TIST Level 1 – Trauma-Informed Stabilization Treatment: Healing the Fragmented Selves of Trauma Survivors Module 1
Janina Fisher · Ph.D.
This program has limited approval for DISTANCE LEARNING CEs. PLEASE CLICK ON THE SPECIFIC CE INFORMATION LINK BELOW FOR FULL PROFESSION/STATE DETAILS.
CE’s are included in the cost of the course.
Course Details
Janina Fisher, Ph.D. is a clinical psychologist, former instructor at Harvard Medical School, board member of the Trauma Research Institute, and a patron of the John Bowlby Centre, as well as an international expert on the treatment of trauma and dissociation. She is the author of Healing the Fragmented Selves of Trauma Survivors: Overcoming Self-Alienation (2017), Transforming the Living Legacy of Trauma: A Workbook for Survivors and Therapists (2021), and the Living Legacy Instructional Flip Chart (2022). Best known for her work on integrating newer neurobiologically-informed interventions into traditional psychotherapy approaches, she is the co-author with Pat Ogden of Sensorimotor Psychotherapy: Interventions for Attachment and Trauma (2015).
Childhood trauma, neglect, and failed attachment leave individuals with a legacy of overwhelming memories and emotions but also with a fragmented sense of self and a compromised nervous system that impairs the capacity to tolerate emotion or stress. Unaware that their intense feelings and reactions represent non-verbal implicit memories held by fragmented parts of the personality, these clients resort to desperate measures: addictive behavior and self-harm to numb the body or increase hyper-vigilance, suicidal ideation to restore a sense of control over painful emotions, dissociative and borderline responses of fight or flight when hurt, threatened, or rejected. Rather than offering a context for healing the effects of childhood trauma, therapy often becomes a crisis center whose goal it is simply to ensure the client’s safety.
The therapist is left with a quandary: how do we treat the underlying trauma when the client is unstable or unsafe, living from crisis to crisis, or caught in a revolving door of hospitals or treatment approaches? How do we acknowledge what has happened without opening up too much? The Trauma-Informed Stabilization Treatment (TIST) model was developed to provide some hopeful answers to these puzzling and frustrating challenges. Based on theoretical principles drawn from the neuroscience research on trauma, TIST offers a treatment approach that combines mindfulness-based cognitive therapy, Sensorimotor Psychotherapy, ego state techniques, and Internal Family Systems to address the challenges of treating clients with a wide range of diagnoses, including complex PTSD, borderline personality, bipolar disorder, addictive and eating disorders, and dissociative disorders.
Using a combination of didactic and experiential learning (demonstration, videotapes), participants will learn a new and promising model for treating trauma survivors that does justice to the traumatic past while stabilizing the ability to live a normal life here and now. When trauma symptoms are understood and treated neurobiologically as communications from young traumatized selves, even the most self-destructive, therapy-destructive, and de-stabilized clients become understandable and manageable.
Trauma-Informed Stabilization Treatment (TIST) Level 1
Module 1 and Recorded Zoom Session 1
Agenda
Module 1: Trauma and Self-Alienation – 1 hr 40 min – 1.5 CEs
Surviving trauma, especially when young, requires that individuals rely on depersonalization responses that allow them to observe what is happening as if watching a movie. From that perspective, the child self-state observing the abuse is not the ‘bad’ child to whom it is happening. The observer can go on with life, while the abused child remains humiliated, frightened, and unsafe. The effects of disowning and rejecting ourselves to survive have lifelong consequences, resulting in personality or dissociative disorders, unsafe behavior, and tumultuous relationships, including the therapeutic one. In this module, we will look at how the Trauma-Informed Stabilization model addresses this important issue and how to help clients understand themselves with compassion rather than shame and detachment.
Module 1 Agenda:
- Trauma-Informed Stabilization Treatment (TIST): Healing The Fragmented Selves (9 min)
- A Neurobiologically-Informed Understanding Of Trauma (20 min)
- How Trauma Results in Self-Alienation (15 min)
- Trauma and Structural Dissociation (28 min)
- Learning to Notice Signs of the Parts (28 min)
Recording of Live Zoom Session 1 – Trauma and Self-Alienation – 2 Hours – 2 CEs
Zoom Session 1 Recording agenda:
- Structural Dissociation – the more trauma, the more splitting to avert future threats (15 mins)
- TIST = using the medial prefrontal cortex to ‘heal’ the parts (15 mins)
- Learning parts language as a second language (15 mins)
- “Speaking the language” of parts (15 mins)
- The challenge of vulnerable parts (15 mins)
- The challenge of protector parts (15 mins)
- Q & A (30 mins)
TIST Level 1 – Module 1
Healing the Fragmented Selves of Trauma Survivors
Learning Objectives
- Identify two indicators of client fragmentation and internal conflict.
- Describe how to psychoeducate clients on the relationship between trauma and their internal experiences.
- Explain two methods to foster client curiosity and interest in their inner world.
- Recognize the three ways fragmented parts of the self can manifest in clients.
- Demonstrate the application of mindfulness skills to observe and describe internal parts.
- Identify (three) psychoeducational techniques for supporting clients to recognize and cultivate understanding of their own neurobiological responses to potentially traumatic events, including natural tendencies to attach for survival, to flee, to fight, to freeze and to submit.
- Differentiate between left brain-dominant and right brain-dominant responses to trauma and identify how structural dissociation manifests in individuals with varying levels of trauma.
- Name two defensive strategies employed by different parts of the personality in response to trauma and analyze how these strategies interact and trigger one another.
Intermediate mental health care practitioners.
To receive continuing education credit, applicants must complete all CE materials, comply with attendance regulations, and submit an evaluation form for the sessions attended. It is the responsibility of the attendee to determine if CE credit offered by Academy of Therapy Wisdom meets the regulations of their state licensing/certification board.
Evaluation and post-testFollowing completion of all Module 1 content, you will receive information on how to obtain the 3.5 CEs available with this training. An evaluation and post-test, with a passing score of 80% or greater, is required. Cost
CEs for this training are included in the cost of the course.
Continuing Education credits offered:
Psychology: Not offered with this training.
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