2004 Calendar of Events

 

 

December 11, 2004 Quarterly Meeting -- 9:00am-12:30pm at Bentley College:

"Maximizing Use of Safe Space Imagery and EMDR Adaptations for 

Trauma Processing with Dissociative Clients (not for EMDR clinicians only!)"  

 Presented by: Joanne Twombly, LICSW 

Bentley College Adamian Academic Center, Forest Street, Waltham, MA  781-891-2000

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.  3 CEU’s will be offered at an additional cost of $25

No pre-registration is required for this meeting.

networking and social gathering

We invite all attendees to join us at a networking and social gathering immediately

 following this December 11th meeting. Light food and beverages will be served.

Clinical work with dissociative clients requires creating safety in early stabilization as well as trauma processing stages of the work. As Richard Kluft (1994) stated, “... with such highly hypnotizable patients, who spontaneously demonstrate dissociative and hypnotic phenomena and use defenses that incorporate these phenomena, it is impossible to treat DID without the treatment’s being suffused with hypnosis.”  This NESTTD morning meeting will present the use of hypnotically informed language to facilitate the development and use of Safe Spaces and the whole treatment process.

In the first part of the program, a basic protocol for teaching Safe Space Imagery (SSI) to clients with DID and DDNOS will be presented.  SSI is an exercise that can be used in a myriad of ways to facilitate treatment and help clients learn to develop control over traumatic intrusions, decrease overall arousal level, self-sooth, and create a safety net.  Other applications of SSI will be discussed including using it to help dissociated alters with: developmental catch up, orienting to the present, healing, managing out of control feelings, and providing containment and respite as necessary. 

During the second part of the meeting, various protocols useful in different phases of treatment of DID and DDNOS will be discussed. These protocols help to facilitate orientation to the present, the transfer of learning from alter to alter, the decrease of some negative transferences, and provide a protective format for processing traumatic material. The use of the protocols with or without EMDR will be discussed. These protocols help facilitate orientation to the present, the transfer of learning from alter to alter, the decrease of some negative transferences, and provide a protective format for processing traumatic material.

LEARNING OBJECTIVES:

  1. Participants will develop knowledge of hypnotic language to facilitate the treatment of people with Dissociative Disorders.
  2. Participants will be able to teach SSI to clients and be familiar with a variety of ways to use SSI.
  3. Participants will learn to use protocols to facilitate clients’ orientation to the present, their ability to communicate among parts resulting in decreasing some negative transferences.
  4. Participants will know a protocol for processing trauma that provides control and safety.
 

Joanne H. Twombly, LICSW has extensive training and experience in working with complex PTSD and Dissociative Disorders.  She is the past president of the NESTTD, an EMDRIA Approved Consultant in EMDR, an American Society of Clinical Hypnosis Approved Consultant, and a member of ISSD’s Component and Ethics Committees.  She has a private practice in Waltham, MA where in addition to her work with clients she provides consultation and training.

SELECTED REFERENCES

 

Brown, D.P. and E. Fromm (1986). Hypnotherapy and Hypnoanalysis. New Jersey: Lawrence Erlbaum Associates, Inc.

Kluft, R.P. (1999). Current Issues in Dissociative Identity Disorder. Journal of Practical Psychiatry and Behavioral Health, 3-19. (The name of this journal is now the Journal of Psychiatric Practice).

Twombly, J.H. (2005). EMDR for Clients with Dissociative Identity Disorder, DDNOS, and Ego States. In R. Shapiro ed., EMDR Solutions: Pathways to Healing, New York: Norton. (in press).

Twombly, J.H. (2000). Incorporating EMDR and EMDR Adaptations into the Treatment of Clients with DID, Journal of Trauma and Dissociation, Vol. 1(2).

Twombly, J.H. (2001). Safe Place Imagery: Handling Intrusive Thoughts and Feelings.  The EMDRIA Newsletter: Special Edition, December, EMDRIA. 

ATTENDANCE PREREQUISITES:

Those attending must be Mental Health Professionals or students in degree programs in the field of mental health.  Continuing Education credit is provided through The Institute for Continuing Education and is available for the professional disciplines of psychology, counseling and social work.  

