Uncovering the Hidden Linguistic Footprints of Complex Trauma: An Innovative Approach
Abstract
The multifaceted nature of complex trauma, traumatic stress reactions, and dissociative symptoms demands an equally multifaceted approach to assessment and treatment (Cloitre et al., 2019; Coventry et al., 2020; Bailey & Brand, 2017; Huang et al., 2020). These complexities, often including rigid thinking, fragmented self-identity, distorted beliefs, and maladaptive patterns, necessitate an empathic and informed approach to diagnosis and therapy. However, adequate training and supervision are limited in most academic settings (Kumar et al., 2022). Investing in the development and implementation of assessment techniques that help identify and prioritize treatment targets, such as those associated with dissociation or identity disturbances, is not just a clinical necessity but a societal responsibility. Natural language processing (NLP) offers a novel but surprisingly simple and unobtrusive approach to exploring how people conceptualize their world, think, and mentally categorize experiences (Vine et al., 2020). NLP can identify linguistic patterns and subtle expressions that shape cognitive and emotional processes, such as language domains that signal discrepancies in expectations, avoidance behaviors, and high-risk engagement, potentially offering an enhanced clinical profile of the individual that is not subject to, or reliant on, self-report bias, conscious awareness, or level of insight. By identifying specific linguistic markers linked to various aspects of trauma, therapists can tailor treatment plans to address the unique needs and challenges of the individual (Crespo & Fernandez-Lansac, 2016). When understood and interpreted through a relational philosophical lens, a nuanced, compassionate, and effective pathway to understanding and treating trauma emerges.
This symposium will explore the utility of language analysis in trauma care through four presentations: 1) An overview of NLP utilizing The Language Inquiry Word Count (LIWC) methodology as an assessment to enhance existing self-report measures; 2) A review of the existing research defining complex trauma and illustrating the challenges in assessment and treatment that may be detected and addressed by natural language use analysis 3) A synopsis of our pilot study examining natural language use in a trauma-affected sample; 4) A discussion of these findings within the framework of contemporary relational approaches to case formulation and psychotherapy.
Together, these sessions seek to illustrate how NLP can enhance traditional paradigms in assessing, treating, and monitoring the treatment of complex trauma, offering a multidimensional perspective on linguistic cues and their implications for tailored therapeutic interventions supported by evidence-based insights into the complex nature of traumatic stress and dissociation.
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:
- Participants will be able to describe, conduct and interpret a basic natural language analysis utilizing the Language Inquiry Word Count.
- Participants will be able to identify common features of complex trauma and dissociation as well as differentiate various levels of symptom severity.
- Participants will be able to define and explain the major language dimensions and components of linguistic style observed in individuals endorsing symptoms of complex trauma.
- Participants will be able to link theoretical insights from natural language analysis with practical assessment and therapeutic applications related to complex trauma.
- Participants will be able to discuss how different language domains are interpreted within a relational framework of complex trauma.
Course summary
- 1.50 APAThe 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 ACEThe 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 1.50 continuing education credits.
- 1.50 ISSTD Certificate ProgramThis program is eligible for 1.50 credits in the ISSTD Certificate Program. No certificate of completion is generated for this type of credit.
Jodie Maccarrone, PhD
Jodie Maccarrone, Ph.D. (she/her), obtained her Doctor of Philosophy in Clinical Psychology from Nova Southeastern University in 2022. She is founder of ChangePartners, LLC, a specialty private practice serving high-functioning individuals who have excelled in their professional lives but struggle internally with the emotional and psychological effects of trauma. She is also an adjunct professor in the College of Psychology at Nova Southeastern University. She completed her predoctoral internship at Broward Health Medical Center, primarily in an inpatient consultation-liaison role and is nearing completion of her post-doctoral fellowship at Nova Southeastern University's (NSU) Psychology Postdoctoral Residency Program. Her previous clinical experiences include primary care and community health /behavioral health settings including working with serious mental illness, personality disorders, complex trauma and traumatic stress disorders. Her clinical and research interests focus on examining the bidirectional relationship between mental and physical health (specifically pain disorders) and trauma as an important risk factor, as well as the impact of psychological well-being on chronic health issues. She has published work related to trauma and chronic pain as well as psychological well-being in peer-reviewed journals. She is trained in contemporary relational psychodynamic psychotherapy, dialectical behavior therapy, and cognitive behavior therapy and works therapeutically from an integrative perspective. She is an active member of the American Psychological Association, as well as Division 38 Health Psychology, and the International Society for the Study of Trauma and Dissociation.
