Hotspot identification and updating is core component of the 'enhanced reliving' technique - cognitive restructuring within reliving for PTSD. In a typical course of therapy including enhanced reliving traumatic appriasals are identified during reliving, and updates are elaborated off-line (outside of reliving). Updated beliefs can then be inserted into the memory during another session of reliving by pausing to ask the critical question "and what do you know now?". This Hotspot Record is formatted to facilitate this off-line process. It include spaces to record the event/hotspot, associated emotion, appraisal or belief in that moment, and the updated belief or current knowledge. Clinicians are strongly urged to read the paper by Grey, Young & Holmes (2002) which clearly details this process.
Enhanced reliving consists of a number of steps:
- Identification of (peri-) traumatic appraisals & emotions
- Identifying current knowledge (what do you know now?)
- Integrating current knowledge back into the memory
- Ehlers, A., Clark, D. M. (2000). A cognitive model of posttraumatic stress disorder. Behaviour Research and Therapy, 38, 319-345 kognitifterapi.com archive.org (The canonical reference for the treatment of PTSD: Trauma-focused Cognitive Behavioural Therapy [TF-CBT]. This model is suitable even for more complex PTSD, within a phased approach)
- Grey, N., Young, K., & Holmes, E. (2002). Cognitive restructuring within reliving: a treatment for peritraumatic emotional "hotspots" in posttraumatic stress disorder. Behavioural and Cognitive Psychotherapy, 30, 37-56 researchgate.net archive.org