For many clients with traumatic experiences the consequences of these reach far beyond the primary symptoms of PTSD, anxiety and affective disorders, as many will have suffered long lasting changes in their personality. Their perception of others is often tainted by paranoid and mistrusting schemata, while their sense of self will be severely negative, ranging from deep convictions of being defective, unlovable to strong feelings of helplessness, inferiority and shame, thus resulting in deeply held internal models of the world that are self-perpetuating and making them prone for chronic and recurrent mental health problems. While many evidence based approaches exist to treat the primary symptoms of trauma the secondary consequences are frequently neglected in treatment (at best) and at worst, are seen as hindrances and distractions to the “real treatment” of the PTSD symptoms. Aim of this workshop is to promote a more holistic approach to trauma that will include the personality pathology of the clients as part of the result of their traumatic experiences.

Outline:

  • Theoretical models that conceptualize the relationship between trauma and personality disorder (psychodynamic framework, attachment trauma and developmental trauma) as well as concepts of structural dissociation and personality organization.
  • Delineating a treatment model of 5 stages: Phase I Security and stability: This part will look at concepts of promoting resources and coping skills of clients as well as helping to build and therapeutic relationship that promotes healthy adult functioning in the client
  • Phase II: Emotion regulation and self-care: Building differentiated internal emotional awareness and starting to promote interpersonal assertiveness, imaginative techniques to promote emotion regulation and ego functioning
  • Phase III: Mentalizing and stable internal Models: Introduction to interventions that facilitate mentalizing and ways to use this with existing interventions, identifying maladaptive interpersonal coping patterns and ways to deal with them, therapist as savior or perpetrator – dealing with transference and counter transference aspects, promoting internal dialog with various personality parts of the clients – working on inner child and other states
  • Phase IV: Phase IV: Gentle trauma exposure: Contraindications of trauma exposure and ways to do gentle imagination exposure work with clients
  • Phase V: Conflict and maladaptive coping styles. Analysis of resistance and ways to utilize the transference analysis, changing negative schemata of self and others, aggression, re-enacting trauma and masochistic tendencies – ways to break this highly destructive circle

Intention of Workshop:

Expand the therapeutic goals and strategies for treatment of traumatized clients and to build therapist confidence to change the more persevering aspects of trauma: the personality pathology.

Presenter

Tobias Schulze, Clinical Psychologist: I received post graduate training in CBT and was licensed as psychological psychotherapist in Germany. Working many years in MH inpatient units I have developed a focus in my work on treating Personality Disorders and specifically on Narcissistic PD, as well as recurrent and chronic mental health conditions. I work from an integrative perspective combining Schema Therapy, ACT and psychodynamic understanding.

Registration:

​Venue: Hawke’s Bay Club, 53 Marine Parade, Napier 4110

Times: 9 am to 5 pm (both days)

Catering: full catering provided (morning lunch, tea) for all dietary needs

Fee: $365 - early bird available until 31st of March, after that $425. Credit card payments possible but will incur a $15 surcharge.

Registration: Please register at talktherapy.co.nz, your registration will only be final once the full fee has been received. All cancellations 30 days or less before the event cannot be reimbursed, but you are free to transfer your spot to a person of your choice.