Luca Hartman, MS
Luca Hartman, MS (she/her) is a fourth-year doctorate student in the clinical psychology program at Nova Southeastern University. Her research and clinical interests include the impact of complex trauma in childhood, the effects of discrimination and minority stress, the role of contextual factors in predicting treatment outcomes, and effective psychotherapeutic practices. Luca completed her first-year practicum at the Child and Adolescent Traumatic Stress Program, where she treated children, adolescents, and families affected by trauma and familial discord. She completed her second practicum experience at the Trauma Resolution and Integration Program (TRIP), a clinic focused on providing trauma-informed, affirmative care to adult survivors of childhood abuse and neglect. Her directed study focused on the role of the family-of-origin environment in predicting dissociation and posttraumatic stress in adults with histories of child sexual and physical abuse. Luca is also currently working on a grant-funded project that aims to develop a scale that captures specific variables related to child sexual abuse that predict negative outcomes in adulthood. Currently, she works as the research coordinator for TRIP, where she aids in research design, database management, statistical procedures, and development of academic manuscripts. She is a contributing student editor for the International Society for Traumatic Stress Studies (ISTSS) newsletter, for which she has co-authored three articles, and is a member of the ISTSS Complex Trauma Special Interest Group. Luca is a student member of the American Psychological Association, as well as Division 56 Trauma Psychology, and the International Society for the Study of Trauma and Dissociation.
Brianna Domaceti, MS
Brianna Domaceti, MS (she/her) obtained her bachelor of arts degree at Florida Atlantic University with a major in Psychology and a minor in Dance. She is currently a fourth-year clinical psychology doctoral student at Nova Southeastern University. Brianna's clinical and research interests center on complex trauma, including complex post-traumatic stress disorder (CPTSD), the therapeutic alliance, and therapeutic outcomes for survivors of childhood abuse and neglect. She completed her first clinical practicum at the Anxiety Treatment Center, where she treated adults primarily presenting with anxiety-related disorders. She also completed her second clinical practicum at the Trauma Resolution and Integration Program, a clinic focused on providing trauma-informed, affirmative care to adult survivors of childhood abuse and neglect. In addition to clinical work, Brianna is an active member of the TRIP research team, contributing to statistical analyses, ongoing research projects, and manuscript preparation for publication. She serves as the coordinator for the Traumatic Stress Institute Help Desk, where she assists complex trauma survivors in accessing trauma-informed care. She also co-chairs the Complex Trauma Special Interest Group within the International Society for Traumatic Stress Studies, where she has contributed as a student editor for their newsletter. She has participated in multiple poster presentations and symposiums and contributed to newsletter articles related to clinical training for treating complex trauma. Her professional memberships include the International Society for Traumatic Stress Studies (ISTSS), the American Psychological Association Division 56 (Trauma Psychology), the International Society for the Study of Trauma and Dissociation (ISSTD), and the Southeast Florida Association for Psychoanalytic Psychology.
Jennifer Davidtz, PhD
Jennifer Davidtz, PhD (she/her) is a licensed psychologist and an Associate Professor in the College of Psychology at Nova Southeastern University, where she teaches a range of graduate-level courses for the clinical psychology doctoral programs, including case conceptualization, treatment of personality disorders and serious mental illness, and community psychology. She is also Director of Psychological Services for the Emotionally Distressed (PSED), a specialty clinic within the doctoral programs' training clinic that serves people with serious mental illness and personality disorders. She completed her PhD in Clinical Psychology at the University of Massachusetts Amherst in 2007, followed by a doctoral internship at Harvard Medical School/The Cambridge Hospital and postdoctoral fellowship at Harbor-UCLA Medical Center. Jennifer has over 20 years of clinical experience and 15 years of supervision experience, and she specializes in the treatment of complex posttraumatic and dissociative conditions, borderline personality disorder, and severe and persistent mental illness. She also maintains a part-time private practice and has particular expertise and interest in working with adults and late adolescents who have experienced prolonged interpersonal trauma in the form of childhood sexual and physical abuse and severe neglect, or those who have endured abuse within interpersonal systems of control. Her other interests include community psychology and social justice; contemporary relational psychodynamic psychotherapy; psychotherapy integration; clinical psychology training and therapist development; and countertransference and other intersubjective psychotherapy process phenomena. She has supervised doctoral student research in all of the above areas and has published on the topics of serious mental illness, community psychology and social justice, clinical supervision, and the treatment of sex trafficking survivors.
Available Credit
- 1.50 APAThe 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 ACEThe 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 1.50 continuing education credits.
- 1.50 ISSTD Certificate ProgramThis program is eligible for 1.50 credits in the ISSTD Certificate Program. No certificate of completion is generated for this type of credit.
Price
"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 [email protected] to receive the appropriate discount code.
Registration Policies
All purchases of recorded content are final.
For additional webinar policies including completion requirements, filing grievances, requesting a disability accommodation, and awarding of certificates of credits, please visit our Policies page.

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