Complex trauma presents in diverse ways with a range of impacts it can be challenging to identify. The prevalence of complex trauma, which can underlie contrasting presentations, also means that all health professionals need to attune to it. This is because `[i]n contrast to the traumatized person who has experienced a sense of safety and well-being prior to onset of the (single-incident) trauma, the survivor of complex trauma does not start with this advantage’ (Shapiro, 2010). This session addresses the nature, forms, and impacts of complex trauma and the implications for working therapeutically with people who experience it.
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Dissociation, which in simple terms means not being psychologically present in `the here and now’ and which can take many forms, poses major challenges for clinicians because it is often unrecognized (`Many people in the mental health profession do not know what dissociation looks like or how to assess for it’; Danylchuk & Connors, 2017). This is despite research findings that dissociative disorders are prevalent in the general population, disproportionately so within clinical populations, and that `severe dissociative symptoms’ are a feature of complex trauma (Schwarz, Corrigan et al, 2017: Van der Hart, Nijenhuis & Steele, 2006). This session addresses the nature and varieties of dissociation with particular reference to its role and implications in the treatment of complex trauma.
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Understanding of and ability to work with traumatic memory is critical to the resolution of complex trauma. Yet despite landmark texts which address the non-verbal features of traumatic memory and the role of the body (i.e. that `the body remembers’) the nature of traumatic memory – and indeed the nature of memory per se – is widely mischaracterized and misunderstood. This session presents current research findings on the complex network of subsystems we call `memory’, the need to distinguish contrasting kinds and varieties of memory, and the significance of this research for effective therapy with clients who experience the impacts of complex trauma.
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While reference to the `whole person’ is common in diverse therapeutic modalities, clients who experience the impacts of complex trauma often do not experience themselves in this way. This means that effective therapy for complex trauma needs to adapt accordingly. In fact the notion of a unified self has been critiqued for some time (`It is the nature of the human mind to be subdivided…multiplicity is inherent in the nature of the mind’, Schwartz, 1995; `[t]hough the self is a unit, it is not unitary’; LeDoux, 2002). From this perspective, it is `how well we can keep it together, how harmoniously we can bridge, coordinate and even integrate the different parts of ourselves that determines how functional we are’ (Putnam, 2016). This session addresses the development and process of self, how healthy developmental trajectories are disrupted by early life trauma, and the differences between `normal multiplicity’ and dissociated self-states which are trauma-generated.
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It is well known that trauma is re-enacted but the re-enactment of trauma poses many clinical challenges. This is partly because unresolved trauma is often dissociated and non-verbal. While the basic trauma response of `fight/flight/freeze’ is now familiar, less attention has been paid to the third of these and to dissociative responses in which what cannot be expressed in words is interpersonalised and enacted including in the therapy room. Many clinicians recognize that trauma is enacted in the lives of their clients but are less attuned to how it plays out within the therapy relationship itself. This session addresses the interface between complex trauma and dissociation, which is interpersonalised in the form of enactments which occur within - as well as outside - the therapy room and which can derail the therapy unless identified and addressed.
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Phase based treatment has long been endorsed by clinicians of complex, as distinct from standard (`single-incident’) PTSD. Consisting of three stages, which are not strictly linear, the rationale is that initial focus on affect regulation, improved functioning and self-care assists stabilization and thereby the ability to process traumatic experience and memories. This session introduces the phased therapy approach to treatment of complex trauma. It addresses the issues to which it gives rise, including criticisms of it, delineates the three phases, and how they apply in clinical context.
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The extensive impacts of complex trauma underline the importance of stabilization, affect regulation, and the capacity to self-soothe and tolerate emotion prior to the processing of traumatic experience (`It is almost impossible to overstate the importance of traumatized patients maintaining an appropriate level of functioning in their lives’; [processing] must be deferred pending the development of basic skills concerning relating and coping’; Chu, 2011). Acquiring the necessary skills requires resourcing, which takes many forms and which encapsulates in a single word the primary task of Phase 1. This session focuses on the multifacted task of client resourcing in contexts of complex trauma, and the many issues and challenges it involves.
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Reference to `parts’ of the personality is common in the psychotherapeutic literature and the term is widely used by clients and therapists alike. What we call `self’ is not unitary and mental life is subject to state fluctuation and change. To this extent `we all have parts’ (van der Kolk, 2015) and `[w]e are all multiple to some degree’ (Putnam, 2016). The language of `parts’, `ego states’, and `self-states’ is also helpful and non-stigmatising with respect to the problematic divisions of personality generated by trauma, disrupted attachment, and experiences of overwhelm, in which self-states are unintegrated and flexibility, continuity, and coherence are impeded. This session presents an introduction to `working with parts’ with particular reference to the crucial distinctions between standard ego-states which characterise health, and dissociated self-states which pertain to the impacts of complex trauma (and which `can range from very simple to extremely complex divisions of the personality’; van der Hart et al, 2006) Note that while reference to structural dissociation generated by severe early life trauma is included, this seminar does not equip participants to work with Dissociative Identity Disorder (DID).
