Shame and Self-Loathing in the Treatment of Trauma

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Janina Fisher, PhD Related seminars and products

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Janina Fisher, PhD, is a licensed clinical psychologist and former instructor at The Trauma Center, a research and treatment center founded by Bessel van der Kolk. Known as an expert on the treatment of trauma, Dr. Fisher has also been treating individuals, couples, and families since 1980.

She is past president of the New England Society for the Treatment of Trauma and Dissociation, an EMDR International Association Credit Provider, Assistant Educational Director of the Sensorimotor Psychotherapy Institute, and a former Instructor, at Harvard Medical School. Dr. Fisher lectures and teaches nationally and internationally on topics related to the integration of the neurobiological research and newer trauma treatment paradigms into traditional therapeutic modalities.

She is co-author with Pat Ogden of Sensorimotor Psychotherapy: Interventions for Attachment and Trauma (2015) and author of Healing the Fragmented Selves of Trauma Survivors: Overcoming Internal Self-Alienation (2017) and the forthcoming book, Working with the Neurobiological Legacy of Trauma (in press).

 

Speaker Disclosures:
Financial: Dr. Janina Fisher is an international expert and consultant on Trauma and Dissociation. She is a consultant for Khiron House Clinics and the Massachusetts Department of MH Restraint and Seclusion Initiative. Dr. Fisher receives royalties as a published author. She receives a speaking honorarium, recording royalties and book royalties from Psychotherapy Networker and PESI, Inc. Dr. Fisher has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Janina Fisher is on the advisory board for the Trauma Research Foundation. She is a patron of the Bowlby Center.

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Target Audience

• Addiction Counsellors
• Case Managers
• Counsellors
• Marriage & Family Therapists
• Nurses
• Psychologists
• Social Workers
• Other Mental Health Professionals

Objectives

1. Evaluate the effects of shame and self-loathing symptoms and identify how these symptoms inform treatment interventions.
2. Determine the impact of the neurobiological effects of shame as it relates to clinical practise.
3. Evaluate cognitive schemas and its clinical implications.
4. Articulate the foundation of Sensorimotor Psychotherapy as it relates to clinical treatment.
5. Apply simple yet effective clinical interventions drawn from Sensorimotor Psychotherapy to alleviate symptoms in clients.
6. Utilize clinical techniques, such as, memory processing, cognitive-behavioural and ego state as related to clinical treatment.

Outline

• The role of shame in traumatic experience
• Shame as an animal defence survival response
• Effects of shame on autonomic arousal
• Why shame can be treatment-resistant

• Shame and the attachment system
• Rupture and repair in attachment formation
• What happens to shame without interpersonal repair

• Disgust, degradation, and humiliation
• Cognitive schemas that exacerbate shame
• Internal working models

• Sensorimotor Psychotherapy: Physiological state as the entry point for treatment
• Regulating shame states with somatic interventions
• Using mindfulness-based techniques to inhibit self-judgment

• Re-contextualizing shame as a younger self or part
• Dual awareness of who we are now and who we were then
• Getting to know our “selves”
• Bringing our adult capacity to our childhood vulnerability

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