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Trauma

Attachment and Trauma Congress: Relationships, Consciousness and the Developing of Self" – June 18th-20th, 2021
withFabio Veglia, Christine Courtois, Bruce Ecker, Elizabeth Howell, Liz Mullinar, Offer Maurer, Roger Solomon, Pat Ogden, Marina Cirio, Diana Fosha
Duration: 18h 25m 00s
Recordings of the course available without time limits
Available in Italian (simultaneous translation), English
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🪙 You will receive 18 CPD credits

150 

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The development of self-identity and consciousness, interpreted as a relational construct: this is the new, overall topic of the next “Attachment and Trauma” Congress in Rome, which is being held on May 22nd-24th, 2020. When the developmental process is disrupted by inadequate caretaking, insufficient attunement or experiences of abuse within the caregiving relationship, the child’s inner sense of continuity and consistence can be severely affected, thus leading to a fragmentation of the Self. Human consciousness is structured in the intersubjective dimension that characterizes mirroring experiences with others. When such experiences are missing, this may lead to a dissociation of the Self and, in the presence of complex trauma, dissociative symptoms may involve extreme rigidity. During their talks, Speakers will explore a multitude of complex aspects related to the development of consciousness. At this respect, brain studies will be a starting point to get a deeper insight into human interactions and go beyond the mere distinction between top-down and bottom-up processes, thanks to a more integrated and comprehensive analysis of social dimensions. In addition, Speakers will highlight the most effective therapeutic approaches that can be adopted in order to create an integrative intervention system, based on specific aspects of the therapeutic relationship. From this perspective, the latter is understood as an opportunity to heal Self-fragmentation, as well as a space where both the therapist and the client can engage with each other in a safe way. Besides this, a series of intervention methods aimed at treating complex trauma and preventing its intergenerational legacy will be discussed. The Congress will also be a unique opportunity to explore new treatment perspectives in Psychotherapy, such as Mirror Therapy and, last but not least, specific interventions based on the use of prosody, music and voice to activate the client’s engagement system within the therapeutic setting.

Fabio Veglia

SEMANTIC ATTACHMENT TRAUMA AND NARRATIVE CONSTRUCTION OF THE SELF

Severe dysregulation of archaic defence systems, characterised by the chronic activation of alarm mechanisms, can be generated by the simultaneous activation of the interpersonal motivational systems (SMI) of caregiving, rank and social sexuality by attachment fgures perceived by the child as a source of danger and threat instead of safety and relational well-being. Such traumatic interpersonal experiences, often early in the developmental history, can only be partially integrated into the body/feelings/memory/consciousness system and generate serious interference with the organisation of attachment, with the structuring of internal operating models, with the maturation of mechanisms for regulating emotional responses and with the acquisition of metacognitive skills. The brain forced to operate under such extreme conditions often manifests dissociative pathologies and constructs controlling strategies to manage interpersonal relationships through a compulsive and improper use of attachment, rank and sexuality. At the same time, as soon as the acute truncatedencephalic phase of neurovegetative and behavioural responses (attack, flight, freezing, fanting) has passed, the autobiographical component of consciousness is biologically driven to construct a meaning and significance also for the fragmented, confused and distressing experiences connected to traumatic memories and cannot help but generate around them and the controlling strategies a part of the narration from which the idea of the Self emerges and takes shape. In this way, complex relational trauma takes on the characteristics of the semantic trauma that characterises personal identity and becomes ontologically connotative of the Self through the use of radical and irrefutable assumptions about certain essential properties of the individual. The attempt to generate a cohesive, coherent and continuous personal narrative is paralysed, disorganised syntactically, emptied of coherent content, compartmentalised, rendered powerless and chaotic in the act of generating agreements between parts of the self. The unlovability, the absence of personal value, the sense of powerlessness, the pervasive feeling of shame, the sense of emptiness, the inconsistency of being oneself, the lack of inner freedom become the prevailing semantic cores around which the narration of one's traumatised relational history develops. Such dramatically sobering semantic nuclei and the dissociated parts of the self that bring them to the stage create continuous, dangerous opportunities for retraumatisation and activate recursive mechanisms of emotional dysregulation, dissociation of consciousness, and sudden re-emergence of fragments of traumatic memories. In many cases, therefore, the treatment plan cannot be limited to the regulation of dysfunctional somatic, relational, emotional and metacognitive mechanisms nor to the mere reactivation of the brain's self-repair mechanisms. Following the stabilisation of the patient and the consolidation of the therapeutic alliance, it is often necessary to include in the therapy of attachment trauma a narrative treatment aimed at working with the parts, strongly connoted on the semantic side, conducted also through relational and sensorimotor access routes. Bibliography Damasio A., Lo strano ordine delle cose, Adelphi, Milan, 2018. Di Fini G and Veglia F (2019) Life Themes and Attachment System in the Narrative Self-Construction: Direct and Indirect Indicators. In Front. Psychol",10:1393. doi: 10.3389/fpsyg. 2019.01393 Liotti G., Farina B., Traumatic developments: etiopathogenesis, clinic and therapy of the dissociative dimension, Rafaello Cortina Editore, Milan, 2011. Panksepp J., Biven L., Archaeology of the mind, Rafaello Cortina Editore, Milan, 2014. Porges S. W., The Polyvagal Theory. Giovanni Fioriti Editore, Rome, 2014 Veglia F., Di Fini G. (2017). Life Themes and Interpersonal Motivational Systems in the Narrative Self-construction. in Frontiers in psychology, 8, pp. 1897, 2017.

