Book Purchases: The following books need to be purchased or some other source found so that students can read the required material:

Transcription

1 The International Society for the Study of Trauma and Dissociation Dissociative Disorders Psychotherapy Training Program [Curriculum for ISSTD Advanced Course] , 9 International Society for the Study of Trauma and Dissociation This course syllabus and bibliography are the copyrighted property of the International Society for the Study of Trauma and Dissociation (ISSTD). Please do not copy or distribute without permission from the ISSTD. Course Directors: Richard Chefetz, M.D th St., N.W. Washington, DC Tel: Fax: r.a.chefetz@psychsense.net A. Steven Frankel, Ph.D., J.D Mt. Diablo Bl. #269 Lafayette, CA Voice Mail: (925) Fax: (925) drpsylex@earthlink.net Donald Fridley Ph.D. South Bay Psychological Center Hawthorne Blvd. # 105 Torrance California Office Phone (310) Fax Phone (310) dbfridley@cox.net Janet Migdow, MA, LCPC (FM) Director-Options Counseling 3232 W. Victoria Chicago, Il Office Phone: (773) Fax (773) Jexpander@aol.com Intended Participants: Licensed mental health professionals (psychiatrists, psychologists, clinical social workers, mental health counselors) who are personally treating a person with Dissociative Identity Disorder or Dissociative Disorder NOS, AND who have personally treated more than 10 such persons or who have personally treated more than five such persons and have taken the ISSTD Basic Course in the Psychotherapy of the Dissociative Disorders

2 Meeting Frequency: Once monthly for 9 months. Course Format: This course is designed for 2.5 hour sessions of combined literature discussion/lecture and discussion of cases presented by students. Actual session format is at the discretion of ISSTD faculty, within the 2.5 hour framework. Evaluation Forms for this course are attached to this Syllabus. Please fill these out and send them to us at the conclusion of this course. Thanks. We count on you for your feedback. About the Curriculum: Faculty and participants in this seminar should be aware that this course is born out of the effort of Elizabeth Bowman, M.D. to provide a quality educational experience for colleagues in Indianapolis. In , the Advanced Course was developed by Steve Frankel, Ph.D., J.D. It was piloted by Dr. Frankel in Davis, CA, and by Don Beere, Ph.D., in Cincinnati. The course you are about to take represents the collaborative suggestions of faculty, feedback from students, and an effort to increase the relevance of the curriculum with more up to date references, now over several years. We hope this improves a course which, during its pilot year, had already received rave reviews from nearly all participants. A few more things about the course must be said. We have endeavored to provide a course that we believe to be in the mainstream of the treatment of dissociative disorders. Some of you will disagree with the result. Faculty will provide you with their individual interpretation of the value of the information provided. Some articles may be heavily criticized, and some lauded. The intent is to provide you with a rich experience in teaching/learning. We think we will succeed in that, and we look forward to your critiques so that our efforts can be improved. Book Purchases: The following books need to be purchased or some other source found so that students can read the required material: Dalenberg, C (2000) Countertransference & the Ttreatment of Trauma. Washington, DC: American Psychological Association. Herman, J (1992) Trauma and Recovery. Glenview, IL: Basic Books (Harper Collins) Putnam, F (1989) Diagnosis and Ttreatment of Multiple Personality Disorder. New York: Guilford Press. Educational Objectives Overall Objective: At the end of this experience, participants will have sufficient knowledge to enhance their diagnostic and treatment skills with persons who present with Dissociative Identity Disorder (DID) and Dissociative Disorder Not Otherwise Specified (DDNOS). Session-Specific Objectives. Participants will: Session 1: Advanced Topics in the Development of Dissociation: Attachment

