The Institute for Clinical Social Work


Syllabi Archive

ES 485: Advanced Trauma

Ph.D. Program: spring 2012-13


Janet Migdow, PhD

  • 773-463-1901
  • Email: Jexpander@aol.com
  • Office: 3232 W. Victoria, Chicago, 60659
  • Saturday 8:30 - 10:30

Course Description

This course is an advanced discussion of psychodynamic theory and treatment implications for survivors of relational trauma, especially acute, chronic childhood abuse and neglect. Discussions will include the impact upon the therapist of deeply engaging in therapeutic relationships which entail exposure to the intimate details of violation. The arc of traumatic experience and its impact throughout the lifespan is central to both our theoretical understandings and how we construct the therapeutic relationship. Understanding the interpersonal development and workings of a dissociative mind will be pivotal to our intellectual pursuit. The range of potentially toxic traumatic transferences and theorizing about how to navigate this treacherous ground will both be topics addressed.


Course Objectives

  • Reflect upon the impact of vicarious trauma to one’s own clinical work.
  • Use the arc of traumatic experience to differentiate clinical presentations.
  • Understand the centrality of dyadic affect regulation in the treatment of trauma.
  • Distinguish several types of traumatic transference: erotic, sado-masochistic, shame.
  • Become fluent in multiple theoretical formulations of dissociation.
  • Develop a flexible clinical mind holding a range of viable treatment options for treating survivors of extreme interpersonal violence.

Recommended Texts

This course has been purposely constructed so that you do not have to purchase any books. There are no required texts. However several books will be used repeatedly and are highly recommended for your personal library. I will be glad to make further recommendations to suit individual student needs.

  • Chu, J. A. (2011). Rebuilding shattered lives (2nd Edition). New York, NY: John Wiley & Sons.
  • Dalenberg, C.J. (2000). Countertransference and the treatment of trauma. Washington, D.C.: American Psychological Association.
  • Ehrenberg, D.E. (1992). The intimate edge: Extending the reach of psychoanalytic interaction. New York: Norton.
  • Herman, J. L. (1992). Trauma and recovery. USA: Basic Books.
  • Howell, E. F. (2005). The dissociative mind, Hillsdale, N.J. The Analytic Press.
  • Maroda, K. J. (2010). Psychodynamic techniques, New York: Guilford Press.

Evaluation

This class is Pass/Fail.


Requirements

  • Materials for this class are complex and dense. Attendance and active participation in class discussions are a requirement for passing If missing a class is a necessity, you will need to talk with the instructor about how to make up the work.
  • Each student will be expected to make a fifteen minute oral class presentation applying one reading assignment to their clinical work. Students will be able to sign up for presentations on the first day of class.

Class Schedule and Assignments

1. Vicarious Trauma

Required Reading:

  • Canfield, J. (2005). Secondary traumatization, burnout, and vicarious traumatization: A review of the literature as it relates to therapists who treat trauma. Smith College Studies in Social Work, 75(2), 81-101. Academic Search Premier.
  • Pearlman, L.A. & Saakvitne, K. W. (1995). Trauma and the therapist: Countertransference and vicarious traumatization in psychotherapy with incest survivors (pp.15-54).New York, N.Y.:W.W. Norton & Company. Scan.
  • Rasmussen, B. (2005). An intersubjective perspective on vicarious trauma and its impact on the clinical process. Journal of Social Work Practice, 19(1), 19-30. Academic Search Premier.

Suggested Supplementary Reading:

  • Follette, V. M., Polusny, M. M., & Milbeck, K. (1994). Mental health and law enforcement professionals: Trauma history, psychological symptoms, and impact on providing services to child sexual abuse survivors. Professional Psychology: Research and Practice, 25(3), 275-282.
  • McCann, I. L. & Pearlman, L.A. (1990). Vicarious traumatization: A contextual model for understanding the effects of trauma on helpers. Journal of Traumatic Stress, 3(1), 131-149.
  • Neuman, D.A. & Gamble, S.J. (1995). Issues in the professional development of psychotherapists: Countertransference and vicarious traumatization in the new trauma therapist. Psychotherapy, 32(2), 341-347.
  • Pearlman, L. A. & Mac Ian, P. S. (1995). Vicarious traumatization: An empirical study of the effects of trauma work on trauma therapists. Professional Psychology: Research and Practice, 26(6), 558-565.
  • Steed, L. & Bicknell, J. (2001). Trauma and the therapist: The experience of therapists working with the perpetrators of sexual abuse. The Australasian Journal of Disaster and Trauma Studies, 2001(1), ISSN: 1174-4707.

