On Demand Trauma Disorders Workshop Series: Working with Defense and Resistance in Complex Trauma and Dissociation
This presentation was last reviewed on July 19, 2024, and broadcast live online on July 15, 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.
Resistance is often encountered in work with clients with Complex PTSD or Dissociative Disorders. Therapists can become overwhelmed, frustrated, angry, or hopeless when the usual interventions are not effective to help clients change. Chronic resistance will be discussed as a co-creation of therapist and client and can best be understood as a phobic avoidance of what is perceived to be intolerable, either consciously or not. Participants will learn how to understand and identify some of the most common resistances and defenses and work with the client in a step-by-step fashion.
Target Audience
This activity is intended for physicians, nurses, psychologists, social workers, counselors, and other mental health professionals.
Learning Objectives
1. Identify at least three common resistances and defenses in clients with dissociative disorders
2. Define interventions to work with defensive fantasies
3. Identify conflict statements and at least one other approach to address conflicts that contribute to resistance
There is no commercial support for this activity.
About the speaker
Kathy Steele, MN, CS, is in private practice in Atlanta, Georgia and is an Adjunct Faculty at Emory University. She is a Fellow and a past President of the International Society for the Study of Trauma and Dissociation (ISSTD) and is the recipient of a number of awards for her clinical and published works, including the 2010 Lifetime Achievement Award from ISSTD. She has (co)authored numerous publications in the field of complex trauma and dissociation, including three books, and lectures internationally on topics related to trauma, dissociation, attachment, resistance, and impasses.
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.
Kathy Steele, MN, CS, reports that she 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. She will not discuss any products, services, or off-label uses in this presentation. All conflicts 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, Lisa Illum, MLIS, MEd, 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 enduring 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 approved as a provider of nursing continuing professional development by the 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
ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME
Trauma Workshop Series: Working with Defense and Resistance in Complex Trauma and Dissociation
Kathy Steele, MN, CS
Private Practice
Fellow, International Society for the Study of Trauma and Dissociation
Adjunct Faculty, Emory University
Atlanta, GA
Last reviewed on July 19, 2024.
Originally broadcast live June 13, 2022, from 2:00 PM – 4:15 PM ET.
Enduring Activity Credit Expiration Date: August 19, 2026.
Activity Time: Three-hour webinar lecture with a 15-minute evaluation process. Total Time: 3:15.
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 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.org
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.