Group Therapy, Perpetrator Attachment and Social Neurobiology
Symposium for Trauma and Body Oriented Psychotherapy
June 11 – 13, 2015 in Leipzig
PPsychotraumatology, psychoanalysis, Body Psychotherapy, Neurophysiological Research, Affect Research, Attachment Research, Up to date Systemic Psychotherapy for Adults, Children and Adolescents
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Organizers:

Trauma-Institut-Leipzig
Trauma-Institute-Leipzig at the Academy for Integrative Psychotherapy

Advanced training curricular for Trauma Counselor and Traumatherapist

Akademie für Ganzheitliche Psychotherapie
Academy for Integrative Psychotherapy
(non-profit organization) Training in trauma and body oriented integrative psychotherapy


Program

deutsch      english

Thursday, June 11 – Saturday, June 13, 2015

Main Symposium

We, as organizers, hope to offer a seminal environment for learning and discussion by gathering professionals from a wide range of expertise. We hope this variety will pique your curiosity as a participant as well as your interest to integrate new approaches into your practice as a colleague.

Time

Thursday, June 11, 2015 – 1. Day

12:00 am

Opening of the conference

1:00 pm

Prof. Dr. Stephen W. Porges (USA)Prof. Dr. Stephen W. Porges (USA)

 

Social Connectedness as a Biological Imperative: A Polyvagal Perspective (Part I)

This presentation will provide the basics of the Polyvagal Theory and will explore how a polyvagal perspective informs us of the profound biological significance of social behavior and how these interactions are critical in the therapeutic process.  Social interactions, which target the capacity to feel safe and elicit positive reciprocal behaviors, function as a neural exercise that improves physiological state regulation and optimizes mental and physical health.  The Polyvagal Theory provides a biobehavioral basis for therapeutic strategies that employ group interactions.  Within this perspective the interactions within a group exercise the social engagement system to increase the client’s capacity to feel safe and to provide an opportunity for patients with a trauma history to dampen defenses associated with both mobilization (i.e., fight/flight behaviors) and immobilization (i.e., behavioral shutdown and dissociation).

 

CV: Dr Porges is Professor of Psychiatry at the University of North Carolina. He served as president of the Society for Psychophysiological Research.

2:10 pm

Short break

2:15 pm

Prim. Prof. Dr. Dr. DP Andreas RemmelPrim. Prof. Dr. Dr. DP Andreas Remmel (D, A)


Perpetrator Introjects and Perpetrator Attachment in Severe Posttraumatic Disorders and Emotionally Instable Personality Disorders

 

Prof. Remmel is medical director of the psychosomatic centre at the Waldviertel-Clinic in Eggenburg near Vienna. He is psychodynamic and behavioral psychotherapist and member of the research group clinical psychology and psychotherapy research at the university of Munich..

 

CV: Prim. Prof. Remmel ist Ärztlicher Direktor und therapeutischer Leiter des Psychosomatischen Zentrums Waldviertel-Klinik Eggenburg (A) und leitet die Projektgruppe Klinische Psychologie und Psychotherapieforschung am Dept. Psychologie der LMU München. Er ist Internist, Facharzt für Psychosomatik und Psychotherapie, Psychologischer Psychotherapeut (TP und VT), Supervisor und Lehrtherapeut für Integrative Therapie. Wissenschaftliche Schwerpunkte: Bindungs- und Emotionsforschung, Psychosomatik, Persönlichkeitsstörungen, Traumaforschung, Psychotherapieforschung.

3:00 pm

Coffee break - Book and CD sale and information

3:30 pm

Dr. Ruth Blizard (US)

Dr. Ruth Blizard (US)

 

Attachment to the Perpetrator in Families: Double Binds and Dissociation

When children depend on a traumatizing, narcissistic caregiver, they are caught in a double bind. To survive, they must maintain attachment to the perpetrator, but in doing so, their self and sense of agency is destroyed. The narcissist is threatened by the child having a separate self and so subjugates the child into giving up all creativity and independence. The perpetrator adores the idealizing, mirroring child, but at the first expression of independence, he annihilates her very being. The child forms two dissociated self-states, a subservient, idealizing one to maintain attachment, and a self-protective state that preserves some sense of power by identifying with the aggressor. The perpetrator is threatened by all outside opinions and relationships, so the family becomes a closed system. Members become socially isolated and increasingly dependent on the family. Persons who grew up with this dynamic may be more susceptible to joining religious cults and fringe political movements with authoritarian, charismatic leaders.

