2007 Calendar of Events

Past Meetings

In joint sponsorship with THE INSTITUTE FOR CONTINUING EDUCATION and

BOURNEWOOD HOSPITAL CONTINUING MEDICAL EDUCATION

Saturday, December 8, 2007

9:00am – 12:30pm (Check-in 8:30-9:00)

The Body as a Shared Whole: Somatic Interventions
for Working with Trauma and Dissociation

A Presentation by: Glenn Saxe, M.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.

This presentation will provide an introduction to a practical approach to treating traumatic stress and dissociation in children who live in challenging social environments. Many children with these problems live in environments with ongoing stresses such as family and community violence, parental mental health and substance abuse, and poverty and homelessness. Further, these children have problems that cross systems of care and can involve the mental health, educational, social service and juvenile justice systems. Trauma Systems Therapy (TST) is a model of care that has been developed over the past eight years to address these problems. Within the TST framework, traumatic stress and dissociation in children are related to two main elements:

1) a traumatized child who has difficulty regulating emotional states; and

2) a social environment and/or system of care that is not able to help the child regulate these emotional states.

Depending on the degree of emotional dysregulation and social environmental instability, TST offers a series of clinic and community-based interventions to help the child regulate emotion and to help caregivers help the child regulate emotions. This presentation will introduce the principles of TST, its assessment and treatment planning approach, and its practical clinic and community-based intervention modules.

Dr. Saxe encourages all participants to read his book

(Co-authored B.H. Ellis and J. Kaplow),

“Collaborative Treatment of Traumatized of Children and Teens:

The Trauma Systems Therapy Approach”

prior to the workshop.

You can read the first two chapters of his book here, on our website!!

Click onto the link below if you would like to read them.

Chapter 1: From Saxe GN

Chapter 2: Chapter 2

LEARNING OBJECTIVES:

1) To detail how traumatic stress and dissociation in childhood are components of the same bio-behavioral process: The dysregulation of emotional states when confronted with a threatening stimulus.

2) To introduce a treatment model called Trauma Systems Therapy that is designed to address this bio-behavioral process.

3) To detail the assessment and treatment planning approach of Trauma Systems Therapy.

Glenn Saxe, M.D. is the Associate Chief of Psychiatry for Research and Development at Children's Hospital Boston where he is also the Director of the Center for Behavioral Science. He studied medicine at McMaster University Medical School in Hamilton, Ontario. He completed a residency in adult psychiatry at Harvard Medical School/ Massachusetts Mental Health Center and two post-residency fellowships; a PTSD Fellowship at Harvard Medical School/ Massachusetts General Hospital and a Child and Adolescent Psychiatry Fellowship at Harvard Medical School/The Cambridge Hospital. He had been a Research Psychiatrist at the National Center for PTSD from 1995 until he accepted his current position at Boston Medical Center/ Boston University in June 1998.

SELECTED REFERENCES:

Cicchetti, D. & Lynch, M. (1993). Toward an ecological/transactional model of community violence and child maltreatment: Consequences for children’s development. Psychiatry, 56, 96-118.

Saxe, G.N., Ellis, B.H., Kaplow, J. (2006). Collaborative treatment of traumatized children and Teens: The Trauma Systems Therapy approach. New York, NY: Guilford Press.

Saxe, G.N., Ellis, B.H., Fogler, J., et al. (2005). Comprehensive Care for traumatized children: An open trial examines treatment using Trauma Systems Therapy. Psychiatric Annals, 35, 443-448.

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 accredited provider in nursing by the Alabama Board of Nursing, Provider No. 1124; and by the California Board of Nursing, Provider No. CEP 12646. Nurses should check with their state boards to determine if credit issued through an approved provider of the Alabama and/or California Board of Nursing is acceptable for credit by their state board.

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

In joint sponsorship with THE INSTITUTE FOR CONTINUING EDUCATION and

BOURNEWOOD HOSPITAL CONTINUING MEDICAL EDUCATION

The Body as a Shared Whole: Somatic Interventions
for Working with Trauma and Dissociation

A Presentation by: Janina Fisher, Ph.D.

