Prepared and Still Surprised


  • Yuval Palgi Tel Aviv University, Department of Psychology
  • Menachem Ben-Ezra Ariel University Center at Samaria, School of Soial Work



Acute Stress Disorder (ASD), narrative therapy, traumatic nucleus


Farnsworth and Sewell (2010) and Currier (2010) have provided commentaries on our case study of paramedic Mr. G, who was suffering from Acute Distress Disorder and whom we treated employing our "Back to the Future" therapy (BFT) model. These authors identify and discuss a number of important issues raised by our case study. In this response to their commentaries, we focus on three of their important points: how the therapist balances directive versus collaborative roles in working within the BFT model; whether in therapy to address or not to address the "traumatic nucleus" of an ASD victim's initial memories of a traumatic experience; and the types of clients for whom the BFT model is particularly applicable. Our responses to these issues are designed to generally illuminate the BFT model, to make it more applicable for much-needed further research study, and to provide additional guidance for clinicians considering whether and how to employ it with their clients.

Author Biography

Yuval Palgi, Tel Aviv University, Department of Psychology

Tan Fishman, Ph.D. Editor-in-Chief, Pragmatic Case Studies in Psychotherapy Professor of Clinical and Organizational Psychology Graduate School of Applied and Professional Psychology Rutgers University Mailing address: 57 Jaffray Court Irvington, NY 10533 914-693-8549 fax: 603-917-2567 email:




How to Cite

Palgi, Y., & Ben-Ezra, M. (2010). Prepared and Still Surprised. Pragmatic Case Studies in Psychotherapy, 6(1), 43–48.