Full Course Description


PART 1 Learning Objectives: 

Session I: Trauma and the Body

Objectives:      

1. Demonstrate knowledge of three neurobiologically-based trauma responses and articulate how this information may inform choice of treatment interventions.

2.  Explain how the somatosensory and autonomic effects of trauma exacerbate symptoms of PTSD in clients.

3.  Assess the role and treatment implications of procedural learning and memory in client presentations.

4. Incorporate sensorimotor interventions into treatments to decrease symptoms of PTSD in clients.


Session II                                

Working with the Complications of Dysregulation: Addictions, Eating Disorders, & Self-Destructive Behavior       

 

Objectives:

1. Assess the relationship between autonomic dysregulation and addictive or self-destructive behavior in relation to assessment and treatment planning.

2.  Articulate the necessity for an integrated treatment of trauma and addictive or suicidal behavior to improve treatment outcomes.

3. Assess appropriate cognitive-behavioral techniques for treating autonomic dysregulation in clients.

4. Specify three somatic techniques for regulating autonomic arousal traumatic reactions.

 

Session III  
Working with Traumatic Memory: Principles and Techniques

 

Objectives:

1. Define ‘implicit memory’ and breakdown its role in post-traumatic stress disorders

2. Explain potential complications of addressing narrative memories of traumatic events in treatment sessions.

3. Specify three interventions that address these complications and ensure safe, effective processing.

4.  Analyze the efficacy of these interventions and distinguish the signs that traumatic memory has been sufficiently processed.


Session IV                               
Disorganized Attachment and the Traumatic Transference

 

Objectives:

1. Outline the root causes of ‘disorganized attachment’ status in children and its clinical implications.

2.  Specify the symptoms and difficulties associated
with disorganized attachment in relation to assessment and treatment planning.

3.   Articulate the role of disorganized attachment on therapeutic transference/countertransference.                                              
4.   Utilize clinical strategies that reduce the complications of traumatic attachment in clients.

 

Session V                                

The Role of Dissociation in Trauma-Related Disorders 

Objectives;

1. Differentiate ‘dissociative states’ versus ‘structural dissociation’ as symptoms of trauma and express their treatment implications.
2.  Evaluate the role of structural dissociation in the treatment of complex trauma and personality disorders.
3. Explain common trauma-related internal conflicts and their impact on clients in the context of treatment models.
4. Utilize mindfulness-based interventions to address resolution of internal conflicts in clients


Session VI                               
Working with Shame, Fear and Anger

Objectives:

1. Articulate the role of shame as an adaptation to trauma and its treatment implications.
2.  Specify the roles of fear and anger as animal defense survival responses to traumatic experiences in clients.

3.  Demonstrate use of both somatic and cognitive interventions to decrease shame, fear and anger in clients.

4.   Explain the role of re-framing in the successful treatment of post-traumatic emotional responses.


PART 1 OUTLINE

I.  Session I:  Trauma and the Body

  1. How the body and brain respond to threat
  2. Implicit remembering as the hallmark of trauma-related disorders
  3. Triggers and triggering
  4. The long-term somatosensory and psychological effects of traumatic experiences
  5. Understanding trauma-related procedural learning
  6. Working with the traumatized nervous system
  7. Restoration of precortical functioning
  8. Increasing client ability to regulate the nervous system and tolerate triggering

 

II.  Session II:  Working with Complications of Dysregulation

  1. The consequences of autonomic dysregulation
  2. Addictive behavior
  3. Eating Disorders
  4. Suicidal and self-harming behavior
  5. Post-traumatic complications of abstinence and sobriety
  6. An integrated treatment for trauma and unsafe/addictive behavior
  7. Top-down approaches to regulating dysregulation
  8. Bottom-up somatic approaches to regulating dysregulation
  9. Differentiating unsafe versus ‘safer’ versus safe behavior

 

III.  Session III:  Working with Traumatic Memory:  Principles and Techniques

  1. What brain science has taught us about traumatic memory
  2. Recognizing and understanding implicit memory in client presentations
  3. Do we treat traumatic events?  Or do we treat their consequences?
  4. Remembering vs. reprocessing vs. repairing
  5. ‘Telling the story’
  6. Resolving the implicit memories
  7. How do we know when memories have been adequately resolved?
  8. Creating a healing story

 

.