Saturday, September 29, 2007

9:00am – 12:30pm (Check-in 8:30-9:00)

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.

To stabilize overwhelming symptoms, integrate memories, and overcome the terror of intimacy, traumatized clients must establish sufficient safety in the body that they do not continue to recreate the unsafe world of childhood. Otherwise, the “child in the nightmare” from decades ago remains lost in time, demoralized by internal critics and terrified by the threats of hypervigilant internal protectors.

Because the body is the container for all past and present experience and for all parts of the self, somatically oriented approaches can address the intense and often baffling reactions of these patients in a way that is both simple and effective. This workshop will demonstrate body-oriented interventions for working with traumatized and dissociative patients drawn from Sensorimotor Psychotherapy and easily integrated into EMDR, IFS, and traditional talking therapies. Through the use of lecture, videotape, and demonstration, participants will have the opportunity to observe somatically informed solutions to a number of common clinical challenges encountered in trauma treatment. Capitalizing on recent advances in the research on attachment and trauma, the workshop will also provide a context for understanding how to use the therapeutic relationship to provide a safe “container” for both patient and therapist in the challenging work of trauma treatment.

LEARNING OBJECTIVES:

1. Participants will be able to define the somatic effects of trauma

2. Participants will be able to identify dissociated parts of the self through their physical manifestations

3. Participants will be able to describe body-centered interventions for addressing autonomic dysregulation

Janina Fisher, Ph.D. is a licensed Clinical Psychologist and Instructor at the Trauma Center. Known for her expertise as both a clinician and consultant, she is also past president of the New England Society for the Treatment of Trauma and Dissociation, an EMDR International Association Credit Provider, a faculty member of the Sensorimotor Psychotherapy Institute, and a former Instructor, Harvard Medical School. Dr. Fisher has been an invited speaker at the Cape Cod Institute, Harvard Medical School Conference on Women and Summer and Winter Conference Series, EMDR International Association Annual Conference, University of Wisconsin, the University of Westminster in London, the Psychotraumatology Institute of Europe, and the Esalen Institute. 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:

Ogden, P., Pain, C. & Fisher, J. (2006). A sensorimotor approach to the treatment of trauma and dissociation. Psychiatric Clinics of North America, 29, 263-279.

Ogden, P., Minton, K. & Pain, C. (2006). Trauma and the body. New York: W.W. Norton.

Van der Hart, O., Nijenhuis, E.R.S. & Steele, K. (2006). The haunted self: structural dissociation and the treatment of chronic traumatization. New York: W. W. Norton

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

Human Trafficking and Mental Health:
trauma-informed services can be life saving

Presented by: Jose Hidalgo, M.D.

Saturday, May 5, 2007

9:00am – 12:30pm (Check-in 8:30-9:00)

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.

Despite intensive efforts by the U.S. government to fight human trafficking, tens of thousands of people toil day and night, trapped in miserable conditions, with little chance of escape or assistance. Human trafficking is a growing international human rights and public health concern, a global criminal enterprise second only to drug trafficking. Human trafficking is modern day slavery. Lured with promises of a better life, vulnerable people become trapped in exploitative conditions. Using “force, fraud, or coercion” traffickers control every aspect of a victim’s life in order to exploit and ensnare them into involuntary servitude. The extent of exploitation is varied, but typically involves commercial sexual exploitation such as prostitution, or labor exploitation in restaurants, sweatshops, private homes, construction, and agriculture. Torn from family and friends, religious institutions, and other sources that provide a sense of identity and place, victims become vulnerable to the skilled manipulation of traffickers, who threaten to harm family members back home or report them to immigration authorities. Annually 600,000 to 800,000 people are “trafficked” worldwide. Estimates of victims in the U.S. have ranged from 12,000 to 50,000 per year. Unperceived, tens of thousands of victims remain underground and terrorized in our communities. There is an urgent need to identify and help the victims of this horrific crime.

