Full Course Description


Janina Fisher on Using Neuroscience, Body-Oriented and Parts Therapy Approaches to Treat Trauma

Program Information

Objectives

  1. Develop an understanding of fragmentation theory and design related treatment interventions
  2. Differentiate between compartmentalization and dissociative conceptualizations and traditional trauma based conceptualizations and their contrasting approaches to treatment

Outline

  • Trauma work with parts of selves and self-alienation
    • Recent therapeutic history of overlooking trauma or abuse events
    • Freudian conceptualizations of childhood sexuality
    • Early approaches to trauma therapy - risks of group therapy
  • Impact of the neuroscience revolution on trauma theory and treatment
    • Pioneering the development of trauma treatment - Hermann, van der Kolk, Fisher
  • Development of fragmentation theory
    • Understanding the relationship between trauma and dissociation
    • Reconceptualizing diagnostic categories through a trauma perspective
    • Expanding the concept of compartmentalization to trauma disorders
    • Repeated trauma deepening the effects of compartmentalization
    • Risks of compartmentalization interventions
  • Case example - history of sexual abuse, intimacy impairment
    • Positives and negatives of reprocessing trauma experiences
    • Alternatives to reprocessing - focus on present life influences
  • Attachment styles post trauma - influence on therapeutic options
    • Characteristics of disorganized/traumatized attachment patterns
    • Selecting appropriate therapeutic interventions
    • Self-compassion and self-acceptance as positive outcome
  • Introducing the structural dissociation model effectively to clients
    • Tapping in to prefrontal cortical function
    • Building bonds of empathy
    • Resources for continuing development

Copyright : 05/01/2018

Bessel van der Kolk on Advanced Trauma Treatment Interventions: EMDR, Yoga, Neurofeedback, MDMA and more

Program Information

Outline

  • Application of multiple treatment modalities for trauma intervention
  • Current physical representations of prior traumas – shutting down as defense
    • Utility of yoga in reconnection with physicality
    • Physical primacy in treatment – inhabiting one’s body
    • Core symptom expression and treatment resolution
  • Efficacy and application of EMDR in trauma treatment
  • Neurological impact of prolonged trauma on brain structures and executive function
    • Role of neurofeedback in treatment
  • Current and future research directions – MDMA, neurofeedback
    • Addressing feelings of weakness and vulnerability – applications of self-compassion
  • Vicarious trauma and risks of treatment – necessity of therapy for therapists
    • Institutional traumatization – supportive practice characteristics
  • Interventions to improve heart rate variability, cortisol characteristics
  • Utility of psychodrama and therapeutic techniques – freeing stuck identities
    • Case examples – incest survivor, ACOA
    • Altering relationship to internal world – accessing nonverbal brain functions
    • Structuring psychodrama interventions – establishing safety
  • Case example – interpersonal relationship difficulty, impaired intimacy, sexual abuse history
    • Matching interventions to client stability and status
  • Limitations of current treatment approaches – financial and otherwise
  • Internal Family Systems conceptualizations and interventions
  • Role of medication adjuncts to treatment and limitations with post trauma individuals

Objectives

  1. Explore current trauma interventions and incorporate relevant research findings
  2. Evaluate varied approaches to trauma treatment and be able to match specific interventions to particular individual presentations

Copyright : 05/14/2018

Peter Levine on Somatic Experiencing (SE) to Heal Trauma and Stress Disorders

Program Information

Objectives

  1. Characterize current Somatic Experiencing interventions and applications.
  2. Be able to construct and structure clinical somatic interventions for post trauma individuals.

Outline

  • Current prevalence and impact of trauma and stressor-related disorders
  • Somatic experiencing trauma treatment
    • Conceptual development of PTSD and sub-syndromal presentations
    • ACE study - impact of accumulated adverse experiences
    • Corrective somatic experiences - counteracting fear based physical responses
  • Case studies - childhood sexual abuse and related relationship complications
    • Therapeutic exercises -vagal activation, healthy aggression
    • Integrating cognitive and somatic interventions
    • Primacy of somatic interventions
  • Risks related to current interventions - prolonged exposure
  • Impact of work on procedural memories - improving functional fluidity
    • Somatic intervention techniques
  • Personal case example - dissociative response to trauma, elements of healing process
  • Adapting approaches to physically disabled individuals - case example
  • Alternative research directions
  • Contraindications for treatment of clients with unacceptable risk factors - homicidal or suicidal issues
  • Case example - working with psychosis
  • Resources for further training and access to ongoing developments in Somatic Experiencing

Copyright : 03/08/2018

Pat Ogden on the Sensorimotor Approach to Healing Trauma through the Body

Program Information

Objectives

  1. Recognize and assess somatic responses to trauma and related persisting aftereffects.
  2. Develop and employ sensorimotor psychotherapeutic interventions for specific trauma symptoms.