IV.  Session IV:  Disorganized Attachment and the Traumatic Transference

  1. Attachment and trauma
  2. The effect of having attachment figures who are neglectful or abusive
  3. “Frightening and frightened” parenting
  4. Disorganized attachment and its consequences
  5. Understanding the effect of disorganized attachment on the therapeutic relationship
  6. Traumatic transference challenges
  7. The therapist as a trigger and a neurobiological regulator
  8. Using the social engagement system to overcome the challenges

 

V.  Session V:  The Role of Dissociation in Trauma-Related Disorders

            A.  Dissociation:  normal versus pathological dissociation

            B.  Dissociative states versus structural dissociation

            C.  Understanding the structural dissociation model as a trauma model

            D.  Using mindfulness techniques to identify emotional and behavioral responses as ‘parts’

            E.  Recognizing internal conflicts as survival-related conflicts driven by structurally dissociated parts

            F.  Mindfulness-based interventions to strengthen client resources and prefrontal functioning

            G.  Developing empathic relationships to one’s parts

            H.  Resolving inner conflicts and healing the past

 

IV.  Session VI:  Working with Shame, Fear and Anger

  1. The role of emotion in trauma treatment
  2. Shame as a survival strategy
  3. Using somatic and mindfulness-based interventions to address the effects of shame
  4. Fear as an animal defense response
  5. Changing client relationships to fear
  6. Anger as an animal defense response
  7. Re-framing anger as a ‘bodyguard’ or protection
  8. Using somatic and mindfulness-based interventions to address fear and anger

 


PART TWO

Program Information

Objectives

Session I - Introduction to the Treatment of Dissociation

Objectives:

  1. Describe three signs or symptoms of ‘complex trauma’
  2. Articulate the role of the Structural Dissociation model in trauma treatment
  3. Discriminate symptoms caused by activity of trauma-related parts
  4. Describe the use of mindfulness-based techniques in the treatment of dissociation

Session II - Increasing Awareness of Dysregulated Parts and Dissociative States

Objectives:

  1. Identify signs of dissociative parts observed in physical presentation and facial expression
  2. Differentiate characteristics of fight, flight, freeze, attach and submit parts
  3. Define the term ‘blending’ as it applies to structurally dissociated parts
  4. Recognize and describe dissociative “switching”

Session III - Working with Traumatic Memory in DID: Implicit Memory and Animal Defense Survival Responses

Objectives:

  1. Differentiate implicit memories versus situational emotional responses
  2. Identify role of animal defense survival responses in dissociative disorders and their relationship to traumatic memory
  3. Identify trauma-related internal conflicts frequently observed in trauma-related disorders
  4. Discuss indications and best practices for processing traumatic memories  

Session IV - Working with Regression, Aggression and Passivity

Objectives:

  1. Articulate the role of regression and aggression as survival responses to threat
  2. Specify verbal and somatic interventions for working with client dependency and/or aggression
  3. Articulate the role of depression as an adaptation to trauma
  4. Specify cognitive and somatic interventions for addressing chronic depressive states

Session V - Traumatic Attachment and the Treatment of Dissociative Disorders

Objectives:

  1. Discuss the concept of “controlling strategies” as a complication of disorganized attachment
  2. Identify the interaction between traumatic attachment and self-destructive behavior
  3. Articulate the effects of traumatic/disorganized attachment on the transference
  4. Demonstrate uses of right brain-to right brain communication to address attachment-related issues
  5. Discuss the use of the social engagement system

Session VI - Integration and Healing

Objectives:

  1. Articulate the traditional view of ‘integration’ as it pertains to dissociative disorders treatment
  2. Identify interventions for increasing internal communication and cooperation among parts
  3. Define the ‘negativity bias’ and its effects on psychological health and resilience
  4. Outline the role of self-acceptance and compassion in the healing process

Outline

Session I - Introduction to the Treatment of Dissociation

  • What distinguishes ‘complex trauma’ symptoms from the symptoms of simple PTSD?
  • The Structural Dissociation model as a trauma model
  • Assessment and diagnosis of dissociative symptoms
  • Assessment questions and measures
  • Mindfulness-based techniques in the treatment of dissociation
  • Teaching mindfulness skills to fragmented individuals
  • Differentiating structurally dissociated parts of the personality
  • Using the language of parts

