Die Behandlung traumabezogener Dissoziation der Persönlichkeit. Basiskurs 2017. Fortbildungsreihe zu Dissoziativen Störungen. Teil 1 von 4

 

 

Zweitägige Fortbildung: 24. und 25.03.2017

Ort: Hotel Promenade beim Psychotherapeutischen Institut im Park, Schaffhausen

 

Diese Fortbildungsreihe richtet sich an Psychotherapeutinnen und Psychotherapeuten, sowie an Personen, die sich in der zweiten Hälfte der Weiterbildung zur Psychotherapeutin, zum Psychotherapeuten befinden.

Die Seminarreihe umfasst vier Wochenenden von Freitag bis Samstag. Die Termine sind:

24. und 25. März 2017
12. und 13. Mai 2017
15. und 16. September 2017
17. und 18. November 2017

 

Referent: Ellert R.S. Nijenhuis, PhD, Assen, Niederlande, www.enijenhuis.nl

Die Fortbildungen finden in deutscher Sprache statt

 

Im Gegensatz zu unseren sonstigen Fortbildungen können die Seminare dieser Fortbildungsreihe nicht einzeln belegt werden.

Der Schwerpunkt wird auf praktischen Behandlungsthemen liegen, die Inhalte werden mit Vorträgen, Rollenspielen, Videobeispielen, praktischen Übungen und Diskussionen in der Gruppe erarbeitet.

 

 

Ellert R. S. Nijenhuis, PhD, arbeitet seit mehr als 30 Jahren mit chronisch traumatisierten Patienten und ist einer der führenden Dissoziationsforscher mit vielen Einladungen zu internationalen Konferenzen (z.B. Keynote-Speaker bei der ISTSS Conference 2003, Hauptredner bei der EMDR Europe Conference 2004 etc.). Er hat zahlreiche Veröffentlichungen und Bücher geschrieben. Zusammen mit Prof. Onno van der Hart und Kathy Steele hat er die Theorie der Dissoziation der Persönlichkeit entwickelt und ist wesentlich beteiligt an Forschungsprojekten mit PET, MRT und physiologischen Messungen zu diesem Thema.

As a psychologist and psychotherapist, Nijenhuis has diagnosed and treated severely traumatized patients at the Mental Health Care Drenthe, The Netherlands, for over 30 years. For his book Somatoform dissociation: phenomena, measurement, and theoretical issues, he received his Ph.D. title with the highest honours at the Medical Department of the Vrije Universiteit Amsterdam. Since 2015, Nijenhuis devotes his time to researching and sharing his knowledge about the psychology and psychobiology of chronic traumatization and dissociation. His latest book publication is The Trinity of Trauma: Ignorance, Fragility, and Control. A clinical handbook on treating trauma patients is due in 2016.

In 1998 the International Society for the Study of Trauma and Dissociation (ISST-D) granted him the Morton Prince Award for Scientific Excellence for his scientific contributions; in 2000 the Pierre Janet Writing Award; and in 2002 the status of Fellow for his outstanding contributions to the diagnosis, treatment, research, and education in dissociative disorders. In 2011, he received this society's lifetime achievement award.

He has written many clinical and scientific articles, book chapters, and some books, he is a reviewer of several professional journals, and provides presentations and workshops at many international conferences. In 2003, he was granted the closing plenary at the International Society for Traumatic Stress Studies (Chicago) addressing the emerging psychobiology of trauma-related dissociation and dissociative disorders.

In 2004, the Dutch Queen appointed him "Ridder in de Orde van de Nederlandse Leeuw" ("Knight of the Order of the Dutch Lion"), a very high distinction rarely given in the Netherlands. Her Majesty wished to honor him as an inspired scientist and clinician in the area of chronic traumatization.

 

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Übersichtstext von Ellert Nijenhuis:

Introduction

The diagnosis and treatment of chronically traumatized individuals is complex. This complexity can overwhelm and confuse clinicians, and can lead to treatment impasses and problematic countertransferential reactions.

In the current training, the complexity of chronic traumatisation is comprehended in terms of the theory of dissociation of the personality, and from this theory many treatment guidelines are derived. Participants in workshops on dissociation generally report how the theory helps them to understand and treat individuals who have suffered major abuse and neglect. And many patients report how the theory assists them in developing insight into their symptoms and problems, and in attaining adaptive change. It often holds that in complex situations nothing is as practical as a good theory.

According to the theory of dissociation, traumatisation consists in an essential dividedness of the personality between one or more parts that engage in functions of daily life and reproduction (i.e., survival of the species), and one or more parts that are fixated on traumatic memories and that engage in animal-defence like reactions when exposed to real or perceived threat and/or attachment cry (i.e., survival of the individual). The different parts of the personality exert different functions. These functions are realized by evolutionary derived action systems, such as attachment, exploration, play, and defence, and manifest in particular mental and behavioural action tendencies. Dissociation is a core feature of a wide range of trauma-related disorders: acute stress disorder, posttraumatic stress disorder, complex posttraumatic stress disorder (proposed diagnostic category), borderline personality disorder, trauma-related conversion disorder (DSM-IV)/dissociative disorders of movement and sensation (ICD-10), dissociative disorder NOS, and dissociative identity disorder.