Fabio Veglia, psychologist, psychotherapist is full professor of Psychology Clinical Psychology at the Department of Psychology, University of Turin. He directs the Schools of Specialisation in Cognitive Psychotherapy at the Centro Crocetta Clinical Centre, Turin, Genoa and Vercelli sites, and MIND, Novara site, and is scientific coordinator of the Disability and Sexuality Service of the Social Welfare Services Division of the City of Turin. He has worked in the field of research and training for more than 30 years. He is the author of numerous scientific publications, including "Handicap and sexuality: the silence, the voice, the caress" for Franco Angeli and "Life stories: narration and treatment in cognitive psychotherapy" for Bollati Boringhieri. For Edizioni Erikson he published: "Manuale di sex education", 2 volumes, with Rossella Pellegrini "C'era una volta la prima volta" and with Ciro Ruggerini, Sumire Manzotti and Giampiero Grifo 'Narration and intellectual disability'.
Christine Courtois

COMPLEX TRAUMA, ITS HISTORY AND TREATMENT: THE PRISM META-MODEL

Since its introduction in the early 1990s, the term 'complex trauma' and the diagnosis of Complex Post-Traumatic Stress Disorder (CPTSD) have been the subject of much controversy. Recently, however, an increasing number of experts agree that repetitive and imprisoning early forms of attachment and other forms of chronic interpersonal trauma can often have multiple, layered, and interconnected efects that infuence and undergo the infuence of maturational processes. Such effects interfere with the traumatised child's personal development in many different areas and can literally last a lifetime; they can also cause developmental regression in adults.

Since the 1990s, such after-effects have been the subject of various studies that have led to a much more sophisticated understanding of the subject, with applications to a wide range of fields, including evolutionary studies, attachment studies, emotion studies, and neuroscience. At the same time, in the words of Judith Herman, the field of complex trauma research has undergone a 'forensic clinical innovation' that has led to the development of new approaches and a wide range of treatment options applicable to the treatment of trauma. Today, there are a number of short-term evidence-based approaches whose efcacy in treating post-traumatic symptoms has been proven by scientific research. These findings have led some researchers and clinicians to consider these treatments applicable to any traumatised individual, regardless of clinical status. However, mental health professionals specialising in the treatment of complex trauma and dissociation have questioned the universal applicability of such treatments in several respects, arguing in favour of more sequential, nuanced approaches that go beyond mere posttraumatic symptoms and allow for work on disorders of the self, relationships with others, and the various comorbidities often caused by complex trauma. This intervention will focus on three main areas: The historical evolution of the conceptualisation of complex trauma/posttraumatic stress disorder (CPTSD) and the resistance in the field of traumatic stress research, as evidenced by the decision not to include it as an independent diagnosis within the Diagnostic and Statistical Manual (DSM) nor within clinical practice guidelines. The criteria for 'classical' PTSD are derived from studies of war trauma and post-traumatic reactions manifested in late adolescence or early adulthood, predominantly in male subjects. In contrast, criteria for complex PTSD derive from studies on childhood trauma, domestic violence and other repetitive and imprisoning forms of trauma, areas that more often - but not exclusively - affect female subjects. Significant differences were also identified between the two clinical populations: while traumatised children show clear post-traumatic symptoms, these manifest themselves differently in adults, due to age and the specific stage of the disorder. If the trauma occurs in the course of the child's development, this means that it affects, compromises and intersects with that developmental process, leading to the onset of symptom patterns quite different from those related to classical PTSD. These differences have recently been codified with the inclusion of complex PTSD - as an independent but 'related' diagnosis to traditional PTSD - within the 11th International Classification of Diseases (International Classifcation of Diseases-11). Based on research findings on various classes of after-effects, this diagnosis specifically highlights Disorders of Self-Organisation (DSOs), which are considered the most profound symptoms of complex PTSD. These disorders have also been identified as criteria for the diagnosis of Developmental Trauma Disorder, a diagnosis proposed but not yet accepted. The after-effects identified by the diagnosis of complex PTSD and the conceptualisation of Developmental Trauma Disorder. The complexity and multiple, layered and interconnected origins - both at the physiological and psychological levels - of these efects, which manifest themselves over time in various forms, including dissociative responses, will be analysed in depth. Symptoms will be analysed as efforts made by the individual to adapt to the trauma that, over time, become maladaptive if used outside the original context. In addition, a possible interpretation of symptoms as "secondary elaborations of the original untreated [and often unrecognised] efects of trauma" (Gelinas) will be presented, in relation to the often concomitant mental health illnesses and diagnoses. All of these aspects will be further analysed according to complexity theory, in order to help clinicians gain a deeper understanding of the wide range of symptoms presented by patients. The development of suitable treatment models for complex post-traumatic stress disorders, capable of intervening on their multiple manifestations. Following the publication of the updated version of our book on the treatment of complex trauma, I have developed, together with Julian Ford, a treatment meta-model and guidelines designed to help clinicians manage what may turn out to be one of the most complex and least clear-cut treatment processes of all. The acronym for this model is PRISM: Personalised, Integrative, Sequential, Relational and Multi-component. Each of these features will be presented in detail, together with its rationale and sub-components. At the end of this talk, participants will be able to recognise how the different treatment models presented during the Congress "Attachment and Trauma" are in line with this meta-model.

