3rd Virtual Summit of Complex Trauma, Dissociation & EMDR Therapy
This Summit consists of 4 modules of 3 hours each and it is presented using a webinar format.
Title: Advancing Excellence in Treating Dissociation: Working with Dissociative Phobias and Cognitive Errors
Presenter: Kathleen Martin, LCSW
Treating dissociation is a complicated and delicate process. The clinician must join with the client’s need to maintain depersonification and derealization while at the same time have skills to challenge these processes without increasing the client’s need to dissociate. This 3 hour lecture will explore the most common (unintentional) mistake made by clinicians treating this population followed by specific strategies to avoid this mistake. Treating dissociative cognitive errors will be explored with a case example illustrating their delicate treatment process. The expanded readiness checklist for EMDR Therapy Phase 4 reprocessing in complex trauma cases will be taught to help clinicians conceptualize readiness and avoid the pitfall of entering Phase 4 too soon.
1) Participants will be able to identify the most common mistake made in the treatment of complex trauma and how to avoid it
2) Participants will be able to define cognitive errors and their purpose in maintaining dissociation along with one strategy to treat them
Kathleen Martin, LCSW is an EMDRIA Approved EMDR Consultant and Trainer. She specializes in trauma and dissociation in her private practice in Rochester, NY, USA. She is a consultant and trainer to both individual clinicians and mental health agencies internationally. She has published an article entitled How to Use Fraser’s Dissociative Table Technique to Access and Work with Emotional Parts of the Personality and has another one in press on the importance and art of time orientation. She has developed a strategy called Oblique Time Orientation that is detailed in this later article. She teaches both basic and advanced EMDR courses and workshops internationally and often teaches on topics related to trauma and dissociation. She has integrated Structural Dissociation Theory and the Polyvagal Theory into her clinical EMDR Psychotherapy practice and teaches master classes to help others do the same.
Title: Working Effectively with Perpetrator Introjects: Integrating an Ego State Therapy Approach with EMDR Therapy
Presenter: Farnsworth Lobenstine, LICSW
A particularly difficult block to the treatment of clients with DID and DDNOS/OSDD are the internal presence of perpetrator introjects, often called perpetrator-imitating parts. These parts of the personality often violently “protect” the client, insisting the past is still present and the danger has never ended. Their threats can frighten both the client and the therapist. Their functions will be presented. Then, following Kluft’s statement, “Dissociation dissolves in the face of empathy”, an Ego State Therapy approach will be delineated and integrated with EMDR Therapy. Simultaneous strategies to strengthen the client are presented.
1) Participants will be able to cite protective functions of perpetrator introjects.
2) Participants will be able to define three strategies for working with perpetrator introjects
Farnsworth Lobenstine, LICSW is on the national faculty of the EMDR Institute, serving since 2001 as a Facilitator. He became an EMDRIA Approved Consultant in 2001 and a Trauma Recovery (HAP) Facilitator in 2005. Farnsworth is a passionate teacher and for the tenth year is leading an academic year-long Advanced Seminar on the Integration of Ego State Therapy and Structural Dissociation with EMDR Therapy. Since 2013 he has presented sold out workshops on this topic around the country. He co-authored a lengthy article in the Journal of EMDR Practice and Research in 2013 on his highly successful brief, intensive treatment, using EMDR and Ego State Therapy, with a woman who had been hospitalized.
Title: EMDR for dissociative disorders. Understanding and working with the internal conflict
Presenter: Dolores Mosquera
Based on early cautions, many clinicians limit EMDR therapy to only highly-functioning dissociative clients who have undergone a long preparation phase that depends upon other modalities. From this conceptualization, the use of EMDR is erroneously limited, depriving many survivors of severe traumatization the benefits of EMDR therapy.
Clinical case examples and video fragments will illustrate interventions with EMDR for dissociative clients following the “Progressive Approach” (Gonzalez & Mosquera, 2012).
Module 3 will be focused on understanding the internal conflict in those with severe traumatization and learning procedures to aid trauma processing in this population.