3 1. Understand the basic paradigms of attachment research. 2. Understand the categories of infant-parent attachment 3. Understand the implications of attachment on the development of dissociation. Session 2: Initial Steps: Advanced Topics on Treatment Frame/Principles: Resilience 1. Understand the role of resilience and treatment trajectories in treatment planning. 2. Understand the relationship between phase oriented treatment and treatment trajectories. 3. Illustrate the understandings of Objectives 1 and 2 through case presentations. Session 3: Advanced Topics on Transference and Countertransference 1. Understand traumatic transference. 2. Understand complex countertransference problems. 3. Illustrate the understandings of Objectives 1 and 2 through case presentations. Session 4: Advanced Topics on Countertransference and Boundaries 1. Understand the range of countertransference responses to dissociative processes. 2. Understand common vs. subtle countertransference problems 3. Illustrate the understandings of Objectives 1 & 2 via case presentations Session 5: Advanced Topics on Communicating with "Alters" 1. Understand complex interaction patterns (e.g., unwillingness or inability to communicate, etc.) 2. Understand the role of alter hierarchies in communication problems. Session 6: Advanced Topics on Treatment Pitfalls & Pacing 1. Understand complex pitfalls (e.g., reenactments) 2. Understand approaches to management of pacing

4 Session 7: Advanced Topics on Memory Work. 1. Understand the differences between treatment oriented toward metabolizing traumatic memory vs. treatment oriented toward tolerating and managing emotions such as shame. 2. Understanding the problem of patients who wish to act on their recovered memories through confrontation and/or legal action. Session 8: Advanced Topics on Adjunctive Treatment Modalities. 1. Understand hypnosis as orientation to treatment vs. intervention strategy. 2. Understand the role of interventions such as EMDR, Art Therapy, etc., in the treatment of the dissociative disorders. Session 9: Advanced Topics on Integration and Treatment Termination. 1. Understand the controversy surrounding integration as a goal for all DID/DDNOS patients. 2. Understand ways to manage re-splitting episodes. 3. Illustrate the understandings of Objectives 1 & 2 via case presentations Bibliography Participants will receive a copy of the assigned articles from faculty. Your copyright fees have supported copyright permission for the ISSTD to copy the assigned articles for students and faculty in this course. The ISSTD expresses deep gratitude to Richard P. Kluft, M.D. for allowing copying of articles from Dissociation without a copyright fee. We are also indebted to the Haworth Press, and Bill Cohen, for waiving copyright fees for articles from the Journal of Trauma and Dissociation. STUDENTS AND FACULTY: Please do not break copyright laws by copying any of these articles for anyone else. This admonition includes making copies of, or electronically transmitting files from the course CD. Sharing of files/papers is not permitted. Session 1: Assigned Readings Frankel, A.S. (1997). Chart of attachment relationships, from Atkinson, L. & Zucker, K. (Eds.) Attachment & psychopathology. New York: Guilford Press. Liotti, G. (2006). A model of dissociation based in attachment theory. Journal of trauma & dissociation, 7(4),

5 Lyons-Ruth, K. (2003). Dissociation and the parent-infant diaglogue: a longitudinal perspective from attachment research. Journal of the American Psychoanalytic Association, 3, Session 2: Assigned Readings Allen, J. (1998). Of resilience, vulnerability and a woman who never lived. Child & adolescent psychiatric clinics of North America, 7(1). Philadelphia: W.B. Saunders. Davidson, J.R. (2004). Resilience and anxiety. Roundtable monograph supplement, April. Kluft, R.P. (1994). Treatment trajectories in multiple personality disorder. Dissociation, 7, Kluft, R.P. (1994). Clinical observations on the use of the CSDS dimensions of therapeutic movement instrument (DTMI). Dissociation, 7(4), Liotti, G. (2004). Trauma, dissociation & disorganized attachment three strands of a single braid. Psychotherapy: theory, research, practice, training. 41(4) Session 3: Assigned Readings Dalenberg C. (2000). The argument for highlighting, examining and disclosing countertransference in trauma therapy. In C. Dalenberg, Countertransference & the treatment of trauma. Washington, DC: American Psychological Association. Herman, J. (1992). A healing relationship. In J. Herman, Trauma and recovery. Glenview, IL: Basic Books (Harper Collins), Loewenstein, R. (1993). Posttraumatic and dissociative aspects of transference and countertransference in the treatment of multiple personality disorder. In R.P. Kluft & C.G. Fine (Eds.). Clinical perspectives on multiple personality disorder. Washington, DC: American Psychiatric Press, Van der Hart, O. & Nijenhaus, E. (1999). Bearing witness to uncorroborated trauma: the clinician s development of reflective belief. Professional psychology: research & practice, 30(1), Session 4: Assigned Readings

