The Part 2 training offers advanced treatment tools to work with individuals who have endured chronic and developmental trauma across various developmental stages. Early relational trauma often results in a self-organization that presents with fragmentation, entrenched defenses, trauma related phobias, and deeply rooted internal conflicts. These are often combined with layers of memories of trauma and adversity and an overarching dissociative personality structure.

For these individuals, adaptive information quite often is scarce, limited or even absent.

We will present case conceptualization and therapeutic techniques to work directly with trauma-related phobias and defenses that have the potential to stagnate the therapeutic process. Harmful behaviors will be addressed throughout various stages of development along with strategies to address them.

This presentation will offer portals, access routes and therapeutic strategies that provide titration and a gradual entrance into traumatogenic material. In addition, appropriate methods of treatment will be presented that honor the age-related needs, capacities and demands of our clients.

MODULE 1: Phobias and Resistance

Participants will be able to:

1. 1. 1. Cite strategies that assess trauma-related phobias and resistance
      2. Utilize strategies to work with avoidance
      3. Utilize strategies to work with conflicts
      4. Identify strategies to work with failures to grieve

MODULE 2: Suicidality and Self- harm

Participants will be able to:

1. 1. 1. Describe at least 3 examples of self-attacks, self- betrayal and self-hatred
      2. Utilize strategies to work with suicidality and self-harm throughout multiple stages of development

MODULE 3: Working with Defensive Parts and Perpetrator Parts

Participants will be able to:

1. 1. 1. Utilize special approaches to work with highly defended parts
         • The avoidance adult self
         • Hidden parts
         • Parts that express specific defenses
      2. Utilize strategies to work with perpetrator-imitating parts

MODULE 4: Chronic & Traumatic  Shame and Guilt

Participants will be able to:

1. 1. 1. Cite theories that address the origins of traumatic shame and guilt
      2. Identify elements of the parent-child relationship that contribute to the development of  shame
      3. Utilize strategies to deal with the client’s the inner critic
      4. Utilize integrative top-down and bottom approaches to treat chronic shame

MODULE 5: Memory work

Participants will be able to:

1. 1. 1. Describe at least three markers to establish client’s readiness for trauma work
      2. Identify three decision- making markers when working with the whole self or particular parts
      3. Utilize multiple portals and memory entry strategies
      4. Utilize strategies for titration and pendulation
      5. Utilize strategies for the layering and fractionation of memory
      6. Cite markers in the decision-making process for gradual vs rapid entrance into memory networks