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The second stage of phased therapy for complex trauma – for which the client has a foundation via the resourcing of Phase 1 – is the processing of traumatic memory and experience. But what does `processing’ of traumatic memories mean and entail? This session addresses these questions. As traumatic memory is implicit and non-verbal, `nameless feelings…can be verbalized in words’ in Phase 2 (Chu, 2011) and it becomes possible `to bring nonverbal memory into a domain that is regulated by a different part of the brain’ (Ogden et al, 2006; re Siegel, 1999, 1995). It is crucial to understand that this is not about focusing on the content and detail of the memories per se. Rather it attunes to the impacts of traumatic memories on current functioning (`and that’s the focus of the therapy’, Danylchuk & Connors, 2017). Here the distinction between explicit and implicit memory is again underlined: `[a]t an explicit memory level, the client may have long known that the traumatic events are over. The work of phase 2 facilitates the felt experience that the danger is past’; Ogden et al, 2006).
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When clients are resourced (Phase 1) to the extent of being able to process traumatic memories (Phase 2) an additional third phase may seem unnecessary. Phase 3 often receives less attention in commentary on the phased treatment approach to complex trauma relative to the previous two. But clients whose lives have been disrupted by the impacts of complex trauma face contrasting issues in the `post-processing’ period. Adjusting to `life after trauma’ presents a new set of challenges, including emancipation from trauma-related beliefs and behaviors which may have existed for decades. It is also not uncommon for clients to encounter new areas of unresolved trauma in the Phase 3 period, in light of increased ability to engage with experiences of distress which could not be approached before. This session addresses the final phase of therapy for complex trauma in which increased integrative capacity includes enhanced ability to mentalise (i.e. attune to the internal experience of others as well as self, which is required for responding to social cues and enhanced interpersonal relationships; Fonagy et al, 2002). Phase 3 involves `consolidation of gains, achieving a more solid and stable sense of self, and increasing skills in creating healthy interactions with the external world’ (Chu, 2011).
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Most therapists don't know how to recognise Dissociative Identity Disorder (DID).
This misunderstood condition is often subtle and difficult to diagnose. It is NOT always the overt "multiple personalities" people imagine.
If you're treating a client for a personality disorder or psychosis who is stuck or resistant...
They may actually be living with DID.
If you don’t know how to identify the signs of DID, you could be providing the wrong treatment to your clients... Which puts them at risk of dropping out of therapy.
But the good news is that you can adapt many of the methods you already use to work with DID in impactful and effective ways!
Pam Stavropoulos, PhD, will:
Register today to become the therapist who recognises DID and knows how to help clients find the relief they’re so desperately searching for.
(Please note that DID is a sophisticated and intricate mode of self-organisation, effective therapy for which requires clinical experience and skills beyond the scope of this training.)
Outline
PART 1: Enhancing understanding of Dissociative Identity Disorder (DID)
PART 2: Clinical Implications
Most therapists don't know how to recognise Dissociative Identity Disorder (DID).
This misunderstood condition is often subtle and difficult to diagnose. It is NOT always the overt "multiple personalities" people imagine.
If you're treating a client for a personality disorder or psychosis who is stuck or resistant...
They may actually be living with DID.
If you don’t know how to identify the signs of DID, you could be providing the wrong treatment to your clients... Which puts them at risk of dropping out of therapy.
But the good news is that you can adapt many of the methods you already use to work with DID in impactful and effective ways!
Pam Stavropoulos, PhD, will:
Register today to become the therapist who recognises DID and knows how to help clients find the relief they’re so desperately searching for.
(Please note that DID is a sophisticated and intricate mode of self-organisation, effective therapy for which requires clinical experience and skills beyond the scope of this training.)
Outline
PART 1: Enhancing understanding of Dissociative Identity Disorder (DID)
PART 2: Clinical Implications
Many clients consult helping professionals because they are experiencing difficulties with dysregulation. Heightened anxiety, anger, low motivation and dysphoria are all indicators of dysregulation.
After traumatic experiences it is common for the nervous system to get stuck in a hyper aroused and/or hypo aroused state leading to difficulties with relaxation, concentration, focus, sleep, emotion regulation and orientation to time and place. Dysregulation in the nervous system can compound over time as people try to cope with associated distress by avoiding or self-medicating.
This course will provide the skills to effectively teach clients to regulate their nervous systems and emotions. Techniques for assisting hyper arousal and hypo arousal are taught and participants will directly experience these skills as well as taking away tools for conveying them effectively to their clients.
Stressors from work and daily life commonly impair healthiest functioning, and research shows that emergency and helping professionals experience far greater rates of PTSD and PTSD-type symptoms than the general population, yet as clinicians working with dysregulated people it is imperative that we maintain healthy regulation as we work. Whilst learning how to teach self-regulation skills to clients, participants will also finesse their ability to maintain a state of calm, centred responsiveness, thereby maximising our effectiveness with clients.
Participants will take away a toolkit of effective strategies to manage dysregulation and restore a balanced regulated state within their clients and themselves.
Feedback form Jackie’s recent presentations:
‘Best training I’ve had in years! Thank you!’
