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TRAUMATYS provides :
A 2-year
Advanced
Training which is based on the educational curriculum proposed by the
International Society for Traumatic Stress Studies
(ISTSS), and endorsed by the United Nations. It is provided by
Dr.
Louise Gaston, Ph.D., founder and director of TRAUMATYS. For information
about her qualifications and experience, visit Dr. Gaston's r�sum�.
Table of Content
:
- Diagnosis and Assessment
- Epidemiology, Etiology and Risk
Factors
- Sequelae
- Theoretical Models
- Treatment Approaches
- Treatment Issues
 | Diagnostic Criteria
 | DSM-IV ('94):
 | PTSD |
| Acute Stress Disorder |
|
| ICD-10 ('94):
| Acute Reaction to a Stressful Factor |
| Post-Traumatic State |
| Durable Modification of Personality after a Catastrophic Experience |
|
|
| Types of Traumatic Events
| Natural |
| Accidental |
| Other-Induced (e.g. crimes) |
|
| Types of PTSD
| Simple: Acute, Chronic, or Delayed |
| Complex |
|
| Differential Diagnoses
| Mood Disorders |
| Anxiety Disorders |
| Adjustment Disorder |
| Factitious Disorder |
|
| Co-Morbidity
| Personality Disorders (Masterson Approach):
| Schizoid |
| Narcissistic |
| Borderline |
|
| Dissociative Disorders
| Dissociative Trance |
| Dissociative Identity Disorder |
|
| Somatization |
|
| Structured Interviews
| "Structured Clinical Interview for DSM" (SCID) |
| "PTSD Interview" |
|
| Psychometric Assessment
| "Minnesota Multiphasic Personality Inventory" (MMPI) |
| "Impact of Event Scale" (IES) |
| "Trauma Constellation Identification Scale" |
|
| Psychophysiological Assessment
|
Return to Table of Content
| Incidence of Traumatic Events vs. PTSD |
| Course of PTSD
|
| Incidence of Specific PTSDs |
| Predisposing Personal Factors
| Previous Traumas |
| Psychiatric Illness |
| Attachment Styles/Personality Disorders |
| Threshold for Dissociation |
| Genetic Disposition/Anxiety Baseline Level |
|
| Predisposing Event-Related Factors
| Meaning |
| Intensity/Violence |
| Uncontrollability |
| Duration |
| Number of Losses Involved |
|
| Concurrent Factors
| Immediate vs. Late Intervention |
| Coping Strategies & Defense Mechanisms |
| Environmental Response & Social Support |
|
| Maintaining Factors
| Primary gains |
| Secondary gains |
| Environmental reinforcements |
|
Return to Table of Content
| Psychological
| Primary Emotions Evoked (Fear, Disgust, Anger, etc) |
| Secondary Emotions Evoked (Guilt, Shame, etc.) |
| Cognitive Schemas Challenged (Self, Others, & World) |
| Cognitive Functioning |
| Defense Mechanisms & Depersonalization/Derealization |
| Character Changes/Personality Disorders |
|
| Behavioral
| Coping Strategies (Acting Out, Substance Abuse, etc.) |
| Interpersonal Functioning |
| Occupational Functional |
|
| Physiological
| Psychophysiological Activation |
| Immunological Depletion |
| Acute, Reversible & Permanent Neuronal Alterations |
| Physical Illness/Somatization |
|
| Environmental |
| Acute vs. Long-Term |
Return to Table of Content
| Information Theory |
| Psychodynamic Models
| Induction of Conflicts (Guilt, Shame, Helplessness) |
| Reactivation of Latent Conflicts |
| Stimulus Barrier and Trauma Membrane |
| Dissociative Model |
|
| Cognitive Models
| Pathogenic Cognitions |
| Cognitive Schemas |
|
| Behavioral Models
| Classical Conditioning |
| Operant Conditioning |
|
| Neurophysiological Models
| Kindling Model |
| Inescapable Shock/Learned Helplessness Model |
| Hypothalamus-Amygdala-Hippocampus Connections |
|
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| Essential Elements of Psychotherapy
| Therapeutic Stance |
| Techniques |
| Phases |
|
| Dynamic Psychotherapy (Object, Ego & Self
Psychology)
| Selection Criteria |
| Linking PTSD Idiosyncrasies to Related Preexisting Conflicts & Quality of Object
Relations |
| Working Through Trauma and Related Issues |
| Benefits, Risks, & Limitations |
|
| Behavioral Therapy
| Selection Criteria |
| Systematic Desensitization |
| Prolonged Exposure or Imaginal Flooding |
| Stress Inoculation Training |
| Benefits, Risks, & Limitations |
|
| Cognitive Therapy
| Selection Criteria |
| Traditional Cognitive Therapy |
| Schemas-Based Therapy |
| Benefits, Risks, & Limitations |
|
| Pharmacotherapy
| Selection Criteria |
| Interaction with Psychotherapy |
| Benefits, Risks & Limitations |
|
| Atheoretical Techniques
| Hypnosis
| Preparation for Hypnosis |
| Hypnotherapeutic Relationship |
| Hypnotic Inductions |
| Trauma Revision Procedures |
| Ego-Strengthening Instructions |
| Suppression Instructions |
| Multiple Screens Technique |
|
| Thought Field Therapy (introduced but not tought) |
| EMDR (introduced but not taught) |
| Benefits, Risks, & Limitations |
|
| Treatment of Comorbidity
| Axis I (Anxiety, Depression, Dissociation, etc) |
| Axis II: Trauma vs. Personality Work |
| Appropriateness and Timing |
| Varying Therapeutic Stances |
| Varying Interventions for: Schizoid, Narcissistic and Borderline |
|
| Post-traumatic Interventions
| Crisis Intervention |
| Debriefing |
|
Return to Table of Content
| Efficacy
| Differential Efficacy of Various Approaches |
| Efficacy of Early vs. Late Psychotherapy |
|
| Modalities
| Length of Treatment |
| Frequency of Treatment |
| Individual vs. Group |
|
| Multimodal Treatments
| Combining Therapeutic Approaches |
| Combining Individual & Group Psychotherapy |
| Combining Psychotherapy & Pharmacotherapy |
|
| Relational Issues
| Specific Transference Reactions |
| Countertransference Reactions |
| Vicarious Traumatization |
|
| Resolution Issues
| Functions of Anger |
| Functions of Forgiveness |
|
| Memory
| Memory Functioning |
| False Memory Syndrome
| Political Controversies |
| Scientific Experiments |
| Clinical vs. Legal Realities |
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