is a psychologist certified by the American Board of Professional Psychology (ABPP). After 35 years of clinical practice in Washington DC, Dr Courtois is currently in semi-retirement, but continues to work as a consultant and lecturer in the field of psychology and trauma treatment. She is co-author, with Julian Ford and other colleagues, of a book on the treatment of complex trauma ('Posttraumatic Stress Disorder') and has contributed to the publication of three different volumes on complex trauma in adults and children/adolescents. Almost ten years after the publication of his book on the treatment of complex trauma dating back to 2009, a new edition of the book was published by Guilford Press in February 2020. Dr Courtois is the author not only of numerous articles and chapters, but also of the books "It's Not You, It's What Happened to You", aimed at a wider audience, "Recollections of Sexual Abuse' and 'Healing the Incest Wound', and is co-editor of 'Spiritually Oriented Psychotherapy for Trauma". In 2017, Dr. Courtois directed - on behalf of the American Psychological Association (APA) - the drafting of clinical practice guidelines on the treatment of PTSD in adults. In the past, she served as President of the 56th Division of the APA (Psychology of Trauma) and completed two terms on the Steering Committee of the International Society for Traumatic Stress Studies (ISTSS). Dr. Courtois also founded a treatment programme for hospitalised patients (The CENTER: Posttraumatic Disorders Program) and semi-hospitalised patients (The Day CENTER) in Washington, DC. DC, where she served as Clinical and Training Director for 16 years. In over the years, Dr. Courtois has been the recipient of numerous professional awards, including the APA Award for Distinction. including the APA Award for Distinguished Contributions to Psychology as a Professional Practice, the Sarah Haley Award for Clinical Excellence from the International Society for Traumatic Stress Studies, the Distinguished Service Award to the Profession of Psychology issued by the American Board of Professional Psychology (in 2016) and, most recently, the Lifetime Achievement Award issued by the American Psychological Association, Division 56 (in 2018).
Bruce Ecker

COMPLEX (ATTACHMENT) TRAUMA MEETS MEMORY RECONSOLIDATION: FACILITATING THE NEURAL PROCESS OF UNLEARNING TO BRING ABOUT TRANSFORMATIVE CHANGE