2. The Arc of Traumatic Experience: Betrayal Trauma, Revictimization, and The Predisposition to Violence

Required Reading:

  • Fairbairn, W. R. D. (1943/1952). The repression and the return of bad objects: Sections 4, 5 and 6. In D. E. Scharff, & E. Fairbairn Birtles (Eds.), Psychoanalytic Studies of the Personality. (pp. 65-70). Great Britain: St. Edmundsbury Press Limited. Scan
  • Freyd, J. J. (1995). Betrayal trauma: The logic of forgetting childhood abuse (pp. 60-78).Cambridge, MA: Harvard University Press. Scan
  • Herman, J. L. (1992). Trauma and recovery (pp.96-129). USA: Basic Books. Scan
  • Rich, C.L., Combs-Lane, A.M., Resnick, H.S., & Kilpatrick, D.G. (2004). Child sexual abuse and adult sexual revictimization, In Koenig, L.J., Doll, L.S., O’Leary, A. and Pequegnat, W. From child abuse to adult sexual risk (pp. 49-69). U.S.A.: American Psychological Association. 49-69. Scan
  • Schore,A.L. ( 2003 ) Early relational trauma, disorganized attachment and the development of the predisposition for violence, In Solomon, M.F. & Siegel (Eds) Healing trauma: Attachment, trauma, the brain and the mind (pp.107-148). New York: Norton. Scan

Suggested Supplementary Reading:

  • Adverse Childhood Experiences Study at www.acestudy.org/
  • Bremner, J. D. & Brett, E. A. (1997).Trauma-related dissociative states and long-term psychopathology in posttraumatic stress disorder. Journal of Traumatic Stress 10(1), 37-49.
  • Perry, B. D., Pollard, R. A., Blakley, T. L., Baker, W. L., & Vigilante, D. (1995). Childhood trauma, the neurobiology of adaptation, and use-dependent development of the brain: How states become traits. Infant Mental Health Journal, 16(4), 271–291.
  • Teicher, M. Sensitive developmental periods, adverse childhood experiences, positive, adaptation and community capacity. Download available at http://archive.fpc.wa.gov/publications/FPC_TN_ACEreduction_10-22-10.pdf
  • Zurbriggen, E.L. & Freyd, (2004). The link between child sexual abuse and risky sexual behavior: The role of dissociative tendencies, information processing, and consensual sex decision mechanism, 135-157 In J.J Koenig, L.J., Doll, L.S., O’Leary, A. and Pequegnat, W. From child abuse to adult sexual risk ( pp.135-157). U.S.A.: American Psychological Association.

3. Treatment Frame, Therapeutic alliance and Dyadic Affect Regulation

Required Reading:

  • Fosha, D. (2003). Dyadic regulation and experiential work with emotion & relatedness in trauma & disorganized attachment. 221-281 In Solomon, M.F. & Siegel (Eds.) Healing trauma: Attachment, trauma, the brain and the mind (pp. 221-281).New York: Norton. Scan
  • Maroda, K. J. (1998). Seduction, surrender and transformation (pp. 65-85).Hillsdale, NJ: The Analytic Press. Scan
  • Ogden, T. H. (1996). Reconsidering three aspects of psychoanalytic technique. International Journal of Psycho-Analysis, 77, 883–899. PEP
  • Safran, J. D., and Muran, J. C. (2000). Negotiating the therapeutic alliance (pp. 1-16). New York: Guilford Press. Scan

