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On Demand Trauma Disorders Workshop Series: Humiliation, "Attackment" Relationships, and Trauma Treatment
This presentation was last reviewed on July 15, 2024, 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
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 has with any entity producing, marketing, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 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, selling, 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. All relationships have been mitigated through review.
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, selling, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 24 months: Todd Peters, MD, Elizabeth Ryznar, MD, MSc, Louis J. Marino, Devi Bhuyan, PsyD, Faith Dickerson, PhD, Carrie Etheridge, LCSW-C, April Sobiech, LCSW-C, Latia Suite, LCSW-C, Rachel Smolowitz, PhD, Tom Flis, LCPC, Stacey Garnett, RN, MSN, Stephanie M. Robinson, MSN, RN, Lisa E. Seldon, DNP, MSA, RN, NEA-BC, Lisa Illum, MLIS, MEd, and Jennifer Tornabene.
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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
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
Last reviewed on July 15, 2024.
Originally broadcast live April 8, 2022, from 1:00 pm – 4:15 pm ET
Enduring Activity Credit Expiration Date: July 31, 2026.
Activity Time: Three-hour recorded webinar lecture with a 15-minute evaluation process. Total Time: 3:15
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