In joint sponsorship with THE INSTITUTE FOR CONTINUING EDUCATION and

2008 Calendar of Events

Past Meetings

BOURNEWOOD HOSPITAL CONTINUING MEDICAL EDUCATION

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

A Presentation by:
Marylene Cloitre, Ph.D.

May 10, 2008

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 (CEU's) will be offered at an additional cost of $25

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

Pre-registration is not required for this meeting.

Adult treatments for childhood trauma rarely take into account the disturbing impact of abuse on the development of emotional and social competencies so critical for effective living in later years. This presentation will describe a flexibly-applied, phase-based treatment which systematically addresses the compromised capacities in emotional awareness, emotion regulation, and healthy attachment in adult survivors as well the more evident symptomatology which burden the survivor such as PTSD, dissociation, depression and anger. The focus of the workshop will be on Narrative Story Telling (NST) process which focuses on the resolution of a fragmented understanding of self-and-other through the creation of a coherent and meaning based life narrative. Sessions focus on tracking three key affectively-based themes - fear/terror, shame and loss - along with an analysis of the meaning and presence of these emotions in daily life. Memory work explicitly focuses on the representations of self-and-other embedded in the narratives as compared to new and healthier representations emerging from experientially based work begun in Phase 1 that continues through the course of the therapy. Video demonstrations of memory processing concerning each theme will be presented. The role of the therapeutic alliance in contributing to positive process and outcome will be discussed.

Marylene Cloitre, Ph.D. is the founding director of the Institute for Trauma and Resilience at the NYU Child Study Center. She is also the Cathy and Stephen Graham Professor of Child and Adolescent Psychiatry at the NYU School of Medicine. Her clinical work and research focus on the assessment and treatment of the effects of childhood maltreatment on emotional and social functioning across the life span.

Dr. Cloitre received her Ph.D. from Columbia University, and a Certificate in Clinical Psychology from Adelphi University. She completed a Post-Doctoral Fellowship in Psychiatric Epidemiology at Columbia University. Prior to joining the faculty at NYU, Dr. Cloitre was a faculty member at Weill Cornell Medical College where she was Director of the Anxiety and Traumatic Stress Program and Director of Training in Psychology for ten years. She has also served as Director of the New York City Consortium for Effective Trauma Treatment, a collaborative effort of four medical colleges in New York City, funded following 9/11 to provide programmatic training to mental health providers in the Tri-state area.

Dr. Cloitre is currently on the Board of Directors of the International Society for Traumatic Stress Studies (ISTSS), the Anxiety Disorders Association of America (ADAA) and on the Advisory Board of Tuesday's Children, a grassroots organization of 9/11 families that have lost a parent. Her work has been published in a number of journals, including the American Journal of Psychiatry, the Journal of Consulting and Clinical Psychology and the Archives of Psychiatry She has authored and co-authored a number of treatment manuals, books and book chapters including the NYU Child Study Center publication Caring for Kids After Trauma, Disaster and Death: A Guide for Parents and Professionals—Second Edition (PDF). She is the lead author of a practical guide to the treatment of PTSD and its complex effects on social and emotional functioning in adults (see below).

LEARNING OBJECTIVES:

- Participants will be able to describe the theoretical basis of the treatment in attachment theory

- Participants will be able to name at least one emotion regulation strategy that is useful during memory reintegration work that is known to reduce dissociation.

- Participants will be able to name three affective themes that often emerge during the process of memory reintegration

REFERENCES:

Cloitre, M., Cohen, LR, Koenan, KC (2006) Treating Adult Survivors of Childhood Abuse: Psychotherapy for the Interrupted Life. New York: Guilford Press.

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 Massachusetts Medical Society Essential Areas and Elements, and ACCME standards for Commercial Support through Joint Sponsorship with 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 ACCME Standards for Commercial Support ^SM, our faculty presenter reports no significant financial interest or other relationship with commercial interests relevant to the content of this presentation.

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

Past Meetings

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

A Presentation by: Richard Loewenstein, MD

Saturday, March 29, 2008

**All Day Meeting 9:00am – 5:00pm (Check-in 8:30-9:00)**

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

NESTTD event cancellations due to inclement weather will be posted by 5:30am at www.nesttd.org.

Pre-registration will be required for this meeting.

Click on this link for registration form: Loewenstein All Day Program Registration

Registration Deadline: March 19, 2008

Registration at the door: $10 extra

Cancellations as of March 19th receive a refund minus a $25 processing fee. No refunds after March 19, 2008

Registration includes a networking lunch that encourages participants to bring information

about their professional work, as well as explore areas of interested.

6 CEU’s are included / 6 CME’s: $20 extra

For our March Quarterly Meeting, we can look forward to a diverse program on assessment and treatment of dissociative disorders that will have something for everyone. In the morning, Dr. Loewenstein will discuss in a question-and-answer format previously formulated questions that are “meaty” enough to give him the opportunity to elaborate, essentially providing us with a number of “mini” presentations. The major focus of this part of the presentation will be on treatment. If you have theory and/or treatment questions for discussion, please submit them to Wendy Forbush (wforbush @verizon.net) by the end of February.

