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.

Target Audience

This activity is intended for physicians, nurses, psychologists, social workers, counselors, and other mental health professionals.

Learning Objectives

At the conclusion of this lecture, attendees will be able to:

1. Describe the difference between the words affect, feeling, and emotion as well as the clinical utility of distinguishing between them.

2. Explain how "attackment" describes a shift from proximity seeking in the attachment paradigm to guaranteeing distance when domination-submission, power and control, dynamics overwhelm the interpersonal world of a child.

3. Distinguish between shame and humiliation and describe the utility of these differences in psychotherapeutic discourse.

 

 

Course summary
Available credit: 
  • 3.00 ACEP NBCC clock hours
  • 3.00 AMA PRA Category 1 Credit™
  • 3.00 Category II credits for Social Workers
  • 3.00 Psychologists
  • 3.00 MNA Contact Hours for Nurses
  • 3.00 Participation
Course opens: 
05/13/2022
Course expires: 
05/10/2024
Fee:
$75.00

Sheppard Pratt’s Professional Education Program is pleased to provide Wednesdays at Sheppard Pratt free of charge as a public service to the mental health community.  Your tax-deductible donations will help maintain the outstanding quality of this service. 

Sheppard Pratt is dedicated to improving quality of life through mental health, special education, and addiction services for children, adolescents, adults and older adults.  Our patient-centered treatment approach, combined with our legacy of clinical excellence, sets us apart from other health systems on both a local and national level.  We have been ranked among the nation’s top psychiatric hospitals for 24 consecutive years by U. S. News & World Report.  Founded in 1853 by philanthropist Moses Sheppard, Sheppard Pratt Health System still abides by its Quaker traditions and values.

Sheppard Pratt regularly hosts renowned speakers from across the country at our headquarters in Towson. We provide educational opportunities on subjects including psychiatric disorders, issues of behavioral health, systems-based change, mental and somatic co-morbidities, psychiatric effects on health and health outcomes, advances in neurobiology, and clinical developments in concepts underlying drug treatment of psychiatric disorders. We are accredited by the Accreditation Council of Continuing Medical Education, the Maryland Nurses’ Association, the Maryland Board of Psychology, the Maryland Board of Social Work, and the National Board of Certified Counselors.

Please send your contributions to:

Sheppard Pratt Professional Education Program
Wednesdays Lecture Fund
6501 North Charles Street, Baltimore, Maryland 21204

Professional Education Program: 410.938.4593
Conference Center at Sheppard Pratt: 410.938.3900

 

There is no commercial support for this activity.

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.

Disclosure Statements

Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she (or a partner or spouse) has with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt, and if there will be discussion of any products, services or off-label uses of product(s) during this presentation.

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 12 months. He will not discuss any products, services, or off-label uses in this presentation.

Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months: Todd Peters, MD, Deepak Prabhakar, MD, Briana, Riemer, MD, Louis Marino, MD, Ehsan Syed, MD, Devi Bhuyan, PhD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Laura Webb, RN-BC, MSN, Bruce Boxer, PhD, MBA, MA, MSN, RN, NPD-BC, NEA-BC, MCHES, CPHQ, Stacey Garnett, RN, MSN, Heather Billings, RN, and Jennifer Tornabene.

Physician Statement: Sheppard Pratt is accredited by The Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.  Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity.  Sheppard Pratt designates this live activity for a maximum of 3.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurse Statement: Sheppard Pratt is an approved provider of continuing nursing education by Maryland Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.  Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity provides 3.0 contact hours for nurses.

Psychologist Statement: Sheppard Pratt is authorized by the State Board of Examiners of Psychologists as a sponsor of continuing education. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this continuing education activity.  Sheppard Pratt designates this educational activity for a maximum of 3.0 contact hours for Psychologists.

Social Worker Statement: Sheppard Pratt is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers.  Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this continuing education activity. This activity is approved for 3.0 contact hours in Category II credits for Social Workers.

Counselor Statement:  Sheppard Pratt has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5098.  Programs that do not qualify for NBCC credit are clearly identified.  Sheppard Pratt is solely responsible for all aspects of the program.  This activity is available for 3.0 NBCC clock hours.

Available Credit

  • 3.00 ACEP NBCC clock hours
  • 3.00 AMA PRA Category 1 Credit™
  • 3.00 Category II credits for Social Workers
  • 3.00 Psychologists
  • 3.00 MNA Contact Hours for Nurses
  • 3.00 Participation

Price

Fee:
$75.00
Please login or register to take this course.

ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME

Trauma Disorders Workshop: Humiliation, "Attackment" Relationships, and Trauma Treatmen

Richard A. Chefetz, MD 

Psychiatrist

Private Practice

Faculty

Washington School of Psychiatry

Washington, DC

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

Activity Time: One hour recorded webinar lecture with a 15-minute evaluation process. Total Time: 1:15

TO EARN CONTINUING EDUCATION CREDIT FOR YOUR ATTENDANCE
On the OVERVIEW or REGISTER/TAKE COURSE tab, select the GREEN RECTANGLE, TAKE COURSE to begin.
Complete the Pretest and select NEXT in the bottom right corner of the screen. Use the NEXT button for best results.
The PowerPoint handout will be available for download.
After downloading the handout, select NEXT to begin and watch the one-hour video. 
You may need to select play for the video to begin.
After the video follow the prompts to complete the posttest, evaluation, and attestation of credit. 
Once you have completed all the components of the Course Progress bar, the certificate will be immediately downloadable.

FINANCIAL SUPPORT
There is no commercial support for this activity.

Questions? Look at our FAQ’s at https://cme.sheppardpratt.org/content/faq or Email cme@sheppardpratt.or

 

Required Hardware/software

Optimal System Configuration

Flash Player: Adobe Flash Player 10.1+

Browser: Firefox 3+, Internet Explorer 8.0+, Safari 4.0+, or Google Chrome 7.0+

Operating System: Windows XP+ or Mac OS X 10.4+

Internet Connection: 1 Mbps or higher

Minimum Requirements

Windows PC: 500-MHz Pentium II; Windows XP or higher; 128 MB RAM; Video Card at least 64MB of video memory; Sound Card at least 16-bit; Macromedia Flash Player 10 or higher, audio playback with speakers for programs with video content; Firefox 1.1+, Internet Explorer 7.0+, Safari 1.0+, Google Chrome, or Opera

Macintosh: Mac OS X 10.3 or higher with latest updates installed; 1.83MHz Intel Core Duo or faster; RAM: 128MB or more; Video Card: at least 64MB of video memory; Sound Card: at least 16-bit

Hardware/Software Specifications

This internet-based CME activity is best experienced using Internet Explorer 8+, Mozilla Firefox 3+, Safari 4+. This Web site requires that JavaScript and session cookies be enabled. Certain activities may require additional software to view multimedia, presentation, or printable versions of the content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Adobe Acrobat, Microsoft PowerPoint, and Windows Media Player.