Session II - Increasing Awareness of Dysregulated Parts and Dissociative States

  • Treatment challenges in working with complex trauma and dissociation
  • Identifying signs and symptoms of dissociative parts
  • Differentiating the presence of fight, flight, freeze, attach and submit parts
  • Increasing dual awareness
  • Dissociative switching and “blending”
  • Helping clients increase their ability to “unblend” from trauma-related parts
  • Helping clients decrease dissociative “switching”
  • Distinguishing psychotic versus dissociative symptoms

Session III - Working with Traumatic Memory in DID: Implicit Memory and Animal Defense Survival Responses

  • Memory systems:  explicit and implicit, voluntary versus involuntary
  • The role of procedural memory in complex trauma
  • Helping clients differentiate implicit and procedural memories from situational responses
  • Dissociative compartmentalization as a complication in memory processing
  • Loss of a sense of time and place due to fragmentation
  • Re-thinking the role of witnessing client’s traumatic experiences
  • Discuss indications and best practices for processing traumatic memories in this population       
Session IV - Working with Regression, Aggression and Passivity
  • Traumatic attachment and animal defenses
  • The “controlling strategies” in individuals with disorganized attachment
  • Regression and aggression as controlling strategies driven by trauma-related parts
  • Working with regressive states and child parts
  • Aggression in therapy: devaluing and self-destructive behavior
  • Working with verbally abusive and devaluing parts
  • Depressive states as an adaptation to trauma
  • Interventions for addressing chronic depressive states
Session V - Traumatic Transference in the Treatment of Dissociative Disorders
  • Stimulation of the attachment system in therapeutic relationships
  • Effects of traumatic/disorganized attachment on the transference
  • Why some clients become more dysregulated rather than less
  • Co-regulation and right brain-to right brain communication
  • How therapists can use contingent co-regulation in treatment
  • Internal attachment versus self-alienation
  • Using the social engagement system
  • Rupture and repair: visualization techniques for repairing childhood attachment failure  
Session VI - Integration and Healing
  • ‘Integration’ as the goal of dissociative disorders treatment
  • What does it mean to be “integrated”?
  • The evolution of treatment models for dissociative disorders
  • Identify interventions for increasing internal communication and cooperation among parts
  • Markers of progress in fragmented individuals
  • How should clients and therapists define “healing”?
  • Self-acceptance and compassion in the healing process
  • Best practices in trauma treatment


Bonus: Trauma Defined: Bessel van der Kolk on The Body Keeps the Score

Program Information

Outline

The Latest Clinical Research Surrounding:

  • The impact of trauma on brain activity
  • Neurofeedback, EMDR and “body work” on symptom reduction
  • The effectiveness of movement, mindfulness and theater activities in trauma treatment

Objectives

  1. Explain how trauma influences the activity of the key areas of the brain and how that dictates behavior patterns.
  2. Articulate the clinical research surrounding the effectiveness of yoga, mindfulness meditation, and theater in healing trauma in clients.

Copyright : 09/02/2014

Bonus: Overcoming Trauma-Related Shame and Self-Loathing with Janina Fisher, Ph.D.

Program Information

Objectives

  1. Discriminate the clinical implications of physiological and cognitive contributors to shame.
  2. Describe cognitive-behavioral, ego state, and psychoeducational interventions to address shame in clinical practice.

Outline

The Neurobiology of Shame

  • The role of shame in traumatic experience
  • Shame as an animal defense survival response
  • Effects of shame on autonomic arousal
Shame’s Evolutionary Purpose
  • Shame and the attachment system
  • Rupture and repair in attachment formation
Making Meaning of Shame
  • Feelings of disgust, degradation, and humiliation are interpreted as “who I am”
  • Cognition and the body
  • Internal working models predict the future and determine our actions
Working from the “Bottom Up”
  • The role of procedural learning and memory
  • Physiological effects of mindful dual awareness
  • Using mindfulness-based techniques to inhibit self-judgment
A New Relationship to the Shame: Acceptance and Compassion
  • Re-contextualizing shame as a younger self or part
  • Bringing our adult capacity to our childhood vulnerability
  • Healing shame through compassionate acceptance
The Social Engagement System and the Healing of Shame
  • Social engagement and the ventral vagal system (Porges)
  • The incompatibility of shame and social engagement
  • The therapist’s own social engagement system as a healing agent

Copyright : 12/09/2013