February 1, 2003 NESTTD Quarterly Meeting
Daniel Brown, Ph.D. will present at the February 1, 2003 NESTTD meeting on "The Many Faces of Dissociation and Their Implications for Treatment." His presentation will begin at 9:00 AM and end at 12:00 P.M. The meeting will take place in Room 132 of the deMarneffe Building on the McLean Hospital campus.
Most experts agree that the concept of dissociation is multidimensional and that the same term, dissociation, often has quite diverse meanings and different implications regarding treatment. Part of the problem is that one of two very different theories of mind is operative within any definition of dissociation.
The integrative/continuity perspective assumes that various mental processes are relatively integrated, that conscious experience is relatively continuous, and that the ordinary sense of self is relatively unitary or cohesive. From this point of view dissociation is defined either in terms of the failure to develop integration in the first place, or the development of integration and its subsequent loss. Developmental psychologists have pointed out that young children typically experience multiple, shifting, unintegrated states of consciousness, and that integration of these discrete states into a relatively steady state of consciousness and stable sense of self is a normal developmental achievement. Some cognitively-oriented psychologists have viewed consciousness as a loose integration of mental processes, which under certain conditions, e.g., hypnosis, become dissociated. The fundamental assumption in these integrative theories is that mental processes for older children and adults are at least partially or more fully integrated, and under certain conditions become dis-integrated. Dissociation is defined as the reversal of achieved integration.
The
multiplicity/discontinuity perspective assumes that various mental
processes represent separate, independent and multiple systems that only have
the appearance of integration at some superordinate level, that conscious
experience is relatively discontinuous, and that the ordinary sense of self is
more a multiplicity of various discrete self or ego states. Those theories that
assume multiple or discontinuous states can be broadly categorized as state/trait
and process/structural theories. These broad categories are further
discriminated into a number of specific theories that each define dissociation
in a particular way and then describe the ways dissociative phenomena occur,
including in research subjects and in clinical populations.
When
a clinician uses the word “dissociation,” which theory does he or she assume? Each
of these theories has remarkably different implications for treatment. The
seminar will review each definition of dissociation in detail and will also
review how different treatment objectives and methods follow from each
definition.
LEARNING
OBJECTIVES:
1. To familiarize clinicians with the variety of definitions for the concept of dissociation.
2. To sensitize clinicians to the assumptions operative in each definition of dissociation.
3.
To discuss how treatment is framed around each definition
of dissociation so that clinicians
can make an informed decision about
which approach is best applicable in a
given situation.
Daniel Brown, Ph.D., is
the Director of The Center for Integrative Psychotherapy in Newton, MA, Adjunct
Professor, Simmons School of Social Work, and Assistant Clinical Professor in
Psychology, Harvard Medical School. He
has taught hypnotherapy for 31 years, and has published 14 books, including
three textbooks on hypnosis—Hypnotherapy and Hypnoanalysis (with E.
Fromm), Hypnosis and Behavioral Medicine, and Creative Mastery in
Hypnosis and Hypnoanalysis. His recent book, Memory, Trauma Treatment,
and the Law (with A.W. Scheflin and D.C. Hammond), won the 1999 Manfred S.
Guttmacher Award from the American Psychiatric Association as the “outstanding
contribution to forensic psychiatry.”
He also received (along with co-author A. Schleflin) the 2002 Morton
Prince Award for lifetime achievement from the International Society for the
Study of Dissociation. His
other works include books on developmental psychopathology, including a book on
affect development—Human Feelings—and one on self development from a
cross-cultural perspective. He
spent 30 years studying Buddhist meditation, including 10 years translating
meditation texts from Tibetan and Sanskrit and 10 years conducting outcomes
research on skilled meditators. He
co-authored Transformations of Consciousness (with K. Wilbur and J.
Engler), a standard work on psychotherapy and meditation, and contributed to two
books of East-West dialogues in psychology with H.H. The Dalai Lama.
SELECTED REFERENCES
Hilgard, E.R. (1977). Divided Consciousness. New York: Wiley.
Lynn, S.J. & Rhue, J.W. (1994). Dissociation: Clinical and theoretical perspectives. New York: Guilford
Putnam, F. (1997). Dissociation in Children and Adolescents. New York: Guilford.
