$299

Working With Chronic Shame, Resistance, and Traumatic Memory in Complex PTS...

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About the Workshop

This advanced workshop will focus on several topics that can be particularly challenging in the treatment of complex PTSD and dissociative disorders. We will explore chronic shame in-depth, its physiology and functions, its many manifestations, and practical ways to resolve it, using cognitive, emotional, somatic, and imagery approaches, as well as EMDR when appropriate.

Chronic resistance will be discussed as a co-creation of therapist and client and can best be understood as a phobic avoidance of what is perceived to be intolerable. Therapists will learn how to recognize and address resistance step by step without evoking further defense in the client and will learn to recognize their own contributions to resistance. Shame and resistance are essential to address in the context of processing traumatic memory.

On the second day, we will focus on special approaches to resolving traumatic memory in dissociative clients, with and without EMDR. One of the unique challenges of approaching dissociated traumatic memories is how to support not only the person as a whole but each dissociative part, in remaining grounded and present. Resourcing each part is important.

Specific interventions will be discussed, including hypnotic imagery and other approaches that can be utilized with EMDR when appropriate. Participants will learn how to deal with non-verbal or preverbal memory with somatic approaches. We will also discuss the importance of “bearing witness,” in which memory is shared in relationship as a narrative, rather than always viewed as a therapeutic problem. We will discuss how to determine which approaches might be most helpful to a particular client.

Workshop Objectives

Participants will be able to:

Describe the functions and physiology of chronic shame in highly traumatized individuals

Employ at least five interventions to resolve chronic shame

Describe the important functions of resistance in psychotherapy

Employ at least five interventions to resolve enduring resistance in dissociative clients

Assess which approaches will be most effective for resolving traumatic memory in dissociative clients

Utilize somatic interventions, time distortion, and hypnotic imagery to help resolve dissociative traumatic memories

Day 1

1. Describe the functions and physiology of chronic shame in highly traumatized individuals.

a. Evolutionary and social functions of shame

b. Emotional functions of shame

c. Physiological of shame

i. Hyperarousal as an initial reaction

ii. Hyperarousal as a chronic response

2. Describe the important functions of resistance in psychotherapy.

a. Protecting the damaged self and preserving the idealized self

b. Avoiding contact with overwhelming emotions, thoughts, sensations, memories, and dissociative parts