Following passage of the Trafficking Victims Protection Act, Project REACH, a program of the Trauma Center in Boston was funded in January 2003. Project REACH is the only national program offering crisis mental health services to victims of human trafficking and technical assistance on mental health issues to the emerging anti-trafficking network. This workshop will present initial findings of the first three years of the program, lessons learned, and trauma-informed guidelines for helping trafficking victims begin their journey toward recovery.

The presenter will highlight a two-prong approach in delivering services and promoting resilience in victims of trafficking: first, providing direct service to victims, including victim identification and helping victims regulate their survival responses and second, coordination of care with other disciplines and training on the complex effects of trauma. This process helps the various human services systems involved to improve their capacity to provide trauma-informed services.

It is a tragic reality that the effects of trauma and severe exploitation interfere with a victim’s ability to access and use help. Early trauma informed interventions can mean the difference between a victim seeking and using help, or remaining trapped in the nightmare of modern-day slavery.

With the purpose of using music as an aid for exploring trauma and resilience, NESTTD has commissioned a new musical composition from composer Margaret McAllister to be performed by cellist Sebastian Baverstam at the conclusion of the workshop.

LEARNING OBJECTIVES:

1. Participants will be able to understand the current manifestation of modern-day slavery, human trafficking.

2. Participants will be able to distinguish trafficking from smuggling, and describe the complex social-legal systems that many victims will find themselves in after escape or rescue.

3. Participants will be able to identify types of traumas, psychological consequences, and resilience factors experienced by trafficking survivors.

4. Participants will be able to describe psychosocial interventions that support resilience, and will be able to apply these concepts to victims of other crimes and violence.

5. Participants will be able to describe the role of a mental health provider within a coordinated multi-disciplinary response.

Dr. Jose Hidalgo directed Project REACH from 2003 to 2006, the only national federally funded program to provide crisis mental health services to victims of human trafficking in the United States. He was the principal provider of technical assistance to the national anti-trafficking network and adapted trauma interventions to meet the needs of victims. Dr. Hidalgo is the Medical Director for the Counseling Center at Latin American Health Institute, and is in private practice in Watertown Massachusetts. He did his medical internship at Massachusetts General Hospital, and completed his psychiatric residency and fellowship in Traumatic Stress Studies at Boston University.

SELECTED REFERENCES:

Bales, Kevin DISPOSABLE PEOPLE: NEW SLAVERY IN THE GLOBAL ECONOMY University of California Press, 1999, 298 p.

Richard, Amy O' Neill INTERNATIONAL TRAFFICKING IN WOMEN TO THE UNITED STATES: A CONTEMPORARY MANIFESTATION OF SLAVERY AND ORGANIZED CRIME U.S. Central Intelligence Agency, Center for the Study of Intelligence, 2000, 70 p.

http://www.odci.gov/csi/monograph/women/trafficking.pdf

Hussein Sadruddin, Natalia Walter & Jose Hidalgo

HUMAN TRAFFICKING IN THE UNITED STATES: EXPANDING VICTIM PROTECTION BEYOND PROSECUTION WITNESSES

Stanford Law and Policy Review, 2005, Volume 16: p. 379 - 416

Zimmerman, C., Yun, K., Shvab, I., Watts, C., Trappolin, L., Treppete, M., Bimbi, F., Adams, B., Jiraporn, S., Beci, L., Albrecht, M., Bindel, J., and Regan, L.

THE HEALTH RISKS AND CONSEQUENCES OF TRAFFIKCING IN WOMEN AND ADOLESCENTS. FINDINGS FROM A EUROPEAN STUDY.

(2003) London: London School of Hygiene & Tropical Medicine (LSHTM).

U.S. Department of State, Office to Monitor and Combat Trafficking in Persons

VICTIMS OF TRAFFICKING AND VIOLENCE PROTECTION ACT OF 2000: TRAFFICKING IN PERSONS REPORT

U.S. Department of State, 2003,175 p.

http://www.state.gov/g/tip/rls/tiprpt/2003/Articles

U.S. Department of Justice, Civil Rights Division

TRAFFICKING IN PERSONS: A GUIDE FOR NON-GOVERNMENTAL ORGANIZATIONS

U.S. Department of Justice, 2002

http://www.usdoj.gov/crt/crim/wetf/trafficbrochure.html

ATTENDANCE PREREQUISITES:

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.

