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Table 1 Description of sessions

From: Life review therapy for holocaust survivors (LRT-HS): study protocol for a randomised controlled trial

Session no.TopicTherapeutic strategies
Module 1: Introduction and motivation, diagnostics and goal setting
 1Introduction and motivationIntroduction to and rationale of life review; tools (photos and other objects); life book; organizational issues
 2DiagnosticsDiagnostic investigation of symptoms, resources and social factors; overview over biography (“timeline”)
 3Goal settingSetting individual goals; preparation for first life review session
Module 2: Structured life review
 4–5ChildhoodQuestions on childhood; life book
 6AdolescenceQuestions on adolescence; life book
 7–8AdulthoodQuestions on adulthood; life book
 9–10IntegrationSummary and integration questions
Module 3: Narrative confrontation with the stressor
 11Pre-Holocaust experiencesGetting an overview about the experiences; clarifying the context of a single event; details of a single event; ending the narrative; making meaning of the event (often in the following session)
 12–13Holocaust experiencesGetting an overview about the experiences; clarifying the context of a single event; details of a single event; ending the narrative; making meaning of the event (often in the following session)
 14Post-Holocaust experiencesGetting an overview about the experiences; clarifying the context of a single event; details of a single event; ending the narrative; making meaning of the event (often in the following session)
Module 4: Examining stuck points
 15Identifying stuck pointsIdentifying functional and dysfunctional thinking in four domains; maybe beginning the discussion of dysfunctional thoughts
 16Discussing dysfunctional thoughtsChallenging dysfunctional thoughts (e.g. Socratic dialogue); formulating functional thoughts; introducing the exercise of writing a letter to the child-self
 17Letter to the child-selfReading the letter out loud; summarising the most important insights and conclusions for the future
Module 5: Recapturing life
 18Social contactsSharing biographic events and insights; reading the trauma narrative to relatives; maybe handing over the biography to relatives
 19Pleasant activitiesIndividual list of pleasant activities; planning activities; discussing problems with pleasant activities
Module 6: Closing the therapy
 20Concluding sessionRe-examining goals; evaluation of interventions; planning the future