Working with Chronic Shame,  Resistance, and Traumatic Memory in Complex PTSD

& Dissociative Disorders

(With or Without EMDR)

A 2-Day Online Workshop

Presented by Kathy Steele, MN, CS

Eligible for 12.5 CE Hours

14 EMDRIA CEUs

November 13 & 14 | 9 am - 5 pm MDT

EARLY BIRD RATES USD$275 | CAN $299 + gst

14 EMDRIA CEUs included with proof of Basic EMDR Training

All online workshops come with 45 days access to the recordings

Watching the recording is CE eligible with a short Quiz! Click for details.

Working with Chronic Shame, Resistance, and Traumatic Memory in Complex PTSD & Dissociative Disorders.

 

Description:

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.

Learning 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

Topics:

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

 

Agenda:

 

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?

 

Kathy Steele MN, CS:

Continuing Education Credits

14 EMDRIA CEUs included with proof of basic EMDR training completion.

EMDRIA CEUs are provided by Envision at no extra cost. Please email us directly at info@envisionserivces.ca

 

Satisfactory Completion

Participants must have paid tuition fee, signed in and out each day, attended the entire seminar, and completed an evaluation in order to receive a certificate. Failure to sign in or out each day will result in forfeiture of credit for the entire course. No exceptions will be made. Partial credit is not available. If you wish to watch the recorded version, you are still eligible to earn CEs by taking a short quiz and paying the required fee, also found at this link. Certificates available after satisfactory course completion at https://www.academeca.com/CEUReg/SeminarInfo.aspx?seminarId=3523

 

An extra fee applies ($40usd).

Cosponsored by R. Cassidy Seminars, P.O. Box 14473, Santa Rosa, CA 95402

 

Psychologists

R. Cassidy Seminars is approved by the American Psychological Association to sponsor continuing education for psychologists. R. Cassidy Seminars maintains responsibility for this program and its content. 12.5 CE hours

 

Psychoanalysts

NY: R. Cassidy Seminars is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed psychoanalysts. #P-0005. (12.5) clock hours. Live online.

 

Social Workers

CA: The Board of Behavioral Sciences has deferred CE course approvals to APA and other states’ licensing board approvals for its licensees. See those approvals under Psychologists and Social Workers

Other States: If your state is not specifically listed, nearly all state Social Work boards accept either APA or are reciprocal with other state licensing board approvals, such as those listed below. Check with your board to be sure. The Ohio Board includes social Workers.

IL-SWs: Illinois Dept of Professional Regulation, Approved Continuing Education Sponsor, #159.000782. (12.5) hours.

NY: R. Cassidy Seminars is recognized by the New York State Education Department's State Board for Social Work as an approved provider (#0006) of continuing education for licensed social workers. This program is approved for 12.5 contact hours Live online.

OH: Provider approved by the Ohio Counselor, Social Worker and Marriage and Family Therapist Board for (12.5) clock hours, #RCST110701

 

Counselors/Marriage and Family Therapists

CA: The Board of Behavioral Sciences has deferred CE course approvals to APA and other states’ licensing board approvals for its licensees. See those approvals under Psychologists and Social Workers.

Other States: If your state is not specifically listed, nearly all state Counselor and MFT boards accept either APA or are reciprocal with other state licensing board approvals, such as those listed below. Check with your board to be sure. The Ohio Board includes MFTS and Counselors.

IL-MFTs: Illinois Dept of Professional Regulation, Approved Continuing Education Sponsor, #168-000141. (12.5) hours.

NY-LMHCs: R. Cassidy Seminars is recognized by the New York State Education Department’s State Board of Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0015. (12.5) contact hours. Live online.

NY-LMFTs: R. Cassidy Seminars is recognized by the New York State Education Department’s State Board of Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists. #MFT-0011. (12.5) contact hours. Live online.

OH: Provider approved by the Ohio Counselor, Social Worker and Marriage and Family Therapist Board for (12.5) clock hours, #RCST110701

TX: Approved CE Sponsor through the Texas State Board of Examiners of Marriage & Family Therapists. Provider #151 12.5 CE hours.

 

Creative Arts Therapists

NY: R. Cassidy Seminars is recognized by the New York State Education Department's State Board of Mental Health Practitioners as an approved provider of continuing education for licensed creative arts therapists, #CAT-0005. (12.5) contact hours. Live online.

 

Chemical Dependency Counselors

CA: Provider approved by CCAPP, Provider #4N-00-434-0222 for (12.5) CEHs. CCAPP is an ICRC member which has reciprocity with most ICRC member states

TX: Provider approved by the TCBAP Standards Committee, Provider No. 1749-06, (12.5) hours general. Expires 3/31/2021. Complaints about provider or workshop content may be directed to the TCBAP Standards Committee, 1005 Congress Avenue, Ste. 460, Austin, Texas 78701, Fax Number (512) 476-7297.

 

Educators

TX: R. Cassidy Seminars is an approved provider with the Texas Education Agency CPE# 501456. This course is (12.5) CE Hours.

 

Nurses

CA: Provider approved by the CA Board of Registered Nursing, Provider #CeP12224, for (12.5) contact hours

 

Dentists

CA: R. Cassidy Seminars is a provider approved by the Dental Board of California as a registered provider of continuing education. RP# 4874. (12.5) CE Hours.

 

Disability Access - If you require ADA accommodations please contact our office 30 days Or more before the event. We cannot ensure accommodations without adequate prior notification.

 

Please Note: Licensing Boards change regulations often And while we attempt to stay abreast of their most recent changes, if you have questions Or concerns about this course meeting your specific board’s approval, we recommend you contact your board directly to obtain a ruling.

*Refund policy

Refunds on purchased tickets are available up until 30 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 30 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.

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