In addition, if you would like to participate in a role play vignette of a client with Dr. Loewenstein, please let Wendy know via email or phone at 508-998-2700, ext.7.

In the afternoon, we will have a slide presentation and a role play. The lecture will be on Stage II treatment and integration of dissociative clients. Throughout the day, however, we will be hearing about many aspects of working with dissociative patients and their parts. Some of the possible topics for the Q & A part of the program include: Transference and countertransference issues; Identifying and dealing with Somatoform symptoms, Somatization Disorder and Conversion Disorder; Diagnostic dilemmas; Psychopharmacology; Controversies in the field; Interventions for use in a medical setting; Experience working with significant others of DID clients; Experience with exposure of parts to current situations; Personal experience with different treatment trajectories; Inpatient hospitalization; and Management of “Emotional Personalities.”

Richard J. Loewenstein M.D. is a Senior Psychiatrist and the founder and Medical Director of The Trauma Disorders Program at Sheppard Pratt Health Systems, Baltimore, MD, ranked by U.S. News and World Report as among America’s 10 top psychiatric facilities. He is also Associate Clinical Professor of Psychiatry at the University of Maryland School of Medicine. He is a graduate of U.C. Berkeley and Yale University School of Medicine where he did his residency. After a research fellowship at the National Institute of Mental Health in Bethesda, MD, he spent 5 years at UCLA and the West LA VA Medical Center. He is the author of over 50 papers and book chapters on sleep disorders, consultation-liaison psychiatry, dissociation, dissociative disorders, and trauma disorders. He has written chapters on Treatment of Dissociative Amnesia and Fugue for the American Psychiatric Association’s book, Treatment of Psychiatric Disorders and is co-author with Richard Kluft, MD of a chapter on Treatment of Dissociative Disorders and Depersonalization in the 2007 edition of Gabbard's Treatment of Psychiatric Disorders. He is co-author, with Frank W. Putnam, M.D., of the section on Dissociative Disorders in Sadock & Sadock’s Comprehensive Textbook of Psychiatry, Eighth Edition. He has taught psychiatric residents and nursing students about Dissociative and Somatoform Disorders and about Psychopharmacology of Treatment/Dissociative Disorders. He is the founder and director of the Trauma Disorders Program at Sheppard Pratt Hospital including a 20-bed inpatient unit, a day hospital program, an outpatient program, a postdoctoral fellowship program, and research, consultation and teaching components. Dr. Loewenstein is co-chair of the American Psychiatric Association President’s Task Force on the Biopsychosocial Consequences of Childhood Trauma.

LEARNING OBJECTIVES

1. Attendees will be able to formulate a clinical plan, including contraindications, for Stage II (“trauma-processing”) treatment with Dissociative Disorders

2. Attendees will have learned about the process of fusion/integration in patients with Dissociative Identity Disorder, including management of spontaneous and facilitated fusions.

3. Attendees will be able to describe psychopharmacology for posttraumatic stress disorder symptoms, mood dysregulation, and sleep disturbances in persons with Dissociative Disorders and other complex trauma-spectrum disorders.

REFERENCES

Treating Dissociative Identity Disorder. (Chu, JA, Chair)., Loewenstein, RJ, Dell, PF, Barach, PM, Somer, E, Kluft, RP, Ggelinas, DJ, Van der Hart, O, Dalenberg, CJ, Nijenhuis, ERS, Bowman, ES, Boon, S, Goodwin, J, Jacobson, M, Ross, CA, Sar, V, Fine, CG, Fankel, AS, Coons, PM, Courtois, CA, Gold, SN, & Howell, EF. (2005). International Society for the Study of Dissociation Committee on Guidelines for Treating Dissociative Identity Disorder in Adults. Journal of Trauma and Dissociation, 6(4) 69-149.

Loewenstein, RJ. (2006). DID101: A hands on clinical guide to the stabilization phase of DID treatment. Psychiatric Clinics of North America, 29, 305-332.

Dorahy, MD, McCusker, CG, Loewenstein, RJ, Colbert, K, Mulholland, C. (2006). Cognitive inhibition and interference in dissociative identity disorder: The effects of anxiety on specific executive functions. Behavior Research and Therapy, 44, 749-764.

Loewstein, R.J. (2005). Psychopharmacologic treatments for dissociative identity disorder. Psychiatric Annals, 35(8), 666-673.

ATTENDANCE PREREQUISITES:

Continuing medical education credit is provided through Bournewood Hospital and designates this educational activity for a maximum of 6 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 Massachusetts Medical Society Essential Areas and Elements, and ACCME standards for Commercial Support through Joint Sponsorship with 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.

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

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