Janina Fisher's Trauma Treatment Certification Training (CCTP): The Latest Advances and Proven Techniques to Resolve Deeply Held Trauma

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Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.

Speaker

Janina Fisher, PhD Related seminars and products

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Janina Fisher, PhD, is a licensed clinical psychologist and former instructor at The Trauma Center, a research and treatment center founded by Bessel van der Kolk. Known as an expert on the treatment of trauma, Dr. Fisher has also been treating individuals, couples, and families since 1980.

She is past president of the New England Society for the Treatment of Trauma and Dissociation, an EMDR International Association Credit Provider, Assistant Educational Director of the Sensorimotor Psychotherapy Institute, and a former Instructor, at Harvard Medical School. Dr. Fisher lectures and teaches nationally and internationally on topics related to the integration of the neurobiological research and newer trauma treatment paradigms into traditional therapeutic modalities.

She is co-author with Pat Ogden of Sensorimotor Psychotherapy: Interventions for Attachment and Trauma (2015) and author of Healing the Fragmented Selves of Trauma Survivors: Overcoming Internal Self-Alienation (2017) and the forthcoming book, Working with the Neurobiological Legacy of Trauma (in press).

 

Speaker Disclosures:
Financial: Dr. Janina Fisher has an employment relationship with the Sensorimotor Psychotherapy Institute. She is a consultant for Khiron House Clinics and the Massachusetts Department of MH Restraint and Seclusion Initiative. Dr. Fisher receives royalties as a published author. She receives a speaking honorarium, recording royalties and book royalties from Psychotherapy Networker and PESI, Inc. Dr. Fisher has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Janina Fisher is on the advisory board for the Trauma Research Foundation. She is a patron of the Bowlby Center.

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Objectives

1. Demonstrate knowledge of three neurobiologically-based trauma responses and their clinical implications.
2. Theorize the treatment implications of how the somatosensory and autonomic effects of trauma exacerbate PTSD.
3. Assess the role of procedural learning and memory in client presentations.
4. Describe the relationship between autonomic dysregulation and addictive or self-destructive behavior to inform treatment interventions.
5. Specify three interventions for regulating autonomic arousal.
6. Categorize ‘implicit memory’ and its role in post-traumatic stress disorders.
7. Employ three interventions that ensure safe, successful memory processing.
8. Distinguish the signs that traumatic memory has been sufficiently processed.
9. Catalogue the root causes of ‘disorganized attachment’ status in children as it relates to case conceptualization.
10. Assess the clinical implications of the symptoms and difficulties associated with disorganized attachment in adults.
11. Evaluate the role of structural dissociation in the treatment of complex trauma and personality disorders.
12. Investigate common trauma-related internal conflicts and behavioral issues caused by structural dissociation.
13. Utilize mindfulness-based interventions that address resolution of internal conflicts.
14. Determine the role of shame as an adaptation to trauma in relation to treatment planning.
15. Propose 3 interventions for decreasing problematic shame, fear and anger. 

Outline

What is a ‘trauma’? 

• The neurobiological effects of traumatic experience 
• Impact of trauma on brain development 
• Threat and the developing brain 

How Trauma is Encoded in the Brain and Body 

• Implicit versus explicit memory  
• Procedural learning  
• Assessment of trauma-related symptoms and co-morbidities 
• Differential diagnosis of post-traumatic stress disorder, C-PTSD, developmental trauma 
• Assessment tools and scales 

Applications of Neurobiological Research to Treatment 

• Assumptions of neurobiologically-informed treatment 
• Helping clients increase activity in the prefrontal cortex 
• Fostering the growth of new neural pathways  
• Research risks and limitations     

Trauma-informed Treatment Planning 

• Addressing ongoing neurobiological effects of the trauma 
• Phase-oriented treatment model 
• Well-accepted trauma treatment approaches 
• Evidence-based treatments 
• Strategies from EMDR, IFS and SP  
• Contraindications for treatment  
• Stabilization Phase Treatment   
• Assist clients to identify and differentiate trauma-related symptoms  
• Observing triggers and triggering 
• Dis-identifying from implicit memories 
• Reframing the symptoms to reduce shame 

Use of Mindfulness-based Interventions  

• Mindfulness in the context of therapy 
• The effect of mindfulness on the brain 
• Using mindful language and interventions to promote neuroplastic change 

Implementing the Principles of Neuroplastic Change in Therapy 

• Inhibition of old patterns of thinking/behaving 
• Intensive repetition of new patterns or skills 
• Role of mindful concentration 

Treatment of Traumatic Memories 

• Implicit versus explicit memory 
• A neurobiologically-informed approach to processing explicit memory 
• Risk factors and complications of memory processing 
• Approaches to treatment of traumatic memory 

Resolving Implicit Memory 

• Treatment approaches for addressing implicit memory  
• Overcoming the fear of traumatic memory 
• Assessing when memory has been adequately processed 

Traumatic Attachment 

• When the source of safety is the source of threat 
• “Frightened” and “Frightening” caregiving 
• Disorganized-unresolved attachment as survival defense 
• Impact of disorganized attachment on affect regulation/dysregulation 

Effects of Disorganized Attachment in Therapy 

• Phobia of therapy and the therapist 
• Traumatic transference and disorganized attachment 
• Affect dysregulating effects of psychotherapy 
• Increasing regulatory ability in therapy 
• Right brain-to-right brain communication 

Addressing Disorganized Attachment 

• The therapist as neurobiological regulator 
• Minimizing negative affect 
• Maximizing positive affect 
• Playfulness, acceptance, curiosity, and empathy 

Dissociation as a Complication of Trauma 

• Fragmentation and dissociation as an adaptation to trauma 
• Understanding client symptoms as manifestations of fragmented parts 
• Mindful observation of distress and impulsive behavior as parts-related 
• Dis-identification with the parts and symptoms  

Changing the Client’s Relationship to Themselves and Their Parts 

• Increasing empathy for the parts 
• Facilitating inner dialogue and negotiation 
• Replacing self-hostility with self-compassion 

Treating the Effects of Trauma-shame 

• Understanding shame as a defensive survival response 
• Shame as a source of safety in trauma 
• Combatting shame-based cognitive schemas 
• Treatment of shame as a part of the personality 

Addressing the Effects of Persistent Fear 

• The role of fear as a survival defense 
• A neurobiologically-informed approach to addressing anxiety symptoms 
• Treatment of anxiety as a part of the personality 

Interventions for the Effects of Anger and Hostility 

• The role of anger as a survival defense 
• Discharging anger versus using anger to empower 
• Treatment of anger as a part of the personality 

Target Audience

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