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102248: Recognizing Dissociative Processes in Your Casework

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About the Course:

To recognize dissociative process in your patients requires a shift in the clinician’s attention to take in not only the foreground specificity of what the patient says and does but to add the much more diffuse and somewhat vague background presentation of “how the patient is and how they communicate” what they are trying to convey and not convey. Objective measures and assessments are important, and it’s also true the clinician’s emotional and intellectual agility are put to work to recognize what the patient’s mind prefers not to know as it unconsciously hides from itself and the patient. Affirming the relative rarity of the classic presentation of an alter system in Dissociative Identity Disorder, this Webinar thoughtfully and playfully presents a useful perspective on recognition of what is typically hidden in plain sight during clinical assessments. Building on the basics of clinical interviewing, Dr. Chefetz will present what additional knowledge and perspective is useful in discerning dissociative experiences in your casework and how to talk about it with your patient in the spirit of respectfully opening a psychotherapy to consideration of the role of dissociative process in influencing the implicit rules in the politics of having a mind of one’s own.

Journal/Publisher:

ISST-D

Publication Date:

June 23rd, 2017

Author

Richard Alan Chefetz, M.D. (presenter)

About the Author:

Richard A. Chefetz, M.D. is a psychiatrist and a Diplomate of the American Boards of Psychiatry and Neurology, Medical Hypnosis, and Family Practice (1979-1998). He is a fellow of the International Society for the Study of Trauma and Dissociation. He is a Distinguished Fellow of the American Psychiatric Association. He is a member of the faculties of the Advanced Psychotherapy Training Program of the Washington School of Psychiatry, and the faculties of two programs at The Washington Center for Psychoanalysis: Modern Perspectives in Psychotherapy, and New Directions in Psychoanalysis. He is also on the faculty and is a founding member and former Secretary of the Institute of Contemporary Psychotherapy & Psychoanalysis. Dr. Chefetz is a Distinguished Visiting Lecturer at the William Alanson White Institute of Psychiatry, Psychoanalysis and Psychology, in New York City. He is also a Past-President of the International Society for the Study of Trauma and Dissociation (ISSTD) (2002-3). He was chair of ISSTD’s Dissociative Disorder Psychotherapy Training Program (2000-2008) and lectures internationally on trauma and dissociation. Dr. Chefetz is a certified Consultant in Hypnosis of the American Society of Clinical Hypnosis. He has completed training in EMDR Level I And II. Dr. Chefetz is a member of the Washington Psychoanalytic Society, the American Psychiatric Association, The American Academy of Psychoanalysis and Dynamic Psychiatry, The International Society for the Study of Trauma and Dissociation, and the American Society of Clinical Hypnosis.

Recommended For:

This course is recommended for health care professionals, especially psychologists and social workers who seek knowledge about recognizing dissociative processes during clinical assessment. It is appropriate for an intermediate to advanced level of participants’ knowledge.

Course Objectives:

  1. Describe the normal tension between association and dissociation and how the balance between them contributes to mental coherence.

  2. Discuss why discerning depersonalization is critically important in assessing dissociation.

  3. Describe how dissociative process influences memory and the questions that are important in discerning dissociative disturbances of memory.

Exam Questions

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