Treating Complex Trauma in Adolescence: A Case Study of Brief Focal Psychotherapy After Vicarious Gender Violence and Child Abuse

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Publicado no:Behavioral Sciences vol. 15, no. 6 (2025), p. 784
Autor principal: Rosell-Bellot, Georgina
Outros Autores: Izquierdo-Sotorrío, Eva, Huertes-del Arco Ana, Rueda-Extremera María, Brenlla, María Elena
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MDPI AG
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100 1 |a Rosell-Bellot, Georgina  |u Facultad de Ciencias de la Salud y la Educación, Universidad a Distancia de Madrid, 28010 Madrid, Spainana.huertes@udima.es (A.H.-d.A.); maria.rueda@udima.es (M.R.-E.); mariaelena.brenlla@udima.es (M.E.B.) 
245 1 |a Treating Complex Trauma in Adolescence: A Case Study of Brief Focal Psychotherapy After Vicarious Gender Violence and Child Abuse 
260 |b MDPI AG  |c 2025 
513 |a Case Study Journal Article 
520 3 |a This study aims to illustrate the impact of accumulated traumatic experiences in adolescence and to evaluate the potential of brief focal psychotherapy (BFP) as a treatment approach for complex trauma. We present the case of a 14-year-old boy who experienced vicarious gender-based violence, child abuse, early maternal separation without alternative secure attachment figures, and forced sudden migration. The patient exhibited symptoms consistent with post-traumatic stress disorder (PTSD) and complex trauma. The culturally sensitive intervention, delivered at a public child and adolescent mental health center, consisted of twenty weekly individual sessions of 45 min each, complemented by three 45 min psychoeducation sessions with the caregiver. The assessment was conducted using a multitrait and multi-informant approach, systematically gathering information across multiple domains of functioning (emotional–behavioral, physical, cognitive, self-perception, and relational) and from different sources (the adolescent, his mother, and the clinician) through clinical interviews, projective techniques, and parental feedback. The primary therapeutic focus was the establishment of a secure therapeutic alliance to facilitate emotional exploration and trauma processing. Following treatment, the patient demonstrated significant improvements in emotional regulation, family relationships, and school performance, as measured by both self-report and parental observations. This case highlights the potential of BFP in addressing complex trauma in adolescents, particularly during a developmental stage marked by increased vulnerability to the effects of chronic trauma exposure. The findings suggest that BFP can effectively reduce both acute symptomatology and broader psychosocial consequences associated with prolonged and cumulative trauma. Further research, particularly controlled studies and longitudinal follow-ups, is needed to refine and optimize the use of BFP by mental health professionals working with adolescents affected by complex trauma. 
610 4 |a World Health Organization 
653 |a Child development 
653 |a Gender-based violence 
653 |a Psychotherapy 
653 |a Trauma 
653 |a Cognitive behavioral therapy 
653 |a Families & family life 
653 |a Self image 
653 |a Children & youth 
653 |a Mental health 
653 |a Child abuse & neglect 
653 |a Cognitive ability 
653 |a Adolescence 
653 |a Childhood 
653 |a Teenagers 
653 |a Post traumatic stress disorder 
700 1 |a Izquierdo-Sotorrío, Eva  |u Facultad de Ciencias de la Salud y la Educación, Universidad a Distancia de Madrid, 28010 Madrid, Spainana.huertes@udima.es (A.H.-d.A.); maria.rueda@udima.es (M.R.-E.); mariaelena.brenlla@udima.es (M.E.B.) 
700 1 |a Huertes-del Arco Ana  |u Facultad de Ciencias de la Salud y la Educación, Universidad a Distancia de Madrid, 28010 Madrid, Spainana.huertes@udima.es (A.H.-d.A.); maria.rueda@udima.es (M.R.-E.); mariaelena.brenlla@udima.es (M.E.B.) 
700 1 |a Rueda-Extremera María  |u Facultad de Ciencias de la Salud y la Educación, Universidad a Distancia de Madrid, 28010 Madrid, Spainana.huertes@udima.es (A.H.-d.A.); maria.rueda@udima.es (M.R.-E.); mariaelena.brenlla@udima.es (M.E.B.) 
700 1 |a Brenlla, María Elena  |u Facultad de Ciencias de la Salud y la Educación, Universidad a Distancia de Madrid, 28010 Madrid, Spainana.huertes@udima.es (A.H.-d.A.); maria.rueda@udima.es (M.R.-E.); mariaelena.brenlla@udima.es (M.E.B.) 
773 0 |t Behavioral Sciences  |g vol. 15, no. 6 (2025), p. 784 
786 0 |d ProQuest  |t Science Database 
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