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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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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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​​​​​​​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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​​​​​​​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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The mind control (invasion) transference (MCT) is an extreme form of traumatic transference in patients with dissociative identity disorder (DID) and related very severe, complex dissociative trauma disorders. It is defined as he patient’s belief that the therapist’s overt helpfulness and concern is really in the interest of gaining access to the patient’s mind in order to malevolently invade and control the patient psychologically. To some extent, all DID patients have some aspect of this type of transference.
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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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For many years, the practice of psychotherapy for dissociative disorders was largely focused on working with adult survivors. Over the last 10 to 15 years, there has been increased recognition and focus on working with younger trauma survivors in developmentally appropriate ways to more effectively reduce or eliminate the need for dissociative processes as an ongoing coping mechanism. A clear advantage of this approach is that the earlier developmentally these coping mechanisms are addressed, the less firmly entrenched they are.
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Over the past decade, meditation and yoga have become increasingly popular in mental health treatment and in the world at large. While the practices can be helpful, clients will receive the most benefit from work that is trauma informed and delivered with an understanding of how these healing mechanisms impact the mind, brain and body.
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​​​​​​​Substantial numbers of patients with Dissociative Identity Disorder at the time of presentation as adults report incestuous abuse continuing into the adult years and for many, the abuse is current and ongoing. Data relating to a series of 10 such incestuously abused women is presented. Such patients usually have been sexually abused from a very early age (typically from under age 3), with the manipulation of their sexual response a key component in conditioning an enduring sexualized attachment, at the same time shame and fear are used as key components in maintaining compliance and silence.
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Therapists can be overwhelmed by working with clients with frequent crises that threaten the life, safety, and health of the client. Often, clients suffering from Complex Trauma and Dissociative Disorders present with a phenomenal array of crisis events. Therapists often struggle with the complexity, frequency, and severity of these events, and their overwhelming emotional toll on both client and therapist.
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