Living in the "Second Circle:" How We Are Changed By The Work We Do

Death and crises are facts of life. Death reminds us that although we want predictability and control over our lives, neither is guaranteed. Life-changing events challenge our coping skills, force us to reassess our priorities and transform us. As professionals, working with patients, clients, residents, the public and their families changes us. As individuals, and “work families,” how are we changed by the work we do? This webinar will benefit counselors as they examine practical stra...
The Association for Death Education and Counseling

Raising Grieving Children

This webinar will help practitioners understand a child’s or an adolescent’s reaction to the death of a parent. The presentation will explore grief as a normal life-cycle event, not looking for a cure but understanding the need to live with and through the grief. In this context, the presenter will take the child’s age into consideration and how age affects what children experience as “lost” as a result of the absent relationship. Participants will also examine ways families memorial...
The Association for Death Education and Counseling

The DSM Exclusion Criterion Explained, Processed, and Problem-Solved

This webinar will examine: The controversy of whether to remove from the DSM-V the ban on diagnosing depression within the first two months of bereavement. The anticipated consequences should the ban (called “the exclusion criterion”) be lifted. The important realities that face clinicians who work with bereaved clients. The first part of the webinar will review the different positions offered for and against removing the exclusion criterion and will present ADEC’s decision o...
The Association for Death Education and Counseling

Handbook of Thanatology Self Study Course

The Handbook of Thanatology, ADEC's essential body of knowledge for the study of death, dying and bereavement, is available as an online self-study course. The Handbook of Thanatology Self Study Course offers online quizzes in six sections that mirror the printed handbook. Purchase and complete the quizzes online for continuing education credit or nursing contact hours. If you don't already own the Handbook of Thanatology itself, you can buy .pdf versions of its sections, or a hard copy of ...
The Association for Death Education and Counseling

Preventing Psychological & Moral Injury in Military Service

This session will be an informal, unofficial international exchange among military and mental health professionals on prevention and early treatment of psychological and moral injury in military service. No one will speak officially for their services or for their governments. Their remarks are their own. Attendees agree not to publish or circulate attributed quotations, without permission of the person quoted; participation does not imply endorsement of remarks by other presenters. An occupat...
International Society for Traumatic Stress Studies

Preventing Psychological Distress by Advising People in a Situation of Ongoing Life Threat

This PMI will focus on ways to prevent psychological distress in people who are confronted with an ongoing life-threatening situation. Our guideline for discussing this topic will be recent research on terrorist threats and close protection in politicians in the Netherlands. Following two political murders in the Netherlands, politicians under terrorist threat have been confronted with increasingly stringent security measures. Both the life threat in itself and the protective measures that are...
International Society for Traumatic Stress Studies

Group Applications of Cogntive Behavioral Therapy (CBT)

Cognitive Processing Therapy (CPT) has been shown to be an effective treatment of PTSD for civilian and veteran males and females with various trauma histories. Although often used as an individual therapy, CPT has been found to be an effective group or combined group and individual therapy modality. This workshop will provide training in the use of Cognitive Processing Therapy in various group formats, including combinations with individual therapy. The presenters will conduct a brief review ...
International Society for Traumatic Stress Studies

Ethics in the Treatment of Chronically Traumatized Individuals

Therapists need to develop congruent personal and professional ethics to supplement formal ethics codes in order to prevent and manage the numerous complex issues that emerge in the treatment of chronically traumatized individuals. Such ethics need to be clearyet flexible in order to navigate successfully the shifting challengesin trauma therapies. This workshop explores ways to develop ethics that support therapists in acting most adaptively because they are aware of the risks and challenges ...
International Society for Traumatic Stress Studies

Delivery of Prolonged Exposure for PTSD: An Introduction

Posttraumatic stress disorder (PTSD) is a debilitating and chronic mental illness with lifetime rates ranging from 8%-14% of the U.S. population and12-month prevalence rates of approximately 4%. Several psychotherapies have been shown to be effective in reducing symptoms of PTSD. Of these therapies, the efficacy of prolonged exposure therapy (PE), a cognitive behavioral therapy using both in-vivo and imaginal exposure, has been strongly replicated, and shown to be effective for various types o...
International Society for Traumatic Stress Studies

