The Trauma Center's Fifth Annual

Summer Training Institute

July 18 - 22, 2016


Presented by Joseph Spinazzola, Ph.D.

This workshop lays the foundation for the Trauma Center’s 2016 Summer Training Institute through its depth exploration of the impact of early maltreatment, neglect, caregiver impairment and placement disruption on child and adolescent development, and the ensuing cascade of medical, diagnostic, relational, behavioral, cognitive and functional challenges and accommodations that manifest across the lifespan. This workshop employs an acclaimed, dynamic and unorthodox training approach involving participant choice around the selection and ordering of up to three dozen potential points of entry into this material. Our Center’s Director, Dr. Joseph Spinazzola will guide participants in the assembly of a rich mosaic of knowledge and perspectives on the complexity of trauma adaptation comprised of incandescent “tesserae” cut not from glass or stone but rather from cutting edge neuroscience, applied clinical research, service systems analyses and luminous case material.

The Impact of Complex Trauma on the Brain and Body: Developmental Unfolding of Effects
Presented by Hilary Hodgdon, Ph.D.

Early childhood experiences of trauma and maltreatment have a profound impact on child development, including neurological and biological systems. In this workshop, Dr. Hilary Hodgdon will engage participants in a detailed examination of current research illuminating the effects of complex trauma on the brain and body across two “critical periods” of nervous system development: early childhood and adolescence. Dr. Hodgdon will integrate material from the fields of neuroscience and cognitive psychology with vivid case examples. She will discuss the effects of complex trauma exposure on the cultivation of safe and health attachment relationships and internal systems and on development of self-regulatory and executive functioning capacities. Finally, she will bridge the neurobiological literature and real-life clinical practice, making linkages between neurobiological substrate and phenomenological expression encountered in prototypical complex trauma clinical presentations.

The Transformative Power of Action: The Role of Theater and Play in Recovery from Trauma
Presented by Joseph Spinazzola, Ph.D.

This fully experiential workshop will immerse participants in an evening of playful movement, community building and embodied action. Through live demonstration of cooperative play activities and improvisational theater exercises utilized in our Center’s Trauma Drama intervention model, Dr. Spinazzola will engage participants in the practice of action-oriented, mind-body, gross-motor, expressive arts and team building techniques carefully selected to cultivate developmental competencies derailed by exposure to chronic, complex trauma and life adversity. Participants will reflect on the application of demonstrated techniques as powerful, non-traditional means of enhancing many of the core competencies undermined by complex trauma: attunement and interpersonal connection, self-regulation, identity development, executive functioning and the somatic experience of safety. Modifications of exercises to optimize use across psychotherapy modalities (individual, group), populations (children, adults, gender- and ethnicity-based variations), and settings (outpatient, residential, community-based) will be briefly described. Participants should wear comfortable, athletic clothing and non-heeled footwear that promote flexible and safe movement.

Presented by David Grand, Ph.D. and Steve Sawyer, LCSW, CSAC

This exciting workshop, offered for the first time through the Trauma Center, will provide participants with a highly interactive introduction to this fascinating new trauma treatment model for use with youth and adults. Brainspotting is a powerful, focused treatment method that works by identifying, processing and releasing core neurophysiological sources of emotional/body pain, trauma, dissociation and a variety of challenging symptoms. Brainspotting is a simultaneous form of diagnosis and treatment, enhanced with BioLateral sound, which is deep, direct, powerful yet focused and containing.

Brainspotting provides therapists with powerful tools which enable their patients to quickly and effectively focus and process through the deep brain sources of many emotional, somatic and performance problems. Specifically, Brainspotting identifies activated eye positions designated as Brainspots. Located through either one or both eyes, Brainspots are observed from either the “Inside Window” of the clients felt sense and/or the “Outside Window” of the clients’ reflexive responses (i.e., blink, eye twitches or wobbles, pupil dilation, quick breaths and subtle body shifts). Students will first learn the phenomenological approach that underpins strategies for Brainspotting, followed by strategies for identifying and processing Brainspots. Attention will be given to the utilization and integration of Brainspotting into ongoing treatment, including highly dissociative clients.

Visit David Grand’s website for more information on Brainspotting.

Sensory Arousal Regulation Treatment (SMART): Two Day Intensive Training
Presented by Elizabeth Warner, Psy.D.

