury. Two days following the event, Mr. G appeared at our Clinic manifesting Acute Stress Disorder (ASD), which included post-traumatic stress symptoms like recurrent, upsetting images of the event; sleep disturbance; dissociation; somatic complaints like vomiting; and difficulty in returning to the military. In assessing and treating Mr. G’s problems, we employed a new narrative therapy model that we call "Back to the Future" (named after the American movie), since the approach emphasizes jumping narratively between the past and the future in order to treat the trauma in the present. More specifically, the model is based on the memory's plasticity, first shifting the traumatic event back into a continuation of an individual’s past narrative about the occurrence, and then integrating it with a narrative of the future. This is done without making the substantive core of the experience of the traumatic event—called the "traumatic nucleus"—the major focus of treatment, as is done in mainstream, exposure-oriented models of ASD treatment. The contrast between our narrative model and the mainstream exposure model is discussed, including a review of the type of cases for which we believe our narrative model is particularly suited.
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