Full Course Description
Session I - Introduction to the Treatment of Dissociation
Session II - Increasing Awareness of Dysregulated Parts and Dissociative States
- Determine three signs or symptoms of ‘complex trauma’ as it relates to case conceptualization.
- Differentiate dissociative compartmentalization vs. alterations in consciousness.
- Apply the Structural Dissociation model as related to clinical treatment.
- Determine signs of altered consciousness in traumatized clients.
- Discriminate symptoms caused by activity of trauma-related parts.
- Discriminate signs of voices found in dissociative disorder versus schizophrenic clients.
- Specify therapist interventions that increase patient ability to identify and determine dissociated parts to improve client level of functioning.
- Articulate role of mindfulness-based techniques in the treatment of dissociation.
Session III - Working with Traumatic Memory in DID: Implicit Memory and Animal Defense Survival Responses
- Determine signs of dissociative parts in the therapy hour.
- Determine manifestations of parts observed in physical presentation and facial expression in session.
- Differentiate characteristics of fight, flight, freeze, attach and submit parts.
- Utilize the term ‘blending’ as it applies to structurally dissociated parts for symptom management.
- Implement parts language as an intervention in the therapy of dissociative and dysregulated clients.
- Determine and analyze dissociative “switching” to improve client engagement.
- Utilize clinical strategies to increase internal communication in clients.
- Determine the therapist’s role in ‘coaching’ internal dialogue skills to improve treatment outcomes.
Session IV - Traumatic Attachment and the Treatment of Dissociative Disorders
- Determine the distinction between trauma-related explicit memory and implicit memory for purpose of client psychoeducation.
- Differentiate implicit memories versus situational emotional responses.
- Determine the complications of treating event memories with dissociative disorder clients to improve clinical outcomes.
- Utilize clinical strategies to determine the role of animal defence survival responses in dissociative disorders and their relationship to traumatic memory.
- Determine characteristic trauma-related internal conflicts found in trauma-related disorders as related to clinical treatment.
- Utilize clinical strategies to develop client’s ability to determine internal conflicts as struggles between parts to improve clinical outcomes.
- Determine indications and best practices for processing traumatic memories to inform the clinician’s choice of treatment interventions.
- Apply the meaning of the term “integration” in the treatment of dissociation as it relates to case conceptualization.
Session V - Working with Regression, Aggression and Passivity
- Apply the concept of “controlling strategies” as a complication of disorganized attachment to improve client level of functioning.
- Determine the implications of the controlling strategies in dissociative disorders as related to clinical treatment.
- Differentiate the interaction between traumatic attachment and self-destructive behaviour to improve treatment outcomes.
- Articulate the effects of traumatic/disorganized attachment on the transference.
- Demonstrate uses of right brain-to right brain communication to address attachment-related issues.
- Utilize interventions for enhancing internal collaboration.
- Apply the use of the social engagement system (Porges) to improve client engagement.
- Facilitate increased access to states of self-compassion to improve client level of functioning.
Session VI - Integration and Healing
- Articulate the role of regression and aggression as survival responses to threat.
- Analyze personality disorder diagnoses in the light of research on disorganized attachment in clients.
- Specify verbal and somatic interventions for working with client dependency as related to clinical treatment.
- Demonstrate use of somatic and cognitive interventions to ameliorate devaluing and verbally aggressive behaviour.
- Articulate the role of depression as an adaptation to trauma.
- Specify cognitive and somatic interventions for addressing chronic depressive states in clients.
- Determine how to address depression and passivity as a part to improve client level of functioning.
- Apply the use of positive re-framing in work with parts of the personality as it relates to treatment outcomes.
- Articulate the traditional view of integration used in dissociative disorders treatment.
- Evaluate the complications of a focus on ‘integration’.
- Demonstrate interventions for increasing internal communication and cooperation among parts.
- Demonstrate internal collaboration as an alternative to traditional models of integration in a clinical setting.
- Determine how “healing” has been defined historically as it relates to clinical practice.
- Articulate ‘bottom-up’ approaches to healing that have developed over the past ten years.
- Determine the ‘negativity bias’ and its effects on psychological health and resilience in clients.
- Outline the role of self-acceptance and compassion in the healing process to improve clinical outcomes.
Session I - Principles of Neurobiologically-Informed Trauma Treatment
Session II - Treatment Challenges: Animal Defence Survival Responses and Internal Struggles
- Articulate the characteristics of neurobiologically-oriented trauma treatment.
