Clinical Topics & Methods Category

Stabilizing the Disruptions and Disrupting the Entrenchments: Navigating the Pathological Adaptations of Dissociative and Post Traumatic Conditions

2 CE Hours
40 members have taken this course
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About the Course

This course is based on The Consensus 3-Stage Treatment Model For Dissociation and Trauma Treatment This webinar will review the triphasic unfolding of psychotherapy for DID, DDNos and chronic PTSD. It will particularly focus on that which differs from standard psychotherapeutic engagement and will use DID as its paradigmatic and emblematic disorder. It will describe how to engage the DID patient in a planful, organized psychotherapy which will favor functional stability and support the unfolding of dissociated material contained within the personalities. This presentation will discuss the third reality where the personalities "live" and interact as well as the various types of personalities the therapy dyad is likely to encounter. Both their mapping and their development of hypnotic duality will be the preamble to the structuring of the fractionated abreactions - abreactions necessary for any blending or integration to occur. Methods and systems of containment will be described to further facilitate the successful resolutions of secreted suppressed material. This webinar will propose a methodology to facilitate the organic ebb and flow of this complex trauma-based therapy.

This course is based on the recorded webinar, Stabilizing the Disruptions and Disrupting the Entrenchments: Navigating the Pathological Adaptations of Dissociative and Post Traumatic Conditions created by Catherine G. Fine, PhD in 2009.

Publication Details

Journal/Publisher: International Society for the Study of Trauma and Dissociation
Publication Date: September 18, 2009

Course Material Author

Catherine G. Fine, PhD

Catherine G. Fine, Ph.D. is an American-educated psychologist specializing in the treatment of dissociative disorders and complex post-traumatic conditions. She was the former President of the International Society for the Study of Trauma and Dissociation from 1990 to 1991. Her areas of expertise span psychodynamic psychotherapy, cognitive therapy, hypnosis, and EMDR, to name a few. She publishes and teaches nationally and internationally on the structured treatment of trauma disorders, on crisis prevention in outpatient therapies, and on management and evolution of trauma disorders groups--all informed by hypnosis. More recently, she has added coaching executives in stressful corporate environments to her areas of expertise.

Catherine G. Fine, PhD authored the material only, and was not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

Course Creator

Keith Gibson, Ph.D.

Target Audience

This ISSTD course is recommended for mental health and allied professionals, including: Psychologists, Counselors, Social Workers, Marriage and Family Counselors, plus any other professional whose work involves providing service to individuals suffering from trauma and dissociative disorders and other academics whose studies include chronic trauma and dissociation in its many varied forms. It is appropriate for an intermediate level of participants' knowledge.

Learning Objectives

After taking this activity, you should be able to:

  1. 1 Describe a therapy model effective in stabilizing an affectively disregulated dissociative disorder patient.
  2. 2 List the components of the "third reality" as the concept is used in the treatment of dissociative disorders.
  3. 3 Discuss the importance of promoting using fractionated rather than complete abreactions as you enter stage two of the triphasic trauma model.

Disclosure to Learners

CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity – including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests).

The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

Planners and Reviewers

The planners of this activity have reported that they have no relevant financial relationships.

Material Authors

There are no known relevant financial relationships to disclose.

Course Creator

Keith Gibson, Ph.D. – There are no known relevant financial relationships to disclose.

Commercial support

There is no commercial support for this distance-learning course.

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Stabilizing the disruptions and disrupting the entrenchments: Navigating the pathological adaptations of dissociative and post traumatic conditions

This material is available to purchase for $25.00.

This course material is published by ISSTD. For your convenience, has partnered with ISSTD to make it available for purchase right here.

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Stabilizing the disruptions and disrupting the entrenchments: Navigating the pathological adaptations of dissociative and post traumatic conditions

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