In the course of the intervention, videos of therapeutic sessions will be observed that show how emotional learnings derived from severe attachment trauma can be profoundly unresolved through memory reconsolidation, with the complete erasure of both extreme post-traumatic symptoms and the underlying reactivation of traumatic memories - a transformative change. Mnestic reconsolidation is an innate brain process that consists of the direct correction, at the level of neural coding, of existing learnings. For two decades, neuroscientists have been investigating how it works. It is an experience-driven process of neurological change. Since 2006, Bruce Ecker has been primarily engaged in translating these research findings into therapeutic methodology. Participants will acquire a clear map of the process steps necessary to induce reconsolidation and transformative change at the brain level, and also a vivid demonstration of the same steps applied to cases of severe complex trauma within attachment relationships. Both the emotional depth and the empathic quality of the facilitation intervention will become evident. Furthermore, the fundamental diference between transformative change, which eliminates the very existence of the target learning and the possibility of its re-emergence, and counter-active change, by which positive resources are developed that compete with the target learning but without actually replacing it and thus allowing for possible relapse, will be clarified. The therapeutic methodology of reconsolidation is entirely based on empirical, transtheoretical knowledge of the neural process of unlearning. The main steps are defined in terms of internal experiences, not external procedures, so that therapists are free to use any suitable experiential technique to facilitate the process. Such steps have, for example, been found in published clinical cases of transformative change in which different psychotherapeutic systems were employed, suggesting that they may be common universal factors that can serve as a framework for integrating psychotherapies. This process represents a significant confirmation and refinement of the corrective experience paradigm, and a serious challenge to the theory of non-specific common factors.

Bruce Ecker, LMFT, is co-developer of Coherence Therapy, co-director and co-founder of the Coherence Psychology Institute and co-author of Unlocking the Emotional Brain: Eliminating Symptoms at Their Roots Using Memory Reconsolidation (ed. it., Sbloccare il cervello emotivo, Franco Angeli, 2018), Coherence Therapy Practice Manual and Training Guide and the book Depth Oriented Brief Therapy: How To Be Brief When You Were Trained To Be Deep and Vice Versa. His clinical career is mainly devoted to explaining how transformative change occurs in therapy. in therapy, contributing various innovative concepts and methods in the field of Experiential Psychotherapy. Since 2006 he has been working in the clinical field to the recognition of mnestic reconsolidation as a central process in transformative transformative change, translating this result of neuroscientific research into clinical application, with the aim of promoting the advancement of therapeutic efficacy and the unification of psychotherapy. He lives in New York.
Elizabeth Howell

CLOSED SYSTEM, ATTACHMENT AND DISSOCIATION

Ronald Fairbairn considered the closed system of the patient's inner world to be the main source of all resistance; in this regard he wrote: 'to open up openings within the closed system that constitutes the patient's inner world - and thus make it accessible to the infuence of external reality - becomes [an] objective of psychoanalytic treatment' (1958, p. 84). The psychotherapist-patient dyad, just like the mother-infant dyad and dyads in other intimate relationships, is ideally characterised by mutual regulation and should constitute an open system. An open system presupposes, in fact, an interaction with the external reality, whose influence it undergoes. However, in histories of traumatic attachment, in which the attachment fgure fails to offer a protective shield against perceived dangers or threats, or itself constitutes a source of danger or threat, the individual's attachment system undergoes considerable distortions; this causes the self to become increasingly self-sufcient (paradoxically, precisely in order to maintain an aphective bond with the attachment fgure). In the presence of overwhelming emotions and in the absence of an external source of secure support, the psyche becomes, by necessity, increasingly self-referential and closed. Consequently, the individual becomes intensely hyper-vigilant to the dual danger triggered by external threats and the internal sense of overwhelm. This means that self-regulation - and, in particular, aphective regulation - becomes a problem. In the context of dissociative psychopathology, the reciprocity of relationships, both interpersonal and intrapersonal, is considerably reduced. The closed system, therefore, precludes interpersonal inter-subjectivity, as well as the mutual recognition of others, who are separate from the individual and distinguished by their own experiences, as well as their own sense of agency.

Dr. Elizabeth Howell is a Lecturer and Supervisor in the Trauma Studies Programme at the Manhattan Institute for Psychoanalysis. She was Co-Director and Lecturer in the Professional Training Programme on Dissociative training programme on Dissociative Disorders of the International Society for the Study of Trauma and Dissociation (ISSTD), as well as head of the Editorial Board of the Journal of Trauma and Dissociation. In addition to having published several articles aimed at professionals in the field, she is the author of several books, including: 'Trauma and Dissociation Informed Psychotherapy: Relational Healing and the Therapeutic Connection'; 'The Dissociative Mind; "Understanding and Treating Dissociative Identity Disorder: A Relational Approach"; "The Dissociative Mind in Psychoanalysis: Understanding and Working with Trauma" (Howell & Itzkowitz); "Psychoanalysts, Psychologists & Psychiatrists Discuss Psychopathy and Human Evil" (Itzkowitz & Howell) and 'Women and Mental Health' (Howell & Bayes). Dr Howell was awarded the Cornelia Wilber Prize, awarded by ISSTD, for outstanding clinical contributions in the field of in the treatment of dissociative disorders, an accolade to which was added the Lifetime Achievement Award. Together with her colleague Sheldon Itzkowitz, she also received an important award for her career as an author from the National Institute for the Psychotherapies (NIP). Her book 'The Dissociative Mind in Psychoanalysis' also received a nomination for the Gradiva Award. In addition to being an esteemed speaker both in the US and internationally, Dr. Howell runs a private practice in New York City. Howell runs a private practice in New York City, where she counsels clients and coordinates study groups.
Liz Mullinar

