ObjectivesSession I – Trauma and the BodyDemonstrate knowledge of three neurobiologically-based trauma responses and articulate how this information may inform choice of treatment interventions.Appraise how the somatosensory and autonomic effects of trauma exacerbate symptoms of PTSD in clients.Assess the role and treatment implications of procedural learning and memory in client presentations.Incorporate sensorimotor interventions into treatments to decrease symptoms of PTSD in clients.Session II – Working with the Complications of Dysregulation: Addictions, Eating Disorders, & Self-Destructive BehaviourAssess the relationship between autonomic dysregulation and addictive or self-destructive behaviour in relation to assessment and treatment planning.Articulate the necessity for an integrated treatment of trauma and addictive or suicidal behaviour to improve treatment outcomes.Assess appropriate cognitive-behavioural techniques for treating autonomic dysregulation in clients.Specify three somatic techniques for regulating autonomic arousal traumatic reactions in clients.Session III – Working with Traumatic Memory: Principles and TechniquesDetermine ‘implicit memory’ and break down its role in post-traumatic stress disorders as it relates to treatment outcomes.Determine potential complications of addressing narrative memories of traumatic events in treatment sessions.Specify three interventions that address these complications and put to practical use in session.Analyze the efficacy of these interventions and distinguish the signs that traumatic memory has been sufficiently processed.Session IV – Disorganized Attachment and the Traumatic TransferenceOutline the root causes of ‘disorganized attachment’ status in children and its clinical implications.Specify difficulties associated with disorganized attachment for symptom management.Articulate the role of disorganized attachment on therapeutic transference/countertransference.Utilize clinical strategies that reduce the complications of traumatic attachment in clients.Session V – The Role of Dissociation in Trauma-Related Disorders Differentiate ‘dissociative states’ versus ‘structural dissociation’ as symptoms of trauma and express their treatment implications.Evaluate the role of structural dissociation in the treatment of complex trauma and personality disorders.Diagnose common trauma-related internal conflicts and determine their impact on clients as it relates to case conceptualization.Utilize mindfulness-based interventions to address resolution of internal conflicts in clients.Session VI – Working with Shame, Fear and AngerArticulate the role of shame as an adaptation to trauma and its treatment implications.Specify the roles of fear and anger as animal defence survival responses to traumatic experiences in clients.Demonstrate use of both somatic and cognitive interventions to decrease shame, fear and anger in clients.Determine the role of re-framing in the successful treatment of post-traumatic emotional responses in clients.Janina Fisher’s Certified Clinical Trauma Professional Training Level 2 (CCTP-II): Treatment of Complex Trauma and Dissociative DisordersProgram InformationObjectivesSession I – Introduction to the Treatment of DissociationDetermine three signs or symptoms of ‘complex trauma’ as it relates to case conceptualization.Differentiate dissociative compartmentalization vs. alterations in consciousness.Apply the Structural Dissociation model as related to clinical treatment.Determine signs of altered consciousness in traumatized clients.Discriminate symptoms caused by activity of trauma-related parts.Discriminate signs of voices found in dissociative disorder versus schizophrenic clients.Specify therapist interventions that increase patient ability to identify and determine dissociated parts to improve client level of functioning.Articulate role of mindfulness-based techniques in the treatment of dissociation.Session II – Increasing Awareness of Dysregulated Parts and Dissociative StatesDetermine signs of dissociative parts in the therapy hour.Determine manifestations of parts observed in physical presentation and facial expression in session.Differentiate characteristics of fight, flight, freeze, attach and submit parts.Utilize the term ‘blending’ as it applies to structurally dissociated parts for symptom management.Implement parts language as an intervention in the therapy of dissociative and dysregulated clients.Determine and analyze dissociative “switching” to improve client engagement.Utilize clinical strategies to increase internal communication in clients.Determine the therapist’s role in ‘coaching’ internal dialogue skills to improve treatment outcomes.Session III – Working with Traumatic Memory in DID:  Implicit Memory and Animal Defense Survival ResponsesDetermine the distinction between trauma-related explicit memory and implicit memory for purpose of client psychoeducation.Differentiate implicit memories versus situational emotional responses.Determine the complications of treating event memories with dissociative disorder clients to improve clinical outcomes.Utilize clinical strategies to determine the role of animal defence survival responses in dissociative disorders and their relationship to traumatic memory.Determine characteristic trauma-related internal conflicts found in trauma-related disorders as related to clinical treatment.Utilize clinical strategies to develop client’s ability to determine internal conflicts as struggles between parts to improve clinical outcomes.Determine indications and best practices for processing traumatic memories to inform the clinician’s choice of treatment interventions.Apply the meaning of the term “integration” in the treatment of dissociation as it relates to case conceptualization.Session IV – Traumatic Attachment and the Treatment of Dissociative DisordersApply the concept of “controlling strategies” as a complication of disorganized attachment to improve client level of functioning.Determine the implications of the controlling strategies in dissociative disorders as related to clinical treatment.Differentiate the interaction between traumatic attachment and self-destructive behaviour to improve treatment outcomes.Articulate the effects of traumatic/disorganized attachment on the transference.Demonstrate uses of right brain-to right brain communication to address attachment-related issues.Utilize interventions for enhancing internal collaboration.Apply the use of the social engagement system (Porges) to improve client engagement.Facilitate increased access to states of self-compassion to improve client level of functioning.Session V – Working with Regression, Aggression and PassivityArticulate the role of regression and aggression as survival responses to threat.Analyze personality disorder diagnoses in the light of research on disorganized attachment in clients.Specify verbal and somatic interventions for working with client dependency as related to clinical treatment.Demonstrate use of somatic and cognitive interventions to ameliorate devaluing and verbally aggressive behaviour.Articulate the role of depression as an adaptation to trauma.Specify cognitive and somatic interventions for addressing chronic depressive states in clients.Determine how to address depression and passivity as a part to improve client level of functioning.Apply the use of positive re-framing in work with parts of the personality as it relates to treatment outcomes.Session VI – Integration and HealingArticulate the traditional view of integration used in dissociative disorders treatment.Evaluate the complications of a focus on ‘integration’.Demonstrate interventions for increasing internal communication and cooperation among parts.Demonstrate internal collaboration as an alternative to traditional models of integration in a clinical setting.Determine how “healing” has been defined historically as it relates to clinical practice.Articulate ‘bottom-up’ approaches to healing that have developed over the past ten years.Determine the ‘negativity bias’ and its effects on psychological health and resilience in clients.Outline the role of self-acceptance and compassion in the healing process to improve clinical outcomes.Trauma Defined: Bessel van der Kolk on The Body Keeps the ScoreProgram InformationObjectivesEvaluate how trauma influences the activity of the key areas of the brain and how that dictates behaviour patterns in clients.Articulate the clinical research surrounding the effectiveness of yoga, mindfulness meditation, and theatre in healing trauma in clients.Overcoming Trauma-Related Shame and Self-Loathing with Janina Fisher, Ph.D.Program InformationObjectivesDiscriminate the clinical implications of physiological and cognitive contributors to shame.Determine cognitive-behavioural, ego state, and psychoeducational interventions to address shame in clients.