A short-term intervention program for traumatic grief guided by the Two-Track Model of Bereavement (TTMB): Applying a multi-module transtheoretical framework.

Abstract

The purpose of the present article is to describe and demonstrate the principles of multi-module and short-term intervention for traumatic bereavement. This intervention program is based on the Two-Track Model of Loss and Bereavement (TTMB), a model that provides a multidimensional framework for assessing and formulating interventions following interpersonal loss. Following a brief introduction to the topic of traumatic loss and bereavement and its relevance, we proceed to consider the TTMB succinctly. This is followed by its application in a multi-module approach to intervention which illustrates the potential for a variety of clinical approaches to be utilized. The intervention approaches included - the psychodynamic, cognitive-behavioral, and strategic - demonstrate how the therapists' personal orientations are conceptualized as modules for structuring treatment. These modules can be combined depending on the needs of the client, the goals of the treatment and the orientation of the therapist. Subsequently, three stages of the intervention and their main themes are described: (a) assessment, establishment of the therapeutic alliance, and determination of shared goals; (b) a mixed "modular" intervention adapted to the foci of treatment; and (c) preparation for termination and separation. Following this, the article turns to a case vignette and the subsequent intervention to illustrate the application of the principles of the multi-module intervention paradigm described herein.