Create a testimony document
NET produces a written testimony of the person’s life — a document that the person and therapist co-author and that the person keeps.
Why it works
The testimony is the written record of the narrative work: a chronological life account that includes the traumatic events placed in their biographical context. The document serves two functions. First, writing and reading it is part of the exposure and integration process. Second, the completed document gives the person an external, storied account of their own life that carries the therapeutic recontextualization — a counter to the fragmented, shame-laden internal narrative that PTSD often produces. In many humanitarian contexts, the testimony is also shared publicly as a form of witnessing.
How to do it
- The therapist reads back the narrative at each session, corrects it with the client, and adds it to the growing written document.
- After all trauma hotspots have been narrated, the therapist produces a complete, coherent written account.
- The document is read to the client and a corrected final version is given to them to keep.
- In some contexts, the client may choose to share the testimony — with trusted others, advocacy groups, or as historical record.
Evidence
The testimony component is part of the full NET protocol across all trials. Its specific contribution as a therapeutic element has not been isolated. As a humanitarian tool, the public testimony tradition has been used in truth and reconciliation processes with qualitative reports of meaning and integration, but controlled evidence does not exist for the testimony step separately. (clinical)
The testimony is integral to NET as delivered in research; its specific mechanism contribution (beyond the narrative exposure itself) is not experimentally isolated.
Sources
- Schauer et al. (2011), NET manual — testimony as a core protocol element
Common mistake
Treating the written testimony as an end product rather than part of the therapeutic process. The reading and correcting of the draft with the therapist — not just the final document — is part of the exposure and integration.
Practice this with IX Coach
7 days free, then $40/month (~$1.30/day).
More practices for Narrative Exposure Therapy (NET): Weaving Trauma Into a Coherent Life Story
- Construct a lifeline
Lay out your entire life chronologically using symbolic markers — stones for traumatic events, flowers for positive ones.
- Narrate the trauma in chronological order within its life context
Tell the story of a traumatic event — before, during, and after — in the context of the surrounding life.
- Work the four channels of traumatic memory: sense, emotion, cognition, meaning
NET explicitly addresses all four channels in which trauma is encoded — not just thought.
- Use NET for sequential and complex trauma
Unlike single-event protocols, NET is specifically designed for people who have experienced multiple traumas.
- Understand that NET can be delivered by trained non-clinicians
NET is specifically designed for low-resource settings and has been validated when delivered by trained laypersons — not only psychologists.
Related concepts
- Prolonged Exposure Therapy: Principles, Practices, and the Evidence
Extinction learning, avoidance reversal, and the most evidence-supported PTSD protocol
- Cognitive Processing Therapy (CPT): Unsticking the Meanings That Maintain PTSD
Stuck points, the impact statement, and cognitive restructuring for trauma-related beliefs
- EMDR: Eye Movement Desensitization and Reprocessing
A structured approach to processing traumatic memory — what works and what we still debate