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ISSTD's 2015 webinar series featured a presentation from ISSTD Past President Martin Dorahy.
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ISSTD's 2014 webinar series featured presentations from a number of leaders in the field covering a variety of topics.
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ISSTD's 2009 webinar series featured presentations from a number of leaders in the field covering a variety of topics.
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ISSTD's 2008-2009 webinar series featured two webinars from Pat Ogden and Kathy Steele.
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ISSTD's 2008 webinar series featured four presentations from Richard Kluft.
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One of the greatest challenges in working with complex dissociative disorders is to provide a step-wise, rational, and relatively steady treatment approach. Chaos, crises, avoidance strategies, resistances, intense transference and countertransference, conflicts among dissociative parts, and a disorganized attachment style are only a few issues that contribute to difficulties in maintaining a stable therapy. We will explore specific ways to conceptualize a case that offers the therapist a meta-view of how the client is organized, opening a path toward a rational treatment plan. We will explore how to assess specific prognostic factors and set collaborative therapeutic goals. We will discuss general guidelines about how treatment might differ when there is more than one part that functions in daily life; which parts to work with first; when it is better to work with all, some or only one part at a time; steps toward integration even before traumatic memories can be addressed; and effective ways to work with particular types of parts.
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Complex behaviour in children are escalating worldwide. Many hours are presently being invested by therapists and mental health professionals to combat these very complex behaviours, which at times can leave experienced mental health professionals despondent. Some of these behaviours in children who suffered complex trauma, might be due to perpetrator introjects, a less familiar dissociative state.
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Childhood trauma has the potential to overwhelm the coping ability of children and can create developmental changes in brain structure and function. These changes to the developing mind allow for short term survival and sacrifice long term effective functioning. Adolescence is a time when these changes have the potential for both becoming more deeply embedded or largely rectified as the person moves toward adulthood.
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Children and adolescents with dissociation have a high rate of affect and behavior dysregulation. They are easily triggered and out of their window of tolerance. They can be erratic and unpredictable due to their extreme switching of self-states and high rate of comorbidity. They are often put on heavy dosages of multiple medications and are still uncontained. Placements become disrupted and the child experiences frequent moves and failed therapeutic interventions.
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Psychotherapy outcome research shows that the relationship between therapist and client is highly predictive of therapy outcome. This is especially so for chronically traumatized persons, who have been relationally violated so often. In the therapy of complex trauma patients, there are six choice points that present typical relational challenges.
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