Suggested Supplementary Reading:

  • Baars, E.W., van der Hart, O, Nijenhuis, E.R.S., Chu, J.A., Glas, G., & Draijer, N. (2011). Predicting stabilizing treatment outcomes for complex posttraumatic stress disorder and dissociative identity disorder: An Expertise based prognostic model. Journal of Trauma and Dissociation, 12(1), 67-87.
  • Briere, J. and Runtz, M. (2002). The Inventory of altered self-capacities (IASC): A standardized measure of identity, affect regulation, and relationship disturbance. Assessment. 9(3), 230-239.
  • Pizer, B. The therapist’s routine consultations: A necessary window in the treatment frame. Psychoanalytic Dialogues. 10, 197-207.
  • Schore, J. R. and Schore, A.N. Modern attachment theory: The central role of affect regulation in development and treatment, Clinical Social Work Journal 36, 9-21.

4. The Dissociative Mind: Traumatic Memory and the Dissociative Spectrum

Required Reading:

  • Chu, J. A. (2011). Rebuilding shattered lives (2nd Edition) (pp. 41-64). New York, NY: John Wiley & Sons. Scan
  • Howell, E. F. (2005). The dissociative mind, Hillsdale, N.J. (pp.14-37). The Analytic Press. Scan
  • Liotti, G. (2009). Attachment and dissociation, In Dell, P.F. & O’Neil, J.A. (Eds.) Dissociation and the dissociative disorders (pp. 53-65). New York: Routledge. Scan

Suggested Supplementary Reading:

  • Chu, J. A. (2011). Rebuilding shattered lives (2nd Edition). New York, NY: John Wiley & Sons. (Especially pp.65-77, Ch. 4: Derailed: Childhood trauma, attachment and the development of self.)
  • Howell, E. F. (2005).The dissociative mind. Hillsdale, N.J.: The Analytic Press. (Especially pp. 147-177: Attachment theory and dissociation)
  • Spiegel, D, (1997). Repressed memories. Washington, D.C. : American Psychiatric Press, Inc.
  • Williams, L.M. and Banyard, V.L. (1996). Trauma and memory. Thousand Oaks, Ca: Sage Publications.

5. The Transferential Field: Chaos, Countertransference, Reenactments, Projective Identification and Dissociation

Required Reading:

  • Bromberg, P.M. (2000) Potholes in the royal road: Or is it an abyss? Contemporary Psychoanalysis, 36:5-28. PEP
  • Chu, J.A. (2011).Rebuilding shattered lives (2nd Edition) (pp. 175-190). New York, NY: John Wiley & Sons. Scan
  • Diamond, M. J. (1997). The unbearable agony of being: Interpreting tormented states of mind in the psychoanalysis of sexually traumatized patients. Bulletin of the Menninger Clinic, 61(4), 495-519. Academic Search Premier
  • Ferenzi, S. (1949) The confusion of tongues between the adults and the child. International Journal of Psycho-Analysis, 30: 225-230.PEP
  • Howell, E. F. (2005). The dissociative mind. (pp. 178-193). Hillsdale, N.J. The Analytic Press. Scan

Suggested Supplementary Reading:

  • Dalenberg, C.J. (2000). Countertransference and the treatment of trauma. (Especially pp. 144-172, Countertransference responses to repetition compulsion).Washington, D.C.: American Psychological Association.
  • Gill, S. (2010). The therapist as psychobiological regulator: Dissociation, affect attunement and clinical process. Clinical Social Work Journal, 38(3), 260-268.
  • Wilson, J. P. and Lindy, J. D. (1994). Countertransference and the treatment of trauma. (Especially pp. 31-61: Empathic Strain and Therapist Defense). New York: Guilford Press.

