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 SymptomsThe Shattered Self: Signs and Symptoms

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

Assess the Shattered SelfAssess the Shattered Self

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

Understand the Shattered SelfUnderstand the Shattered Self

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

The Shattered Self and DSM-5® Diagnostic CategoriesThe Shattered Self and DSM-5® Diagnostic Categories

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

The Shattered MindThe Shattered Mind

• Challenging the five major damaged beliefs & 12 cognitive distortionsChallenging the five major damaged beliefs & 12 cognitive distortions
• 12 techniques to challenge dysfunctional self-schemas12 techniques to challenge dysfunctional self-schemas
• 14 techniques to reinterpret events14 techniques to reinterpret events
• Techniques to meet three needs and identify 12 personal strengthsTechniques to meet three needs and identify 12 personal strengths
• Behavioral intervention to act “as if” the ideal self has been createdBehavioral intervention to act “as if” the ideal self has been created

Reach the Shattered Self in TherapyReach the Shattered Self in Therapy

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

Heal the Grieving SelfHeal the Grieving Self

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

Creatively Heal the Shattered SelfCreatively Heal the Shattered Self

• Creative writingCreative writing
• Visual artsVisual arts
• Progressive re-narrating the selfProgressive re-narrating the self
• Listening to the selfListening to the self

Tasks for the Shattered SelfTasks for the Shattered Self

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

The Distressed Self of the TherapistThe Distressed Self of the Therapist

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