In addition participants will learn:
1. To identify the main aspects related to the maintenance of dissociation and the internal conflict (Phase 1)
2. Tools and techniques to explore the system of parts safely (Phase 1 and 2)
3. Specific procedures and tools to process safely (Phase 2. Preparation, stabilization and how to move towards processing gradually)
1. Participants will be able to apply strategies to explore the internal system and work with dissociative phobias safely in Dissociative Disorders.
2. The Tip of the Finger Strategy and other tools to process trauma gradually and safely
Dolores Mosquera MS, is a psychologist and psychotherapist. She is the director of the Institute for the Study of Trauma and Personality Disorders (INTRA-TP) in A Coruña, Spain, a private institution where she has worked for many years on cases related to severe traumatization. Dolores has extensive teaching experience, leading seminars, workshops, and lectures internationally. She has published many books and articles on personality disorders, complex trauma, and dissociation, and is a recognized expert in this field. Dolores collaborates with the Programa de Atención Psicolóxica a Mulleres que sufren Violencia de Xénero (PAPMVX, Galician acronym for Psychological Counseling Program for Women Victims of Domestic Violence), Abramos o Círculo: Programa de atención psicolóxica a hombres con conductas violentas (Let’s Open the Circle: Psychological Counseling Program for Males with Violent Behavior), and the Red Nacional de Psicólogos para la Atención a Víctimas del Terrorismo (National Psychologist Network for the Assistance of Victims of Terrorism), as well as the IPSE - Intervención Psicológica Especializada. Programa de Asistencia Psicológica ante Situaciones Críticas (Specialized Psychological Intervention. Assistance Program For Critical Situations), organization that refers to her clinics victims of emergencies, accidents, violent attacks, kidnapping and other traumatic incidents).
Title: How to Recognize and Treat Dissociation in the History, Preparation and Assessment Phases of EMDR
Presenter: Colin A. Ross, M.D.
In this three-hour workshop, Dr. Ross will provide an overview of dissociation and complex trauma. The focus will be on how to recognize and treat dissociation within the History, Preparation and Assessment phases of EMDR. Dr. Ross will review the definition of dissociation and the differences between psychoform and somatoform dissociation. He will spend considerable time on dissociative identity disorder (DID): how to diagnose it; what it is and what it is not; prevalence, reliability and validity; treatment outcome data for DID; and the relationship between DID and PTSD. Attendees will be instructed in how to use the Dissociative Experiences Scale and the Dissociative Disorders Interview Schedule for diagnosis of dissociative disorders. This discussion will be followed by an explanation of the principles of Dr. Ross’ Trauma Model Therapy, which is suitable for DID, BPD, PTSD and a wide range of mental health problems and addictions. These principles can be most helpful in EMDR therapy of complex trauma prior to desensitization work.
- Participants will be able to describe the definition of dissociation, the difference between psychoform and somatoform dissociation, and the treatment outcome data for dissociation identity disorder.
- Participants will be able to describe how to use the Dissociative Experience Scale and the Dissociative Disorders Interview Schedule as well as to describe the principles of trauma model therapy and their uses within the history, preparation and assessment phases of EMDR.
Colin A. Ross, M.D. received his M.D. from the University of Alberta in 1981 and completed his psychiatry training at the University of Manitoba in 1985. He has been running a Trauma Program in the Dallas, Texas area since 1991 and consults to two other Trauma Programs, one at Forest View Hospital in Grand Rapids, Michigan and one at Del Amo Hospital in Torrance, California. His Texas Trauma Program moved to UBH Denton in September, 2015. Dr. Ross is the author of 28 books and 200 professional papers and is a Past President of the International Society for the Study of Trauma and Dissociation. Dr. Ross has spoken widely throughout North America and in Europe, China, Malaysia, Australia and New Zealand. Besides his psychiatric research and writing, Dr. Ross has written poetry, short stories, essays, aphorisms, creative non-fiction, and screenplays.
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12 EMDRIA CE Hours: Ana M Gomez, MC, LPC is a General provider approved by EMDRIA. Provider #GP1502
12 EMDRIA CEs FOR PARTICIPANTS FULLY TRAINED IN EMDR THERAPY (Part 1 & 2)
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