Beyond Attachment: A Collaborative Model of Relationship for Complex Developmental Trauma

Abstract
One of the more challenging problems of working with complex developmental trauma is how to effectively manage the therapeutic relationship. We are directed to help the client develop secure attachment; yet close relationship activates the insoluable dilemma of the client's history: needing to attach while feeling threatened. Intense dependency, avoidance, and aggression may subsequently become difficult to manage. We will take a fresh look at how to conceptualize several intrinsic motivational systems that impact the therapeutic relationship, and the problems that ensue when activation of one system impedes others in both client and therapist. Participants will be invited to a thought-provoking examination of not only the advantages, but the disadvantages and challenges of using the standard "parent-child" model of attachment for adults in psychotherapy whose caretakers were the source of threat. The over-activation of attachment-seeking in the client naturally inhibits curiosity and also elicits the therapist's caretaking system, potentially leading to a derailment of therapy into a rescue endeavor. We will explore the roles of the motivational systems of exploration, attachment, caretaking, collaboration, competition, and defense in the therapeutic relationship. Participants will learn practical strategies for managing the therapeutic relationship from this perspective.

This session was originally presented as a live conference session in March 2019.

Target Audience

Advanced

Learning Objectives

At the conclusion of this session participants will be able to:

  • Discuss the pros and cons of the standard parent-child model of attachment in the psychotherapy of adults with complex developmental trauma disorders
  • Identify intrinsic motivational systems in both therapist and client that impact the therapeutic relationship
  • Employ at least three interventions to minimize activation of the client's attachment system, and promote a more collaborative relationship that focuses on mutually shared goals and interest/curiosity
Course summary
Available credit: 
  • 1.50 APA
    The International Society for the Study of Trauma and Dissociation is approved by the American Psychological Association to sponsor continuing education for psychologists. The International Society for the Study of Trauma and Dissociation maintains responsibility for this program and its content.
  • 1.50 ASWB ACE
    The International Society for the Study of Trauma and Dissociation (ISSTD), #1744, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. ISSTD maintains responsibility for this course. ACE provider approval period: 08/20/2021 – 08/20/2024. Social workers completing this course receive 1.50 continuing education credits.
  • 1.50 ISSTD Certificate Program
    This program is eligible for 1.50 credits in the ISSTD Certificate Program.
Course opens: 
12/31/2019
Course expires: 
12/31/2050
ISSTD Member cost:
$35.00
Your Price:
$55.00
Rating: 
0

Presenter: Kathy Steele, MN, CS
Presenter Bio: Kathy Steele, MN, CS has been in private practice in Atlanta, Georgia for over three decades, specializing in the treatment of complex trauma, dissociation, attachment difficulties, and the challenges of complicated therapies. She is an adjunct faculty at Emory University, and a Fellow and past President of the International Society for the Study of Trauma and Dissociation. Ms. Steele teaches internationally and consults with individuals, groups, and trauma programs. She has received a number of awards for her work. She has published numerous journal articles and book chapters, and has co-authored three books on dissociative disorders.

Available Credit

  • 1.50 APA
    The International Society for the Study of Trauma and Dissociation is approved by the American Psychological Association to sponsor continuing education for psychologists. The International Society for the Study of Trauma and Dissociation maintains responsibility for this program and its content.
  • 1.50 ASWB ACE
    The International Society for the Study of Trauma and Dissociation (ISSTD), #1744, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. ISSTD maintains responsibility for this course. ACE provider approval period: 08/20/2021 – 08/20/2024. Social workers completing this course receive 1.50 continuing education credits.
  • 1.50 ISSTD Certificate Program
    This program is eligible for 1.50 credits in the ISSTD Certificate Program.

Price

ISSTD Member cost:
$35.00
Your Price:
$55.00
Please login or register to take this course.

"Your Price" above reflects your final price based on your membership status and career level. 

  • ISSTD defines a student as those enrolled in a program of study leading to a degree or certification in the mental health field and who have an interest in trauma and dissociation. 
  • ISSTD defines an emerging professional as mental health professionals who have completed an advanced degree and are in the first three years of their career (or first three years after graduation for researchers).
  • If you do not fall into one of the above categories please register as Professional/Retired. 

These prices are for Tier I countries. For a list of countries by Tier click here. If you are located in a country that falls into Tier II-VI please contact ISSTD at cfas@isst-d.org to receive the appropriate discount code.