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Digital Seminar

Putting the Pieces Together: Trauma and Dissociation

The therapeutic challenges of trauma treatment are frequently reflections of dissociative symptoms and fragmentation, including problems with memory, impulsivity, shutting down or “going away,” paradoxical responses to therapy, self-destructive behavior, and self-sabotage.  Because we tend to equate dissociation only with dissociative disorders, we may not be aware of subtle dissociative processes at work, especially in high-functioning individuals.

Join internationally renowned trauma expert Janina Fisher, Ph.D. as she will introduce you to a neurobiological model that conceptualizes dissociation as an adaptive mind-body response to abuse, neglect, and attachment failure—all precursors to borderline and other personality disorders, complex PTSD, and dissociative disorder clients.  The treatment paradigm integrates traditional talking therapy methods with Sensorimotor Psychotherapy, Internal Family Systems, ego state therapy, and mindfulness-based techniques to create a simple but effective treatment paradigm for working with our most challenging, complex clients whatever their diagnosis.  An understanding of dissociative phenomena and the use of this new approach can effectively engage even our most resistant, overwhelmed, numb, or embattled clients.



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Janina Fisher, Ph.D.
1 Hour 33 Minutes
Audio and Video
Jul 17, 2014
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Media Type:
Digital Seminar
Never expires.


Continuing Professional Development Certificates - PESI Australia, in collaboration with PESI in the USA, offers quality online continuing professional development events from the leaders in the field at a standard recognized by professional associations including psychology, social work, occupational therapy, alcohol and drug professionals, counselling and psychotherapy. On completion of the training, a Professional Development Certificate is issued after the individual has answered and submitted a quiz and course evaluation. This online program is worth 1.5 hours CPD.



Janina Fisher, Ph.D.'s Profile

Janina Fisher, Ph.D. Related seminars and products

Janina Fisher, PhD, is a licensed clinical psychologist in private practice; Assistant Educational Director of the Sensorimotor Psychotherapy Institute; and EMDRIA Approved Consultant and Credit Provider; former president of the New England Society for the Treatment of of Trauma and Dissociation; and a former instructor, Harvard Medical School. An international writer and lecturer on the treatment of trauma, she is co-author with Pat Ogden of Sensorimotor Psychotherapy: Interventions for Attachment and Trauma, and author of Healing the Fragmented Selves of Trauma Survivors: Overcoming Self-Alienation and Transforming the Living Legacy of Trauma. 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. For more information, go to


Speaker Disclosures:

Financial: Dr. Janina Fisher has an employment relationship with the Sensorimotor Psychotherapy Institute, and she is a consultant for Khiron House Clinics and the Massachusetts Department of MH Restraint and Seclusion Initiative. She receives a speaking honorarium and recording royalties from PESI, Inc. She receives book royalties as a published author. She has no relevant financial relationships with ineligible organizations.

Non-financial: Dr. Janina Fisher is on the advisory board for the Trauma Research Foundation.

Additional Info

Program Information

Access for Self-Study (Non-Interactive)

Access never expires for this product.


  • Describe the Structural Dissociation model and its implications for treatment
  • Identify the somatic, cognitive, and affective markers of fragmented parts of the self
  • Utilize mindfulness-based techniques to counteract dissociation-related symptoms


Introduction to Structural Dissociation Model

  • Compartmentalization and the brain
  • Animal defense survival responses
  • Applications to trauma-related disorders

Implications of the Model for Treatment

  • Ability to work with internal struggles and conflicts
  • Making sense of paradoxical behavior/symptoms
  • Capitalizing on the brain and body to decrease self-destructive behavior

Clinical interventions for stabilizing dissociative symptoms.

  • Mindfulness-based techniques that address dissociative symptoms
  • Re-organizing the relationship to dissociated parts
  • Cultivating wise mind and compassionate internal relationships

Target Audience

Psychologists, Counselors, Social Workers, Case Managers, Addiction Counselors, Marriage & Family Therapists, Nurses, and other Mental Health Professionals



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