Full Course Description

2-Day Intensive Workshop: Shame and Self-Loathing in the Treatment of Trauma

Shame... have you noticed how it sticks like super glue to our clients and acts as a barrier to trauma resolution?

Even after effective trauma treatment, shame and self-loathing can interfere with our clients’ full participation in life.

Watch world-renowned complex trauma and attachment expert Janina Fisher, PhD, as she reveals today’s most effective modalities for treating shame and self-loathing in trauma clients.

The body-oriented interventions featured in this recording will help clients relate to their symptoms with mindful dual awareness and curiosity so that, when integrated with traditional psychodyanamic, cognitive-behavioral, and EMDR techniques, issues of shame can become an avenue to transformation rather than a source of stuckness.

If you are frustrated with the lack of treatment success with traumatized clients with chronic shame, this live webcast will provide the solutions for long-term healing.

Key Benefits:

  • Discover how shame complicates trauma treatment and how addressing shame can help you expedite recovery.
  • Help clients get unstuck, transform shame, and improve treatment outcomes.
  • Teach clients to manage shame without resorting to destructive measures.
  • Reduce judgmental thoughts and reactivity with mindfulness.
  • Cultivate secure self-attachment and self-acceptance.
  • Build resiliency to shame with interventions based on empathy, forgiveness and compassion

Program Information


  1. Describe the neurobiological effects of traumatic experience.
  2. Recognize role of autonomic arousal in exacerbating symptoms.
  3. Identify animal defense survival responses in trauma clients.
  4. Evaluate the effects of shame and self-loathing symptoms, and identify how these symptoms inform treatment interventions.
  5. Determine the impact of the neurobiological effects of shame observed in clinical practice.
  6. Evaluate cognitive schemas and its clinical implications.
  7. Articulate the principles of Sensorimotor Psychotherapy and how they relate to clinical treatment.
  8. Apply simple yet effective clinical interventions drawn from Sensorimotor Psychotherapy to alleviate shame symptoms in clients.
  9. Utilize cognitive-behavioral techniques to reframe shame-based cognitive schemas.
  10. Integrate mindfulness-based techniques to inhibit client’s self-judgement.
  11. Describe a somatic approach to resolving chronic shame.
  12. Implement ego state techniques to challenge and re-contextualize chronic shame.


The Neurobiology of Shame

  • The role of shame in traumatic experience
  • Shame as an animal defense survival response
  • Effects of shame on autonomic arousal
  • Why shame can be treatment-resistant
  • Limitations of research & potential risks

Shame and Attachment: Its Evolutionary Purpose

  • Shame and the attachment system
  • Rupture and repair of shame states in attachment formation
  • What happens to shame without interpersonal repair
  • Shame as a defensive response to traumatic attachment

The Meaning of Shame in the Treatment of Trauma

  • Trauma and procedural learning
  • Shame as a survival strategy
  • Implicit memory of disgust, degradation and humiliation
  • Shame-based meaning-making
  • Cognitive schemas that exacerbate shame
  • Vicious circle of shame
  • Vicious circle of shame and anger Internal working models

Treating Shame

  • Why shame is hard to overcome
  • Sensorimotor Psychotherapy: physiological state as the entry point for treatment
  • Mindfulness-based techniques to combat trauma responses
  • Regulate shame states with somatic interventions
  • Use mindfulness interventions to inhibit self-judgment
  • Work with shame as implicit memory
  • Work with shame-based cognitive schemas

Healing Shame: Acceptance and Compassion

  • Dis-identifying with the shame
  • Re-contextualize shame as a younger self or part
  • Shame and the Structural Dissociation model
  • Getting to know our “selves”
  • Recognize the role of critical voices and judgmental parts
  • Dual awareness of who we are now and who we were then bringing our adult compassion to our childhood vulnerability

Healing Shame in the Therapeutic Relationship

  • How can we use therapy to ‘repair’ shame states?
  • The role of therapeutic empathy
  • Therapists as neurobiological regulators
  • The social engagement system in trauma recovery
  • Incorporate playfulness, acceptance and curiosity

Target Audience

  • Counselors
  • Social Workers
  • Psychologists
  • Case Managers
  • Addiction Counselors
  • Therapists
  • Marriage & Family Therapists
  • Other Mental Health Professionals
  • Nurses