c. Protecting from the dangers of connection and unbearable loss

3. Identify sociocultural contributions to shame and discuss the impact of shame messaging on the therapist.

a. Social messages

b. Cultural and familial shame messages

c. Religious shame messages

4. Explain the Compass of shame and identify each defense in a clinical example.

a. Attacking self

b. Attacking other

c. Isolation

d. Avoiding inner experience

5. Employ at least three bottom-up and three top-down interventions to resolve chronic shame.

a. Top-down approaches

i. Psychoeducation about shame

ii. Psychoeducation about animal defense during trauma

iii. Working with shame schemas and negative cognitions

b. Bottom-up approaches

i. Working with the felt sense of shame

ii. Connecting negative cognitions with sensations of shame

iii. Activating the nervous systems in hypoarousal in shame

iv. Imagery techniques for Chronic shame

6. Name three ways therapist can increase their resilience in the face of shame and help clients do the same.

a. Accepting vulnerability and humanity

b. Accepting shame as part of the human condition

c. Safely sharing the experience of shame

d. Compassion toward your own shame

e. Improved mentalizing

Day 2

7. Identify the protective functions of resistance and the trauma-related phobias that underlie much resistance

a. Resistance as protection

b. Trauma-related phobias and resistance

i. Phobia of inner experience

ii. Phobia of dissociative parts

iii. Phobia of attachment and attachment loss

iv. Phobia of traumatic memory

v. Phobia of adaptive change

8. Distinguish between temporary and enduring characterological resistance and discuss treatment implications

a. Reluctance: working through fear and shame as resistance

b. Characterological resistance

i. Relationship as resistance

ii. Lack of awareness of resistance

iii. Ways of being as resistance

iv. Working with characterological resistance

1. Managing countertransference

2. Giving client control

9. Employ at least five interventions to resolve resistance in clients with Complex PTSD and Dissociative Disorders.

a. Stance of compassionate curiosity

b. Managing countertransference

c. Getting consultation

d. Exploring resistance and its perceived value to the client

e. Taking small, experimental steps

10. Assess which approaches will be most effective for resolving traumatic memory in dissociative clients.

a. Determining a rational approach to traumatic memory

b. Degree of amnesia and inner conflicts as guides to titration

c. Capacity for client to use imagery and other hypnotic techniques

11. Utilize somatic interventions, time distortion, and hypnotic imagery, and titration techniques to process traumatic memories.

a. Somatic approaches to resolving traumatic memory (with and without EMDR)

b. Anchoring clients after the end of the memory as a resource

c. Titration techniques

i. Titrating experience

ii. Titrating time

1. Use of time contraction

iii. Pendulation techniques between memory and resource

12. Identify ways to work with dissociative parts in processing traumatic memory in clients with DID or OSDD.

a. Understanding the impact approaching traumatic memory on the system of the individuals

b. Including all parts in the work

c. Working with some parts while containing other parts

d. Making decisions about whether to work with some or all parts in a traumatic memory

Schedule

Day 1

9:00 – 10:30

Introduction

Functions of shame

Shame as part of the human condition

Physiology of shame

The many faces of shame

Social, cultural, and religious contributions to chronic shame

10:30 – 10:45

BREAK

10:45 – 12:15

What are we ashamed of? Treatment implications

The Compass of Shame: How we defend against shame

“Antidotes” to shame: Pride, competence, compassion, mentalizing, relationship

12:15 – 1:30

LUNCH

1:30 – 3:00

The problem with common approaches to shame

Talking about shame

Giving shame “back” to the perpetrator

“You are not bad” and “You have nothing to be ashamed of”

What really works to reduce chronic shame? Approaches and techniques

Top-down approaches

Building shame resilience in ourselves and our clients

3:00 – 3:15

BREAK

3:15 – 5:00

What really works to reduce chronic shame?

Bottom-up approaches

Building shame resilience in ourselves and our clients

Day 2

9:00 – 10:30

Introduction

A compassionate approach to resistance

Resistance as protection

Learning to identify and expect resistances early in therapy

Identifying resistance in assessment

Identifying resistance in the relationship

Differences between temporary and enduring (characterological) resistance with treatment implications

Understanding trauma-related phobias as resistance

Identifying common conflicts in resistance

10:30 – 10:45

BREAK

10:45 – 12:15

Understanding and dealing with resistance between dissociative parts: A systems perspective

Relational challenges in resistance

Strategies to resolve resistance

12:15 – 1:30

LUNCH

1:30 – 3:00

Issues and controversies in traumatic memory processing

The many approaches to processing traumatic memory

Challenges and strategies in processing traumatic memory in clients with Dissociative Disorders

3:00 – 3:15

BREAK

3:15 – 5:00

Techniques

Processing as a relational experience

How to work with dissociative parts

Resourcing techniques

Containment techniques

Titration techniques

What is the work after processing a memory?



About the Presenter






*Refund policy

Refunds on purchased tickets are available up until 45 days before the date of the workshop (no refund after this date). Refunds will include the ticket price less a $75 processing fee for all refunds/price adjustments. *Prices subject to change. Refunds within 45 days of workshops will be in the form of a workshop credit and workshop credits do not expire.

**Cancellations/Changes

The workshop may be canceled or postponed 45 days prior to its date due to under-enrollment or other circumstances. Participants may want to wait before making travel arrangements. The workshop shall be canceled or postponed if unforeseen circumstances, such as presenter illness and/or a natural disaster (a flood, earthquake, tsunami, wildfire, or other major incidents) arises. Participants will be refunded 100%

All grievances must be in writing to info@envisionservices.ca, and will be replied to within 5 - 10 business days.

*IF YOU HAVE SPECIAL NEEDS, DISABILITY OR CONCERNS: Please contact Envision at info@envisionservices.ca

Contact information: info@envisionservices.ca

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