Navigating Issues of Boundaries and Ethics in the Psychotherapy of Trauma and Dissociation

Abstract
Navigating the dissociative-waters of boundaries and ethics requires alertness to the particulars of dissociative processes and the skewing of a life’s trajectory in the aftermath of trauma. Malevolence, sexual boundary violations, the two-sided coin of creativity and madness, mutual regressions and re-enactments of attachment trauma (both neurobiological and psychotherapeutic perspectives), traumatic transference and countertransference, and the importance of peer group support and attention to the elements of dignity are focal points of this six hour workshop.

Timed Outline
45 Minutes - Tripping Over the [Psycho}Dynamics 
45 Minutes - Six Standard Relations Crises in Trauma Therapy 
60 Minutes - Dynamics and After-Effects of Sexual Boundary Violations by Therapists
30 Minutes - Question & Answer (from original live audience)
45 Minutes - Neurobiology of Enactments
45 Minutes - Recognizing Sociopathic Tendencies in Clients Aimed at Hurting the Therapist
45 Minutes - A Dignity Model for the Conduct of a Psychotherapy Practice
45 Minutes - Question & Answer (from original live audience)

This session was originally presented as a live conference session in April 2021.

Target Audience

Intermediate

Learning Objectives

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

  • Discuss the impact of sociopathy on the therapy and ways to protect the therapist, as well as how to ethically transfer the patient when necessary
  • Describe the impact of sexual boundary violations, reporting issues, and treatment for both client and therapy
  • Analyze the use of creativity in work with severely traumatized individuals and discuss its limitations and possibilities
  • Describe therapeutic re-enactments from the perspective of neurobiology
Course summary
Available credit: 
  • 6.00 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.
  • 6.00 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 6.00 continuing education credits.
  • 6.00 ISSTD Certificate Program
    This program is eligible for 6.00 credits in the ISSTD Certificate Program.
Course opens: 
12/31/2020
Course expires: 
12/31/2050
ISSTD Member cost:
$99.00
Your Price:
$129.00
Rating: 
0

Presenter: Laura S. Brown, PhD
Presenter Bio: Laura S Brown PhD ABPP is a clinical and forensic psychologist practicing in Seattle WA. Although no longer offering psychotherapy services, she consults with many colleagues on topics in the treatment of complex trauma and dissociation, in both the clinical and forensic realms. She is the author or editor of 15 books and over 160 professional book chapters and journal articles. She is also a second degree black belt in Aikido, the martial art of peace, and has been developing an integration of aikido and trauma treatment that uses the insights of polyvagal theory to inform that work.

Presenter: Richard A. Chefetz, MD
Presenter Bio: Richard A. Chefetz, MD is a psychiatrist in private practice in Washington, D.C. He was President of the International Society for the Study of Trauma and Dissociation (2002-3), Co-Founder and Chair of their Dissociative Disorders Psychotherapy Training Program (2000-8), and is a Distinguished Visiting Lecturer at the William Alanson White Institute of Psychiatry, Psychoanalysis, and Psychology. He is also a faculty member at the Washington School of Psychiatry, the Institute of Contemporary Psychotherapy & Psychoanalysis, and the Washington Baltimore Center for Psychoanalysis. He is a Certified Consultant at the American Society of Clinical Hypnosis and is trained in Level I and II EMDR. Dr. Chefetz was editor of “Dissociative Disorders: An Expanding Window into the Psychobiology of Mind” for the Psychiatric Clinics of North America, March 2006, “Neuroscientific and Therapeutic Advances in Dissociative Disorders,” Psychiatric Annals, August 2005, and “Multimodal Treatment of Complex Dissociative Disorders,” Psychoanalytic Inquiry, 20:2, 2000, as well as numerous journal articles on psychoanalytic perspectives on trauma and dissociation. In 2015 he published Intensive Psychotherapy for Persistent Dissociative Process: The Fear of Feeling Real, with W.W. Norton, in their Interpersonal Neurobiology series.

