1. Healing the Spirit: Different Perspectives on Resolving Trauma Rita DeMaria, PhD, LMFT, CST Michele Marsh, PhD, CSSP June 9, 2013 - AASECT

2. Goals  Three perspectives on trauma and recovery  The Intersystem Approach  Film Clips: Guided Discussion  Family Meeting: A role play  Lessons learned

3. Perspectives on Trauma  Herman: Trauma and Recovery, 1991  Stage theories: other examples  Three Stages  1. Safety, self care, emotional regulation  2. Remembrance and mourning – grief work  3. Reconnection and meaning Stages are developmental and continuous - morphogenic

4. Self-Trauma Model: Briere, 2002  Post-traumatic responses serve an important psychological function;  to repeatedly reactivate and process traumatic memories to the point that they lose their distress-producing characteristics and can be accommodated by existing self-capacities  Johnbriere.com/STM.pdf

5. Transcending Trauma Model  Psychological mechanism of survival and clinical implications – exploring resilience after prolonged trauma  Key concepts: Pivotal memories and transformative narratives; the mediating parent; family dynamics and communication  Transcending Trauma: Survival, Resilience, and Clinical Applications in Survivor Families, 2012  Council for Relationships, Philadelphia, PA Bea Hollander Goldfein, PhD & Nancy Isserman, PhD – Project Directors

6. The Intersystem Approach - Weeks  The Intersystem Approach a metaframework for assessment and intervention explores:  Individual dynamics and functioning  Interactional dynamics and functioning – focus on couple and family dynamics using attachment theory as the lens  Intergenerational dynamics and functioning – historical and contemporary  Focused Genograms: Intergenerational Assessment of Individuals, Couples, and Families, 1997, 2 nd edition in process; DeMaria, Weeks, Blumer

7. ABCS of Effective Treatment

8. ABCs of Effective Treatment  Affective focused interventions  Behavioral focused interventions  Cognitive focused interventions  Explored within the relational context of the family system

9. A Thousand Acres: Let’s Meet the Family  Film Clip 1 – Opening Scene  Film Clip 2 – Hidden Past  Small Group Discussion

10. A Thousand Acres: Beginning the Therapeutic Process  Film Clip: Little Birdie Girl  Brief Comments  Film Clip: Resurfacing Memories  Small Group Discussion

11. A Thousand Acres: Working with the Family System  An Intervention: Role Play  Large Group Process  Final Sharing; Q & A

12. Thank you for your participation!!  For more information contact:  Rita DeMaria, Ph.D. 215-628-2450 DrRita@RitaDeMaria.com DrRita@RitaDeMaria.com  Michele Marsh, Ph.D. 215-575-9140 X 1 mmmarsh@comcast.net For copies of handouts, PowerPoint, etc. email Rita DeMaria.