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Janina Fisher, Ph.D.
11 Hours 51 Minutes
- PESI Inc.
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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, 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 author of the bestselling Transforming the Living Legacy of Trauma: A Workbook for Survivors and Therapists (2021), Healing the Fragmented Selves of Trauma Survivors: Overcoming Internal Self-Alienation (2017), and co-author with Pat Ogden of Sensorimotor Psychotherapy: Interventions for Attachment and Trauma.(2015).
Financial: Janina Fisher is in private practice. She receives a speaking honorarium from PESI, Inc.
Non-financial: Janina Fisher has no relevant non-financial relationship to disclose.
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- Utilize clinical strategies to identify signs and symptoms of fragmentation and internal conflict.
- Teach clients to apply non-judgmental language to their trauma-related symptoms and inner experience.
- Facilitate increased mindfulness-based dual awareness in clients to decrease client phobias of emotion and inner experience.
- Foster the development of mindful observation of fragmented parts of the self in clients.
- Utilize somatic interventions for regulating autonomic arousal and affect dysregulation to calm the body as it relates to clinical treatment.
- Integrate interpersonal neurobiology and social engagement techniques in session to improve treatment outcomes.
- Drive the growth of empathy for wounded child parts of the self to increase self-compassion in clients.
- Transform traumatic memory in clients using somatic, visualization, and ego-state techniques.
- Utilize clinical strategies to foster ‘earned secure attachment’ in a clinical setting.
- Facilitate client use of internal communication to improve treatment outcomes.
- Employ the language of parts, mindfulness strategies and unblending techniques to alleviate the symptoms of shame, depression, suicidality or shutdown.
- Apply strategies from Internal Family Systems and Sensorimotor Psychotherapy in session to aid in the repair of internal attachment.
Trauma & Attachment
Fragmentation an Adaption to Trauma
- Neglect, abuse & attachment formation
- Traumatic attachment
- Early attachment & shaping attachment to self
- Internal attachment styles
Sensorimotor Psychotherapy and Fragmentation
- Identify manifestations of self-alienation
- Recognize self-alienation as a survival strategy
- Split brain & conflicting defensive strategies
- Primary structural dissociation vs. secondary
- What to do when the parts highjack the body
- Repair internal attachments
- Help clients overcome the challenge of self-acceptance
How the Parts Dominate:
- Sensorimotor principles of treatment
- Prerequisites for successful treatment
- Mindfulness & psychoeducation
- Implications of procedurally learned patterns
- Autonomic adaptation
- Teach clients skills to regulate arousal
- Somatic resources for traumatic reactions
Internal Family Systems:
- The questions trauma survivors don’t know to ask
- Unblending: step-by-step
- Sensorimotor approaches to unblending
Befriending our Parts
Connecting One’s Parts for Inner Healing
- Awaken an observer
- Help clients achieve distance from symptoms
- Decoding: identify parts
- Speak the language of parts to decrease phobia of traumatized parts
- Encourage self-leadership
From Alienation to Attachment
- Recognize the role each part plays in survival
- Assist clients with learning to “ask inside”
- Facilitate internal communication
- What does each part need?
- Establish relationships with parts
- Cultivate empathy for the parts
- The befriending questions
Limitations of Research & Potential Risk
- Rupture & repair of internal attachment
- Provide missing experiences for parts
- Role of mentalization
- Requirements of integration
- What to do when clients get highjacked
- Utilize the Social Engagement system
- Social Workers
- Case Managers
- Addiction Counselors
- Marriage & Family Therapists
- Other Mental Health Professionals
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