Traumatology, Vol 29(2), Jun 2023, 102-111; doi:10.1037/trm0000376
The objective of this study is to examine the role of imagination, playfulness, and creativity in healing or coping with trauma. A range of evidence-based trauma-focused treatments use imagination effectively, though often without theoretical references. This article provides an up-to-date, nonsystematic literature review, exploring the presented objective and focusing on the role of imagination in the treatment of posttraumatic stress disorder (PTSD). A computerized literature search, defined inclusion criteria, and synthesis aim to promote understanding in the field. We review brain overlaps pertaining to imagination and PTSD, presenting a hypothesis that the hippocampus and the default mode network play an important role in both. Creativity is presented as a significant predictor of resilience after traumatic exposure. Moreover, we discuss how resilience to, and coping with, a traumatic event is enabled by using playfulness. Finally, we discuss the gap between the frequent use of imagination in the treatment of PTSD and the lack of intended understanding of its mechanisms that bring about change. The fantastic reality model is presented as a theoretical and applied concept used in the utilization of imagination and playfulness to support therapeutic change. SEE FAR CBT protocol is presented as a therapeutic integrative approach that combines body and cognition, accommodating imagination and playfulness as sources of recovery. It interweaves imagination as part of the renarration of trauma, allowing wishful/fantastic elements to foster healing and promote resolution. (PsycInfo Database Record (c) 2023 APA, all rights reserved)