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

March 16 and 17, 2007 (Friday & Saturday)

9:00am – 5:00pm (Check-in 8:30-9:00)

“Trauma-related Structural Dissociation:
Breakdown and Repair of Integrative Action”

Presented by Ellert R.S. Nijenhuis, Ph.D.

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

pre-registration is required for this meeting. See registration link below.

Charges for this two day meeting include lunch and 6 Contact Hours per day (full daily attendance is required)

· NESTTD Members:$210

· NESTTD Student Members: $180

· NESTTD Full-time Non-profit Agency Employee Member*: $190

· Non-members: $250

· Non-Member Full-time Non-profit Agency Employee*: $230

· Non-member students or retirees: $230

· 12 CME’s (For M.D.’s only): $20

There will be a $20 Late Charge for all registrations postmarked after March 2, 2007.

Note: Cancellations prior to March 2, 2007 will receive a refund minus a $25 processing fee.

No refunds will be given after March 2, 2007.

Your canceled check is your Registration Confirmation.

*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.

Dr. Nijenhuis strongly encourages all participants to read his book

(Co-authored with Otto Van der Hart and Kathy Steele),

“The haunted self: Structural dissociation and the treatment of chronic traumatization”

prior to the workshop. You can read the first chapter of his book here, on our website!!

Click onto the link below if you would like to read the first chapter of his book.

The Haunted Self: 050106

This workshop presents an overview of the theory of structural dissociation and a psychology of action, and their application in the various treatment phases of chronically traumatized individuals. The theory hypothesizes that traumatization divides the psychobiological system that constitutes an individual’s personality. The basic division is between psychobiological action systems that direct us in functions of daily life (e.g., attachment, play, exploration) and reproduction (i.e., survival of the species), and in a psychobiological action system that directs us in animal-defense like reactions to major threat (i.e., survival of the individual). In chronic

traumatization structural dissociation becomes ever more complex and fixed. The workshop highlights the breakdown of integrative actions during traumatization that causes structural dissociation, describes mental and behavioral actions that maintain structural dissociation and emphasize integrative actions needed to resolve structural dissociation and become more adaptive in meeting daily life challenges. Phase-oriented treatment is framed in terms of overcoming specific trauma-related phobias. Phase 1 is geared toward overcoming phobias of trauma-derived mental and behavioral actions, of dissociative parts of the personality, and of attachment and attachment loss with the therapist. Phase 2 is directed toward overcoming the phobia of traumatic memories, and phobias related to insecure attachment to perpetrator(s). In Phase 3, treatment is focused on overcoming phobias of normal life, healthy risk-taking and change, and intimacy. In clinical practice, these phases are flexible and recursive. The presentation includes didactics on theory and demonstration of some techniques for each treatment phase using video presentations, live demonstrations, and practical exercises.

Click below for a printable registration form

Nijenhuis Two Day Program Registration

LEARNING OBJECTIVES:

Participants will understand the essentials of the theory of trauma-related structural dissociation of the personality.

Participants will comprehend how the theory relates to phase-oriented treatment of complex traumatization.

Participants using the theory will be able to assist patients with trauma-related disorders more effectively.

