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Janina Fisher - Putting The Pieces Together

Janina Fisher – Putting The Pieces Together

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The therapeutic challenges of trauma treatment are frequently reflections of dissociative symptoms and fragmentation, including problems with memory, impulsivity, shutting down or “going away,” paradoxical responses to therapy, self-destructive behavior, and self-sabotage.

Author: Janina Fisher

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Janina Fisher – Putting The Pieces Together: Trauma And Dissociation

Janina Fisher - Putting The Pieces Together

The therapeutic challenges of trauma treatment are frequently reflections of dissociative symptoms and fragmentation, including problems with memory, impulsivity, shutting down or “going away,” paradoxical responses to therapy, self-destructive behavior, and self-sabotage.  Because we tend to equate dissociation only with dissociative disorders, we may not be aware of subtle dissociative processes at work, especially in high-functioning individuals.

Join internationally renowned trauma expert Janina Fisher, Ph.D. as she will introduce you to a neurobiological model that conceptualizes dissociation as an adaptive mind-body response to abuse, neglect, and attachment failure—all precursors to borderline and other personality disorders, complex PTSD, and dissociative disorder clients.  The treatment paradigm integrates traditional talking therapy methods with Sensorimotor Psychotherapy, Internal Family Systems, ego state therapy, and mindfulness-based techniques to create a simple but effective treatment paradigm for working with our most challenging, complex clients whatever their diagnosis.  An understanding of dissociative phenomena and the use of this new approach can effectively engage even our most resistant, overwhelmed, numb, or embattled clients.

Introduction to Structural Dissociation Model

  • Compartmentalization and the brain
  • Animal defense survival responses
  • Applications to trauma-related disorders

Implications of the Model for Treatment

  • Ability to work with internal struggles and conflicts
  • Making sense of paradoxical behavior/symptoms
  • Capitalizing on the brain and body to decrease self-destructive behavior

Clinical interventions for stabilizing dissociative symptoms.

  • Mindfulness-based techniques that address dissociative symptoms
  • Re-organizing the relationship to dissociated parts
  • Cultivating wise mind and compassionate internal relationships

More information about Medical:

Medicine is the science and practice of establishing the diagnosis, prognosis, treatment, and prevention of disease.
Medicine encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness.
Contemporary medicine applies biomedical sciences, biomedical research, genetics, and medical technology to diagnose, treat, and prevent injury and disease,
typically through pharmaceuticals or surgery, but also through therapies as diverse as psychotherapy, external splints and traction, medical devices, biologics, and ionizing radiation, amongst others.

Medicine has been around for thousands of years, during most of which it was an art (an area of skill and knowledge) frequently having connections to the religious and
philosophical beliefs of local culture. For example, a medicine man would apply herbs and say prayers for healing, or an ancient philosopher and physician would apply bloodletting according to the theories of humorism.
In recent centuries, since the advent of modern science, most medicine has become a combination of art and science (both basic and applied, under the umbrella of medical science).
While stitching technique for sutures is an art learned through practice, the knowledge of what happens at the cellular and molecular level in the tissues being stitched arises through science.

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