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This webinar will review the triphasic unfolding of psychotherapy for DID, DDNos and chronic PTSD. It will particularly focus on that which differs from standard psychotherapeutic engagement and will use DID as its paradigmatic and emblematic disorder. It will describe how to engage the DID patient in a planful, organized psychotherapy which will favor functional stability and support the unfolding of dissociated material contained within the personalities.
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Abstract
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Abstract
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Abstract
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Abstract
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Abstract
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An important goal in dissociative disorders treatment has always been the achievement of co-consciousness. An antidote to amnestic barriers that prevent information exchange and often contribute to high-risk behaviors “behind the back” of the client, co-consciousness has many clinical benefits. By facilitating the client’s ability to recognize the parts’ voices, points of view, and belief systems as differentiated from their own, it increases the degree to which clients can maintain continuity of self over time.
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This webinar will explore the emerging empirical literature on shame and dissociation in complex trauma disorders. Clinical and theoretical accounts have long noted the challenges in working with shame in individuals exposed to interpersonal violence, and more recent work espouses the importance of working with shame (e.g, Chefetz, 2015; Herman, 2011; Kluft, 2007).
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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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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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