Outline

  • Sensorimotor approach to trauma treatment - physical responses to trauma
  • Development of patterned physiological responses to trauma
  • Working within the client window of tolerance - risks of exceeding limits
  • Developing mindfulness of bodily responses - physical expression of meaning
  • Following the somatic narrative to direct therapy
  • Asking permissions and framing to facilitate client safety
  • Case example - history of repeated abuse, sense of powerlessness, expression of hope
  • Finding therapeutic direction in sensorimotor responses
  • Corrective somatic experiences - healing and modulation
  • Case example - residual dissociation and managing angry expressions
  • Therapist somatic comfort and expression - expanding movement vocabulary
  • Body as teacher and resource
  • Social attitudes toward physicality and physical expression - future directions for child education
  • Case example - aggressive child, development of resources, physical intervention
  • Case example - teenage girl, limited verbal expression, crossing boundaries
  • Identifying automatic patterns related to prior trauma responses
  • Therapeutic interventions to address resistance and rigidity
  • Conflicting desires to change and to justify one’s position
  • Numbness as defense - “feigned death” response to trauma
  • Physically triggered trauma responses
  • Therapeutic mechanism for resolving trauma symptoms, restoring and regulating defenses
  • Related homework exercises for physical expression
  • Spiritual responses to trauma - personal interpretations
  • Future directions for the field of sensorimotor therapy - increasing range and accessibility
  • Resources for further training and development

Copyright : 04/17/2018

Mary Jo Barrett on Relational Trauma Therapy for Transformative Results

Program Information

Objectives

  1. Individualize trauma treatment approaches to specific client resources and relational context
  2. Compose a structure for integrating standard trauma interventions into a collaborative change model of treatment.

Outline

  • Relational components of trauma treatment
    • History of child abuse interventions - family violence treatment
    • Existential shifts involved in leaving family violence
    • Attachment and valuing human life
  • Integrative relational approaches to transformative change
    • Systemic framework for human experience
    • Relationship and hierarchical context for trauma experience
    • Replication of relationship structure in the therapeutic setting
    • Importance of flexibility and collaboration - creating context for change
  • Family and couple interventions for traumatized individual
    • Avoiding identified patient -“damaged goods” labeling
    • Case example - multiple trauma history - mutual triggering
    • Definition of traumatic stress - urge to fight, flight or freeze
  • Importance of hierarchical attachment system reactions to trauma event
  • Collaborative change model - empowering client feedback and control
    • Phase one - creating a context for change
    • Phase two - challenging patterns and expanding realities - role play example
  • Matching interventions to demographics - risks of mismatching
  • Current urban research and applications of collaborative change model
    • Future directions - family passages

Copyright : 05/02/2018

Bill O’Hanlon on the Inclusive Therapy Approach to Treat Trauma: Combining DBT, Ericksonian Hypnosis and Neuroscience for Powerful Outcomes

Program Information

Objectives

  1. Structure and organize inclusive psychotherapy interventions for post trauma individuals
  2. Compare and contrast inclusive psychotherapy interventions with traditional trauma treatment approaches

Outline

  • Practical and pragmatic therapeutic trauma approaches vs. theoretically based approaches
  • Origins of inclusive therapy
    • Milton Erikson and focus on present
    • Avoiding repetitive thought patterns
    • Directions for ongoing research
  • Dissociative trauma related experiences - sensory, cognitive, perceptual, emotional, memories
    • Recreating damaging relationships
  • Traditional reprocessing approaches and related complications
    • Inclusive therapy alternative approaches - acceptance and openness
    • The three D’s of trauma impact
  • Second phase of integrative therapy - permitting and validating dialectical experience
    • Dealing with the risks of repetitive, stuck processing
    • Permitting experience as opposed to permitting behavior
    • Third phase of integrative therapy - exceptions
    • Exploring alternative periods of functional and pathological behavior/experience
    • Acknowledging positive aspects of experience and even trauma aftermath
    • Relationship of dissociation to intense, overwhelming emotional expression
  • Case examples - integrative and validating approaches
  • Inviting future perspective to offer optimistic outcomes
    • Demonstration of techniques for evoking positive states
    • Creating new connections
    • Changing repetitive post trauma patterns
  • Limitations and usefulness of hypnosis based interventions

Copyright : 04/19/2018

Skip Rizzo on using Virtual Reality and Technology in the Treatment of Trauma

Program Information

Objectives

  1. Evaluate the current research base for emerging virtual reality interventions
  2. Describe and characterize potential virtual reality therapeutic interventions and applications

Outline

  • Virtual reality interventions - risks and treatment opportunities
    • Utility in clinical assessment and treatment, rehabilitation and resilience
    • History and development of VR clinical tools
  • Role of the three I’s in assessment and treatment- immersion, interactivity, imagination
  • Applying the technology of virtual reality to trauma treatment
    • Individualized programming - limitations of treatment efficacy
    • Enhanced application of imaginative experiences - varied sensory modalities
    • Ethical considerations, concomitant supportive work, therapeutic alliance, skill building
  • Appeal of virtual reality approaches to a digital generation - enhancing treatment engagement
  • Applications to military trauma settings, including sexual trauma - case example
    • Limitations of current research base for an emerging therapy
  • Presently available technology for therapeutic interventions
    • Risks of self-diagnosis and self-treatments given the emotional power of virtual reality
    • Uses of artificial intelligence as adjuncts to provision of psychotherapy services
    • Integration into traditional clinical practice
  • Directions for future research - specification and dismantling
    • Augmented reality, mock interactions
    • Pain interventions - proven utility of distraction techniques, chronic vs acute pain

Copyright : 03/01/2018