 

CV: Dr. Blizard is clinical psychologist and psychoanalyst in Binghampton, New York. Her research focuses on perpetrator attachment, the transgenerational passing on of trauma and attachment trauma in Borderline Personality Disorders.

4:10 pm

Short break

4:15 pm

Dr. rer. nat. DP Ralf VogtDr. rer. nat. DP Ralf Vogt (D)

 

Framework and Issues of a Combined Individual and Group Therapy with Dissociative Trauma Patients


Dr. Vogt will discuss indications, benefits and dangers of SPIM 30 group therapy with dissociative trauma patients. Aspects of perpetrator attachment and perpetrator introjection play a central role and demand great strength and flexibility from the psychotherapists. Demands that can only be met with the help of specific treatment methods and multimodal settings. Many case examples will illustrate his approach.

 

CV:Dr. Vogt is psychotherapist, psychoanalyst, trauma therapist, family and group therapist. Together with his wife he developed the SPIM 30 treatment model for dissociative trauma disorders and founded the Trauma-Institute-Leipzig. He is a former board member of the ISSTD.

4:45 pm

Short break

4:50 pm

Prof. Dr. Sue Carter (US)Dr. Sue Carter (US)

 

The healing power of love: The Oxytocin-Hypotheses

 

She is the founder of the oxytocin-hypotheses and will speak about the central role the neurohormone oxytocin plays in both the development and expression of social support and attachments; these in turn are necessary for what humans experience as “love.” Evidence will be drawn from both human and animal research to explain the unique capacity of oxytocin to permit the development of reciprocal relationships. In conjunction with vasopression, oxytocin also helps us understand the adaptive mechanisms through which the mammalian body protects and restores itself in the face of challenges.

 

CV:Dr. Carter is Professor of Psychiatry at the University of North Carolina.  She co-directed the Brain-Body Center and is a former president of the International Behavioral Neuroscience Society.

5:30 pm

End of session

 

Time

Friday, June 12, 2015 – 2. Day

8:00 am

Opening of the conference office

9:00 am

Prof. Dr. Stephen W. Porges (USA)Prof. Dr. Stephen W. Porges (USA)

 

Social Connectedness as a Biological Imperative: A Polyvagal Perspective (Part II)

This presentation will provide a more detailed understanding of how social and contextual cues influence the client in a clinical setting. Part II will emphasize the process of “neuroception” (i.e., the nervous system’s evaluation of risk without awareness) and how neuroception mediates the availability of the client for intersubjective and interpersonal experiences with the therapist and others in the client’s social environment. Neuroception will be discussed as a process capable of shifting neurophysiological states described by the Polyvagal Theory (e.g., social engagement, mobilization with and without fear, and immobilization with and without fear) with resultant psychological, behavioral, and clinical consequences. In addition, stages of a Polyvagal Syndrome will be described that cluster clinical symptoms within the perspective of the Polyvagal Theory.

 

CV: Dr Porges is Professor of Psychiatry at the University of North Carolina. He served as president of the Society for Psychophysiological Research.

10:10 am

Short break

10:15 am

Prof. Dr. Bernhard StraußProf. Dr. Bernhard Strauß (D)

 

Trauma and the Social Microcosm of the Group

First, he will speak about the current status of group therapy research and conceptual group therapy questions. He will go on to discuss questions like: (How) is it possible to discuss and process trauma in group psychotherapy? If we understand the group as a social microcosm, we have to assume that group members will make their trauma known – overtly or covertly it will “intrude” upon the process. Giving examples, Prof. Strauß will show the group’s potential in processing experiences.

 

CV: Prof. Strauß is psychotherapist, psychoanalyst, and director of the institute für psychosocial medicine and psychotherapy at the university clinic in Jena. He is an expert for psychotherapy and attachment research.

11:20 am

Coffee break - Book and CD sale and information

11:50 am

Dr. rer. nat. DP Ralf VogtDr. rer. nat. DP Ralf Vogt (D)

 

Framework and Issues of a Combined Individual and Group Therapy with Dissociative Trauma Patients


Dr. Vogt will discuss indications, benefits and dangers of SPIM 30 group therapy with dissociative trauma patients. Aspects of perpetrator attachment and perpetrator introjection play a central role and demand great strength and flexibility from the psychotherapists. Demands that can only be met with the help of specific treatment methods and multimodal settings. Many case examples will illustrate his approach.

 

CV:Dr. Vogt is psychotherapist, psychoanalyst, trauma therapist, family and group therapist. Together with his wife he developed the SPIM 30 treatment model for dissociative trauma disorders and founded the Trauma-Institute-Leipzig. He is a former board member of the ISSTD.

