The Healing Power of Dignity and Human Connection: A Trauma Practice Approach to Group Therapy

Abstract
Shame has been identified as a core experience among survivors of interpersonal trauma and those with cPTSD; however, even individuals who present to treatment following a Type 1 trauma frequently report experiences of shame and humiliation following a traumatic event, both at an individual and community level. It follows that dignity — defined here as a sense of belonging and the emotional experience of feeling valued and worthy of honor and respect — is key to the healing of shame and humiliation.

Group therapy offers a unique opportunity to leverage the healing power of human connection in the recovery of PTSD and cPTSD. Therapy groups may offer individuals the unique corrective emotional experience of unconditional positive regard and acceptance among survivors, a chance to feel worthy and valued, and an opportunity to experience a sense of connection to a wider human system, repairing their sense of human dignity. Additionally, there are many documented benefits to group therapy, including increased access to effective treatment and reduced wait times and costs. Group trauma therapy has also been shown to reduce social isolation and significantly decrease trauma symptoms with a diverse range of trauma presentations. Despite these well-documented advantages, group trauma therapy services offered in communities are limited.

Our team has adapted the techniques and interventions outlined in the Trauma Practice Approach, a tri-phasic Cognitive Behavioural Somatic Therapy, for group delivery. To date, we have received very positive feedback from the individuals we have served, and initial research findings provide promising evidence of the effectiveness of these groups in reducing trauma symptoms. This workshop will combine both didactic and experiential learning strategies to teach the audience about our group interventions.

First, we will discuss the use of Trauma Practice, a phasic approach to trauma therapy as applied in individual sessions. This discussion will include didactic exercises of unique and integrative strategies when working with trauma survivors. We will then explore how we adapted Trauma Practice in the context of group therapy. We will discuss the development and implementation of four phase-1 trauma-informed groups: Recovery and Resiliency, Lean-in for Connection, Trauma-informed Meditation, and Anger Regulation. While these groups focused on different aspects of recovery, they shared 4 main goals: (1) to increase connection and decrease isolation among trauma survivors; (2) to increase emotional awareness, expression, and regulation; (3) to teach safety and stabilization skills; and (4) to learn to manage interpersonal conflict. Using both clinician and client perspectives, as well as clinical research, we will explore what worked well and discuss future directions and areas for improvement. We will discuss the safeguards we took to promote safety in a group setting (e.g., balancing equal engagement from all members, reducing the risk of possible re-traumatization and dysregulation, respecting confidentiality and acknowledging its limits, and developing strong therapeutic relationships with group members). Last, we will discuss the unique consideration of online versus in-person group therapy and provide recommendations on how to evaluate the progress and success of offered groups.

Potential to Distress: No

This recorded conference session was originally presented as part of a live conference in April 2024.

Target Audience

Those seeking to participate in this webinar must be licensed mental health professionals (psychiatrists, psychologists, clinical social workers, mental health counselors, accredited psychotherapists, etc.). ISSTD staff will audit license information prior to the start of the course and may request additional documentation for your license.

We do accept students 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. Students must submit proof of student status such as a transcript or registration record. For those who have completed their degree and are currently in the pre-licensure stage practicing under the license of another clinician, you must provide the name and license information for the person you are working with. Documentation should be sent to ISSTD staff at [email protected] before registering. 

This webinar content is at the beginning/introductory level.

Learning Objectives

Learning Objectives

At the conclusion of this presentation, participants will be able to:

  • Describe the Trauma Practice Approach to tri-phasic trauma therapy for individuals and explain tri-phasic trauma therapy in the context of group therapy
  • Discuss the advantages and challenges of delivering trauma-informed support in group settings, including how groups leverage the healing power of dignity and human connection
  • Evaluate risks, plan for challenges, and implement strategies to safeguard against re-traumatization in group therapy settings
  • Apply principles of effective group therapy to trauma-informed groups
  • Demonstrate strategies for facilitating the development of effective interpersonal skills among members in a trauma-informed support/therapy group

Course summary

Available credit: 
  • 3.00 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.
  • 3.00 ASWB ACE
    The International Society for the Study of Trauma and Dissociation (ISSTD), #1744, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 08/20/2024 – 08/20/2027. Social workers completing this course receive 3.00 continuing education credits.
  • 3.00 ISSTD Certificate Program
    This program is eligible for 3.00 credits in the ISSTD Certificate Program. No certificate of completion is generated for this type of credit.
Course opens: 
01/31/2025
Course expires: 
12/31/2050
ISSTD Member cost:
$35.00
Your Price:
$55.00
Rating: 
0