6. Traumatic Transferences: Anger, Shame and Blame

Required Reading:

  • Benatar, M. (2003). Surviving the bad object. Journal of Trauma and Dissociation, 4(2), 11-25. Academic Search Premier
  • Dalenberg, C.J. (2000). Countertransference and the treatment of trauma (pp. 173-198). Washington, D.C.: American Psychological Association. Scan
  • Ehrenberg, D.E. (1992). The intimate edge: Extending the reach of psychoanalytic interaction (pp.140-158). New York: Norton.Scan
  • Maroda, K. J. (2010). Psychodynamic techniques, (pp. 179-203). New York: Guilford Press. Scan

Suggested Supplementary Reading:

  • Dalenberg, C.J. (2000). Countertransference and the treatment of trauma. (Especially pp. 115-144: Blame and Shame).Washington, D.C.: American Psychological Association.
  • Davies, J.M. (2004). Whose bad objects are we anyway? Repetition and our elusive love affair with evil. Psychoanalytic Dialogues. 14(6), 711-733.
  • Miligram, S. (1974). Obedience to authority. New York: Harper and Row.
  • Ogden, P., Minton, K. & Pain, C. (2006). Trauma and the body. ( Especially pp.26-64: Window of Affect Tolerance and Attachment)

7. Traumatic Transference: Erotic Transference and Sexual Abuse

Required Reading:

  • Bernardez, T. (1994). The eroticized transference: A tool for the reconstruction of childhood sexual trauma, J. Amer. Academy of Psychoanalysis, 22:519-531.PEP
  • Dalenberg, C.J. (2000). Countertransference and the treatment of trauma (pp.199-239).Washington, D.C.: American Psychological Association. Scan
  • Ehrenberg, D.E. (1992). The intimate edge: Extending the reach of psychoanalytic interaction. (pp. 159-191). New York: Norton. Scan
  • Maroda, K. J. (2010). Psychodynamic techniques (pp. 204-224). New York: Guilford Press. Scan

Suggested Supplementary Reading:

  • Celenza, A. (1998). Precursors to therapist sexual misconduct: Preliminary findings. Psychoanalytic. Psychology 15, 378-395.
  • Celenza, A. (2006). Sexual boundary violations in the office: When is a couch just a couch? Psychoanalytic Dialogues, 16:113-128.
  • Pope, K.S. (1990). Therapist-patient sexual involvement: A review of the research, Clinical Psychology Review, 10(4), 477-490.
  • Yahav, R., Oz, S. (2006). The relevance of psychodynamic psychotherapy to understanding therapist-patient sexual abuse and treatment of survivors. J. American Academy of Psychoanalysis, 34:303-331.

8. Dissociative Identity Disorder

Required Reading:

  • Bromberg, P. M. (2001). Standing in the spaces (pp. 267-290). Hillsdale: NJ: The Analytic Press. Scan
  • Howell, E.F. Dissociative identity disorder: A relational approach (pp 1-11 and 55-71). New York: Routledge.Scan
  • Kluft, R.P. (1994). Countertransference in the treatment of Multiple Personality Disorder, In Wilson, J. P. and Lindy, J. D. Countertransference and the treatment of trauma (pp. 122-150). New York: Guilford Press. Scan

Suggested Supplementary Reading:

  • Hoppenwaisser, K, (2008) Being in rhythm: Dissociative attunement in the therapeutic process. J. of Trauma and Dissociation, 9(3), 349-367.
  • Kluft, R.P. (2000). The psychoanalytic psychotherapy of dissociative identity disorder in the context of trauma therapy. Psychoanalytic Inquiry, 20, 259–286.
  • Putnam, F. (1989). Diagnosis and treatment of multiple personality disorder. New York: Guilford Press.
  • Rakow, M. (2002). The memory room, Washington, D.C.:Counterpoint.
  • Salter, A. C. (2003). Predators, pedophiles, rapists, and other sex offenders. New York: Basic Books.

Please note that links to some course readings have been purged from archived syllabi. Electronic texts on the ICSW website are protected by copyright law. These files are made available strictly for individual, educational use and may not be copied or distributed in any way. Distribution of copyrighted material to non-enrolled individuals or ICSW students will be considered an act of Academic Dishonesty and be dealt with accordingly as indicated in the Student Manual. Federal penalties for copyright infringement may be found at www.copyright.gov.