Spiegel, D. & Cardeña, E. (1991). Dis-integrated experience, Journal of Abnormal Psychology, 100, 366-378
ATTENDANCE
PREREQUISITES:
Those attending must be Mental Health Professionals or students in degree programs in the field of mental health. This program is co-sponsored by the New England Society for the Treatment of Trauma and Dissociation (NESTTD) and The Institute for Continuing Education. The Institute for Continuing Education is approved by the American Psychological Association to offer continuing education. The Institute for Continuing Education maintains responsibility for the program. Participants meeting requirements will receive 3 CEU’s.
Attendance is free for members, $40 for nonmembers, and $30 for nonmembers who are either students, retirees, or employees of nonprofit agencies. There is an additional $25 charge for those wishing CEUs for attendance.
April 26, 2003 NESTTD All-Day Workshop
The
and The Institute for Continuing Education are proud to present:
Intensive Psychotherapy for Restructuring Personality: A Developmental Approach for Increasing Affect Regulation, Boundaries, And Self Capacities
860 Winter Street,
This
workshop will explore applications of intensive psychotherapy for patients with
developmental pathology and structural arrest, with a focus on preoedipal forms
of pathology as found in borderline and narcissistic spectrum personality
disorder patients. Through lecture, discussion, demonstration of methods and
case presentation, participants will learn specific psychotherapeutic techniques
for:
v
Facilitating healthy boundary
formation and differentiation
v
Integrating and differentiating
internal object representations
v
Developing affect regulation and
impulse control
v
Working with primary defenses
v
Fostering identity consolidation
Other
issues that will be addressed include the necessary modifications of therapy
techniques with personality-disordered patients, treatment process issues,
relationship management, and alliance stabilization.
Participants
in the workshop will:
1.
Learn the relationship between
specific developmental failures and symptoms of structural arrest
2. Develop an understanding of techniques for affect neutralization, structural stabilization and identity
cohesion
3.
Explore the management of
relationship issues in psychotherapy with patients in the pre-neurotic range.
Participants
are encouraged to bring case material from their own practice for discussion.
Elgan
Baker, Ph.D., HSPP, DABPS is co-founder and president
of Meridian Psychological Associates and Clinical Associate Professor in the
Department of Psychiatry at Indiana University School of Medicine. Dr. Baker is
a Diplomate (ABPH) in the American Psychological Association and Society for
Clinical and Experimental Hypnosis. His clinical work focuses on intensive
treatment and psychoanalysis of adults with special interest in hypnosis and
hypnotherapy, treatment of borderline and narcissistic disorders, eating
disorders, and forensic consultation and evaluation. He has received numerous
national and international awards for his clinical and theoretical contributions
to psychotherapy, hypnosis, and hypnoanalysis. Dr. Baker has published more than
100 professional articles, books, and book chapters and lectures throughout
SELECTED REFERENCES
Mahler,
M. Pierce, F. and Bergman, A. (1975) The Psychological Birth of the Human
Infant. NewYork: Basic Books
McWilliams,
N. (1999) Psychoanalytic Case Formulation.
Rinsley,
D. (1982) Borderline and other Self Disorders.
Volkan,
V. (1976) Primitive Internalized Object Relations.
ATTENDANCE PREREQUISITES:
Those
attending must be Mental Health Professionals or students in degree programs in
the field of mental health. This
program is co-sponsored by the New England Society for the Treatment of Trauma
and Dissociation (NESTTD) and The Institute for Continuing Education. The
Institute for Continuing Education is approved by the American Psychological
Association to offer continuing education. The Institute for Continuing
Education maintains responsibility for the program. Participants meeting
requirements will receive 3 CEU’s.
$90.00
for NESTTD members; $130.00 for
nonmembers -- if registration
is postmarked by April 5th
$110
for NESTTD members; $150.00 for
nonmembers – after April 5th
postmark and at the door
There is also an opportunity for a limited number of people to take part in a master class with Elgan Baker the day after the all day workshop described above. This master class will present the innovative hypnotic approaches used by Dr. Baker to build and/or repair structural deficits in clients commonly diagnosed with personality disorders. Dr. Baker will discuss and demonstrate methods of treatment, using case material and teaching specific hypnotic techniques for developing healthy boundaries, integrating and differentiating internal object representations, developing affect regulation and impulse control, and working with primitive defenses. Space is limited to 20 participants.
