2006 Calendar of Events

Past Meetings

Saturday, December 9, 2006

9:00am – 12:30pm (Check-in 8:30-9:00)

“Attachment Disorganization, Complex Trauma, and "Dissociation:
Treatment Principles based on Theories of Attachment and Intersubjectivity”

Presented by: Daniel A. Hughes, Ph.D.

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 Contact Hours will be offered at an additional cost of $25

3 CME’s (MD's Only) will be offered at an additional cost of $45

No pre-registration is required for this meeting.

Intrafamilial childhood trauma has pervasive effects on the child’s affective, cognitive, biological, interpersonal, and psychological development. One central developmental result for the child is attachment disorganization, which has comprehensive implications for the child’s future. It is now considered to be a risk factor for the development of psychopathology, both in problems of externalization (ADHD, ODD, aggression) as well as internalization (dissociation, affect and mood disorders).

Attachment disorganization refers to the child’s inability to develop an organized pattern of attachment behaviors in response to stress, including traumatic events. Rather than turning to specific adults for safety in the face of threat, such children attempt to rely on themselves for safety through developing rigid patterns of control and avoidance. They fail to both turn to attachment figures for safety as well as to learn to safely explore their world so as to develop skills of autonomy and mastery.

Principles of attachment security are likely to be crucial in the treatment of individuals who have experienced intrafamilial trauma. These include availability, sensitivity, responsiveness, and interactive repair. Also important are principles associated with intersubjectivity, the core component of safe exploration in childhood. Through intersubjectivity, the child is able to discover and develop his psychological and interpersonal abilities by experiencing them in connection with his or her attachment figures. When, as a therapist, one becomes such an attachment figure to one’s client, the client begins to be able to re-organize traumatic experiences and develop a more coherent and comprehensive autobiographical narrative.

LEARNING OBJECTIVES

Participants will be able to understand how attachment disorganization

is a mediating factor in the development of dissociation in response to intrafamilial trauma.

Participants will understand how primary and secondary intersubjectivity

are central factors in the development of a coherent autobiographical

narrative.

Participants will understand how principles of attachment and

intersubjectivity are able to facilitate the re-experience and resolution

of traumatic events in psychotherapy.

Daniel A Hughes, Ph.D. has been a clinician specializing in the treatment of children and youth with severe emotional and behavioral problems or most of his professional life. Many of his clients had histories of abuse, neglect, and multiple losses and were extremely unwilling and unable to form a relationship with a therapist or with a caregiver. Working primarily with foster and adopted children, Dan borrowed heavily from attachment theory and research to develop a model of treatment that he calls Dyadic Developmental Psychotherapy. DDP is a very directive, client-centered approach, influenced by psychodynamic, gestalt, Rogerian, and Ericksonian traditions, brought together within the dance of affect attunement that is seen most powerfully in the relationship between a parent and her/his infant and toddler. DDP gradually became applied to less severe problems between parent and child as well as to marital and family relationships. Dan is the author of two books. The 2^nd Edition of Building the Bonds of Attachment: Awakening Love in Deeply Troubled Children was released in 2006. A third book, Attachment-focused Family Therapy has been accepted for publication in 2007 by WW Norton. Dan’s current passion is the training of therapists in the DDP model. He gives weekly training programs in Maine during the summer and in London during the year. He is also a visiting tutor at the Centre for Child Mental Health in London, which is a graduate program for psychotherapists. He has provided therapist training, conducted seminars and spoken at Conferences around the US for the past ten years. He also provides ongoing supervision and consultation to various clinicians and agencies, while also speaking to groups of parents.

SELECTED REFERENCES:

Hughes, D. (2004). An Attachment-Based Treatment of Maltreated Children and Young People. Attachment & Human Development,

6, 263-278

Hughes, D. (2006). Building the Bonds of Attachment. 2^nd Ed. NY: Rowen & Littlefield.

Siegel, D.J. (1999). The developing mind. New York: Guilford.

Trevarthen, C. (2001). Intrinsic motives for companionship in understanding: their origin, development, and significance for infant mental health. Infant Mental health journal, 22, 95-131.

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 as listed below: The program offers 3.00 contact hrs, with full attendance required.

Psychology: The Institute for Continuing Education is an organization approved by the American Psychological Association to sponsor continuing education to psychologists. The Institute for Continuing Education maintains responsibility for this program and its content.

