On Demand Trauma Disorders Workshop Series: Humiliation, "Attackment" Relationships, and Trauma Treatment
This presentation was originally reviewed on April 12, 2022, broadcast live online on April 8, 2022, from 1:00 PM - 4:15 PM ET.
The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.
Humiliation is not just about the intent to shame and degrade, it is a part of the hidden underbelly of trauma treatment for both the patient and the clinician. While attention to the dynamics of shame experience has finally increased over the last twenty years, humiliation experience is often subsumed under the shame dynamic. The sad "fine points of sadistic abuse and other varieties of humiliation experience are lost. Loss of status, and feeling defective are typical humiliation themes. While feeling unlovable is often the province of shame, feeling to be without possibility of redemption is more related to humiliation experience. The significance of exploring humiliation themes comes to life in an intensive psychotherapy where a deepening feeling of being understood by the clinician occurs as these areas are gently probed. On the In these treatments clinician often are preoccupied with an intense fear of shaming by the patient or humiliation in the treatment. This is a pervasive countertransference experience. Thus, a willingness to explore these areas with a patient heralds additional personal work for every clinician bold enough to inquire about or name both shame and humiliation as part of human experience. Both patient and therapist often engage in alternative experiences of responding to attachment needs vs. themes of domination or submission, a constellation I've dubbed "attackment." In this presentation participants will become familiar with these themes and develop an increased consciousness for these issues and ways in which depth conversations can be opened in this delicate territory.
This activity is intended for physicians, nurses, psychologists, social workers, counselors, and other mental health professionals.
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About the speaker
Richard A. Chefetz, M.D. (Washington, D.C; private practice, psychiatry) Past president, International Society for the Study of Trauma and Dissociation (2002-3), and Co-Founder and Chair of their Psychotherapy Training Program (2000-8), Distinguished Visiting Lecturer at the William Alanson White Institute of Psychiatry, Psychoanalysis, and Psychology. Dr. Chefetz is the listowner and head moderator for the Dissociative Disorders Internet Forum, with over 2200 members world-wide He is faculty at the Washington School of Psychiatry, the Institute of Contemporary Psychotherapy & Psychoanalysis, and the Washington-Baltimore Center for Psychoanalysis.
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Richard A. Chefetz, M.D., reports that he has no relationships with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients during the past 24 months. He will not discuss any products, services, or off-label uses in this presentation.
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Trauma Disorders Workshop: Humiliation, "Attackment" Relationships, and Trauma Treatmen
Richard A. Chefetz, MD
Washington School of Psychiatry
Originally reviewed April 12, 2022
Originally broadcast live April 8, 2022, from 1:00 pm – 4:15 pm ET
Enduring Activity Credit Expiration Date: Thursday, December 14, 2023
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