Presenter: Christine Courtois, PhD, ABPP
Presenter Bio: Christine A. Courtois, PhD, ABPP, a counseling psychologist, is retired from clinical practice and now serves as a consultant/trainer on trauma psychology and treatment. She is a Fellow of the American Psychological Association (APA) and the International Society for the Study of Trauma and Dissociation. Dr. Courtois is a past president of APA Division 56 (Trauma Psychology) and served as Chair of the APA’s Clinical Practice Guideline for the Treatment of Posttraumatic Stress Disorder in Adults. She has received the Award for Distinguished Contributions to Independent Practice from the APA, the Sarah Haley Award for Clinical Excellence from the International Society for Traumatic Stress Studies, the Award for Distinguished Service and Contributions to the Profession of Psychology from the American Board of Professional Psychology, and the APA Division 56 Lifetime Achievement Award. She is coeditor of Treating Complex Traumatic Stress Disorders in Adults, Second Edition, and Treating Complex Traumatic Stress Disorders in Children and Adolescents, and coauthor of Treatment of Complex Trauma: A Sequenced, Relationship-Based Approach.

Presenter: Phil J. Kinsler, PhD, ABPP
Presenter Bio: Philip J. Kinsler, PhD, ABPP, is Clinical Associate Professor of Psychiatry at the Geisel School of Medicine at Dartmouth, and Instructor of Psychiatry at Dartmouth-Hitchcock Medical Center. He is a Past President of the International Society for the Study of Trauma and Dissociation. Dr. Kinsler has been writing, publishing, and training persons in the relational aspects of trauma treatment since the early 1990’s. His recent book, Complex Psychological Trauma: The Centrality of Relationship, was published by Routledge in 2018.

Presenter: Allan Schore, PhD
Presenter Bio: Dr. Allan Schore is on the clinical faculty of the Department of Psychiatry and Biobehavioral Sciences and UCLA David Geffen School of Medicine. He is author of six seminal volumes, Affect Regulation and the Origin of the Self, Affect Dysregulation and Disorders of the Self, Affect Regulation and the Repair of the Self, The Science of the Art of Psychotherapy, Right Brain Psychotherapy, and The Development of the Unconscious Mind as well as numerous articles and chapters. His Regulation Theory, grounded in developmental neuroscience and developmental psychoanalysis, focuses on the origin, psychopathogenesis, and psychotherapeutic treatment of the early forming subjective implicit self. His contributions appear in multiple disciplines, including developmental neuroscience, psychiatry, psychoanalysis, developmental psychology, attachment theory, trauma studies, behavioral biology, clinical psychology, and clinical social work. His groundbreaking integration of neuroscience with attachment theory has led to his description as “the American Bowlby,” with emotional development as “the world’s leading authority on how our right hemisphere regulates emotion and processes our sense of self,” and with psychoanalysis as “the world’s leading expert in neuropsychoanalysis.”

Presenter: Kathy Steele, MN, CS
Presenter Bio: Kathy Steele, MN, CS has been in private practice in Atlanta, Georgia since 1985, and is an Adjunct Faculty at Emory University. Kathy is a Fellow and a past President of the ISSTD, and is the recipient of a number of awards for her clinical and published works, including the 2010 Lifetime Achievement Award from ISSTD. She has authored numerous publications in the field of trauma and dissociation, including three books, and frequently lectures internationally on topics related to trauma, dissociation, attachment, and therapeutic resistance and impasses.

Presenter: Joan A. Turkus, MD
Presenter Bio: Joan A. Turkus, MD maintains a consulting and clinical practice in psychiatry and traumatology in McLean, Virginia. She is the Medical Director, TraumaSci: Complex Trauma Disorders Program at Dominion/HCA Hospital in Falls Church, Virginia and Co-Founder/Past Medical Director of The Center: Posttraumatic Disorders Program at the Psychiatric Institute of Washington, DC. Dr. Turkus has years of experience in the trauma field and maintains a national profile with teaching and consultation. She is a graduate of Rutgers University with a degree in pharmacy and graduated from The George Washington University School of Medicine with honors. She is a Distinguished Life Fellow of the American Psychiatric Association and a Fellow of the International Society for the Study of Trauma and Dissociation, of which she is a Past President. She has been awarded a Lifetime Achievement Award, the Cornelia Wilbur Award for clinical contributions, and a Distinguished Achievement Award by the International Society for the Study of Trauma and Dissociation. She is a Diplomate of both the American Board of Psychiatry and the American Board of Forensic Psychiatry. She is trained in psychiatry, traumatology, clinical hypnosis and EMDR. She maintains a keen interest in neurobiology and psychopharmacology, particularly in their application to the complexity of Posttraumatic Stress Disorder.

Available Credit

  • 6.00 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.
  • 6.00 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 6.00 continuing education credits.
  • 6.00 ISSTD Certificate Program
    This program is eligible for 6.00 credits in the ISSTD Certificate Program.

Price

ISSTD Member cost:
$99.00
Your Price:
$129.00
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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. 

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.