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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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Studies, and master clinicians have pointed to the power of the relationship between therapist and client. However, there's a discrepancy between how powerful the relationship is in therapy and the amount of time and attention given to it in training. While transference and counter-transference are sometimes addressed; for this to be useful, it requires the therapist to be aware of his/her own self, defenses, triggers, history, etc.
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Abstract
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Abstract
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The webinar is based on the presenter’s experience of providing consultative supervision to practitioners working with RAMCOA. It explores how the impact of work with deeply disturbing material poses unique challenges to the supervisory relationship, calls existing frameworks for practice into question and can be experienced as undermining of established competencies by both supervisor and supervisee.
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Ongoing incest during adulthood almost invariably incorporates one or more forms of organised sexual and other abuse - whether it be multi-generational familial sexual abuse, the involvement of groups of workmates and others associated with the father, organised child and adult prostitution, or groups of abusers associated with churches or cults.
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This presentation features ways to understand and utilize blending skills for a variety of of problem situations faced by clinicians treating dissociative disorders. Our understanding of the development of alters in the lives of our patients/clients rests on the view that they emerge into consciousness in order to solve life problems encountered by abused children.
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