Course: Therapeutic Spiral Model (TSM) Psychodrama: Theory & Practice with Trauma. How the Therapeutic Spiral Model Works? Foundations and Expansions.

Module 5. Doubling with Linda Ciotola

Explore the potency of Doubling in TSM psychodrama. Practice it with the expert Linda Ciotola.


(100 Days Access)

What is TSM?

This video course introduces Innovative Clinical Psychodrama as an effective and safe method for treating trauma and PTSD. Recent research in the neurobiology of trauma and attachment underscores the efficacy of experiential, body-based approaches in psychotherapy and education. Clinicians working with trauma aim to establish a secure and contained therapeutic environment. Action therapy plays a pivotal role but can sometimes trigger unprocessed trauma material, leading to flashbacks and decompensation. TSM, developed by Board Certified Psychodrama Trainers, Educators, and Practitioners Kate Hudgins, Ph.D., and Francesca Toscani, M.Ed., TEP, serves as a guide for trauma treatment. TSM integrates classical psychodrama, attachment theory, and insights from interpersonal neurobiology and trauma theory, enhancing safety and structure when working with trauma.

As Zerka Moreno eloquently put it, Doubling lies at the core of TSM's transformative power. When your clients face roadblocks, feel overwhelmed, or become stuck, Doubling becomes your compass to guide them forward. This module presents the TSM's Doubling technique, which is transcending traditional talk therapy. It demonstrates Doubling techniques: Body Double, Classical Double, Containing Double, Triple Double, Doubling in trauma work, along with  safety considerations, intuition, prescriptive roles, and the insights of neurobiology. Join the transformative individual therapeutic session of the counselor from the US led by Linda, putting the TSM foundations into action.

This module is designed for:

• Therapists

• Social workers

• Psychologists

• Counselors (including substance use counselors)

• Psychodramatists

• Educators

• Coaches 

Appropriate for those who are new to action methods, as well as experienced practitioners, students in mental health fields, and those who want to develop their skills in action methods. Acting skills are not necessary.

How and where to use:

• Issues/concerns: trauma work, ptsd, cptsd

• In Clinical and non-clinical setting

• Individual and group setting

• Online and in-person (therapy, counseling, classes, group leading)

• Education and Coaching 

This model provides a secure and effective approach for various objectives, including class management, fostering group cohesion, supporting group development, facilitating organizational development, and addressing business-related tasks.

Learning Objectives: 

• Differentiate between classical and TSM doubling, highlighting key distinctions in their practical applications.

• Demonstrate how to utilize Doubling techniques in diverse scenarios and therapeutic contexts, expanding their application in support of individuals on their journey of healing and personal growth.

Module highlights: 

• Warm Up: Demonstrate the Body, Containing and Triple Doubling, enabling effective integration into psychodrama therapy.

• Action: Apply the practical skill of guiding protagonists and group members in the art of Doubling, fostering self-awareness and therapeutic engagement.

• Sharing: Discover that action methods help your clients to express long-hidden talents, feelings, and dreams.

• Engaging Content: Immerse yourself in 54 minutes of captivating video content 

• Comprehensive Resources: Access valuable handouts to reinforce your knowledge 


Linda Ciotola M.Ed., TEP, CET III, TSM Trainer, is co-author with Karen Carnabucci of Healing Eating Disorders with Psychodrama and other Action Methods - Beyond the Silence and the Fury, Jessica Kingsley, London, 2013; 2008 recipient of the Zerka Moreno Award and 2019 recipient with Nancy Alexander of the Collaborator's Award and Fellow of the ASGPP.

Module Includes:

Main Content:

• Videos - 54 min

• Handouts - 7 min

Recommended Content:

• Healing Trauma with the Therapeutic Spiral Model. Interview with Dr. Hudgins. Part 1

• Healing Trauma with the Therapeutic Spiral Model. Interview with Dr. Hudgins. Part 2

• Healing Trauma with the Therapeutic Spiral Models. Interview with Dr. Hudgins. Part 3

• The Intersecting Methods Model of Healing Trauma. Interview with L.Ciotola. Part 1

• The Intersecting Methods Model of Healing Trauma. Interview with L.Ciotola. Part 2

• The Intersecting Methods Model of Healing Trauma. Interview with L.Ciotola. Part 3

• Self Practicum - 15 min

• Test - 30 min 

• Course Survey - 5 min 

Hours for Certificate:

• 2 Hours on Action Exploration Education Certificate (applicable for Psychodrama certification - includes practicum, test and survey)

Information on Continuing Education Hours

Psychodrama professional certification training hours: 

American Board of Examiners - ABE accepts a maximum of 120 training hours for psychodrama distance learning. This module/course will count as asynchronous distance learning as long as the primary trainer approves it.

International Boards: You may be able to submit this certificate to your local Psychodrama board. Please contact your respective local board for information.

Experiential training hours: 

International Society of Experiential Professionals: ISEP accepts experiential training hours administered by a TEP trainer. More information will be provided shortly. 

Social workers, Marriage and Family Therapists, and Professional Counselors: 

• We are working on getting board's approvals and will update this information shortly. 

Other Disciplines:

• You may be able to submit this certificate for credits in other mental health disciplines. Please contact your local board for information.

Module Curriculum

*Recommended Videos Not Included in Total Hours for Certificate

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Therapeutic Spiral Model (TSM) Psychodrama: Theory & Practice with Trauma. How TSM works. Foundations and Expansions. 11 modules

TSM modified classical psychodrama, combined with the attachment theory and recent research in interpersonal neurobiology. Incorporating trauma theory to ensure safe applications while working with trauma. By taking this course you bring containment and structure into your work.  

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