Copyright : 04/25/2019

Shame and the Disowned Self: Overcoming Internal Attachment Disorder

Many therapists believe the primary antidote to clients’ feelings of self-loathing, shame, and worthlessness is total acceptance and unconditional positive regard. But unfortunately, clients alienated from traumatized, disowned, or despised parts of themselves can’t internalize that message, no matter how hard the therapist tries. This interactive workshop will focus on an innovative approach to deeper healing that draws on Sensorimotor Psychotherapy, Internal Family Systems, and ego-state work to help clients discover and connect with their most troubled and disowned selves. You’ll explore how to:

  • Help clients develop curiosity toward their child selves rather than overidentifying with parts that hate vulnerability
  • Access clients’ inherent empathy and compassion for others
  • Become an “attachment broker,” using visualization and somatic techniques to bring a mindful adult and wounded child together
  • Help clients understand the role of early attachment wounds in their presenting issues

Program Information


  1. The Natural Cycle of Attachment Formation
    1. Attunement, Dysregulation, Repair
    2. Effect of Neglect and Abuse on Attachment Formation
    3. Attachment & Brain Development
    4. Attachment Styles
  2. Trauma & Alienation from One’s Self
    1. Early Body & Emotional Experience
    2. Manifestations of Self-Alienatio
  3. Brain Research
    1. Remembering Somatically
    2. Right vs. Left Brain Hemispheres
    3. Structural Dissociation Model
    4. Split-Brain Research
    5. Case Study
    6. Question & Answer Period
  4. Understanding “Parts”
    1. Internal Community
    2. Alienated Parts Experienced as Feelings
    3. Repairing Internal Attachments
      1. Integration of Structural Dissociation and Internal Family Systems (IFS)
      2. The Language of Parts
      3. Blending vs. Unblending
  5. Establishing a Relationship between the Adult Self & Parts
    1. From Alienation to Attachment
    2. Repair & Internal Attachment
      1. Video Demonstration
    3. Increasing Capacity for Social Engagement
    4. Social Engagement System of the Therapist


  • Explore how to help clients develop curiosity toward their child selves rather than overidentifying with parts that hate vulnerability
  • Explore how to access clients’ inherent empathy and compassion for others
  • Explore how to become an “attachment broker,” using visualization and somatic techniques to bring a mindful adult and wounded child together
  • Explore how to help clients understand the role of early attachment wounds in their presenting issues

Target Audience

Psychologists, Physicians, Addiction Counselors, Counselors, Social Workers, Marriage & Family Therapists, Nurses, and other Behavioral Health Professionals

Copyright : 03/24/2017

Working with Somatic Components to Overcome Trauma Related Fears of Feeling Good

Witness and learn from master clinician and trauma expert Janina Fisher, PhD., in this series of compelling, real-life therapy sessions that demonstrate key moments in treating trauma and associated disorders with challenging clients. Each session includes an introductory teaching moment from Dr. Fisher, and is interspersed with commentary – giving you the best opportunity to truly learn proven therapeutic trauma techniques and improve treatment outcomes.

“M” is a 45-year-old woman who feels ready for a relationship but paralyzed by an inability to express positive feelings. Years of talking therapy have given her insight into this pattern as a legacy of early childhood trauma-without resolving it. During the session, client and therapist notice M’s shoulder twitching each time something positive is mentioned. Assuming that the shoulder is communicating specific beliefs or fears that can be addressed through internal dialogue, we ‘befriend’ the shoulder and explore the fears it warns her about. M experiences a relaxation in her guardedness-until a clinical error by the therapist triggers her at the very end of the session.

Program Information

Target Audience

Counselors, Psychologists, Social Workers, Marriage and Family Therapists Addiction Counselors, Psychotherapists, Case Managers Other Medical Professionals, Nurse Practitioners, Nurses


  1. Describe the characteristics of the split brain and its implications for trauma treatment.
  2. Discover aspects of sensorimotor psychotherapy as it relates to the treatment of trauma.


  1. Introduction of client
  2. Psychological Trauma Flip Chart
    1. The Split Brain
  3. Client Questions
  4. Recap and Analyzation with Janina
  5. Expressing Emotions
  6. Recap and Analyzation with Janina
  7. Anger
  8. Recap and Analyzation with Janina
  9. Accepting Anger
  10. Recap and Analyzation with Janina
  11. Safe feelings
  12. Recap and Analyzation with Janina
  13. Client Feelings Survival
  14. Recap and Analyzation with Janina
  15. Trusting the Protective Parts
  16. Recap and Analyzation with Janina
  17. Communicating with your Body
    1. The Trickle Down Affect
  18. Recap and Analyzation with Janina

Copyright : 01/01/2017