SCHEMA THERAPY. for avoidant coping modes in personality disorders, complex trauma, chronic ptsd and dissociative disorders

Transcription

1 SCHEMA THERAPY for avoidant coping modes in personality disorders, complex trauma, chronic ptsd and dissociative disorders Two day clinician workshop with Jo a n Fa r r e l l, Ph d & Id a Sh a w, Ma ROME of April 2014 Per il Progresso nella Pratica e nella Ricerca in Psicoterapia

2 SCHEMA THERAPY for avoidant coping modes in personality disorders, complex trauma, chronic ptsd and dissociative disorders his clinician workshop is based upon our 25 years of working with patients with severe avoidant coping modes including those with personality disorders (or its features), complex trauma including patients with chronic PTSD and patients with dissociative disorders. Using the Mode modelwe developed individual and group schema therapy approaches to working with this traumatized group of patients. This workshop will focus on individual schema therapy, bringing in the group variations as participants request. The ST approach begins with establishing a strong positive therapeutic connection, which is a critical component of working with traumatized patients. A next step is for the patient to begin to identify schema and mode activation. We have found that over time patients with all forms of avoidance, including dissociative disorders,can identify the modes operating and employ the user-friendly ST concepts as a way to understand and organize their experience. The ST goals of getting through the Maladaptive Coping modes, reaching and healing the Vulnerable Child mode, safely channeling the Angry Child mode, limiting the Impulsive Child mode and banishing the Punitive Parent mode are a good fit for trauma focused psychotherapy. The Mode model is even helpful for dissociative patients as it can function as a less chaotic internal system using the mode categories. The focus in ST is on helping patients get their needs met in an adaptive way in the present. Healing

3 the Vulnerable Child Mode is the heart of ST, which has many interventions for this purpose including imagery rescripting. Imagery rescripting will be one focus of the workshop as we have found it to be extremely effective with this group of patients. Imagery rescripting can be used on the spot for intrusive phenomena like flashbacks and in a planned manner for nightmares and changing the meaning of traumatic experiences. The workshop will include case examples of patients who were successfully treated with schema therapy. The workshop incorporates didactic sections with powerpoint and group discussion, demonstrations by trainers in which the workshop participants play patients, and opportunities for participants to practice these interventions with coaching and feedback. Our workshops are noted for the enthusiastic teaching style we use as well as the opportunities for learning provided to participants when they have opportunities to play patients and experience the interventions for themselves. Jeff Young, who attended one of our workshops as a participant says: The experience that the authors have gained over 30 years is evident throughout. The approach Joan and Ida have developed is truly unique, exciting and promising.joan Farrell is an outstanding schema therapist who serves as the stable base, emotional center, and educator. It is hard to convey the level of originality, creativity, and spontaneity that Ida Shaw brings to the group experience. She is able to blend elements of gestalt, psychodrama, role-playing, and her own infectious style of play into an approach that perfectly fits the intensive demands of schema mode work, cajoling patients to change in profound ways.

4 timetable DAY ONE 26 of April Understanding the Schema Therapy Mode Model Using the interventions of limited reparenting. Establishing connection therapist as Good Parent Getting through the Avoidant Coping Modes Demonstration and practice DAY TWO 27 of April Imagery rescripting - understanding the goals and the procedure Preparing patients - finding their Good Parent and developing compassion for their little Vulnerable Child mode Trauma rescripting Demonstration and Practice JOAN FARRELL & IDA SHAW Joan Farrell, Ph.D. and Ida Shaw, M.A. are advanced level Schema Therapists and Trainer/Supervisors who co-direct the Indianapolis Center of the Schema Therapy Institute Midwest, a training, research and practice center, certified by the International Society Schema Therapy (ISST). The Indianapolis Center specializes in Group Schema therapy. Joan holds appointments in Psychology at Purdue University (IUPUI) and the University of Indianapolis and has been on the faculty of the Indiana University School of Medicine (IUSM), in Psychiatry for 25 years. She teaches graduate course on Schema therapy and supervises the practice of clinical psychology graduate students. She is Research and Training director of the IUSM/Midtown CMHC Center for BPD Treatment & Research. Ida is a consultant of that center and a supervisor for Group Schema therapy. Contact Information Skype: joanm.farrell STIM-Indpls@sbcglobal.net Phone:

5 In their work they have integrated their complementary cognitive and experiential treatment approaches with social learning and developmental psychology theory to develop a group treatment model for Schema Therapy (ST). Influenced by their 30+ years of clinical experience and by the work of Dr. Jeffrey Young, they adapted ST interventions and limited reparenting to a group model and developed uniquely group interventions to accomplish ST goals (Farrell & Shaw, 1994). They first established the group model for outpatients in a specialty clinic for BPD at the IUSM outpatient clinic. This program was awarded an Indiana Governor s Showcase Award in Mental Health and a NIMH grant. They went on to develop an inpatient ST program that combines individual and group modalities and directed a dedicated BPD unit for ten years at a university affiliated psychiatric hospital in Indianapolis. They evaluated their model of Group Schema Therapy in a randomized controlled trial for outpatients (Farrell, Shaw & Webber, funded by NIMH)) and in two inpatient pilot study (Reiss, Lieb, Arntz, Shaw & Farrell, 2011). Both studies demonstrated strong positive effects on BPD symptoms and global function as well as high recovery rates. Currently, they are the clinical trainers and treatment supervisors of a randomized controlled trial with 14 sites in five countries that will further test their model of Group ST. Dr. Farrell is co-pi for the multi-site study with Professor Arnoud Arntz, Ph.D. Also with Drs. Arntz, Lieb, Reiss and Fretwell, they are further evaluating the intensive GST model in Day Hospital and inpatient settings.

6 Language English Location Centro Congressi Cavour Via Cavour 50/A, Roma Tel TIMETABLE 26 of april of april 9-17 FEE 183 (Vat included) Registration Ask the application form to: isc@istitutodiscienzecognitive.it To register yourself, you should send the application form with a copy of the transfer receipt to: isc@istitutodiscienzecognitive.it Transfer to: Banco Nazionale del Lavoro - Grosseto Beneficiario Istituto di Scienze Cognitive srl IBAN IT90L BIC/SWIFT: BNLIITRR Istituto di Scienze Cognitive Piazzale Segni 1, Sassari Tel. 079/ Fax. 079/ Per il Progresso nella Pratica e nella Ricerca in Psicoterapia Bibliography 1. Farrell, J.M. & Shaw, I.A. (1994) Emotional Awareness Training: a prerequisite to effective cognitivebehavioral treatment of borderline personality disorder. Cognitive and Behavioral Practice, 1, #1, Farrell, J.M., Shaw, I.A. & Webber, M. A. (2009) A schema-focused approach to group psychotherapy for outpatients with borderline personality disorder: A randomized controlled trial, Journal of Behavior Therapy & Experimental Psychiatry, Jun;40(2): Farrell, J.M. & Shaw, I.A. (2010) Schema Therapy Groups for Borderline Personality Disorder Patients: the Best of Both Worlds of Group Psychotherapy in E. Roediger & G. Jacobs (Eds.) Fortschritte der Schematherapie. (Advances in Schema Therapy). Göttingen: Hogrefe 4. Farrell, J.M., Shaw, I.A. & Reiss,N (2011) Group Schema Therapy for Borderline Personality Disorder in M. van Vreeswijk, M. Nadort & J. Broersen (Eds) Handbook of Schema Therapy. Wiley-Blackwell. 5. Reiß, N, Jacob, G. & Farrell, J.M. An Inpatient Schema Therapy Program Case Study (2011) in M. van Vreeswijk, M. Nadort & J. Broersen (Eds) Handbook of Schema Therapy. Wiley-Blackwell. 6. Reiß, N, Lieb, K, Arntz,A, Shaw, I & Farrell, J. (2011) Responding to the treatment challenge of patients with severe BPD: results of three pilot studies of inpatient schema therapy (under review)