Aiding Survivors of Torture: Evaluation of Asylum Seekers for Prevention of Re-Traumatization

Establishing safety is one of the fundamental principles of trauma treatment, yet trauma therapists seldom have the opportunity to contribute directly to this vital step. Testimony from medical and mental health evaluations may play an important role in asylum hearings in supporting the credibility of victims’ accounts and documenting the sequelae of the experience of torture or other trauma. By learning how to perform and report evaluations of survivors of torture and other human rights abu...
International Society for Traumatic Stress Studies

Public Mental Health in Crises and (Post-) Conflict in Low- and Middle Income Countries

This meeting addresses crucial topics in providing community based mental health and psychosocial services in crises in low and middle income (LIMA) countries. The meeting consists of a series of evidence driven participatory lectures and exercises. The goal is to be able to develop a culturally appropriate public mental health system integrating expertise from the disciplines of psychology, psychiatry, epidemiology, public health and anthropology. The objective is to obtain basic knowledge to...
International Society for Traumatic Stress Studies

Trauma Prevention as Social Change: From Trauma Theory to Real Life Practice

In this institute, we present three theory-based initiatives in trauma prevention and treatment. We describe two central theories and three initiatives based on them, highlighting the process, challenges, and benefits of attempts to put theory into actual practice. The theories are constructivist self development theory (McCann, Pearlman, 1990; Pearlman, Saakvitne, 1995), a relational trauma theory which provides a framework for understanding the psychological impact of traumatic life experien...
International Society for Traumatic Stress Studies

Changing Patterns in Bereavement: Research, Experience & Baby Boomers Equals Changes in Grief Support

The content of this presentation is based on three factors that lead us to new understanding of grief and changes that can be made in grief support to better meet the needs of today’s griever. 1. Research in thanatology has given grief specialists incentive to see grief from an adjusted perspective and to develop support sensitive to these findings. 2. Baby Boomers, primarily those born in the second half of the 20th century, have been exposed to “in your face” death and violence f...
The Association for Death Education and Counseling

Death Education Online: Lessons Learned

As pedagogy and technology have advanced teaching and learning in all academic areas, so too has the opportunity for distance education developed in the field of thanatology. This panel of experienced online death educators will discuss the insights they’ve gained as they developed and implemented courses around the topics of death, dying and bereavement. Panel members will discuss approaches to content and pedagogy and the unique characteristics of online thanatology classes. Learning ob...
The Association for Death Education and Counseling

Creative Interventions for Children Experiencing Traumatic Grief

Children who suffer from traumatic grief are dealing with both trauma and loss, and require treatment that addresses trauma symptoms as well as traditional grief therapy. This training will combine theoretical material with practical techniques. A brief overview of childhood traumatic grief will be presented, i.e. definition, symptoms and reactions, risk and resilience factors. Innovative activities will be presented to help bereaved children address trauma symptoms, process grief reactions, ...
The Association for Death Education and Counseling

Bereavement After Suicide and Homicide: A Conversation About Differences and Similarities

The suicide or homicide of a loved one is likely to elicit profound trauma and completed grief responses in the mourner. Nonetheless, clinical experiences and research literature suggest that there are also differences in the two bereavement experiences. Drawing on their extensive work with survivors of these two types of traumatic loss, the presenters will discuss differences and similarities between suicide and homicide bereavement from four different aspects: the psychological impact on the...
The Association for Death Education and Counseling

Balancing on a Shifting Rug—Facilitating End-of-Life Decision Making

Because illness is a transformative and dynamic process, so too is the accompanying decision-making regarding treatment. Complicated by increasing technology, decreasing education about the dying process, lack of comfort about this topic and fear of loss, our ability to understand and navigate complex end of life issues has been inhibited. Both the professional and lay communities struggle with their own definition of quality of life vs. quality of death and the search for meaning. Fear, misin...
The Association for Death Education and Counseling

Working in the Light: Building Resilience in the Workplace Stressed by Violence or Trauma

