Presented by Recruit-Me-NT in Darwin, NT
Dates: 15 – 16 August 2013
Organizer: David Richardson
Tel: 08 8927 9667
Based on the principles elucidated in her book, Trauma Model Therapy: A Treatment Approach For Trauma, Dissociation And Complex Comorbidity, (2009) Ross, C.A. and Halpern, N., Naomi explores in this 2 day interactive workshop, the four core trauma dynamics and the challenges these present for client and therapist:
- The problem is not the problem
- The locus of control shift
- Attachment to the perpetrator
- The victim, rescuer, perpetrator (Karpman’s) triangle
Attachment disruption and betrayal trauma underpin the client’s internal conflicts and the relational disruptions characteristic of complex trauma therapy. Rapidly shifting and multi-layered transference dynamics of the client, coupled with the therapist’s own internal dynamics and degrees of inevitable vicarious trauma, sets the stage for potentially problematic counter-transference responses that risk rupturing the therapeutic relationship or limiting therapy progress.
The client and therapist may unwittingly enter the ‘dance of the triangle’, which in turn gives rise to confused boundaries and a therapeutic impasse. This may lead to the client and/or therapist literally or metaphorically fleeing therapy, or subconsciously avoiding what needs to be processed.
Hostile engagement and persecutory defenses, the ‘fight’ response, are easily identifiable in the client. Less comfortable to acknowledge but equally in need of empathic and non-judgmental collegial support, is engagement in the fight response by the therapist. The therapist may react to behaviour or material that challenges his/her world view and sense of competence, through active denial of the material or diagnosis or non-empathic engagement. Alternatively, both client and therapist may ‘freeze’, numbing and shutting down or out from an effective alliance.
Cultural awareness and competence plays a significant role in the development of the therapeutic alliance. A lack of attunement to cultural variables is an additional significant factor in the development of a therapeutic rupture.
Through outlining a phase oriented approach, clinical anecdotes, experiential exercises and case discussion, this hands-on workshop will provide practitioners with a framework and strategies to tailor therapy for the unique process of individual clients with:
- Complex symptomatology: flashbacks; flooding; numbing; hearing voices; somatization
- Resistance: listening with new ears
- The meaning and transformation of self harming behaviours
- Utilizing transference and counter-transference
- Facilitating and supporting healthy expression of the spectrum of emotions
Naomi will demonstrate that through holding the four core trauma dynamics at the forefront of consciousness, while maintaining mindful attunement to self, the client’s inner processes, and supported by trauma-informed strategies, both therapist and client can collaborate successfully to navigate the rugged terrain of trauma therapy.
Learning objectives – participants will be able to:
Outline the fundamental components of the four core trauma dynamics and how to utilize these to guide all stages of therapy to radically enhance outcomes
- Identify the re-enactment of attachment disruption and betrayal trauma and design a ‘safe container’ to explore this relational dynamic
- Provide specific strategies to assist with complex presentations and treatment ‘resistance’
- Integrate concepts through case discussion and role play
- Adapt skills to enable mindful attunement of both the therapist’s and client’s internal processes to maintain appropriate boundaries, navigate and keep therapy on track
Who is this workshop for?
This 2 day interactive workshop is designed for effective interventions with:
- depression and other mood disorders
- anxiety disorders
- personality disorders
- schizophrenia and psychosis
- eating and somatoform disorders
- substance abuse and addictions
- PTSD and trauma
- dissociative disorders
- child abuse and neglect
- dysfunctional families
- individuals struggling with interpersonal relationships and fulfillment