Counseling: The Institute for Continuing Education is an NBCC approved continuing education provider and a co-sponsor of this event. The Institute may award NBCC approved clock/contact hours for programs that meet NBCC requirements. The Institute maintains responsibility for this program and its content. NBCC provider No. 5643.

Social Work: The Institute for Continuing Education is approved as a provider for social work continuing education by the Association of Social Work Boards (ACSW) through the approved continuing education program, ACE. The Institute maintains responsibility for the program. ACSW Provider No. 1007.

Nursing: The Institute for Continuing Education is an approved provider of continuing education in nursing by the Alabama State Nurses Association, an accredited approver by the ANCC Commission on Accreditation. Provider 5-122.

Continuing medical education credit is provided through Bournewood Hospital and designates this educational activity for a maximum of 3 AMA PRA Category 1 Credits TM. Physicians should only claim credit commensurate with the extent of their participation in the activity. This activity has been planned and implemented in accordance with the Essential Areas and policies of the Massachusetts Medical Society for Continuing Medical Education through the Joint Sponsorship of Bournewood Hospital and the New England Society for the Treatment of Trauma and Dissociation. Bournewood Hospital is accredited by the Massachusetts Medical Society to provide continuing medical education for physicians.

In keeping with national standards for continuing medical education, our faculty presenter reports no significant financial interest or other relationship with commercial interest relevant to the content of this presentation.

ADA: If you have special accommodation needs, please call 617-489-1504

Past Meetings

In joint sponsorship with THE INSTITUTE FOR CONTINUING EDUCATION and

BOURNEWOOD HOSPITAL CONTINUING MEDICAL EDUCATION

Presented by: Dr. Dusty Miller

Saturday, September 30, 2006

9:00am – 12:30pm (Check-in 8:30-9:00)

“When addictions and trauma co-occur:
learning to love the work”

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 Contact Hours will be offered at an additional cost of $25

3 CME’s (MD's Only) will be offered at an additional cost of $45

No pre-registration is required for this meeting.

Dr. Dusty Miller, internationally known for her writing and training in the arena of trauma and addiction, will discuss effective interventions for traumatized clients who engage in self-sabotaging, addictive behaviors. Dusty Miller’s work reflects years of clinical and community experience with adults and adolescents with trauma histories who engage in a wide range of addictions. The presenter will address the cognitive and psychobiological foundation of addiction as a “perfect fit” with trauma-related symptoms. Dr. Miller has developed a manualized treatment model, ATRIUM, which blends cognitive behavioral, psychosocial, and expressive interventions, highlighting the significance of Trauma Re-enactment. The ATRIUM approach to trauma and addictions uses body-centered intervention skills and cognitive-behavioral interventions for groups and individuals. Dr. Miller will also address the use of peer-based community resources, such as 12-step programs - a significant, often misunderstood component of trauma and addiction recovery.

Dr. Dusty Miller is an internationally-recognized writer, trainer, and consultant in the area of childhood trauma and subsequent addictive behavioral pattern, including self injury, substance abuse, eating disorders, and other compulsive forms of self-sabotage. She is an annual speaker at numerous national and regional conferences, including conferences sponsored by the Renfrew Center Foundation, the Networker Symposium, the Hazelden Foundation, and various state and national organizations. Dusty Miller is the author of bestseller Women Who Hurt Themselves (1994, Basic Books) – recently re-leased as a new tenth anniversary edition. She ATRIUM manual Addictions and Trauma Recovery: Healing the Body, Mind and Spirit (2001, Norton), and Your Surviving Spirit: A Workbook of Spiritual Resources for Coping with Trauma, New Harbinger, Spring 2003). She has published numerous journal articles on addictions and trauma, including recent articles in Psychiatric Quarterly (Vol.73, #2) and Psychotherapy Networker, July/August 2003.