Ellert R.S. Nijenhuis, Ph.D., is a clinical psychologist, psychotherapist, and researcher. He received his Ph.D. (cum laude) at the Medical Department of the Vrije Universiteit Amsterdam for his book: Somatoform dissociation: Phenomena, measurement, and theoretical issues [reprint: W.W. Norton, New York/London]. In 1998 the International Society for the Study of Trauma and Dissociation (ISSTD) granted him the Morton Prince Award for Scientific Excellence for his scientific contributions; in 2000 the Pierre Janet Writing Award; in 2002 the status of Fellow for his outstanding contributions to the diagnosis, treatment, research, and education in dissociative disorders; and in 2005, together with several of his colleagues, the David Caul Memorial Award. He works at the Outpatient Department of Psychiatry of Mental Health Care Drenthe, Assen, The Netherlands, where he engages in the diagnosis and treatment of severely traumatized patients. He performs his innovating scientific research at this hospital, and collaborates with the University of Groningen (Netherlands), the University of Essen (Germany) and of Zürich (Switzerland) and several clinics. His empirical and experimental research addresses the psychology and psychobiology of chronic traumatization and dissociation. He has written many clinical and scientific articles, book chapters, and some books, he is a reviewer of several professional journals, and he provides presentations and workshops at many international conferences. In 2003, he was granted the closing plenary at the International Society for Traumatic Stress Studies (Chicago) addressing the emerging psychobiology of trauma-related dissociation and dissociative disorders. He is a former Director of the Executive Council of the ISSTD, and Co-Director of the Centre of the Study of Chronic Traumatization at the ISSTD. In 2004 Queen Beatrix from the Netherlands appointed him Knight in the Order of the Dutch Lion for his outstanding contributions to the study and treatment of chronically traumatized individuals. In 2005, together with Helga Matthess, he founded Psychotraumatology Institute Europe. PIE organizes workshops and courses with leaders in the field regarding the assessment and treatment of chronic traumatization. November 2006 witnessed the release of the book The haunted self: Structural dissociation and the treatment of chronic traumatization, authored by Onno van der Hart, Ellert Nijenhuis and Kathy Steele, and published by W.W. Norton, New York/London. The authors were awarded ISSTD’s Media Award for this work. According to Prof. Dr. Chris Brewin, the book is “brilliant,” and Dr. Richard Kluft regards it as “ …. a landmark contribution to the study of trauma and an instant classic in the study of dissociation and dissociative disorders.”

Click here to log on to Dr. Nijenhuis' web site: www.enijenhuis.nl.

SELECTED REFERENCES:

Bennett, M.R., & Hacker, P.M.S. (2006). Philosophical foundations of neuroscience. Carlton (Aus): Blackwell.

Braude, S.E. (1995). First person plural: Multiple personality and the philosophy of mind (rev. ed.). London/New York: Routledge.

Carver, C.S., Sutton, S.K., & Scheier, M.F. (2000). Action, emotion, and personality: Emerging conceptual integration. Personality and Social Psychology Bulletin, 26, 741 - 751.

Edelman, G.M., & Tononi, G. (2000). A universe of consciousness: How matter becomes imagination. New York: Basic Books.

Fanselow, M.S., & Lester, L.S. (1988). A functional behavioristic approach to aversively motivated behavior: Predatory imminence as a determinant of the topography of defensive behavior. In R.C. Bolles & M.D. Beecher (Eds.), Evolution and learning (pp. 185-212). Hillsdale, NJ: Erlbaum.

Hurley, S.L. (1998). Consciousness in action. Cambridge, MA: Harvard University Press.

Lang, P. J., Bradley, M. M., & Cuthbert, B. N. (1998). Emotion, motivation, and anxiety. Brain mechanisms and psychophysiology. Biological Psychiatry, 44, 1248 - 1263.

Metzinger, T. (2003). Being no one: The self-model theory of subjectivity. Cambridge, MA: MIT Press.

Ogden, P., Minton, K., & Pain, C. (2006). Trauma and the body: A sensorimotor approach to psychotherapy. New York: Norton.

Panksepp, J. (1998). Affective neuroscience: The foundations of human and animal emotions. New York: Oxford University Press.

Porges, S. W. (2003). The Polyvagal Theory: Phylogenetic contributions to social behavior. Physiology and Behavior, 79, 503-513.

Schore, A.N. (2003). Affect dysregulation and disorders of the self. New York: W. W. Norton & Co.

Van Derbur, M. (2004). Miss America by day: Lessons learned from ultimate betrayals and unconditional love. Denver, CO: Oak Hill Ridge Press.

ATTENDANCE PREREQUISITES and EDUCATIONAL CREDITS:

Continuing medical education credit is provided through Bournewood Hospital and designates this educational activity for a maximum of 12 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.

Click below for a printable registration form

Nijenhuis Two Day Program Registration

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