HOW TO IMPROVE ONE'S RELATIONSHIP WITH SELF AND OTHERS BY BRINGING UNRESOLVED TRAUMAS TO AWARENESS AND USING PRACTICAL STRATEGIES OF PROVEN EFFECTIVENESS WITH WHICH TO CREATE A SAFE AND EMPOWERING ENVIRONMENT THAT ALLOWS FOR PERMANENT HEALING

The biggest problem for survivors of childhood trauma is the inability to recognise the triggers derived from the traumatic experience and not knowing how to release them in order to deactivate the attack, flight or freeze response. We know from neuroscience that this is an automatic response that for trauma survivors is also one of the most important causes of behavioural and emotional problems.

Experts in the field confirm that healing must come from the right dominant hemisphere, the unconscious Self. The HFL model is successful because it safely accesses the unconscious Self to release suppressed emotions at the time of the traumatic event. The release of trauma enables clients to develop a new Self, free from the constraints of trauma. The model recognises the importance of the clients themselves guiding and controlling all treatment processes. The model is unique in that it was developed by trauma survivors, who integrated neuroscience findings and their own inner knowledge and experience. In the more than 20 years that it has been offered, it has been refined by incorporating the experiences and feedback of other childhood trauma survivors. The HFL model enables participants to recognise that they possess the knowledge and ability to heal, and promotes autonomy and self-efficacy. It also enables them to observe their relationship with themselves and others with a new awareness. Participants are then supported by therapists who have experienced the healing process themselves: they are highly trained and supervised to provide psycho-education and therapeutic support. During the practical, experiential presentation, a survivor will offer her perspective on effective treatment of complex trauma, including a video presentation with which to reinforce this client-centred, peer-developed programme for use in private practice. In this way, Congress participants will be able to expand the therapeutic modalities and thus more effectively and confidently support clients affected by childhood trauma on their journey to healing.

Liz Mullinar is the initiator of the Heal for Life Foundation (HFL). The centres HFL centres in Australia, the UK and the Philippines have helped more than 8,500 adults and children to heal from their childhood trauma through participation in a one-week residential programme with facilitated access. The programme has earned a reputation as an effective and unique intervention in aiding the recovery of people with severe and persistent mental illnesses and with histories of trauma and abuse. Over 69% of participants experience a reduction in psychiatric symptoms that is maintained for over six months, and over 90% regard participation in the programme as a life-changing or very positive. In the mid-1990s, Liz, a childhood trauma survivor, developed the Heal for Life model in collaboration with health professionals who were also trauma survivors, with the aim to develop a permanent method of healing from the effects of childhood trauma by using the unique knowledge derived from their own healing journey. Through her work with the Foundation and her lived experience, Liz is a recognised leader in the field of so-called Trauma Informed Healing (TIH). She is the author of of two books, Breaking The Silence and The Liz Mullinar Story (both published by Hodder Headline); her her latest book Heal for Life details the foundations on which the HFL model is based and offers practical strategies practical strategies learnt from his personal healing journey and supported by more than 20 years of work with trauma survivors. Liz focuses her time on training and supervising therapists who use the HFL model in private clinical practice, conducting TIH within organisations and training teams to conduct the programme in other countries. He is also working with remote indigenous communities in the Kimberley region (Western Australia) to help them set up groups that can then be taught how to conduct the HFL programme within the communities themselves. For the important work she is doing in transforming the lives of people who have been severely debilitated by traumatic events, Liz has received several awards, including the Order of Australia and, in 2000, the inaugural Australian Humanitarian of the Year award.
Offer Maurer

INSIDIOUS TRAUMA AND EMOTIONAL RELATIONSHIPS

The term 'insidious trauma' refers to all those episodes in daily life that can be traced back to marginalisation, objectification, dehumanisation and intimidation experienced by individuals belonging to groups affected by forms of oppression that can be traced back to racism, heterosexism, age discrimination, sexism and more. In the course of their clinical work, therapists are confronted with various forms of suffering (symptoms), often wrongly attributed to internal factors. In most cases, the insidious trauma is neither recognised nor adequately expressed, remaining mostly invisible. During this intervention, the insidious trauma will be the subject of an in-depth analysis, with particular attention to the different effects on aflective relationships. In particular, the analysis of the specific dynamics of heterophobia and homophobia within society, as well as their transmission through the father-child relationship, will serve as an example of how insidious trauma is "staged" and re-experienced within the afective relationships. Finally, the main clinical implications of the therapeutic treatment of this type of trauma and its effects will be illustrated.

