Transference, Countertransference, and Vicarious Traumatization in ...

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Complex PTSD/DESNOS (Disorders of Extreme Stress Not Otherwise Specified) n Designed to account for developmental issues, co-morbidity, memory variability and to reduce stigma n Co-morbid/co-occurring diagnoses: udistinct from or co-morbid with PTSD uother Axis I, mainly: depressive and anxiety disorders substance abuse/other addictions impulse control/compulsive disorders uAxes II (BPD) and III
Symptom Categories and Diagnostic Criteria for Complex PTSD/DESNOS (Spitzer, 1990) nl. Alterations in regulation of affect and impulses ua. Affect regulation ub. Modulation of anger uc. Self-destructiveness ud. Suicidal preoccupation ue. Difficulty modulating sexual involvement uf. Excessive risk taking n2. Alterations in attention or consciousness ua. Amnesia ub. Transient dissociative episodes and depersonalization
Page 1: Treating Complex Trauma: Relational
Page 7 and 8: Relational Approaches to Healing At
Page 9 and 10: Interpersonal Trauma: “A break in
Page 11 and 12: Trauma Defined “... ...the unique
Page 13 and 14: Types of Traumatic Stressors Emotio
Page 15 and 16: Types of Traumatic Stressors nRelat
Page 17 and 18: Types of Traumatic Stressors nCompl
Page 20 and 21: Post-trauma Responses and Disorders
Page 22 and 23: PTSD in Children nNo available chil
Page 24 and 25: The Significance of Labels “To at
Page 28 and 29: Symptom Categories and Diagnostic C
Page 30: Comorbidity PTSD Complex PTSD (DESN
Page 33: Chronically Traumatized Individuals
Page 36 and 37: Dissociation is: Defining Dissociat
Page 38 and 39: Defining Dissociation nDissociation
Page 40: nChild style u secure Attachment Or
Page 45 and 46: II. Treatment: The Clinical Consens
Page 47 and 48: Treatment Variable Adaptations Vari
Page 49 and 50: Note: EBT (Evidence-Based Therapy)
Page 51 and 52: Effective Treatments for PTSD* n Ps
Page 53 and 54: Treatment: Chronic/Complex PTSD n O
Page 55 and 56: Complex Trauma Treatment uSpecializ
Page 57 and 58: Bio/Physiological Treatments uPsych
Page 59 and 60: Bio-physiological Treatments nSomat
Page 61 and 62: Psychosocial/Spiritual Treatments n
Page 63 and 64: Cognitive Behavioral, Emotional/ In
Page 65 and 66: Cognitive Behavioral and Informatio
Page 67 and 68: Cognitive Behavioral and Informatio
Page 69 and 70: Core Affects n Fear/terror n Anxiet
Page 71 and 72: Treatment Sequence: General Stages
Page 73 and 74: Treatment Goals: Self/Relational Is
Page 75 and 76: RICH relationship/Risking Connectio
Page 77 and 78:
The Therapeutic Relationship nThera
Page 79 and 80:
Interpersonal Neurobiology (Schore,
Page 81 and 82:
Interpersonal Neurobiology (Schore,
Page 83 and 84:
The Importance of Relational Repair
Page 85 and 86:
u“Risky Business” Boundary Issu
Page 87 and 88:
Boundary Issues uOn average, start
Page 89 and 90:
Boundary Issues nRescuing-revictimi
Page 91 and 92:
Boundary Issues nResponsibility of
Page 93 and 94:
Transference Reactions Transference
Page 95 and 96:
Transference is Colored by Aspects
Page 97 and 98:
Attachment Patterns That Play Out i
Page 99 and 100:
Attachment Styles in Therapy nSecur
Page 101 and 102:
Attachment Styles in Therapy nInsec
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Attachment Styles in Therapy nTreat
Page 109 and 110:
Insecure Attachment nTherapist like
Page 111 and 112:
Victimizer Victim Rescuer Passive o
Page 113 and 114:
Relational Perspective nIntersubjec
Page 115 and 116:
Factors That Interact to Determine
Page 117 and 118:
Countertransference Categories in T
Page 119 and 120:
Effects of vicarious traumatization
Page 121:
The Rewards of Trauma Therapy nWitn
Page 124:
uISST-D.org Resources • look for
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