LEARNING OBJECTIVES

1) Cite current literature on co-occurring addiction and trauma and its treatment;

2) Identify strategies for the successful challenge of chronic patterns of self-harmful behavior when addictions and trauma-related symptoms co-occur;

3) Identify strategies to uncover new sources of clients’ resource capabilities;

4) Describe how to work with the construct of Trauma Re-Enactment in a cognitive-behavioral intervention model (ATRIUM);

5) Describe how to work with body-centered intervention skills and cognitive-behavioral interventions for use with both groups and individuals

SELECTED REFERENCES:

D. Miller (1994). Women Who Hurt Themselves: A Book of Hope and Understanding. Basic Books. (10^th anniversary edition re-released in 2005)

D. Miller (2001).Addictions and Trauma Recovery: Healing the Body, Mind and Spirit. WW Norton

D. Miller (2003). Your Surviving Spirit: A Workbook of Spiritual Resources for Coping with Trauma. New Harbinger Press

ATTENDANCE PREREQUISITES:

ADA: If you have special accommodation needs, please call 617-489-1504

In joint sponsorship with THE INSTITUTE FOR CONTINUING EDUCATION and

BOURNEWOOD HOSPITAL CONTINUING MEDICAL EDUCATION

Saturday, May 6, 2006

"Running the Race; Staying the Course:
Therapeutic Alliances, the Countertransference Trance,
and Uncovering Trauma Material with Alters/Ego States"

with Jean Bellows, M.Ed., Psy.D.

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 Contact Hours will be offered at an additional cost of $25

3 CME’s (MD's Only) will be offered at an additional cost of $45

No pre-registration is required for this meeting.

Remarkable, reliable, current data based on observations of infants and their caregivers now expand our understanding of the centrality of early

attachment/affect/dissociation relationships to later psychological development. Clinicians have long recognized that qualities of early attachment

patterns are presented in the therapeutic setting, and may seem as mysterious to the clinician as to the patient. For example, a DDNOS patient

whose memory is scattered may have no awareness of early loss or of a dissociative parent, and little access to literal information.

The qualities of an attachment/affect/dissociative relationship can be observed in infants before 18 months of age. This adaptive response to care

manifests itself in capacities for soothing, reciprocity, empathy, curiosity, trust, and continuity, among others. In young children, similar qualities are

mirrored through play, relationships, language development, security, creativity, and separation abilities. It is stunning to witness (via observation of

infants, young children and their early relational experiences) the embedding of a meshwork that strongly contributes to psychological strengths and

vulnerabilities into adolescence and adulthood.

This presentation will consider the biopsychosocial development of a range of attachment/ affect/ dissociation paradigms across a developmental spectrum. Case material with implications for effective interventions considering diversity and a spectrum of individual differences will be presented. Hopefulness of informed, relational, and reparative interventions at many stages will be highlighted.

LEARNING OBJECTIVES:

1. Participants will become familiar with the history of attachment theory and current research with implications for later development and treatment.

2. Participants will become familiar with markers for dissociation in infants, young children and their caregivers.

3. Participants will be presented with specific intervention strategies regarding application of treatment across the developmental spectrum.

Dr. Jean Bellows has worked professionally in the fields of child development and trauma for many years. She is a senior supervisor at The Trauma

Center of The Justice Resource Institute and is on the faculty of the Massachusetts School of Professional psychology. Her international research

interests focus on dissociation and the subjective experience of trauma in diverse populations. She maintains a private practice in Boston, treating

infants, children, and adults.

SELECTED REFERENCES:

Brody, C. (2005). Global Issues and the Precautionary Principle. Journal Zero to Three. Vol. 26, No. 2. Washington, D.C.

Carlson, V., Cicchetti, D., et.al. (1989) Finding Order in disorganization: lessons from research on maltreated infants' attachments to their caregivers.

In: Cicchetti, D., and Carlson, V., Eds. (1989). Child Maltreatment: theory and research on the causes and consequences of child abuse and neglect.

Cambridge University Press. New York.

Fonagy, P. (2001). Attachment Theory and Psychoanalysis. Other Press. New York

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, nursing and social work. Participants meeting requirements will receive 3 Contact Hours.

Saturday, March 11, 2006

ALL DAY WORKSHOP

"Running the Race; Staying the Course:
Therapeutic Alliances, the Countertransference Trance,
and Uncovering Trauma Material with Alters/Ego States"

with John Briere, Ph.D.

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

6 Contact Hours and 6 CME’s will be offered

pre-registration is required for this meeting.

