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Seemingly unending numbers of recent revelations of boyhood sexual abuse have included allegations related to the Catholic Church, workplaces, universities, the military, Congressional pageboys, Orthodox Jewish yeshivas, private and public schools, and the Boy Scouts of America, among many others. Concurrently, men in the sports, entertainment, political, and journalism worlds have publicly disclosed sexual victimization histories.
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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.
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Chronic childhood interpersonal trauma can interfere with all aspects of normative human development and bring about a constellation of symptoms and impairments which, seen through a trauma lens, challenge dominant approaches to child services. Three collaborative projects aiming to implement trauma-informed care with child services will be presented.
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Psychotropic medications are widely used in the treatment of Dissociative Identity Disorder (DID), yet the literature to guide their use is almost nonexistent. The prescriber faces the challenge of distinguishing whether particular symptoms, such as dramatic mood shifts or auditory hallucinations, represent switches within the alter system, as opposed to co-occurring biological disorders such as bipolar disorder or schizophrenia.
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In this workshop Mary-Anne discusses the findings from her doctoral research, including from in-depth interviews with 13 in-patients with a Dissociative Disorder (DD), and results from 313 participants from an Australian university and 30 individuals in treatment for a DD
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A focus on diagnosis of dissociative disorders distracts clinicians from the more important and more useful discernment of what dissociative processes are active in a given patient "in the moment" and how this provides an entry point into the subjective experience of the patient.
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The Dissociative Disorders Interview Schedule DSM-5 Version (DDIS) is a structured interview that diagnoses the DSM-5 dissociative disorders plus somatic symptom disorder, major depressive disorder, and borderline personality disorder.
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Dissociative Disorders are underdiagnosed, undertreated, and widely misunderstood among mental health professionals. Dissociative disorders are more common than either schizophrenia or bipolar disorder even by conservative estimates, yet individuals suffering from these disorders are typically in the mental health system for years before receiving the proper diagnosis.
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Children and teens with developmental delays and disabilities face high risks for trauma yet at the same time encounter barriers to receiving therapy for traumas they endure. Some barriers arise from professionals’ lack of familiarity with the ways trauma can impact different disabilities, and how posttraumatic and dissociative symptoms might manifest in these populations.
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This presentation discusses the neurobiology of dissociation as a post-traumatic response and its relationship to autonomic nervous system (ANS) function, including the underlying physiological mechanisms and defense cascade in response to stressors. Animal models including fight, flight, freezing and tonic mobility, including the involvement of endogenous opioid activation in these states are explored.
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