Crisis Psychotherapy in Children with Post-Traumatic Stress Disorder: Method of Cognitive–Metaphorical Reconstruction of Traumatic Experiences in Drawings

  • Igor DobryakovEmail author
  • Irina Nikolskaya
Living reference work entry


Authors describe diverse manifestations of traumatic experiences in children of different ages. A child, unlike an adult, is still in the process of developing important body structures and the implementation of complex programs of genetic differentiation. It is assumed that psychotherapeutic interventions should take into account the specificity of stress reaction in children of different ages. Cognitive–metaphorical reconstruction of traumatic experiences in drawings is described in detail. Traumatic memories of a child are reconstructed metaphorically with the help of drawing and explanation of what has been drawn. “Dobryakov and Nikolskaya” model was effectively implemented in Azerbaijan, Chechnya, and North Ossetia.


Traumatic crisis Pathomorphism Level of psychological response “Mother-and-child” dyad “Dobryakov and Nikolskaya” model 

List of Abbreviations


Acute Stress Disorder

ICD − 10

International Classification of Disorders 10th edition


Post Traumatic Stress Disorder


  1. Batuev A et al. Biological and social in human nature. In: Batuev A, editor. Biopsychosocial nature of motherhood and childhood. Edition of St.-Petersburg State University: SPbGU; 2007. p. 8–40.Google Scholar
  2. Baumann U, Laireiter A-R. Individualdiagnostik interpersonaler Beziehungen. In: Pavlik K, Amelang M (Hrsg.). Ensyklopadie der Psychologie: Grundlagen und Methoden der Differentiellen Psychologie. Gottingen: Hogrefe; 1995. Band. 1. p. 609–43.Google Scholar
  3. Bemporad J. The psychological organization of depression. Am J Psychiatry. 1980;137:1360–5.CrossRefPubMedGoogle Scholar
  4. Demjanov J. PTSD in children in subacute and remote periods of terrorist act. In: Shpicina L, editor. Beslan’s children: diagnosis and rehabilitation of survivors. Saint-Petersburg: UNICEF; 2006.Google Scholar
  5. Dobryakov I. Clinical features of acute post-traumatic stress disorder in children of Beslan. Moscow. Russian Society of Psychiatrists: ID: MED-PRACTICE-M; 2005.Google Scholar
  6. Dobryakov I. Short-term integrative psychotherapy in children with post-traumatic stress disorders (PTSD): the experience of Beslan, Chechen Republic and Kyrgyzstan. In: Neuropsychiatrie de l’enfance et de l’adolescence. Juillet, Vol. 60 2012; p. 137.Google Scholar
  7. Dobryakov I, Nikolskaya I. Short-term crisis therapy of children with PTSD in the framework of the rehabilitation model of “Dobryakov and Nikolskaya”. J Neurol Psychiatry Korsakoff. 2009;109(12):29–33.Google Scholar
  8. Dobryakov I, Nikolskaya I. Crisis psychotherapy of children with PTSD from the perspective of levels of the defense systems. In: Modern aspects of the clinic, diagnosis and treatment of psychiatric syndromes in child psychiatry. Conference proceedings after the name of S. Mnukhin. Saint Petersburg; 2010. p. 121–27.Google Scholar
  9. Field TM. Early interactions between infants and their postpartum depressed mothers. J Infant Behav Dev. 1984;1990(7):517–22.CrossRefGoogle Scholar
  10. Garmezy N. Children under severe stress: critique and comments. J Am Acad Child Psychiatry. 1986;25:384–92.CrossRefGoogle Scholar
  11. Gean M. Psychiatry of early childhood (translation from English). Moscow: Medicine; 1999. p. 423–34.Google Scholar
  12. Isaev D. Emotional stress, psychosomatic and comatopsychic disorders in children. Saint Petersburg: Piter; 2005.Google Scholar
  13. Kovalev V. Children Psychiatry. Moscow: Medicine; 1979. 560 р.Google Scholar
  14. Kovalev V. Semiotics and diagnosis of mental disorders in children and adolescents. Moscow: Medicine; 1985a.Google Scholar
  15. Kovalev V. Children psychiatry. Moscow: Medicine; 1985b.Google Scholar
  16. Levy D. Maternal overprotection. J Psychiatry. 1938;1:561–78.Google Scholar
  17. Mahler MS. On human symbiosis and the vicissitudes of individuation. J Am Psychoanal Assoc. 1975;23:327–33.CrossRefPubMedGoogle Scholar
  18. Malgina G. Stress and pregnancy: perinatal aspects. Ekaterinburg: Charoid; 2002.Google Scholar
  19. Mikirtumov BE, et al. Klinical psychiatry of early childhood. Saint Petersburg: Piter; 2001.Google Scholar
  20. Nikolskaya I. Method of serial drawings and storytelling. Manual for psychiatrists and psychologists. Saint Petersburg: SPMAPS; 2009.Google Scholar
  21. Romek V, Kantorovich V, Krukovich EI. Psychological help in crisis. Saint Petersburg: Rech; 2004.Google Scholar
  22. Sorokin V. Characteristics of mental health of children in situations of hostages (The Case of Beslan). In: Childhood and society: socio-cultural context. Proceedings of the XII international conference “Child in the modern world. Family and Children”. Saint Petersburg; 2005. p. 73–6Google Scholar
  23. Spitz R, Godfrey Cobliner W. Psychoanalysis of early childhood (translation from English). Moscow: Universitetskaya kniga; 1963; 2001. p. 59.Google Scholar
  24. Tarabrina N. Practical guidance on psychology of PTSD. Part 1. 1st ed. Moscow: Kogito-Center; 2007. p. 208.Google Scholar
  25. Yule W, Williams R. Post-traumatic stress reactions in children. J Trauma Stress. 1990;3(2):279–95.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Department of PsychologySaint-Petersburg State UniversitySt. PetersburgRussia
  2. 2.Department of Child’s Psychiatry, Psychotherapy and Clinical PsychologyNorth-Western State Medical University named after I. MechnikovSt. PetersburgRussia

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