Steve A Johnson – 2-Day Course: Heal the Shattered Self: Advanced Evidence-Based Interventions to Effectively Treat Shattered Clients

Outline

The Shattered Self: Signs and Symptoms

• Stress and the defense cascade: freeze, flight, fight, fright, flag & faint
• Alterations in emotions, impulses, attention, consciousness, & memory, including autobiographical memory
• Physical symptoms
• Changes in perceptions of self, others, life, and the world
• Disruption of interpersonal relations
• Limitations to the research and potential risks

Assess the Shattered Self

• Neuroimaging, the default mode network, and the three senses of self
• Conduct an autobiographical narrative history
• Trauma-informed, culturally-informed, and gender-informed assessment
• Overcome client resistance during assessment
• Diagnostic instruments

Understand the Shattered Self

• Attachment styles
• Young’s Early Maladaptive Schema
• CBT Cognitive Conceptualization Diagram
• REBT Self-Help Form
• ACT Hexaflex Model

The Shattered Self and DSM-5® Diagnostic Categories

• Trauma disorders and adverse childhood events
• Mood disorders – the hopeless self
• Substance use disorders – numbing the self
• Complicated grief disorder – self without meaning
• Generalized anxiety disorder – the overwhelmed self

The Shattered Mind

• Challenging the five major damaged beliefs & 12 cognitive distortions
• 12 techniques to challenge dysfunctional self-schemas
• 14 techniques to reinterpret events
• Techniques to meet three needs and identify 12 personal strengths
• Behavioral intervention to act “as if” the ideal self has been created

Reach the Shattered Self in Therapy

• Address the interaction of the three senses of self & the default mode network
• Defuse the self from self as conceptualized and self from roles
• Calm the hyper-aroused self
• Resurrect the submerged self
• H.E.A.L. the self

Heal the Grieving Self

• Renarrating the “Hot” memory
• Use imagination to create a new self
• Safely holding the hyper-aroused self
• Four domains of creating safety
• Four steps to reconnect a grieving self

Creatively Heal the Shattered Self

• Creative writing
• Visual arts
• Progressive re-narrating the self
• Listening to the self

Tasks for the Shattered Self

• Task 1: establish safety, stabilize symptoms, and self-care
• Task 2: remember the trauma & transform the memory
• Task 3: create a multi-meaning narrative
• Task 4: reconnect with life
• Task 5: create the ideal self

The Distressed Self of the Therapist

• Identify the signs of caregiver distress
• Eight techniques to reverse caregiver burnout
• Six techniques to inoculate the self against caregiver burnout