6 Dalenberg, C. (2004) Maintaining the safe and effective therapeutic relationship in the context of distrust and anger: countertransference and complex trauma. Psychotherapy: theory, research, practice, training, 41(4), Kluft, R.P. (1994). Countertransference in the treatment of multiple personality. In J.P. Wilson & J.D. Lindy (Eds), Countertransference in the treatment of PTSD (pp ). New York: Guilford Press. Session 5: Assigned Readings Pica, M. (1999). The evolution of alter personality states in dissociative identity disorder. Psychotherapy: theory, practice, research, training, 36(4), Ross, C. (1996). Short term problem-oriented inpatient treatment. In J. Spira (Ed.). Treating dissociative identity disorder. San Francisco: Jossey-Bass, pp Watkins, H. & Watkins, J. (1993). Ego state therapy in the treatment of dissociative disorders. In R. Kluft and C. Fine (Eds.). Clinical perspectives on multiple personality disorder. Washington, DC: American Psychiatric Press, pp Session 6: Assigned Readings Baker, S. (1997). Dancing the dance with dissociatives: Some thoughts on countertransference, projective identification and enactments in the treatment of dissociative disorders. Dissociation, 10, Fine, C.G. (1991). Treatment stabilization and crisis prevention: pacing the treatment of the multiple personality disorder patient. Psychiatric clinics of North America, 14(3), Gelinas, D. (2003). Integrating EMDR into phase-oriented treatment for trauma. Journal of Trauma and Dissociation, 4(3), Session 7: Assigned Readings Kluft, R.P. (1997). On the treatment of traumatic memories of DID patients: Always? Never? Sometimes? Now? Later?. Dissociation, 10, Krakauer, S (2006). Two-part film technique: empowering dissociative clients to alter cognitive distortions and maladaptive behaviors. Journal of trauma & dissociation, 7(2),

7 Goldsmith, Barlow & Freyd (2004). Knowing and not knowing about trauma: implications for therapy. Psychotherapy: theory, practice, research, training, 41(4), Session 8: Assigned Readings Fine, C.G., Berkowitz, A.S.(2001). The wreathing protocol: The imbrication of hypnosis and EMDR in the treatment of dissociative identity disorder and other dissociative responses. American Journal of Clinical Hypnosis, 43, Phillips, M. & Frederick, C. (1995). Healing the divided self: clinical and Ericksonian hypnotherapy for post-traumatic and dissociative conditions. New York: Norton. Putnam, F. (1989). The therapeutic role of hypnosis and abreaction. In F. Putnam, Diagnosis and treatment of multiple personality disorder. New York: Guilford Press, pp Twombly, J. (2000). Incorporating EMDR and EMDR adaptations into the treatment of clients with dissociative identity disorder. Journal of Trauma and Dissociation, 1(2), Avrahami, Dalia (2005). Visual art therapy s unique contribution in the treatment of post-traumatic stress disorders. Journal of trauma and dissociation, 6(4) Session 9: Assigned Readings Kluft, R.P. (1988). The postunification treatment of multiple personality disorder: First findings. American Journal of Psychotherapy, 42, Kluft, R.P. (1993). Clinical approaches to the integration of personalities. `In R.P. Kluft & C.G. Fine (Eds), Clinical perspectives on multiple personality disorder (pp ). Washington DC: American Psychiatric Press. Copyright , The International Society for the Study of Trauma and Dissociation