Nurses:  The Institute for Continuing Education is an approved provider by the Alabama/California Board of Nursing.  Nurses should check with their state boards to determine if continuing education credit offered through the Alabama/California Board of Nursing is acceptable for continuing education credit. Participants meeting requirements will receive 3 CEU’s.

**** We regret due to financial constraints that we are currently unable to provide CMEs to physicians.

 DIRECTIONS TO BENTLEY COLLEGE

--From 95 south take exit 28, Trapelo Road.  Turn left off exit ramp and follow Trapelo Road for 2.6 miles towards Belmont. 
Turn right onto Forest Street.  Bentley College entrance is 1 mile on the left. Follow signs directing you to the Adamian Academic Center.
--From 95 north take exit 28 turn leftt at exit ramp. Follow the same as above.
--From Trapelo Road via Arlington, Watertown, etc. Turn left on to Rte. 60 or Waverly Oaks Road. At the next traffic light 
turn right onto Beaver Street. Bentley College is on this road. Take a right onto College Avenue, which will be on the right
just before an overhead pedestrian bridge. Follow signs directing you to the Adamian Academic Center.

--You may also log onto www.bentley.edu for a printable map.

October 2, 2004 Quarterly Meeting -- 9:00am-12:30pm at Bentley College:

"A Relational Approach to the Neurobiology of 
PTSD and Dissociation: Can medications 
enhance therapeutic connection?"

Presented by: Amy Banks, M.D. 

Bentley College Adamian Academic Center, Forest Street, Waltham, MA  781-891-2000

          Click here for directions to Bentley College

        You may also log onto www.bentley.edu for a printable map. 

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.  3 CEU’s will be offered at an additional cost of $25.

No pre-registration is required for this meeting.

While the experience of trauma and abuse can have profound effects on many facets of life, including physical health, spiritual beliefs and cognitive functioning, the effects on survivors' capacity to enter I into healing relationships is particularly devastated. Therefore, the promise of healing and growth in relationship throughout adult life is critically important in the treatment of traumatized clients. Relational/cultural theory, which asserts that psychological growth and development are not limited by a developmental window, but continue to occur in mutual empathic relationships, is ideally suited for the treatment of trauma survivors. In the movement through the normal relationship cycles of connection, disconnection and reconnection, survivors can experience the growth in relationship that is necessary for healing.

 

For individuals who develop PTSD, the brain and body respond to some stimuli as if the threat is continuing.  This physical and emotional reliving of the trauma results in repeated relational disconnections, leaving many survivors locked in a world of "condemned isolation" preventing them from participating fully in growth-enhancing relationships. In psychotherapy, although clients and therapists work diligently, these neurobiological dysregulations can result in treatment failures.

 

The research on the neurobiology of emotions, the chemistry of attachment, and the regulation of 

neurochemicals has much to add to the knowledge we bring to helping our clients. In this workshop the latest 

research findings on the neurobiology of trauma will be presented, with a particular focus on how biology hinders 

survivors’ abilities to connect in relationship. Medications strategies will be discussed as one important way to 

reregulate the dysregulated chemistry of PTSD, in order to facilitate participation in the healing power of 

relationships.

 

LEARNING OBJECTIVES:

1. Participants will understand, using the lens of relational/cultural theory, the effects of "condemned isolation" and the healing properties of experiences of mutual empathy.

 2. Participants will know more about the numerous neurobiological changes occur in PTSD and how these changes affect clients' capacity to participate in these essential healing and growth-enhancing relationships.

 3. Participants will understand the role of psychopharmacology in managing the dysregulated brain chemistry in PTSD, to assist clients in emerging from "condemned isolation" into experiences of connection.

Amy Banks, M.D. is a psychiatrist in private practice, Medical Director for Mental Health at the Fenway Community Health Center, Director of Advanced Training at the Jean Baker Miller Training Institute at Wellesley College, and an Instructor in Psychiatry, Harvard Medical School.  From 1996 to 2000, she served as Psychiatrist and Supervisor for the Victims of Violence program at Cambridge Hospital. Dr. Banks is the author of "PTSD: Relationships and Brain Chemistry" (2002), a Project Report published by the Stone Center Press, Wellesley College and Co-editor of A Complete Guide to Mental Health for Women (2003), published by Beacon Press.  She has presented extensively on topics including Relational/cultural theory and neurobiology and psychopharmacology of trauma and dissociation.

