Stronger Than My Ghosts: Narrative Exposure Therapy and Cognitive Recovery in Later Life

Abstract

Background: To explore cognitive recovery during and after Narrative Exposure Therapy from the patient’s perspective, autobiographical material and interview responses were qualitatively analyzed. Method: Using a framework of cognitive development, patient-reported outcomes from four senior Dutch citizens (57–81 years of age) were examined. All participants reported multiple traumatic experiences, including adverse childhood experiences. Results: During and after treatment, the participants reported gradual changes in posttraumatic feelings, cognitions, and treatment-related perceptions toward increased self-awareness and self-esteem. Conclusions: A framework of cognitive development provides a comprehensive understanding of how older adults deal with childhood trauma and its consequences.