101930: Stabilizing the Disruptions and Disrupting the Entrenchments

Navigating the Pathological Adaptations of Dissociative and Post Traumatic Conditions

About the Course:

This course is based on The Consensus 3-Stage Treatment Model For Dissociation and Trauma Treatment
This webinar will review the triphasic unfolding of psychotherapy for DID, DDNos and chronic PTSD. It will particularly focus on that which differs from standard psychotherapeutic engagement and will use DID as its paradigmatic and emblematic disorder. It will describe how to engage the DID patient in a planful, organized psychotherapy which will favor functional stability and support the unfolding of dissociated material contained within the personalities. This presentation will discuss the third reality where the personalities “live” and interact as well as the various types of personalities the therapy dyad is likely to encounter. Both their mapping and their development of hypnotic duality will be the preamble to the structuring of the fractionated abreactions – abreactions necessary for any blending or integration to occur. Methods and systems of containment will be described to further facilitate the successful resolutions of secreted suppressed material. This webinar will propose a methodology to facilitate the organic ebb and flow of this complex trauma-based therapy.


International Society for the Study of Trauma and Dissociation

Publication Date:

September 18, 2009


Catherine G. Fine, PhD

About the Author:

Catherine G. Fine, Ph.D. is an American-educated psychologist specializing in the treatment of dissociative disorders and complex post-traumatic conditions. She was the former President of the International Society for the Study of Trauma and Dissociation from 1990 to 1991. Her areas of expertise span psychodynamic psychotherapy, cognitive therapy, hypnosis, and EMDR, to name a few. She publishes and teaches nationally and internationally on the structured treatment of trauma disorders, on crisis prevention in outpatient therapies, and on management and evolution of trauma disorders groups—all informed by hypnosis. More recently, she has added coaching executives in stressful corporate environments to her areas of expertise.

Recommended For:

This ISSTD course is recommended for mental health and allied professionals, including: Psychologists, Counselors, Social Workers, Marriage and Family Counselors, plus any other professional whose work involves providing service to individuals suffering from trauma and dissociative disorders and other academics whose studies include chronic trauma and dissociation in its many varied forms. It is appropriate for an intermediate level of participants’ knowledge.

Course Objectives:

  1. Describe a therapy model effective in stabilizing an affectively disregulated dissociative disorder patient.

  2. List the components of the “third reality” as the concept is used in the treatment of dissociative disorders.

  3. Discuss the importance of promoting using fractionated rather than complete abreactions as you enter stage two of the triphasic trauma model.

Exam Questions

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