Ofer Maurer, Ph.D, is a Clinical Psychologist and directs the Programme "The New Wave in Psychotherapy" at the Interdisciplinary Centre (IDC) in Hertzeliya. He is co-founder of the Israeli Institute for Schema Therapy and served as President of the Israeli Association for Psychoanalysis and Relational Psychotherapy. Dr. Maurer is also the founder of the Gay-Friendly Therapists Team, the first gay-friendly Psychotherapy Institute founded in Israel in 2001. He also works as a lecturer lecturer in numerous international programmes on LGBT issues, sexuality LGBT issues, sexuality, Schema Therapy and the integration of Psychotherapy. Dr Maurer works privately, in New York and Lisbon, as a Psychotherapist specialising in Schema Therapy and Life Coach, both individually and in groups.
Roger Solomon

DESENSITISATION AND REPROCESSING THROUGH EYE MOVEMENTS (EMDR) AND TRAUMATIC ATTACHMENT

EMDR therapy is an evidence-based therapeutic approach for the treatment of trauma. According to the adaptive information processing model, which guides the EMDR approach, the symptoms presented by the client originate from painful experiences that are maladaptively stored in the brain, without having been fully processed and integrated within the larger network of memory (Shapiro, 1995, 2001, 2018). EMDR therapy is an eight-step method that involves the processing of past memories at the origin of the problems manifested in the present, as well as the triggers that activate the client in the present; this method also involves the creation of a future model (or template) of adaptive behaviour. EMDR can be used not only to treat severe traumas, but also to treat those ubiquitous 'seemingly small' but rather impactful memories (e.g. a mother's angry look, a father's ignored call for help). These memories are the basis for a variety of negative beliefs: 'I am not enough', 'I do not deserve to be loved', 'I am powerless' or 'I am not safe' are just a few examples. Disorganised attachment takes place when the caregiver is both a source of safety and of terror; this form of attachment is at the origin of complex PTSD and dissociative disorders (Brown and Elliot, 2018). Trauma (the abuse or neglect suffered) is not the only aspect to be treated: traumatic attachment to the abuser must also be adequately treated. EMDR can be used to treat both trauma and traumatic attachment. This presentation will outline the basic principles of EMDR therapy and examine the therapeutic treatment of traumatic attachment in clients who have experienced sexual abuse. The principles of treatment will also be illustrated through specific clinical examples.

 

Dr Roger Solomon is a Psychologist specialising in the treatment of trauma and bereavement. He serves as Program Director and Senior Faculty within the EMDR Institute and teaches EMDR therapy internationally. He also works as a consultant for the US Senate and has offered his consulting services to law enforcement and other agencies of the US Government, including the FBI, Secret Service, NASA, the US Attorney's Office, and the US Army. In Italy, Dr Solomon works as a consultant both with the State Police and the University of Rome (La Sapienza), and is Visiting Professor at the Salesian University in Rome. Over the last 15 years, he has mainly focused on the use of EMDR therapy for the treatment of PTSD complex and trauma-related dissociation, following the principles of Structural Dissociation Theory of Personality. Dr Solomon has authored and co-authored 45 articles and chapters in publications related to EMDR therapy, bereavement processing, the treatment of complex trauma and severe trauma, as well as on stress in law enforcement officers.
Pat Ogden

THE ROLE OF BODILY SENSATIONS IN THE TREATMENT OF DISSOCIATIVE CLIENTS: RISKS AND BENEFITS

During the presentation, a series of strategies will be illustrated to help dissociative clients become more aware of their body sensations as a source of self-knowledge and change. In addition to analysing body phobia, Dr Ogden will describe various interventions aimed at supporting clients in overcoming this phobia. Topics covered will include: the risks and benefits of therapeutic work with bodily sensations; interventions to use when clients end up being dysregulated by their sensations; and practical suggestions to help clients 'befriend' their bodily sensations and mitigate avoidance of the somatic experience. Pat Ogden will also explore the inherent risks and challenges of therapeutic work with positive emotion and 'good' memories, focusing on what to do when these experiences act as triggers on the client. Another aspect examined during the intervention will be the powerful impact of the client's use of self-touch: in this regard, the potential of this technique both in terms of positive outcome and as a useful tool to reduce dysregulation and re-experiencing will be highlighted. Participants will learn how to use positive emotions and self-touch to modify the body's procedural tendencies and foster the integration of different parts of the client's Self.