SELECTED REFERENCES: to follow

 

ATTENDANCE PREREQUSITES: Those attending must be Mental Health Professionals or students in degree programs in the field of mental health.  Continuing Education credit is provided through The Institute for Continuing Education and is available for the professional disciplines of psychology, counseling, and social work.   Nurses:  The Institute for Continuing Education is an approved provider by the Alabama/California Board of Nursing.  Nurses should check with their state boards to determine if continuing education credit offered through the Alabama/California Board of Nursing is acceptable for continuing education credit. Participants meeting requirements will receive 3 CEU’s.

 

 

Scheduled for October 15-16, 2004  

More info to follow

Special Two-Day Intensive Training 

----canceled----

Acute Psychological Trauma: Evidence-Based Intervention Protocols For the reduction of traumatic stress and the installation of protective factors and salutogenic schemas.

Robert D. Macy, Ph.D.

UNFORTUNATELY, THIS WORKSHOP HAS BEEN CANCELED.  IF YOU PRE-REGISTERED FOR THE WORKSHOP, YOUR CHECK SHOULD HAVE BEEN RETURNED TO YOU ALONG WITH A LETTER OF EXPLANATION.  WE APOLOGIZE FOR ANY INCONVENIENCE THIS MAY CAUSE. PLEASE CALL US AT 617-489-1504 WITH ANY QUESTIONS OR CONCERNS. THANK YOU!

Background:  The Trauma Center-Psychosocial Initiatives Program, in collaboration with The Center for Trauma Psychology, both directed by Robert Macy, have been delivering extensive face-to-face services to the most at risk consumers exposed to the threat, terror violence and poverty since 1996 in the Metro Boston area and since 1999 in the United States , Europe and Asia . Their service in this capacity has been, for them, a true honor. In delivering these face-to-face services, they quickly began to recognize that those consumers most at risk for continued psychological and psychosocial dysfunction were youth, their mothers, and people with previous trauma histories.  This level and trajectory of risk is well substantiated in the literature on women and children of armed conflict and survivors of terrorist attacks and has most recently been highlighted by the Okalahoma City Bombing Studies, North et. al. (1999) and new studies concentrating on post 9/11 survivor dysfunction, Schuster et. al. (2001), Susser et. al. (2002), and Galea, et. al. (2002).

In September of 2002 Robert Macy provided an excellent overview of their acute intervention procedures at a NESTTD morning meeting, following which, many of us expressed interest in receiving this comprehensive training. 

Program: In anticipation of the growing needs for posttraumatic stress management, NESTTD is pleased to offer this 2-day training with Robert Macy, Ph.D.  This training will solidify skills in acute intervention, stabilization, safety building and augmentation of salutogenic-focused recovery techniques.  In addition, it will cover a series of related treatment protocols, for both individuals and groups, designed to immediately reduce traumatic stress after acute exposure to life threatening stressors.  Along with stress reduction, these protocols offer stress and threat inoculation by allowing the participant to rebuild cognitive schemas while “practicing” safety seeking and self-soothing in the face of perceived threat.

Central to any intervention targeting the reduction of traumatic stress is the notion that the interventionist or clinician maintain appropriate boundaries and yet “be fully, compassionately present” in the face of threat, terror and death.  This training will also teach participants to accomplish the dual functions of providing a compassionate presence while engaging in self-care during and after trauma interventions.  Participants will be taught to carefully plan and practice what to do with their body, their breath, their expressiveness, their emotional reactions to the client’s narrative, and their own threat and personal histories.

The approach is phase-oriented and protocols involve integrated elements of cognitive behavioral therapy, expressive arts therapy, collaborative play therapy, Taoist energy practices and human classical conditioning. The interventions follow a developmental perspective and include attention to stabilization, safety building, identifying accessible resources, and installing adaptive coping strategies essential for reduction of traumatic stress and sustained recovery.

Throughout the workshop, participants will be afforded the opportunity to study protocols by actually practicing them as a learner and engaging in them as group participant. 

Registration:  Registration materials will be available soon!

