Abstract
ABSTRACT The NeuroAffective Relational Model (NARM) is a therapeutic model designed to treat Complex Post-Traumatic Stress Disorder (C-PTSD) integrating top-down (cognitive) and bottom-up (somatic) methods. Reinforcing client agency is one of the four pillars of the NARM model. This Interpretative Phenomenological Analysis investigated how NARM impacts client agency from the perspective of NARM Therapists. Fourteen NARM Therapists participated in a focus group to describe their work as a NARM trained trauma therapist treating clients who have experienced C-PTSD. The study revealed four themes that represent the phenomenon of client agency supported by the NARM model from the perspective of NARM Therapists. The emergent themes that support client agency include Connecting to Present Moment Awareness, Reflecting and Reinforcing Client Choices, Acknowledging Client Insight, and Contracting with the Client. Social workers can support clients experiencing C-PTSD by reinforcing client agency and utilizing trauma-informed approaches such as NARM to advance NASW standards for clinical social work practice standards one, two, and eleven (i.e. values and ethics, specialized practice skills, and interventions and professional development).
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