Pat Ogden - pioneer of Somatic Psychology, and founder and educational director of the Sensorimotor Psychotherapy Institute, an internationally recognised training organisation specialising in somatic-cognitive approaches to the treatment of post-traumatic stress disorder and post-traumatic stress disorder. somatic-cognitive approaches to the treatment of Post-Traumatic Stress Disorder and attachment disorders - will give an exclusive, one-hour videoconference interview, during which participants will have the the opportunity to listen to one of the most eminent Experts in this field of Psychotherapy. During the live interview, Dr Ogden will not only analyse some of the main aspects of Sensorimotor Psychotherapy, with particular focus on relationships, consciousness and self-development - central themes of the seventh edition of the Congress "Attachment and Trauma", but will also answer questions from the the audience, sharing with participants his decades of experience in the treatment of trauma.
Alessandro Carmelita and Marina Cirio

MINDFUL INTERBEING MIRROR THERAPY: BEYOND OVERCOMING TRAUMA

The Still Face paradigm and the mirror neuron mechanism represent two of the pivotal principles underlying MIMT, as they have scientifically emphasised the relational dimension intrinsic to the process of self-construction and the attribution of existential meaning proper to every human being. The use of the mirror in psychotherapy makes it possible to explore from the outset the subject's relationship with his or her own Self, objectifying the conception of the Self as an Other with whom to interact. This makes it possible to experience the intersubjective dimension of the human being in a new way in which the processes of change are accelerated. MIMT makes it possible to make targeted and conscious use of the activation of neurobiological circuits connected to the recognition of one's own face and the emotions linked to facial expressions, at the service of psychotherapy, understood as a process of self-reconstruction. The therapeutic objective is to re-establish a sense of connection and profound belonging to one's own reflex image, in which the patient can experience that self-compassion that stands at the antipodes with respect to the self-loathing and shame typical of traumatised subjects.

Psychologist Psychotherapist, trained with some of the leading Experts in the field of Psychotherapy and Interpersonal Neurobiology. He has created Mindful Interbeing Mirror Therapy and developed it together with Marina Cirio. travelled to numerous countries to spread this revolutionary new approach.
Marina Cirio

MINDFUL INTERBEING MIRROR THERAPY: BEYOND OVERCOMEING TRAUMA The Still Face paradigm and the mirror neuron mechanism represent two of the cardinal principles at the basis of MIMT, as they have given scientific emphasis to the relational dimension intrinsic in the process of self-construction and attribution of existential meaning proper to every human being. The use of the mirror in psychotherapy makes it possible to explore from the outset the subject's relationship with his or her own Self, objectifying the conception of the Self as an Other with whom to interact. This makes it possible to experience the intersubjective dimension of the human being in a new way in which the processes of change are accelerated. MIMT makes it possible to make targeted and conscious use of the activation of neurobiological circuits connected to the recognition of one's own face and the emotions linked to facial expressions, at the service of psychotherapy, understood as a process of self-reconstruction. The therapeutic objective is to re-establish a sense of connection and profound belonging to one's own reflex image, in which the patient can experience that self-compassion that stands at the antipodes with respect to the self-loathing and shame typical of traumatised subjects.

Psychologist, psychotherapist, has enriched her training with recent contributions in the field of psychotherapy and neuroscience. She has developed with Alessandro Carmelita the Mindful Interbeing Mirror Therapy approach, deepening the clinical and research aspects in the intervention with different types of patients. He has been using this innovative approach for years, and is involved in the training of new therapists who can understand this new way of relating to the patient, promoting a real and profound change. real and profound change.
Diana Fosha

THE ROLE OF THE NEUROBIOLOGICAL CORE SELF AND ITS FELT SENSE IN THE TREATMENT OF TRAUMA AND DISSOCIATION

Diana Fosha, Ph.D., will focus her presentation on the dyadic, moment-to-moment monitoring of the felt sense of the neurobiological Core Self in the context of trauma and dissociation treatment. Drawing on neuroplasticity research, aphrophysical neuroscience, attachment theory, evolutionary studies related to caregiver-infant interactions, as well as transformational studies, Diana developed AEDP, whose clinical practice is essentially experiential, dyadic, and healing-oriented. This presentation will show you how to use, in the clinical setting, the important construct of the neurobiological Core Self, introduced by Jaak Panksepp and Antonio Damasio. Through the use of clinical data, the clinical work, of an experiential nature, conducted by the therapist at the upper edges of the patient's tolerance window, aimed at amplifying the patient's relational, emotional, receptive and aphotic capacities, will be clearly illustrated. Diana's intervention will focus mainly on techniques based on affirmation and recognition through the use of the therapist's aphective self. The clinical work will also illustrate moment-to-moment monitoring guided by the concept of the neurobiological Core Self formulated by Jaak Panksepp. Specifically, the occurrence of the neurobiological Core Self in a patient with complex post-traumatic stress disorder will be monitored from the first moment of the first session until the end of treatment. The presentation will include clinical video recordings.