Kristina Cordeiro, MA

Kristina is a senior PhD student in the Clinical-Developmental Psychology program at York University, in Toronto, Canada. Supervised by Dr. Robert T. Muller, her research has focused on intrafamilial trauma and attachment-based treatments for children and their families. Most recently, she’s been collaborating on a large clinical trial of the effectiveness of Emotion-Focused Family Therapy for caregivers supporting children living with mental illness, and she has been studying the clinical benefits of using the Adult Attachment Interview as an add-on to therapy. Her research has been recognized by the International Society for the Study of Trauma and Dissociation, and she has received numerous grants in support of her research and clinical training. Kristina has over 15 years of experience working with children and young families in educational and clinical settings, having held positions at Etobicoke Children’s Centre, the Child and Adolescent Psychology Center, OISE Psychology Clinic, York University Psychology Clinic, and the Hospital for Sick Children. In these positions, Kristina provided individual and group therapy and comprehensive assessments. Kristina also has extensive experience supporting clients with Autism/ASD and their families, providing Intensive Behavioural Therapy and counseling. Most recently, she has trained and worked at Bear Psychology/Trauma Practice, providing trauma therapy to adult clients. Currently a Doctoral Associate at the Family Psychology Centre, Kristina works with youth, adults, and families presenting with a variety of mental health concerns, providing both assessment and treatment services. She is passionate about increasing access to effective and timely mental health services and considers the caregiver-child relationship to be a critical entry point for preventative interventions. She hopes to affect systemic change in how we involve parents in the treatment of their children.

Marlee Salisbury, MA

Marlee holds a Master’s degree in Clinical Psychology from the University of Manitoba and is currently a Ph.D. student in the Clinical-Developmental Psychology program at York University. Her research has focused on understanding the impact of early experiences, including the parent-child relationship, on children's emotional development and neurobiological markers of stress regulation. More recently, she has been involved in co-developing and evaluating the effectiveness of maternal mental health programs aimed at promoting positive parenting and disrupting the intergenerational transmission of chronic stress. Currently supervised by Dr. Robert T. Muller in the Trauma and Attachment Lab, Marlee’s work has shifted to evaluating attachment-based therapeutic interventions for families with trauma histories, with the goal of promoting effective mental health services, particularly through the caregiver-child relationship. Her research has been supported through numerous grants and fellowships, including a SSHRC Doctoral Fellowship, and is published in various high-impact journals including Prevention Science and Frontiers in Psychiatry. Marlee is trained in a range of clinical modalities and has worked with children, families, and adults in both intervention and assessment contexts. Her recent clinical work involves facilitating community-based, trauma-focused group programs for promoting stress reduction methods and building emotional strength among adults with PTSD. Additionally, Marlee is passionate about improving the efficacy and accessibility of early preventative interventions for children and families experiencing chronic stress or trauma, and she strives to involve parents actively in the treatment process. Her goal is to create lasting systemic change by strengthening the parent-child bond and improving parent mental health and support.

Cassandra Harmsen, MA

Cassandra Harmsen is a Ph.D. student in the Clinical-Developmental Psychology program at York University, in Toronto, Canada. She obtained her B.Sc. in psychology from McMaster University in 2014, and her M.A. in Clinical-Developmental Psychology from York University in 2021. As a Ph.D. student under the supervision of Dr. Robert T Muller, Cassandra’s primary research focus is understanding effective interventions for trauma survivors. In particular, she has spearheaded a project examining the effectiveness of the Trauma Practice Approach, a Cognitive Behavioural Somatic Therapy for adults with trauma symptoms. Her work has been presented at various conferences, including the 40th annual ISSTD conference and she currently has two publications in review on this topic. Cassandra has other published work in the areas of Emotion-Focused Family Therapy, barriers to trauma treatment for LGBTQ+ individuals, and complicated grief during COVID-19. Cassandra has several years of experience working with children and young families in several clinical settings. She has practiced in hospitals, including the Centre for Addictions and Mental Health. She completed her intervention practicum in 2023 at the Ron Joyce Children’s Health Centre (Hamilton Health Science). She has also worked in private practices focusing on assessing and treating youth with various presenting concerns. She uses evidence-based practices, including CBT, ACT, Family Based Therapy for eating disorders, and EFFT most prominently.

Available Credit

  • 3.00 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.
  • 3.00 ASWB ACE
    The International Society for the Study of Trauma and Dissociation (ISSTD), #1744, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 08/20/2024 – 08/20/2027. Social workers completing this course receive 3.00 continuing education credits.
  • 3.00 ISSTD Certificate Program
    This program is eligible for 3.00 credits in the ISSTD Certificate Program. No certificate of completion is generated for this type of credit.

Price

ISSTD Member cost:
$35.00
Your Price:
$55.00
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"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. 

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