This workshop emphasizes a strength-based action approach to inform practitioners about resilience and to provide strategies to develop and strengthen resilience. A growing body of research suggests that the negative impact of stressful situations is reduced through behavioral strategies to strengthen five core elements of resilience. During the workshop, participants will develop their own individual resilience-strengthening plans. Learning Objectives: Identify negative and positive eff...
The Association for Death Education and Counseling

Mourning Beyond Gender: The Difference a Decade Makes

Ten years ago Martin and Doka published their work on adaptive grieving styles, work that Humphrey (2009) evaluated as one of two models they highly recommended to counseling professionals. This paper reviews the research and the changes in the last decade between publications. Specifically the work indicates the way new research testing their model as well as theoretical advances in such areas as the psychology of men. In particular, the paper reviews some of the interventive strategies that ...
The Association for Death Education and Counseling

Teen Sibling Loss: Tools for Growth, Integration and Healing

Bereaved teens often feel disenfranchised and struggle with identity issues. They ask "Who am I now that my sibling is dead?" Presenters will discuss the adolescent's bereavement process and identify common themes that are often expressed through grieving siblings' stories. This grief to personal growth conceptualization of sibling bereavement may facilitate more directive and meaningful understanding, so that those who work with surviving sibling teens may help siblings integrate their losses...
The Association for Death Education and Counseling

Grief Goes to Camp: Models, Outcomes and Assessment

The types and numbers of camping experiences for grieving children and adolescents have increased significantly in recent years. Models include day camps to overnight camps, differing in length of time, with or without caregivers. Such variety extends to camp goals, participant ages and types of activities. Those who value bereavement camps as supportive for grieving children recognize that an examination of the structure and outcomes of these camps would yield important clinical data for futu...
The Association for Death Education and Counseling

The Shame of Death, Grief and Trauma

This presentation will show the significance of shame in grief and trauma. Shame co-occurs with other features of grief, as in shame associated separation anxiety, shame at grief vulnerabilities, such as perceived weakness or failure related to the loss, helplessness, loss of control anxiety, shame at being self-absorbed in grief, etc. Each and every way that loss may be typologized has characteristic shame features, such as accidental death, homicide, specific illnesses, etc. Any aspect or th...
The Association for Death Education and Counseling

The Funeral as Social Stabilizer

Death rituals, present in virtually all societies, change very slowly, with many ritual components dating back centuries and even millennia. Death rituals allow both the immediate family and the social community to each express its stories of the deceased's life. With a push toward personalization in western funerals, it is possible to risk losing the social-stabilizing effects of predictable socially-sanctioned rituals. This presentation reviews historical roots of death rituals and criticall...
The Association for Death Education and Counseling

Teaching That Matters: Death Education & Interdisciplinarity

As death educators, thanatologists have long recognized the importance of interdisciplinarity. Acknowledging the value of this approach does not ensure the ability to be interdisciplinary. This symposium will explore several key issues of interdisciplinarity in death education from the perspective of four academics from diverse educational backgrounds. The panelists will consider what is meant by interdisciplinarity, the goals of an interdisciplinary thanatology course, structural barriers and...
The Association for Death Education and Counseling

Being There: Skyping at the End of Life

"Being there" is what professionals recommend as families face death. In today's world, relatives and friends may be thousands of miles away when a loved one is dying. This presentation examines the ways in which technology can support families in being present for their loved ones and each other at the end of life. It addresses both professional, family, and individual issues in the dying process. The presentation traces a case from initial hospitalization to hospice and finally death. It als...
The Association for Death Education and Counseling

PTSD for Combat Trauma: The Frequent Issues that Emerge in Cognitive Therapy

Combat trauma occurs within the context of military culture and training that may play a role in how people with military trauma may respond to and cope with these events. While military personnel and veterans may experience any type of trauma before, during, and after their service, there are specific issues that may arise in therapy that are specific to combat. Some of these issues include: deaths of comrades; graphic imagery; underlying assumptions/expectations about their role in events ...
International Society for Traumatic Stress Studies