The
workshop will take place on
September 6, 2003 NESTTD Quarterly Meeting
Joyana Silberg, Ph.D. will present on "Developmental Aspects of Dissociation: Treatment Implications for Children, Adolescents, and Adults at the September 6, 2003 Quarterly Meeting of the NESTTD from 9:00 AM to 12:00 PM. Registration and sign in will be at 8:30 AM. Please note the new location for this meeting: The meeting will be held in the Adamian Academic Center of Bentley College on Forest Street in Waltham, MA. Admission is FREE to members, $40 to non-members in general, and $30 to non-members who are students, retirees or non-profit agency workers. Dissociative symptoms and disorders are often indicators of severe traumatic stress. Practitioners often feel stymied when children and adolescents display memory problems for their own behavior, periods ofLEARNING
OBJECTIVES:
1.
to identify a continuum of pathological expression of dissociative symptoms in
children and adolescents.
2.to identify the adaptive role of dissociative symptoms in coping with trauma
during development.
3. to name
three creative techniques for facilitating acceptance of divergent affect states
in traumatized children and adolescents, and encouraging self-awareness.
Joyanna Silberg, Ph.D.is the Coordinator of Trauma Disorder Services for Children and Adolescents at Sheppard Pratt
Hospital Her psychotherapy practice specializes in children and adolescents suffering from dissociative
symptoms and disorders. She is past-president of the International Society for the Study of Dissociation (ISSD) and associate editor for the society's journal,
the Journal of Trauma and Dissociation. She is the recipient of the Walter P.
Klopfer Award in 1992 for her research and the Cornelia Wilbur Award in 1997 for clinical excellence. Dr.
Silberg is the editor of The Dissociative Child (Sidran Press,
1996/1998) and co-editor of the book Misinformation Concerning Child Sexual
Abuse and Adult Survivors. She has presented at numerous national and
international conferences and authored numerous professional articles and book
chapters on dissociative disorders in children and adolescents. She is
chairwoman of the ISSD Task Force on Children and in that role drafted
international guidelines for the treatment of dissociative symptoms and
disorders in children and adolescents.
SELECTED REFERENCES
Putnam.
F. W. (1997). Dissociation in Children and Adolescents. New York: Guilford.
Siegel, D. J. (1999). The Developing Mind: Guilford
Silberg, J. L.
(2000). Fifteen years of dissociation in maltreated children:
Where do we go from here? The Dissociative Child.
Lutherville MD: Sidran Press.
ATTENDENCE
PREREQUSITES:
Those attending must be Mental Health Professionals or students in degree programs in the field of mental health.
This program is co-sponsored by the New England Society for the Treatment of Trauma and Dissociation (NESTTD)
and The Institute for Continuing Education. The Institute for Continuing Education is approved by the American
Psychological Association to offer continuing education. The Institute for Continuing Education maintains
responsibility
for the program. Participants meeting requirements will receive 3 CEU’s.
There will be a case
presentation and consultation on psychotherapy with dissociative children
and adults following our morning meeting on
Program Objectives:
2. Participants will present and/or review other clinical
case material involving the treatment of dissociative children or adolescents.
Joyanna
Silberg, Ph.D. is the Coordinator of Trauma Disorder Services for Children
and Adolescents at
November 15,, 2003 NESTTD Quarterly Meeting
Judith Lewis Herman, M.D. will present at the November 15, 2003 NESTTD quarterly meeting on "Recovery from Trauma: Who Gets Better and Why? Reflections from the Victims of Violence Treatment Outcome Research Project." The meeting will be from 9:00 AM to 12:30 PM in the Koumantzelis Auditorium of Lindsay Hall at Bentley College, on Forrest Street in Waltham, Massachusetts.
Individuals
with both chronic childhood abuse and exposure to trauma in adulthood present
many treatment challenges for clinicians. These survivors often display a
complicated clinical picture. Over the past three years, the Victims of Violence
program (VOV) has systematically collected outcome data from their patients in
individual and group therapy. VOV is an outpatient clinic of the Department of
Psychiatry at the
In the
VOV Treatment Outcome Research Project, clinicians ask all VOV patients to
complete a collection of self-report measures at the time of initial evaluation
prior to the onset of treatment. Patients in individual therapy are
re-administered the self-report measures approximately every six months; group
therapy patients complete the follow-up self-report measures at the completion
of the group (typically 3-4 months after the first assessment).
In this program, Dr. Herman will present
pilot data from the VOV study and consider the data’s implication for
treatment approaches and outcomes. Case vignettes will be shared and discussed.
Particular attention will be given to the factors that influence
treatment outcome with highly dissociative patients.
SELECTED
REFERENCES
January 31, 2004: Janina Fisher, Ph.D. on "Collaborative Techniques for Identifying Old Conflicts and New Solutions for Dissociative Disorder Patients."
May 1, 2004: Constance Dahlenberg, Ph.D. on "Countertransference in the Treatment of Trauma."