Bibliography:

Robert D. Macy, Issue Editor, Terror, Threat & Recovery, New Directions In Youth Development (In Press), Jossey-Bass, June 2003

Kaptchuk, T. J., The Web That Has No Weaver, Congdon & Weed, 1993  

 

Sunday, June 13, 2004 

**People who did not attend the Master Class in November will be given preference!** 

The Center for Integrative Healing 23 Main Street 2nd floor, Watertown Square 

Near the intersection of Mt. Auburn & Main Streets 

Participation Requirements: 

1. Anyone who did not attend the Richard Schwartz Master Class last November will be given preference. If space is available after June 1st, previous participants can sign up.

2. Space is limited to 25 participants.

3. Participants must have prior 2-day introductory training or equivalent in IFS.

Pre-registration Deadline: June 1st, 2004

Cost:  $100.00

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Note:  Cancellations postmarked by June 1st will receive refund minus $25. 

No refunds postmarked after June1st.

         Name:  ________________________________________________________ 

      Phone:  ____________________ email: ________________________________

     Address: __________________________________________________

              __________________________________________________

Dates attended 2-day IFS Training:  ______________________________________

Send above registration along with $100 check made out to NESTTD to:

 NESTTD, PO Box 506, Malden, MA 02148

 

Master Class with Constance Dalenberg, Ph.D.

Must the Circle be Unbroken

Boundaries, enactments, and Countertransference

Sunday, May 2, 2004

9:00 AM - 1:00 PM

Center for Integrative Healing, 23 Main Street, 2nd Floor, Watertown, MA 

A journalist who had experienced successful psychotherapy once called the relationship "approximate love" -- love on a timetable, intimacy at a distance.  It is an odd relationship, and it is not surprising that both therapist and client can feel the urge to step over boundaries into friendship, surrogate parenthood, or love.  But where are those boundaries?  Are they defined by our traditions -- the 50 minute hour, the professional office, the hourly fee?  Or should boundaries be defined by the function served by changes, or limitations on changes, in therapist behavior? Does the clinical and research literature suggest "firm" or "flexible" boundaries, or should we fall back on the ubiquitous "it depends on the situation?"  Drawing from case examples, this Master Class will address one of the most controversial areas of treatment -- the nature of boundaries and enactments -- and help the attendee to develop a sophisticated approach to boundary negotiations in therapy. 

Participants are invited to bring their own case material. If you are interested in presenting a case, please contact Nancy Riemer at 781-259-0704 or nancyriemer@comcast.net

Participant Requirements: 3 years experience with complex PTSD and Dissociative Disorders Attendance at the workshop with Constance Dalenberg, and/or familiarity with Dr. Dalenberg's work through previous workshops or having read her book, Countertransference and the Treatment of Trauma (2000, American Psychological Association). Registration Fee: $100.00 -- Register Early! Space is limited to 25 attendees. Registration deadline: April 16, 2004

Cancellations prior to April 16, 2004 will receive a refund minus a $25 processing fee. No refunds will be given after April 16, 2004. Your canceled check is your Registration Confirmation. Call 617-489-1504 for more information.

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May 1, 2004 NESTTD Quarterly Meeting

Constance Dalenberg, Ph.D. will present on "Countertransference Issues in the Treatment of Trauma," an all day workshop offered on May 1, 2004 from 9:00 AM to 5:00 PM at the Adamian Academic Center of Bentley College in Waltham, Massachusetts. Prior to April 16, 2004 there will be an early bird registration fee of $75 for regular members, $50 for non-profit members, $115 for regular non-members and $85 for non-profit non-members.  After April 16, 2004 the registration fee will be $90 for regular members, $65 for non-profit members, $130 for regular non-members, and $100 for non-profit non-members.  This fee includes lunch and CEUs.