Interventions with Disaster Survivors

The session will provide an overview of interventions following large-scale disasters. It will commence with a description of expected mental health needs of disasters, and the usual trajectory of disaster responses. It will then describe recent developments in conceptualizing mental health response in a staged care framework. Commencing with Psychological First Aid in the immediate phase, followed by Skills for Psychological Recovery in the following period, and finally evidence-based inte...
International Society for Traumatic Stress Studies

Brief Eclectic Psychotherapy for PTSD: Making Meaning Out of Traumatic Experiences

Brief eclectic psychotherapy for PTSD (BEPP) is evidence based protocolized treatment for PTSD in which much attention is given to making meaning out of the traumatic experience after facing the memories via imaginary exposure (www.traumatreatment.eu). Traumatic experiences not only cause persistent and heightened fear responses but also disrupt the survivor’s beliefs about trust in others and in the world. The 16-session BEPP-protocol consists of (1) psychoeducation, together with a partner...
International Society for Traumatic Stress Studies

Healing People with PTSD

This webinar will outline post-traumatic stress disorder (PTSD) diagnosis and present emotional processing theory to explain why some trauma survivors develop chronic PTSD and others do not. We will also discuss the efficacy of cognitive behavior therapy (CBT) programs for PTSD, with an emphasis on prolonged exposure (PE) with examples from a PE Therapy program including the mechanisms that mediate the benefit from the treatment. Finally, we will cover disseminating PE into community clinics i...
International Society for Traumatic Stress Studies

Psychotherapy for the Interrupted Life: Treating Adult Survivors of Childhood Abuse

Adult treatments for childhood trauma rarely take into account the disturbing impact of abuse on the development of emotional and social competencies so critical for effective living in later years. This webinar will present a flexibly-applied, evidence-based treatment that systematically addresses the compromised capacities in emotional awareness, emotion regulation and relational capacities in adult survivors. It will also address the more evident symptomatology that burdens survivors such a...
International Society for Traumatic Stress Studies

Early Intervention: Expert Consensus Principals and Review of Research

Five Principles of Psychosocial Intervention in the Immediate and Midterm Aftermath of Mass Casualty – Stevan Hobfall, PhD Five basic principles of psychosocial intervention in the immediate and midterm aftermath of mass casualty have been determined by an international group of experts on disaster and terrorism as a blueprint for intervention following mass casualty, based on review of the empirical literature. What Do We Know about Early Interventions after Trauma – Richard Bryant...
International Society for Traumatic Stress Studies

Understanding and Treating the Effects of Chronic Trauma in Children and Adult Complex Trauma Survivors

Developmental Trauma Disorder: A proposed diagnosis for DSM V – Bessel A. van der Kolk, MD Many traumatized children and chronically traumatized adults do not have a diagnostic category that begins to cover what they suffer from and hence no research or treatment protocols that really address their problems. This talk will outline a proposal to address this deficiency. Psychosocial Therapeutic Interventions for Children with Traumatic Stress Reactions – John A. Fairbank, PhD An o...
International Society for Traumatic Stress Studies

Reviews of Longitudinal and Treatment Outcome Research

Longitudinal Studies in PTSD. How do they inform practice? – Alexander C. McFarlane, MD This session presents long-term naturalistic follow-up data to challenge some of the prevailing assumptions about PTSD. Treatment Outcome Research – Patricia A. Resick, PhD This session focuses the components of state-of-the-art treatment research will be described within a framework of modern understandings of cognitive behavioural treatments for PTSD. Learning Objectives: Identify one ...
International Society for Traumatic Stress Studies

Intervening with Special Populations: Refugees and Mass Trauma Survivors

Working with Refugees in the United Kingdom – Stuart Turner, MD, MA, FRCP, FRCPsych This session addresses the cultural, therapeutic and legal issues arising in work with refugees in the United Kingdom. Early Lessons from the London July 7th Bombings Service Evaluation – Chris Brewin, AcSS This session presents and contrasts screen and treat model used to guide the mental health response following the London bombings with a crisis counseling approach. Preliminary outcome data for the ...
International Society for Traumatic Stress Studies

