Complex Psychological Trauma and Recovery

Daniel Brown, PhD, ABPH

July 23 – 27, 2018 • Monday – Friday

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The essential features of psychological trauma are disempowerment and disconnection from others. The recovery process, therefore, is based on empowerment of the survivor and restoration of secure attachment and adult secure intimate relationships. This seminar will review the long-term sequelae of: the combination of neglect and early childhood attachment disorganization; childhood trauma and abuse; later repeated trauma. To the core features of complex trauma in adults. The seminar will therefore delineate the complex symptoms frequently seen in patients with neglect and traumatic histories. We will then describe the principles upon which a collaborative therapeutic alliance may be established including a delineation of the three necessary components or “three pillars” for the treatment of the disorganized attachment component of complex trauma, three phases of phase-oriented trauma treatment for the trauma and abuse component of complex trauma. The seminar will also address certain complication in the treatment of complex trauma, such as the contribution of sadistic abuse and factitious behavior to the overall response to treatment. Emphasis is given to learning step-by-step protocols for the treatment of complex trauma in adults. Teaching format includes didactic lectures, live demonstration of techniques, and audio-recorded case vignettes illustration to main treatment methods.

 

Upon completion of this seminar, participants will be able to:

 

  • Differentiate simple from complex trauma;
  • Discuss the core features of complex trauma in adults;
  • Identify accurately the difference between secure, dismissing, anxious/preoccupied, and disorganized attachment
  • Describe the important contribution of attachment disorganization to adult complex trauma;
  • Recognize the trauma-related signs and symptoms of complex posttraumatic stress disorder;
  • Explain the “three pillars” necessary for the treatment of disorganized attachment;
  • Identify the main components of the treatment of disorganized attachment;
  • Describe the concept of recovery stages;
  • Identify the three main stages of phase-oriented trauma-treatment;
  • Describe how attachment disorganization, sadistic abuse, and factitious behavior complicate phaseoriented trauma treatment;
  • Give examples of how to remedy attachment disorganization, sadistic abuse and factitious behavior;
  • Identify the markers of successful treatment-outcome;
  • Identify strategies for personal and professional support to manage vicarious traumatization.

 

SCHEDULE

 

Monday, July 23, 2018

9am-10:15am

Simple vs. complex trauma: etiological factors in the development of complex trauma;  core features of complex trauma;

10:15-10:30am

Coffee break

10:30-12:15pm

Contribution of neglect and attachment disturbance to complex trauma: the impact of self, relational, and affect developmental lines;  development of personality and dissociative disorders as part of core features of complex trauma; subsequent trauma and abuse.

 

Tuesday, July 24, 2018

9am-10:15am

Assessment and treatment of attachment disturbances as related to complex trauma; self-report vs structured interviews; review of the ‘three pillars’ of treatment of disturbed attachment; the ideal parent figure protocol; fostering collaborative behavior;  developing a range of meta-cognitive skills.

10:15-10:30am

Coffee break

10:30-12:15pm

Demonstration of ideal parent figure protocol; review of main techniques to foster collaboration and metacognitive development

 

Wednesday, July 25, 2018

9am-10:15am

Review of specific treatment protocols for dismissing, anxious/preocccupied, and disorganized attachment with audio-recorded case illustrations.

10:15-10:30am

Coffee break

10:30-12:15pm

Overview of phase-oriented trauma-treatment: stabilization; trauma processing; integration; First Stage of Recovery: establishing safety and self-care; stabilization; coping enhancement; enhancing self -development.

 

Thursday, July 26, 2018

9am-10:15am

Second Stage of Recovery:  review of trauma-processing models; psychodynamic; cognitive-behavioral exposure; re-processing; EMDR; indications for modification of phase-oriented trauma treatment with special interventions regarding disorganized attachment; dissociation; factitious behavior; and victims of sadistic abuse.

10:15-10:30am

Coffee break

10:30-12:15pm

Continue, The Second Stage of Recovery: social action in recovery process; self help, individual group psychotherapy; reconstructing a life narrative that includes traumatic events; working with shattered assumptions and trauma-specific limiting beliefs and schemas; signs of progress, and problems that arise in trauma-processing.

 

Friday, July 27, 2018

9am-10:15am

Third Stage of Recovery:  restoring present connections; development of peer and secure intimate relationships; fostering best self-development; fostering healthy affect regulation; reducing hyper-vigilance and startle sensitivity.

10:15-10:30am

Coffee break

10:30-12:15pm

Identifying the main markers of successful outcome; how to change the course of treatment using the best-fit treatment approach; identifying and managing vicarious traumatization.