Recent research indicates that trauma-related disturbance can be quite complex symptomatically, involving a variety of symptoms and difficulties beyond PTSD. When trauma exposure involves early, repetitive, interpersonal maltreatment (e.g., sustained child abuse and neglect), or when there have been multiple and prolonged traumas in adulthood (e.g., torture, war, or ongoing domestic violence), the outcome may involve not only classic posttraumatic stress, but also dysfunctional attachment styles and relational schema, affect dysregulation, overdeveloped avoidance responses (especially dissociation, tension reduction behaviors, and substance abuse), conditioned cognitive-emotional responses, and a variety of other affective and behavioral outcomes.

Drawing on the latest trauma research and theory, Dr. Briere will present a nonpathologizing, developmentally-informed therapy for these complex posttraumatic presentations. His Self-Trauma Model incorporates both cognitive-behavioral and relational principles to support (a) the processing of implicit and explicit traumatic memories through carefully titrated exposure, (b) the development of increased self-capacities, especially identity and affect regulation, and (c) the reworking of activated relational schema and other implicit memories within the therapeutic relationship. A central premise of this perspective is that dissociation, substance abuse, self-mutilation, and many other "dysfunctional" behaviors are adaptive strategies that cannot be cured as much as rendered unnecessary by effective treatment.

LEARNING OBJECTIVES:

1. List the central components of effective trauma treatment

2. Describe ways in which treatment for complex trauma differs from classic "prolonged exposure" methodologies

3. Explain why a good therapeutic relationship is technically necessary for the resolution of complex posttraumatic disturbance

John Briere, Ph.D. is Associate Professor of Psychiatry and Psychology at the Keck School of Medicine, University of Southern California, Director of the Psychological Trauma Program at LAC-USC Medical Center, and Co-Director of the MCAVIC-USC Child and Adolescent Trauma Program, National Child Traumatic Stress Network. He is a past president of the International Society for Traumatic Stress Studies (ISTSS), and recipient of the Robert S. Laufer Memorial Award for Scientific Achievement from ISTSS and the Outstanding Professional Award from the American Professional Society on the Abuse of Children (APSAC). Recently designated as "Highly Cited Researcher" by the Institute for Scientific Information, he is author or co-author of over 70 articles, 20 chapters and encyclopedia entries, 10 books, and 8 psychological tests in the areas of trauma, child abuse, and interpersonal violence. His newest book (co-authored with Catherine Scott, MD) is Principles of Trauma Therapy, in press with Sage Publications.His website is www.JohnBriere.com.

SELECTED REFERENCES:

Briere, J., & Scott, C. (2006). Principles of trauma therapy: A guide to symptoms, evaluation, and treatment. Thousand Oaks, CA: Sage Publications.

Briere, J. (in press). Dissociative symptoms and trauma exposure: Specificity, affect dysregulation, and posttraumatic stress. Journal of Nervous and Mental Disease.

Briere, J., & Spinazzola, J. (2005). Phenomenology and psychological assessment of complex posttraumatic states. Journal of Traumatic Stress, 18, 401-412.

Briere, J., Scott, C., & Weathers, F.W. (2005). Peritraumatic and persistent dissociation in the presumed etiology of PTSD. American Journal of Psychiatry, 162, 2295-2301.

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, nursing and social work. Participants meeting requirements will receive 6 Contact Hours.

Continuing Medical Education is provided through Bournewood Hospital, and designates this activity for a maximum of 6 category 1 credits toward the AMA Physician's Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity. Bournewood Hospital is accredited by the Massachusetts Medical Society to provide continuing medical education for physicians.

Admission to this meeting

Charges for this all day meeting include lunch and 6 Contact Hours:

· NESTTD Members: $100

· NESTTD Student Members: $70

· Full-time Non-profit Agency Employee*: $80

· Non-members: $130

· 6 CME’s: $20

Late Charge for all Registrations postmarked after March 1, 2006**: $20

*The above reduced fee (and the reduced NESTTD yearly membership fee) is not applicable to members of group practices or to those who work in both agency and private practice. The reduced fee is intended to assist those clinicians who work with low income or under-served clients, have large caseloads, and receive more limited financial compensation for their work.

**Late charge applies to Regular, Student and Full-time Non-profit Agency Employees

Briere 3/11/06 All Day Program Registration

Name: ___________________________________________________________

Phone: ___________________________ email: ___________________________

Address: __________________________________________________________

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Please make checks payable to:

NESTTD - PO Box 506, Malden, MA 02148-7837