Cognitive-behavioral, behavioral, psychodynamic and existential therapists agree on few principles in psychotherapy, but one of those few bases for agreement is the importance of the therapeutic alliance. It is not unusual in regression studies of predictors of therapy success to find that therapist liking for client and client liking for therapist are not only significant, but are the key predictors for positive outcome. But if this is so, it is obviously critical for therapists to learn techniques to enhance and maintain that alliance in difficult circumstances. In other words, we need to help each other learn to handle our own countertransference to clients who are withdrawn, mistrustful, difficult to treat, and occasionally hostile without responding in kind. As Hans Strupp noted in his early studies of long-term therapy, therapists, being human, almost always respond to hostility with counter-hostility. The counter-hostility is simply packaged in prettier professional wrapping -- e.g. distancing jargon and patronizing speeches punctuated by yawns and (my personal favorite) deep sighs of benign frustration.

The goal of this workshop thus is to bring to awareness those themes in the transference of traumatized patients that are most difficult for the therapist to bear, and the matching countertransference themes that relate to them. Brief transcripts, case studies, empirical studies and quotations from literature help us navigate this territory. In the end, it is hoped that the attendee will feel better prepared to step out of a transference-countertransference loop in a creative and helpful way. The countertransference foci will be therapist/client shame, therapist/client love, therapist/client anger, therapist/client avoidance, therapist/client mistrust, and therapist/client press for boundary change.


LEARNING OBJECTIVES:
1. Participants will be able to identify the major sources of transference prominent in traumatized populations.
2. Participants will be able to understand the countertransference responses most common with traumatized
    populations.
3. Participants will be able to explain useful techniques to mitigate and prevent countertransference-related
    impasses in therapy.
 
As Professor of Psychology at Alliant International University, Director of the Trauma Research Institute, and private practitioner and consultant in La Jolla, California,  Constance Dalenberg is able to satisfy her loves of literature, analytic/scientific thinking, and deep clinical work. She was trained in both social/experimental and clinical psychology at the University of Denver, earning her final doctorate in 1983. She has served on the editorial boards of the Journal of Trauma and Dissociation, the Journal of Child Sexual Abuse, the Journal of Trauma Practice, and the Journal of Traumatic Stress and is widely published. At the Conference for the International Society for the Study of Dissociation in 2002, Dr. Dalenberg was awarded the annual award for Clinical Contributions in recognition of her text, Countertransference and the Treatment of Trauma (2000, American Psychological Association)

 

SELECTED REFERENCES:

 

Courtois, C. (1999). Recollections of sexual abuse: Treatment principles and guidelines. New York: Norton. 

Dalenberg, C. (2000). Countertransference and the treatment of trauma. Washington: American Psychological Association. 

Dalenberg, C. (2000).Countertransference and the management of anger in trauma therapy. Clinical Quarterly, 9, 39-45.

Dalenberg, C. (2002).Remembering to wonder: The place of scientific research in clinical trauma practice. Journal of Trauma Practice, 1, 59-80.

Pearlman, L. and Saakvitne, K. (1995). Trauma and the therapist: Countertransference and vicarious traumatization in psychotherapy with incest survivors. New York: Norton.

Pope, K., & Tabachnick, B. (1993). Therapists' anger, hate, fear and sexual feelings: National survey of therapist responses, client characteristics, critical events, formal complaints, and training. Professional Psychology: Research and Practice, 24, 142-152. 

METHODOLOGY:

Lecture,  power point presentation, case presentations.

ATTENDANCE PREREQUISITES: Those attending must be Mental Health Professionals or students in degree programs in the field of mental health. Continuing Education credit is provided through The Institute for Continuing Education and is available for the professional disciplines of psychology, counseling, and social work. Nurses: The Institute for Continuing Education is an approved provider by the Alabama/California Board of Nursing. Nurses should check with their state boards to determine if continuing education credit offered through the Alabama/California Board of Nursing is acceptable for continuing education credit. Participants meeting requirements will receive 3 CEU’s.

DIRECTIONS:

Click here for directions to Bentley College

You may also log onto www.bentley.edu for a printable map.

Click here to see Click on this  for a  review of Constance Dalenberg's  Countertransference and the Treatment of Trauma

January 31, 2004 NESTTD Quarterly Meeting

Janina Fisher, Ph.D. will present on “Exploring Inner Landscapes:  Collaborative Techniques for Identifying Old Conflicts and New Solutions in Dissociative Disorder Patients” at our January 31, 2004 Quarterly Meeting from  9:00 AM to 12:30 PM in the Adamian Academic Center of Bentley College in Waltham, Massachusetts.