‘I found all the information very useful for my client work.’
‘Clear, great content.’
‘ Engaging style.’
‘Really interactive - thanks’
‘Jackie is fabulous!’
‘Awesome day – thank you!’
‘I really appreciated your systemic approach and upbeat style.’
‘Great training day - I learnt heaps.’
Objectives
Learning objectives of this training:
“Become an expert on helping clients to manage their internal states.” Jackie Burke
How will you benefit from attending this training?
Outline
Morning Session (includes a short break)
Afternoon Session (includes a short break)
Evaluation and quiz - your payment includes a quiz which when completed with a minimum of 80% correct answers, will enable you to download your Attendance Certificate.
To complete the quiz, please log into your account at pdp-catalogue.com.au and click the orange "Certificate" button under the program's title.
Target Audience
This seminar has been designed to extend the clinical knowledge and applied skill of Psychologists, Counsellors, Psychotherapists, Coaches, Social Workers and Psychiatrists as well as anyone who occupies an emergency or helping role (including call-centre staff, case workers, police, fire, ambulance and emergency service workers, crisis intervention workers, court, legal and judiciary professionals, supported accommodation staff, refuge workers, and aid workers).
Overcoming wounds from childhood trauma can take decades to heal.
Adult clients who grew up in abusive, controlling, neglectful, insensitive, or otherwise traumatizing environments — are often retriggered by memories from their past...
...making simple moments of the day overwhelming with larger-than-life responses due to their inability to regulate emotions.
But there’s good news...
We now have a way to fast-track clients' progress by giving them specific tools and strategies to take back the control of their life.
Using targeted techniques from parts work and focusing, you can go directly to their wounded parts and begin to heal them.
For one day only, you can join Leonie Stewart, M. counselling and Applied Psychotherapy, as she shows you step by step how to blend Parts Work with Somatic Sensing, Focusing and Neuroscience to deepen your therapeutic progress.
Her simplified techniques are easy to implement and make Parts Work approachable for clients and clinicians alike.
You’ll walk away from this one-day workshop with a simple but powerful process to help your clients be with the dysregulated, distressed parts of themselves today... So they have the power to shape their future for the better.
Objectives
Outline
Laying the Groundwork: Parts Work, Somatic Sensing, Focusing and Neuroscience for Trauma Treatment
Exploring and conceptualizing the ‘Big Self/Wise Adult Self’
Guiding clients to ‘unfold’ this part of themselves
Using Somatic Sensing
Helpful tips around the concept
Present time awareness: Safety exercise to use with clients (or self)
Parts theory
Foundations for clinical practice
Demonstration & guided practice: the ‘Big Self/Wise Adult Self’
How to settle any part that is activated
Demonstration & guided practice: Unfolding your ‘Big Self/Wise Adult Self’
Introduction to Focusing
Interactive demonstration on Focusing
Understanding “Felt Sense”
Gendlin’s Philosophy
6 step Focusing process
Tools for helping clients interact with their environments
Cultivating Self-compassion
Demonstration & guided practice: Cultivating Self-compassion
Demonstration & guided practice: Clearing a space – what to do when overwhelmed
Demonstration & guided practice: Getting bigger than what is bothering you
Demonstration & guided practice: Protective Boundary
Loving Kindness meditation
L.O.V.E. for me and others activity
Bringing it all together
How we change
Memory reconsolidation + Focusing
Techniques to settle any triggered parts
Simple neuroscience language to talk about the brain and body
Handouts you will receive
Parts theory description handout
Worksheet for unfolding your Wise Adult
What is Focusing? E-book
Questions you can ask your parts - handout
Clearing a space – guiding notes
Cultivating Compassion – guiding notes
Getting bigger than what is bothering you Guiding notes
What is STRESS – e-book
What is Mindfulness – e-book
Target Audience
To effectively treat trauma, you need to be able to access the full range of your client’s emotions, memories, parts, and inner life. But to do this work requires that you know how to use these often-fragile elements of a person WITHOUT re-traumatizing your clients.
Now in this unique training, you’ll master skills from the Jungian-based Process Oriented Psychology (POP) approach that will help your clients understand and navigate their inner world…
So that they can know all parts of themselves to become safer, unburdened, and find post-traumatic growth.
Objectives
Learning objectives of this training:
“Working with childhood dreams gives us access to our life myth, and to our natural ability to deal with life’s struggles. It’s inspiring, refreshing and invigorating." Elizabeth (Lizzie) Spencer
How will you benefit from attending this training?
Outline
Morning Session (includes a short break)
Afternoon Session (includes a short break)
Evaluation and quiz - your payment includes a quiz which when completed with a minimum of 80% correct answers, will enable you to download your Attendance Certificate.
To complete the quiz, please log into your account at pdp-catalogue.com.au and click the orange "Certificate" button under the program's title.
For live webcasts, post-tests must be completed within one month of viewing the program.
Target Audience
This seminar has been designed to extend the clinical knowledge and applied skill of Counsellors, Psychotherapists, Coaches, Psychologists, Social Workers, Mental Health Nurses and Psychiatrists.
Copyright : 16/11/2022