Module 1: Advancing Excellence in Treating Dissociation: Working with Dissociative Phobias and Cognitive Errors
Presenter: Kathleen Martin, LCSW
Friday, April 28, 9 am to 12 pm Arizona Time
Treating dissociation is a complicated and delicate process. The clinician must join with the client’s need to maintain depersonification and derealization while at the same time have skills to challenge these processes without increasing the client’s need to dissociate. This 3 hour lecture will explore the most common (unintentional) mistake made by clinicians treating this population followed by specific strategies to avoid this mistake. Treating dissociative cognitive errors will be explored with a case example illustrating their delicate treatment process. The expanded readiness checklist for EMDR Therapy Phase 4 reprocessing in complex trauma cases will be taught to help clinicians conceptualize readiness and avoid the pitfall of entering Phase 4 too soon.
1) Participants will be able to identify the most common mistake made in the treatment of complex trauma and how to avoid it
2) Participants will be able to define cognitive errors and their purpose in maintaining dissociation along with one strategy to treat them
Module 2: Working Effectively with Perpetrator Introjects: An Ego State Therapy
Presenter: Farnsworth Lobenstine, LICSW
Saturday, April 29, 9 am to 12 pm Arizona Time
A particularly difficult block to the treatment of clients with DID and DDNOS/OSDD are the internal presence of perpetrator introjects, often called perpetrator-imitating parts. These parts of the personality often violently “protect” the client, insisting the past is still present and the danger has never ended. Their threats can frighten both the client and the therapist. Their functions will be presented. Then, following Kluft’s statement, “Dissociation dissolves in the face of empathy”, an Ego State Therapy approach will be delineated and integrated with EMDR Therapy. Simultaneous strategies to strengthen the client are presented.
1) Participants will be able to cite protective functions of perpetrator introjects.
2) Participants will be able to define three strategies for working with perpetrator introjects
Module 3: EMDR for Dissociative Disorders: Understanding and Working with the Internal Conflict
Presenter: Dolores Mosquera, MS
Friday May 5, 9 am to 12 pm Arizona Time
Based on early cautions, many clinicians limit EMDR therapy to only highly-functioning dissociative clients who have undergone a long preparation phase that depends upon other modalities. From this conceptualization, the use of EMDR is erroneously limited, depriving many survivors of severe traumatization the benefits of EMDR therapy.
Clinical case examples and video fragments will illustrate interventions with EMDR for dissociative clients following the “Progressive Approach” (Gonzalez & Mosquera, 2012).
Module 3 will be focused on understanding the internal conflict in those with severe traumatization and learning procedures to aid trauma processing in this population.
In addition participants will learn:
1. To identify the main aspects related to the maintenance of dissociation and the internal conflict (Phase 1)
Module 4:How to Recognize and Treat Dissociation in the History, Preparation and Assessment Phases of EMDR
Presenter: Colin A. Ross, M.D.
Saturday, May 6, 9 am to 12pm Arizona Time
In this three-hour workshop, Dr. Ross will provide an overview of dissociation and complex trauma. The focus will be on how to recognize and treat dissociation within the History, Preparation and Assessment phases of EMDR. Dr. Ross will review the definition of dissociation and the differences between psychoform and somatoform dissociation. He will spend considerable time on dissociative identity disorder (DID): how to diagnose it; what it is and what it is not; prevalence, reliability and validity; treatment outcome data for DID; and the relationship between DID and PTSD. Attendees will be instructed in how to use the Dissociative Experiences Scale and the Dissociative Disorders Interview Schedule for diagnosis of dissociative disorders. This discussion will be followed by an explanation of the principles of Dr. Ross’ Trauma Model Therapy, which is suitable for DID, BPD, PTSD and a wide range of mental health problems and addictions. These principles can be most helpful in EMDR therapy of complex trauma prior to desensitization work.
1. Participants will be able to describe the definition of dissociation, the difference between psychoform and somatoform dissociation, and the treatment outcome data for dissociation identity disorder.
2. Participants will be able to describe how to use the Dissociative Experience Scale and the Dissociative Disorders Interview Schedule as well as to describe the principles of trauma model therapy and their uses within the history, preparation and assessment phases of EMDR.
To Register for this course or to obtain more information on the content and presenters please visit https://anagomez.org/