Applying the Role-Oriented Integrated Model to Treat Clients with Complex Trauma

Abstract

Complex trauma manifests through symptoms that suggest deep psychological distress, posing significant challenges for effective therapy. Through the lens of Moreno’s Role Theory, the Role-Oriented Integrated (ROI) model addresses this complexity by integrating the role-based elements from three therapeutic approaches: the Therapeutic Spiral Model, Internal Family Systems, and Post-Induction Therapy. Enhanced by principles from the role method and incorporating improvisational enactments from rehearsals for growth, the ROI model offers a unique, role-focused approach to treat complex trauma. This paper delineates the theoretical framework of the ROI Model, including its grounding in Moreno’s concepts of role development and integration, and details its application in an 8-week structured group therapy program. It presents preliminary treatment outcomes from a small sample size, demonstrating notable effectiveness and underscores the need for further research with more robust methodologies to explore its wider clinical utility and efficacy. This study aims to contribute to the advancement of therapeutic methods for managing the diverse symptoms associated with complex trauma.