Human Givens Rewind Treatment for PTSD and Sub-threshold Trauma
In 2017, as part of her PsyD research an experienced clinical psychologist Dr Shona Adams carried out a systematic review and meta-analysis evaluation into the effectiveness of the rewind technique,* a refined version of which human givens therapists use as part of their therapeutic toolkit. She also conducted an empirical study with 44 participants who each received rewind treatment as part of their HG therapy. Finally, she completed a service evaluation for a single session pilot ‘Trauma clinic’ in the NHS using rewind. The research was published on the University of Leicester’s website under their theses collection for the Department of Neuroscience, Psychology and Behaviour, and is currently being submitted for publication in a peer-reviewed journal.
Rewind is a trauma-focussed imaginal exposure technique for post-traumatic stress disorder (PTSD) and sub-threshold trauma that is incorporated into Human Givens (HG) therapy. It has been claimed that multiple traumas can be treated in a single Rewind session and that trauma details do not need to be discussed during treatment. This dissertation intended to evaluate Rewind within the context of HG therapy.
A systematic review and meta-analysis evaluated all known studies on the efficacy of Rewind and HG therapy, including grey literature. There were 24 studies that met inclusion criteria for the systematic review. The quality of studies was mixed. While there was a lack of usable controls, all 13 studies in the meta-analysis had high data capture rates and low attrition rates. The effect size was equivalent to CBT benchmarks. The review considered issues in presenting data using effect size, ‘recovery’ rates, and ‘reliable improvement’. Results suggested that Rewind was a promising treatment and that practice-based studies could produce reliable, high quality data.
The empirical study, completed prior to the meta-analysis, investigated the efficacy and acceptability of a single Rewind treatment session and assessed the efficacy of HG therapy against benchmarks. The Rewind treatment session was more effective than control treatment sessions in reducing symptoms and improving satisfaction with life. Severe, chronic and multiple traumas were effectively treated in a single session but many participants required further treatment. The Rewind session was rated as acceptable as other treatment sessions. Outcomes of HG therapy were comparable to CBT benchmarks, however, as there was no randomisation no conclusions should be drawn in comparing treatments.
A pilot single session Rewind Clinic was assessed in the service evaluation. Service user pathways and qualitative data were collected. Most service users found the treatment helpful and acceptable, with 37% not requiring further treatment. Preliminary evidence suggested Rewind might have made treatment more accessible for shame-based traumas. More research is necessary.
*The rewind technique
This technique originated from NLP and was often called the Visual/Kinaesthetic Dissociation technique, the term ‘Rewind Technique’ being originally coined by Dr David Muss when he introduced it to the UK.
The version of the Rewind Technique that human givens therapists use was refined by Joe Griffin and Ivan Tyrrell to make it as reliably effective as is possible by aligning it with their insights into how trauma and phobias are processed in the brain. Human givens practitioners now follow a specific Rewind Protocol which follows the essential steps of the process that they set out.
The Rewind Technique as taught by HG College is a non-intrusive, safe and highly effective psychological method for detraumatising people, which can also be used for removing phobias. It should be carried out by an experienced practitioner and is only performed once a person is in a state of deep relaxation.