No matter which theoretical model or techniques we use to treat Complex PTSD and Dissociative Disorders, there are common inherent challenges that must be addressed: quieting the internal chaos and restoring some semblance of order, cultivating mindful internal awareness, and addressing the autonomic and somatic components of these trauma-based disorders.  But to rise to these considerable challenges requires being able to engage a system that is overwhelmed, filled with “noise,” and unable to process verbal input!  Especially in times of crisis, we need ways to “cut to the chase:” to calm the nervous system, diagnose the underlying dynamics perpetuating the crisis, and propose alternative solutions.

This workshop introduces a new version of the once-traditional mapping technique to address this important need.  Grounded theoretically in Structural Dissociation and Internal Family Systems approaches, the “Exploring Inner Landscapes” technique uses “in vivo” diagramming to track intra-system relationships and conflicts in a way that focuses concentration and heightens curiosity and compassion for self.

Because it combines verbal and non-verbal modalities, this approach elicits increased perceptual integration of material; simplifies and externalizes complex intra-system dynamics; decreases the need for switching in order to “tell the story;” creates a context for intra-system negotiation, problem-solving, and identification of resources; and gently encourages empathic connections between parts.  Because it is solution-focused and emphasizes present moment experience, it is inherently stabilizing for even the most disorganized DID patient.  And because it fosters internal coherence, it is also appropriate for non-DID trauma patients.

This workshop will introduce participants to the technique and its applications in clinical practice and then offer opportunities for case presentation and demonstration

 LEARNING OBJECTIVES:

1.    Identify the common intrapsychic and somatic blocks to progress in dissociative disorder patients.

2.    Describe the role of dual awareness in the effective treatment of trauma-based disorders.

3.    Describe the use of mapping and diagramming techniques to increase dual awareness, diagnose internal conflicts, and elicit appropriate solutions.

Janina Fisher, Ph.D. is an Instructor and Supervisor at the Trauma Center in Boston , Massachusetts and a Consultant on issues of trauma to South Shore Mental Health Center and The Cambridge Hospital Family Clinic.  She is also an EMDR International Association Consultant, a certified teacher of Sensorimotor Psychotherapy, past president of the New England Society for the Study of Trauma and Dissociation and a former Instructor, Harvard Medical School , Cambridge Hospital .  In her private practice in Watertown , Mass. , she provides group and individual consultation on trauma, dissociation, EMDR, and body-centered psychotherapy.  In addition, Dr. Fisher lectures and teaches nationally and internationally on topics related to the integration of the neurobiological research and newer trauma treatment paradigms into traditional therapeutic modalities.

SELECTED REFERENCES

Liotti, G. (1999). Disorganization of attachment as a model for understanding dissociative psychopathology.  In Solomon & George (Eds.),  Attachment disorganization, New York: Guilford Press.

Schore, A.N. (1994).  Affect regulation and the origin of the self: the neurobiology of emotional development. Hillsdale, N.J.: Lawrence Erlbaum.

Schwartz, R. (1995).  Internal family systems. New York: Guildford Press.

Simons, S. L. (1994).  Bridging the silence: non-verbal modalities in the treatment of adult survivors of child sexual abuse. New York: W.W. Norton.

Steele, K., van der Hart, O. & Nijenhuis, E. (2001).  Phase-oriented treatment of complex dissociative disorders: overcoming trauma-related phobias.  In Eckhart-Henn & Hoffman (Eds.), Dissociative disorders of consciousness, Schattauer-Verlag.

METHODOLOGY: 

Lecture, Demonstration, Case Presentation, Discussion               

ATTENDANCE PREREQUISITES:

Those attending must be Mental Health Professionals or students in degree programs in the field of mental health.  Continuing Education credit is provided through The Institute for Continuing Education and is available for the professional disciplines of psychology, counseling, and social work.  Nurses:  The Institute for Continuing Education is an approved provider by the Alabama/California Board of Nursing.  Nurses should check with their state boards to determine if continuing education credit offered through the Alabama/California Board of Nursing is acceptable for continuing education credit. Participants meeting requirements will receive 3 CEU’s.  There is a $25 fee for CEUs.

DIRECTIONS:

Click here for directions to Bentley College

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