12:50 am

Lunchtime-snacks on-site - Book and CD sale and information

2:00 pm

Adah Sachs (GB)Adah Sachs (GB)

 

Looking at two kinds of DID: Stable and Active

 

This talk draws a distinction between two presentations of DID, Stable and Active. While people with stable DID struggle with the effects of severely traumatic childhood, they are safe at present and can focus their efforts on recovery. Conversely, people with active DID appear to be unable to progress towards a safer life and find themselves, against their own wishes and therapeutic efforts, repeatedly involved in abusive relationships which mimic their childhood abuse or are a direct continuation of it. Their fresh trauma then causes fresh dissociation, and locks the person into a vicious cycle, where the DID is continuously and actively re-generated. This distinction may explain some differences in clinical attitudes, as the treatment needs of these two types of DID are different. The talk will conclude with an outline of therapeutic principles for working with each of these types of DID.

 

CV: Dr. Sachs is an attachment oriented psychoanalytical psychotherapist and member of the Bowlby Center. She works at the Clinic for Dissociative Studies in London and is forensic expert.

3:10 pm

Short break

3:15 pm

MS Psych Winja LutzMSc Psych Winja Lutz (D)

 

Effectiveness of Simultaneous Combined Individual and Group Therapy with Traumatized, Dissociative Patients

 

In a simultaneous combined individual and group therapy the same therapist treats his patients simultaneously in individual and group therapy. Patients with complex relational childhood trauma can build a safe attachment and process their traumatic experiences in individual therapy while addressing their social trauma and social isolation in group therapy. The joint federal committee of Germany’s medical chambers and health insurances is currently discussing to permit psychodynamic therapists to freely combine individual and group therapy with the same patient. The longstanding policy efforts testify to Best Practice experiences that support this combination especially in severe and early disorders.
Winja Lutz will introduce the latest research from the Trauma-Institute-Leipzig. Patients treated with simultaneously combined individual and group therapy of the SPIM 30 Model were assessed with indirect as well as direct measurements of change. They evaluated their own development over the course of treatment to be highly significant and rated the combination of individual and group therapy to be essential. They emphasized synergetic effects between the two modalities and underlined the importance of therapeutic continuity. Having their individual therapist as a save haven in group therapy enabled them to tolerate group therapy better.

 

CV: Winja Lutz is a certified care worker, she holds a diploma in fine art, is a psychologist, trauma counselor and psychotherapist/trauma therapist in-training. She works as a counselor, research assistant, translator, interpreter and lecturer in the field of trauma and dissociation. 2013 she received ISSTD’s Student Award.

4:15 pm

Coffee break - Book and CD sale and information

4:45 pm

DP Claudia Maria FlißDP Claudia Maria Fliß (D)

 

Group Therapy with Personality Parts in Dissociative Disorders

 

She will introduce a trauma therapeutic concept for the work with dissociative disorders. Certain contact and communication settings can help to gently dissolve the barriers between different personality parts. She will present case examples to show how it is possible to motivate all personality parts to come together and share the burden of their traumatic origin together in order to fuse eventually and voluntarily.

 

CV:Claudia Fliß is psychotherapist and behavioral therapist in Bremen. She is specialized in body oriented work with dissociative patients.

5:45 pm

Break – no sale tables

from

8:00 pm

Conference party with Barbecue, Carolin Fischer (comedian), dancing with DJ Andy and Clowning by the Leipziger Nasen

(Attention: you have to purchase separate tickets)

BBQCarolin FischerDJ AndyLeipziger NasenClown

 

Time

Saturday, June 13, 2015, 3. Day

8:00 am

Opening of the conference

9:00 am

Prof. Dr. Andrew Moskowitz (DK)Prof. Dr. Andrew Moskowitz (DK)

 

Whose voices are we hearing? Are there continuities between normal self-states, the voices of schizophrenia and personality parts in DID?

Prof. Moskowitz will talk about differentiation between schizophrenia and Dissociative Identitiy Disorder (DID). For most of the 20th century, schizophrenia has been viewed as a genetically-based, brain disorder whose symptoms had no meaning and no connection to life experiences. At the same time, DID, when it began to be recognized again in the 1970s and 1980s, has been seen as a strongly environmentally-based disorder, connected to severe and often sadistic childhood abuse. Nonetheless, there are reasons to see some continuities between these two disorders (or sets of disorders), particularly in the experience of voice hearing. In this talk, theoretical, empirical and clinical evidence will be presented to suggest that voices in schizophrenia and personality parts in DID are both dissociative in nature, and that they further relate to the self states of normal personality that are experienced as continuous. Possible reasons for societal and professional resistance to these ideas are explored.