- Compare neuroplastic therapeutic interventions with traditional talking therapy
- Reframe ‘resistance’ as a survival defence response
- Demonstrate the ability to re-frame resistance as a ‘survival resource’ in treatment
Session III - Treatment Challenges: Chronic Depression and Shame
- Articulate the signs and symptoms of dissociative compartmentalization
- Facilitate mindful observation of dissociated parts of the personality
- Discriminate symptoms caused by trauma-related internal conflicts
- Demonstrate interventions for resolving internal conflicts
Session IV - Treatment Challenges: Working with Regression and Aggression
- Articulate the role of shame as an adaptation to trauma or animal defence
- Articulate the role of depression as an adaptation to trauma
- Demonstrate use of somatic and cognitive interventions to decrease shame and self-loathing
- Specify cognitive and somatic interventions for addressing chronic depressive states
Session V - Treatment Challenges: Traumatic Transference and Rebuilding the Relationship to One’s Self
- Articulate the role of regression and aggression as survival responses to threat
- Outline the interactive relationship between the two drives in interpersonal situations
- Re-interpret personality disorder diagnoses in the light of this model
- Specify verbal and somatic interventions for working with client devaluing and/or dependency
Session VI - Treatment Challenges for the Caregiver: Vicarious Traumatization
- Interpret the signs of trauma-related self-alienation
- Articulate the effects of traumatic attachment and self-alienation on the transference
- Demonstrate uses of right brain-to right brain communication to address attachment issues
- Utilize interventions for enhancing internal self-compassion
- Discriminate the common sources of secondary traumatization in trauma treatment
- Articulate the effects of trauma work on the therapist’s nervous system
- Identify strategies for reducing therapist vulnerability to vicarious traumatization in session
- Outline ethical and effective ways of decreasing the stress of work with high-risk and dissociative clients
Bonus: Trauma Defined: Bessel van der Kolk on The Body Keeps the Score
Researchers are increasingly finding that the body is the key to trauma treatment. Trauma is about the body becoming immobilized, feeling helpless or numb. Often traumatized people either don’t feel their body at all, or they feel it all the time.
In this compelling one-hour discussion, world’s leading trauma researcher and author of the The Body Keeps the Score, Dr. Bessel van der Kolk discusses his research and the influences on his life work with trauma. During the hour, he succinctly and descriptively draws the picture of trauma, the brain, and how various treatments work (and don’t) on the trauma client.
This hour will leave you, and those with whom you share this information, with the best understanding on the nature of trauma, its impact on the brain, how our brains work and most of all, the important new treatments that promise hope to those suffering from PTSD and trauma.
Bessel has spent 40 years working with and learning from traumatized clients. In this video, he shares insight into a bold new paradigm for healing from trauma. You won’t want to miss this personal account of Dr. van der Kolk’s work.
- Evaluate how trauma influences the activity of the key areas of the brain and how that dictates behavior patterns.
- Articulate the clinical research surrounding the effectiveness of yoga, mindfulness meditation, and theater in healing trauma in clients.
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
Bonus: Overcoming Trauma-Related Shame and Self-Loathing with Janina Fisher, Ph.D.
Shame has an insidious impact on our traumatized clients’ ability to find relief and perspective even with good treatment. Feelings of worthlessness and inadequacy interfere with taking in positive experiences, leaving only hopelessness. This 60-minute recording was webcast live from the office of Dr. Janina Fisher and introduces shame from a neurobiological perspective—as a survival strategy driving somatic responses of automatic obedience and total submission.
Learn to help clients relate to their symptoms with curiosity rather than automatic acceptance, discriminate the cognitive, emotional, and physiological components of shame, and to integrate somatic as well as traditional psychodynamic and cognitive-behavioural techniques to transform shame-related stuckness.
- Discriminate the clinical implications of physiological and cognitive contributors to shame.
- Determine cognitive-behavioral, ego state, and psychoeducational interventions to address shame in clients.
The Neurobiology of Shame
Shame’s Evolutionary Purpose
- The role of shame in traumatic experience
- Shame as an animal defence survival response
- Effects of shame on autonomic arousal
Making Meaning of Shame
- Shame and the attachment system
- Rupture and repair in attachment formation
Working from the “Bottom Up”
- 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
A New Relationship to the Shame: Acceptance and Compassion
- The role of procedural learning and memory
- Physiological effects of mindful dual awareness
- Using mindfulness-based techniques to inhibit self-judgment
The Social Engagement System and the Healing of Shame
- Re-contextualizing shame as a younger self or part
- Bringing our adult capacity to our childhood vulnerability
- Healing shame through compassionate acceptance
- 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