SMART (Warner, Cook, Westcott & Koomar, 2011) is an innovative, evidence-based mental heath therapy for complexly traumatized children and adolescents for whom regulation of emotional, behavioral and interpersonal life is a primary problem. Traumatic memory in the form of sensory reminders, intrusions, and re-enactments can hijack ordinary daily life. SMART synthesizes expertise from the worlds of trauma-focused psychotherapy, Sensory Integration Occupational Therapy, Sensorimotor Psychotherapy, family therapy, and developmental psychology including attachment theory. The goal of this treatment is to expand the repertoire of regulating experiences for children and their caregivers and to facilitate integrated trauma processing with the aim of nurturing healing and growth. Therapists will be introduced to an array of sensory motor strategies utilizing basic occupational therapy equipment (big pillows, weighted blankets, balance beams, fitness balls) to facilitate improved somatic regulation. Therapists will learn enhanced attunement, co-and self-regulation, and mindfulness skills and techniques. This new therapy is designed to be helpful to children and caregivers alike in improving self-regulation and the rhythms of their relationship. SMART is currently in numerous practice at clinics, day schools, private practices, and residential treatment centers across the United States for children ages 2 to 22 years old.

This highly interactive, intensive two-day workshop constitutes the full basic training in the SMART model. Participants will watch extensive videotape of clinical sessions demonstrating application SMART equipment and techniques. Training videos will also reveal the striking capacity for child and adolescent clients who have attained greater somatic regulation to spontaneously process traumatic experience in an embodied, integrated fashion through their sensory motor play and experimentation. Participants will receive modelling and live practice in use of SMART equipment and techniques. Finally, participants will receive guidance about how to safely and properly setup and equip a “SMART” room in virtually any outpatient clinic, private practice, school or residential treatment center. Participants should wear comfortable, athletic clothing and non-heeled footwear that promote flexible and safe movement.

Visit our website for more information on Sensory Motor Arousal Regulation Treatment (SMART)

Component-Based Psychotherapy
Presented by Joseph Spinazzola, Ph.D., Frances Grossman, Ph.D., Elizabeth K. Hopper, Ph.D., and Marla Zucker, Ph.D.

Component-based Psychotherapy (CBP; Hopper, Grossman, Spinazzola & Zucker, 2016) is an evidence-informed framework for clinical intervention with adult survivors of complex interpersonal trauma, particularly those with histories of prominent childhood emotional abuse or neglect. CBP represents the culmination of four decades of extensive clinical practice, supervision, training and research at our Center. A core-components treatment model, it provides intervention targets, strategies and techniques designed to address four primary components of this work: relationships, regulation, dissociative parts and narrative. More than any other trauma treatment model, CBP bridges trauma-focused, psychoanalytic, feminist-relational, humanistic and mind-body theories of therapeutic action. Perhaps unique among contemporary approaches to evidence-based trauma treatment is the extent of CBP’s attention to the clinicians' personal internal and interactive challenges, movement and growth within and across the components of the model as the work unfolds and the relationship evolves between client and therapist. As such, heavy emphasis is placed on the supervisory role in CBP treatment as well as on constructively working with and through the enactments that inevitably emerge.

This is the first time the Trauma Center Summer Institute is offering the comprehensive 2-day training in CBP, as well as the first time this training will be co-led by all four model developers and co-authors of the forthcoming book on CBP from Guilford Press: Treating Adult Survivors of Emotional Abuse & Neglect: Reaching Across the Abyss. This training will intensively explore the four primary components of the model: building relationships, enhancing regulatory capacity, working with dissociative parts, and developing client and clinician trauma and life narratives, identities and meaning-making. It highlights key targets of each component and provides detailed examples of specific strategies and techniques used to advance the clinical objectives of each model component. It emphasizes clinicians' awareness and use of self and of relational enactments as vital points of therapeutic engagement, as well as the pivotal role of supervision in the treatment process. It provides numerous brief clinical case excerpts that illustrate conduct and integration of CBP components. It offers and reviews a number of tools (e.g. clinical decision-matrices) that have been developed to aid CB implementation. This workshop will include live demonstration and practice of strategies and techniques to advance each of the four model components. Participants will also engage in case conceptualization and treatment planning of one of the central clinical vignettes interwoven through the CBP book as a primary teaching aid. Finally, this workshop will addresses cultural and contextual considerations that frequently emerge in adult trauma treatment.

Visit our website for more information on Component-Based Psychotherapy (CBP).