Diana Fosha, Ph.D. is the originator of AEDP (Accelerated ExperientialDynamic Psychotherapy), and the founder and current director of the AEDP Institute, an internationally recognised school specialising in the training of therapists. internationally recognised school specialising in the training of therapists through a specific, transformative and healing-oriented approach to the treatment of attachment trauma. Over the last twenty years, Diana Fosha has been actively promoting a scientific basis scientific basis for a healing-oriented therapy focused on attachment, emotion and transformation. An undisputed leader in the field transformational studies on the treatment of trauma, Dr. Fosha's work on transformational healing processes focuses on the integration of scientific research on neuroplasticity, recognition and dyadic development at the level of the healing process. recognition and dyadic development to clinical and experiential work with patients. In addition to having published numerous articles and written several book chapters, Diana Fosha is the author of the book book "The transforming power of afect: A model for accelerated change" (Basic Books, 2000), whose Italian translation 'The transforming power of emotion: A model for accelerated change accelerated" was published by ISC Editore in 2016. In addition, Dr Fosha was senior editor - together with Daniel Siegel and Marion Solomon - of the book 'The healing power of emotion: Afective neuroscience, development & clinical practice' as well as co-author, together with Natasha Prenn, of "Supervision essentials for Accelerated Experiential Dynamic Psychotherapy" (APA, 2016). Described by psychoanalyst James Grotstein as "a professional boxer who fights for intimacy" and by David Malan "the Winnicott of [accelerated experiential dynamic] psychotherapy", Diana Fosha is known for her powerful, precise, but also poetic and evocative writing style. Some of her phrases, such as 'Overcoming loneliness', 'Existing in the heart and mind of the other', 'the True Other', 'Explicating all that is implicit and making experiential all that is explicit", "Going beyond mirroring", "Stay on this and stay with me", "Rigour without shame' and 'Judicious self-revelation', fully capture the ethos of AEDP.
Ruth Lanius

CARING FOR THE TRAUMATISED SELF: HOW TO MANAGE COMPLEX CLINICAL SITUATIONS IN THE TREATMENT OF TRAUMA

In the course of the talk, we will discuss complex clinical situations that regularly occur in the treatment of trauma. Integrative therapeutic interventions aimed at restoring the self through the resolution of core symptoms will be discussed, which include: dissociative flashbacks, tonic immobility, auditory hallucinations ("hearing voices") associated with the dissociative phenomenon, out-of-body experiences, fragmentation of the self, self-mutilation, aphective dysregulation (high intensity emotional states, intolerance of positive aphective states, emotional dulling). In addition, therapeutic approaches focusing on restoring interpersonal functioning and preventing intergenerational transmission of trauma will be illustrated. In the course of the talk, clinical case examples will be used and treatment strategies based on neurobiology will be discussed. We will also explore recent research advances, particularly in the neurobiology of traumatic stress and its treatment.

Ruth Lanius, M.D., Ph.D., is Professor of Psychiatry and Director of the Research Centre on Post-Traumatic Stress Disorder (PTSD) at the University of Western Ontario. She was the founder of two services on traumatic stress, specialising in the research and treatment of PTSD and related disorders. PTSD and associated disorders. She holds the HarrisWoodman Chair in Mind-Body Medicine at the Schulich School of Medicine and Dentistry at the University of Western Ontario. His research interests research interests lie in the neurobiology of PTSD and the study of treatment outcomes of treatment by analysing different pharmacological and different psychotherapeutic methods. She has published over 150 articles and book chapters on traumatic stress and is currently the recipient of several federal grants. In addition, she regularly lectures on PTSD on a national and international level. Recently, she published her latest book Healing the traumatised self: consciousness, neuroscience, treatment (tr. it., La cura del Sé traumatised self, Fioriti Editore, 2017), which she co-authored with Paul Frewen.
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As mentioned above, our CE credits are accepted by any organisation. They are therefore accepted by ASWB, NBCC, Licensed Marriage and Family Therapists, American Psychological Association, Licensed Mental Health Counselor and all organisations that ask for them.

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