Trauma and the Body: Implications for Treatment

Until the formulation of PTSD in the DSM III the human response to trauma always was defined as a “physioneurosis”- a reaction of the entire organism. Contemporary research amply supports that notion- trauma affects movement, perception, sensory integration, immune function, somatic functioning, heart rate variability and numerous other measures of physical regulation. Sadly, these dimensions tend to be ignored in most clinicians’ training. The authors of this whole day pre-conference wo...
International Society for Traumatic Stress Studies

Implementing CBT for PTSD in Clinical Practice: The Case Formulation Approach

Cognitive-Behavioral Therapy (CBT) is widely recognized as an effective treatment for posttraumatic stress disorder (PTSD). Yet clinicians often encounter challenges when implementing CBT for PTSD patients with multiple problems. As a result, sometherapists question the clinical utility of CBT and are reluctant to use it for many of their PTSD patients. The goal of this institute is to enhance comfort and confidence in flexibly applying evidenced based methods for treatment of PTSD in clinical...
International Society for Traumatic Stress Studies

Maximizing PTSD Treatment by Incorporating Significant Others

PTSD is one of the mental health disorders most strongly associated with relationship problems. These problems can maintain or aggravate its course and interfere with successful treatment delivery. Conversely, they can be a key ingredient to improving therapy adherence, efficacy, and long-term maintenance of gains. In this workshop, we will present a model for incorporating significant others into assessment and evidence-based treatment for PTSD. Specifically, we will describe our three-stage ...
International Society for Traumatic Stress Studies

Effective Treatment for Complex PTSD Related to Childhood Abuse and Multiple Traumatization

This workshop will present a flexibly-applied, evidence-based 16 session treatment for adults who have complex forms of PTSD related to childhood abuse and multiple life traumas. This sequential, two-phase treatment is based in a developmental model which is sensitive to the disturbances in attachment, emotion regulation and interpersonal functioning that survivors of childhood or chronic interpersonal violence often bring to treatment. Phase 1: Skills Training in Affective and Interpersonal. ...
International Society for Traumatic Stress Studies

Multiple Identities in Context of Trauma: Increasing Cultural Competence

Development of cultural competence in psychotherapy requires more than simply a set of rules about how to work with members of specific groups. Instead, current and evolving models of culturally competent practice note that all individuals have multiple and intersecting identities, each of which can contribute factors of risk and resilience to the individual experiencing trauma exposure. In this session, participants will be introduced to a model of identity development which conceptualizes pe...
International Society for Traumatic Stress Studies

Using M.I. Principles to Enhance OEF/OIF Veterans' Engagement in PTSD Treatment

Large numbers of soldiers are returning from Operation Enduring Freedom (OEF: Afghanistan) and Operation Iraqi Freedom (OIF) with post-deployment adjustment problems, and unfortunately the majority of them don´t seek help or drop out of treatment. It is critical, then, that healthcare providers: a) understand the treatment barriers experienced by these and other veterans, and b) enhance veterans´ engagement in mental health treatment. Dr. Murphy will train Institute participants in clinical ...
International Society for Traumatic Stress Studies

Master Clinician Session - Acceptance and Commitment Therapy (ACT) for Post Traumatic Problems in Living

Many individuals who suffer with post traumatic stress following acts of terror, war, disaster and violence struggle to regain their pre-trauma lives. Once held personal values are often lost to disbelief and pain. They are also lost to the efforts and desire to avoid traumatic memories, painful feelings and unwanted thoughts. This loss, plus the avoidance strategies themselves, can have a powerful negative impact on individuals diagnosed with PTSD and other trauma related disorders. Accept...
International Society for Traumatic Stress Studies

Master Clinician Session - Virtual Reality Exposure Therapy for the Treatment of PTSD

PTSD has been estimated to affect up to 18% of returning OIF veterans. Most trauma victims show fear and other reactions immediately following the traumatic event but in general these symptoms decline over time. We believe this reflects the process of extinction and that the development of chronic PTSD in those who do not recover represents a failure of extinction. Extinction training in humans takes the form of exposure therapy. In the treatment of PTSD, exposure therapy usually involves prol...
International Society for Traumatic Stress Studies

