Expanding Methods for Treating cPTSD: Incorporating Functional Contextualism
Abstract
Functional Contextualism, most frequently represented in the research literature as Acceptance Commitment Therapy, is a transdiagnostic approach that explains human suffering as the product of psychological inflexibility. Psychological inflexibility refers to the tendency to resist or struggle with difficult emotions, thoughts, or experiences, rather than approaching them with openness, acceptance, and adaptability. It involves evasion of challenging situations or emotions (avoidance), holding tightly to fixed beliefs, behaviors, or coping mechanisms (fusion), along with limited, present-moment awareness, poor understanding of self separate from role expectations (conceptualized self), and limited capacity to adapt or engage steadfast based on one’s values.
This transdiagnostic approach to treatment has over two hundred RCT's supporting its use in a multitude of clinical populations. Despite this, relatively little has been said about its use with structural dissociation/cPTSD and DID. This presentation will provide a foundational argument for the clinical utility of functional contextualism with cPTSD given its grounding emphasis on building awareness to the present moment along with its dialectical stance on emphasizing the historic contextually grounded function of avoidance with its present moment problematic impact on meaningful action. We will cover an initial emphasis on a conceptualization of cPTSD, focusing on how individuals’ history plays out in the here-and-now while preventing a meaningful, engaging life. This presentation will then shift to treatment, covering the three pillars of this approach. First, we will discuss the central pillar of awareness to both time and self. Further, we will discuss the pillar of openness to acknowledging and lightly holding painful emotion and thoughts. Third, we will discuss the engage pillar for moving forward in life on a meaningful path. Through a combination of lecture and experiential practice there will be a particular emphasis on practical skills in each of these three pillars for applying this approach to build a new network of attachment behavioral repertoire with the cPTSD population.
Potential to Distress: No
Target Audience
Beginning/Introductory
Learning Objectives
At the conclusion of this presentation, participants will be able to:
- Identify three principles of a functional contextualist transdiagnostic conceptualization
- Apply one “aware” skill for building present moment awareness of self and time
- Apply one “open” skill for making compassionate connection to painful emotions
- Apply one “engage” skill for building a meaningful present-moment
- Identify three principles of a functional contextualist conceptualization for cPTSD
Abby Hurley, PsyD
Dr. Abby Hurley is a licensed Clinical Psychologist who received her PsyD in Clinical Psychology from Wheaton College in 2012. She has worked in both inpatient and outpatient settings and currently serves as practice partner and clinical psychologist at a group practice in the western suburbs of Chicago, IL, United States. She has advanced training in Dialectical Behavior Therapy (DBT) and Acceptance Commitment Therapy (ACT) as well as training in complex trauma. Further, she has training and supervision in Havening Touch and Sensorimotor Psychotherapy. Her clinical work focuses on providing both individual and group care for clients with complex needs, most especially those with developmental trauma and resulting diagnoses of Borderline Personality, cPTSD, and DID. She also works extensively with those in the LGBTQIA+ community and those navigating the effects of religious trauma. Dr. Hurley also provides trainings around these clinical interests both within her organization as well as for the Association for Contextual Behavioral Science (ACBS) of which she has been a member for the past fifteen years with involvement presently as past president for the Chicago Chapter. While new to ISSTD, Dr. Hurley is eager to learn from others in the community and contribute to the ongoing advancement of best practices for working with trauma and dissociation.
Michal Kocum, MA
Michal received his MA in Clinical Mental Health Counseling from Wheaton College in 2020. Prior to that he received training in hypnosis, systemic, strategic and solution oriented approaches under the Hermes Institute iIn Prague, Czech Republic. He began his career in the United States as a therapist working with clients with complex needs within high levels of care, such a residential treatment center for female clients and a day program for individuals with substance use, eating and mood disorders. There he received training and supervision in both depth-oriented and behavioral contextual approaches as well as harm reduction and 12 step support. He is currently working in a private practice in Wheaton, IL, providing long term individual therapy through the use of relational analysis, DBT and MBT, as well as creating, implementing and leading groups, such as Dialectical Behavior Therapy for adolescents, MBT-I, MBT-G, and Acceptance and Commitment Therapy group for adults.
Available Credit
- 1.50 APAThe International Society for the Study of Trauma and Dissociation is approved by the American Psychological Association to sponsor continuing education for psychologists. The International Society for the Study of Trauma and Dissociation maintains responsibility for this program and its content.
- 1.50 ASWB ACEThe International Society for the Study of Trauma and Dissociation (ISSTD), #1744, is approved as an ACE provider to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Regulatory boards are the final authority on courses accepted for continuing education credit. ACE provider approval period: 08/20/2024 – 08/20/2027. Social workers completing this course receive 1.50 continuing education credits.
- 1.50 ISSTD Certificate ProgramThis program is eligible for 1.50 credits in the ISSTD Certificate Program. No certificate of completion is generated for this type of credit.
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