Journal writing and other forms of writing therapy are based on the premise that the mind and the body are inseparably joined in the healing process. Although there are many methods of conducting journal writing therapy depending on the therapeutic technique of the psychologist or psychiatrist, the therapist often instructs the participant to write about a distressing or traumatic event or thought in one or more sessions.
Although researchers are uncertain about exactly how writing about traumas produces improvements in psychological well-being, traumatic stress researchers have pointed out that ordinary memories are qualitatively different from traumatic memories. Traumatic memories are more emotional and perceptual in nature. The memory is stored as a sensory perception, obsessional thought, or behavioral reenactment. It is associated with persistent, intrusive, and distressing symptoms, avoidance, and intense anxiety that results in observed psychological and biological dysfunction. Thus, one goal in treating traumatic memories is to find a means of processing them.
A narrative that becomes more focused and coherent over a number of writing sessions is often associated with increased improvement, according to several research studies. The memories become deconditioned and restructured into a personal, integrated narrative. Changes in psychological well-being after writing therapy may result from cognitive shifts about the trauma either during or after the writing process.
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