All dissociative parts of the personality tend to display disturbed attachment patterns, notably a pattern known as disorganized attachment. However, disorganized attachment may not be so disorganized after all in that it involves rather discrete alterations between several action tendencies. One action tendency is seeking proximity to perpetrating and neglectful caretakers, to seek acceptance, and to avoid feeling alone, abandoned, and rejected. An other action tendency is avoiding this proximity when it materializes, with engagement in animal-defence-like reactions such as flight, freeze, and fight. Survivors of chronic traumatisation thus seek acceptance, but fear intimacy and (positive) dependency.

The theory of dissociation and the treatment model based on this theory aims to integrate a range of different perspectives, including Janet's psychology of action, emotion theory, affective neuroscience, developmental psychopathology, attachment theory, learning theory, cognitive theory, psychobiology of traumatisation, and sensorimotor psychotherapy.
This integrative theoretical orientation culminates in a phase-oriented treatment model that includes body-oriented intervention. Brain/mind, body and environment are regarded as intrinsically related.


Training format

The training is essentially geared toward treatment concerns, and involves lectures, role play, video-demonstrations, practical exercises, discussion, study of literature, and homework.


Contents

This training seminar encompasses four weekends. There will be four major phases.

Phase I
This phase addresses the theory of dissociation of the personality in detail. The theory assists clinicians in grasping the major symptoms of complex traumatisation, including posttraumatic stress symptoms (that are, in fact, dissociative symptoms), (other) dissociative symptoms, and self-destructive tendencies, and informs assessment and treatment. Thus, the theoretical background will assist participants in making careful diagnostic assessments, including making a solid differential diagnosis between true and false positive cases of dissociative disorders. In this phase, participants improve their clinical skills in administering diagnostic interviews, and in administering and interpreting a number of self-report questionnaires.

Phase II
This phase provides the phase-oriented treatment framework, and focuses on phase one treatment in detail. Participants will learn how to conduct phase one treatment, generally described as the phase of treatment that addresses "symptom reduction and stabilization" - from the perspective of the theory of dissociation. One of the principles that will be detailed is the notion of initiating, executing and completing mental and behavioural actions to increase one's integrative capacity or mental tension. Participants will be acquainted with a range of problem-focused and relationship-oriented interventions. Part of the survivors' psychopathology will be comprehended in terms of phobias of mental actions, attachment, and dissociative parts of the personality. In this second phase, participants will learn how they can assist survivors to overcome these phobias in a stepwise manner. A general goal of phase one treatment is to raise the survivor's mental level of functioning. This should allow them to lead more rewarding lives, and prepares them for executing and completing the integration of traumatic memories.

Phase III
When survivors have realized the goals of phase one treatment, they may chose to proceed with phase two treatment that is oriented to deepening the therapeutic relationship and to the stepwise integration of traumatic memories. Participants will be acquainted with a variety of treatment techniques. A general principle is to work within the survivor's window of stress tolerance, or their integrative capacity. When the therapy is meticulously geared toward this principle, in many cases clinical admissions can be evaded while survivors gradually overcome their phobias of more-than-superficial interpersonal relationships and of traumatic memories.

Phase IV
This final phase addresses phase three treatment. Phase three treatment aims to assists chronically traumatized individuals to overcome their phobias of intimacy, risk taking, change, and normal life. This is also the phase in which previously dissociated parts of the personality commonly fuse. Participants will be acquainted with a range of interventions geared toward the promotion of these treatment goals.

 

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Terminübersicht

24. und 25. März 2017:               Fortbildung 1

12. und 13. Mai 2017:                 Fortbildung 2

15. und 16. September 2017:      Fortbildung 3

17. und 18. November 2017:       Fortbildung 4

 

Seminardauer: jeweils Freitag 10.00 bis 18.00 Uhr und Samstag 09.00 bis 17.00 Uhr ( jeweils 8 Zeiteinheiten à 90 Minuten)

 

Unsere Fortbildungen sind von den für unser Fachgebiet relevanten Schweizer Fachgesellschaften im Rahmen ihrer Fortbildungsreglemente als Fortbildungen anerkannt.
Sie werden zudem für die deutschen KollegInnen von der Landespsychotherapeutenkammer Baden-Württemberg mit Fortbildungspunkten zertifiziert.

 

Kosten: je Fortbildung CHF 560.- /für TeilnehmerInnen aus Euroland EUR 460.- (incl. Seminarunterlagen)

 

Sie erhalten jeweils einige Zeit vor der nächsten Fortbildung einen Einzahlungsschein oder eine Erinnerung zur Zahlung zugeschickt.

 

Information und Anmeldung:
Psychotherapeutisches Institut im Park
Steigstr. 26, 8200 Schaffhausen
Tel.: + 41 52 624 97 82, info@iip.ch