Master Clinician Session - Using Prolonged Exposure Therapy to Emotionally Process Traumatic Memories

Though many individuals who experience trauma such as war, terror attacks, violence and disaster will recover, those who suffer with post traumatic stress disorder may struggle for years and still be unable to regain a sense of normalcy in their lives. Prolonged Exposure therapy (PE) is one of the most effective and extensively researched approaches to treating PTSD and other trauma-related disorders. PE has been shown to be an effective treatment for PTSD arising from a wide variety of trauma...
International Society for Traumatic Stress Studies

Master Clinician Session - A United Transdiagnostic Treatment for Emotional Disorders Applied to Combat Related PTSD

Deepening understanding of the nature of emotional disorders including PTSD reveals that commonalities in etiology and latent structure among these disorders supersedes differences. This suggests new approaches to classification and the possibility of distilling a set of psychological procedures that would comprise a unified intervention for emotional disorders. Based on theory and data emerging from the fields of learning, emotional development and regulation, and cognitive science, we identi...
International Society for Traumatic Stress Studies

Master Clinician Session - Cognitive Processing Therapy for the Treatment of PTSD

Studies suggest that approximately 18% of returning Veterans and 7% of civilians will experience PTSD in their life time. Individuals diagnosed with PTSD often report difficulty experiencing emotions such as love and happiness, instead they may describe feeling numb or angry. Due to the traumatic event circumstances many individuals do not have the opportunity to feel the natural emotions (e.g. fear) associated with the trauma and instead they must process the event later which may lead to a b...
International Society for Traumatic Stress Studies

Restoring the Protective Shield: Core Concepts from Child-Parent Psychotherapy

Children aged birth to five are highly vulnerable to exposure to interpersonal traumas, and trauma exposure at an earlyage can have long term consequences for development and functioning. Both research and clinical theory highlight the importance of developing and empirically validating trauma-informed relationship-based practices, particularly for young children. Moreover, there is an urgent need to disseminate not only evidence-based practices but the core concepts that underlie these practi...
International Society for Traumatic Stress Studies

Using Compassion-Focused Therapy to Work with Shame-Based Flashbacks in PTSD

Shame-based flashbacks are common in PTSD and are highly distressing and disturbing for most people who experience them. The personal meaning conveyed in the fragmented images and flashbacks is often painful, condemning and shaming. High levels of self-criticism appear to maintain the sense of current psychological threat experienced by individuals with PTSD. Evidence suggests that those who suffer from shame-based PTSD are often very self-critical and have difficulty regulating threat-based e...
International Society for Traumatic Stress Studies

Treating Trauma: Helping the Entire Human Organism Feel Safe and Live in the Present

Trauma affects the entire human organism, which gets stuck in neurobiological, immunological and relational survival modes. Neuroscience research shows that the brain regions most affected by trauma are involved in attention and perception, biasing the organism into perceiving threat and annihilation. These subcortical processes are independent from conscious appraisal or conscious control. This presentation will focus on evidence based treatments that address basic issues of safety, threat a...
International Society for Traumatic Stress Studies

Doing It Well and Doing It Right: An Ethics Workshop for Trauma Specialists (ETHICS CREDITS)

This workshop is designed to meet the guidelines for mandated ethics training for psychologists, social workers and counselors in their work with traumatized populations. The workshop will be highly interactive, but participants' level of disclosure will be at their discretion. Each subsection of the workshop will be discussed as it applies to the treater of the child and the adult victim. The foci for the workshop will center on four areas. Competence: The concept of ethical professional beha...
International Society for Traumatic Stress Studies

Parent-Child Interaction Therapy: An Evidenced Based Intervention for Children with a Trauma History

Parent-Child Interaction Therapy (PCIT) is an evidenced based treatment for young children with significant behavior problems. Recently, the Kauffman Best Practices Report cited PCIT as one of the three best treatments in the field of child abuse and neglect. Although originally developed to address externalizing problems in young children, PCIT is now being successfully used with children in foster care, adoptive and stepfamilies, and co-occurring problems like children from homes characteriz...
International Society for Traumatic Stress Studies

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