 

CV: Prof. Moskowitz is Professor for clinical psychology at Aarhus University in Danmark and director of the research group ADiTS (Attachment, Dissociation and Traumatic Stress). He is Board member of the ESTD and member of ISSTD’s research committee.

10:10 am

Short break

10:15 am

Prof. Dr. med. Luise ReddemannProf. Dr. med. Luise Reddemann (D)

 

Resource Oriented Group Psychotherapy with Complex Trauma Patients

 

She developed the »Psychodynamic Imaginative Traumatherapy« (PITT) and focuses her work on researching resilience. She will talk about group therapy as “hothouses for resources”. Gathering, activating and utilizing resources in a group fosters the individual’s potential as well as the group’s. Traumatized patients should alternate group therapy with individual trauma processing therapy. Prof. Reddemann will introduce possibilities and limitations of this psychodynamic imaginative trauma therapy.

 

CV: Prof. Reddemann is honorary Prof. for psychotraumatology and medical psychology at the University of Klagenfurt, she is MD for psychotherapeutic medicine and psychoanalyst.

11:20 am

Coffee break - Book and CD sale and information

11:50 am

Prof. Dr. DP Michael HayneProf. Dr. DP Michael Hayne (D)

 

Regaining Trust in Group Psychotherapy

 

He will speak about the repercussions from deliberate violence. It suggests itself to regain interpersonal trust with a psychodynamic group therapy but traumatized patients are at risk of getting hurt again too. Group therapists need to be very sensitive interpersonally and be very alert and capable of intervening quickly. The therapist has to utilize his or her counter transferences professionally and with an advanced level of self-experience.

 

CV: Prof. Hayne is psychotherapist, psychoanalyst in Bonn. He was trained at the Group-Analytic Society in London and is founder of a training institute for group analysis and group therapy in Austria.

12:50 am

Lunchtime-snacks on-site - Book and CD sale and information

2:00 pm

Prof. Dr. Sue Carter (US)Dr. Sue Carter (US)

 

The healing power of love: The Oxytocin-Hypotheses

 

She is the founder of the oxytocin-hypotheses and will speak about the central role the neurohormone oxytocin plays in both the development and expression of social support and attachments; these in turn are necessary for what humans experience as “love.” Evidence will be drawn from both human and animal research to explain the unique capacity of oxytocin to permit the development of reciprocal relationships. In conjunction with vasopression, oxytocin also helps us understand the adaptive mechanisms through which the mammalian body protects and restores itself in the face of challenges.

 

CV:Dr. Carter is Professor of Psychiatry at the University of North Carolina.  She co-directed the Brain-Body Center and is a former president of the International Behavioral Neuroscience Society.

3:10 pm

Short break

3:15 pm

DP Irina VogtDP Irina Vogt (D)

 

Preparing Dissociative Patients for Group Therapy

 

She will present a case example to illustrate the combined individual and group treatment she conducts together with her husband. She will discuss at what point it became possible for her patient to join the additional group treatment and what it took to prepare for it. Furthermore she will describe her patient’s successes, failures and insights over the course of treatment, how the group therapy provoked specific issues and the solutions that were found to resolve them.

 

CV: Irina Vogt is a psychodynamic psychotherapist and trauma therapist for adults, children and adolescents. She is the director of the Trauma-Institute-Leipzig.

4:15 pm

Coffee break - Book and CD sale and information

4:45 pm

Dr. Ruth Blizard (US)

Dr. Ruth Blizard (US)

 

Dissociation, double binds and entrapment in religious cults and oppressive political groups

Charismatic cults and extremist political movements are often led by traumatizing narcissists who promise enlightenment or utopia. Members are made to feel special and superior as long as they idealize and submit to the leader. When followers question authority or even express their own opinions, they are humiliated or physically attacked. Subjects are required to cut off ties to the outside world, making them totally dependent on their oppressors. To maintain their attachment, victims idealize leaders by dissociating abuse. Like family perpetrators, narcissistic political and religious leaders justify authoritarian rule by distorting perception of traumatic events, manipulating information and demonizing dissidents. Paradoxical double-talk such as “crazy wisdom” may induce trance logic to justify the leader’s unethical behavior. Dissociation is promoted by sleep deprivation, monotonous overwork and sensory overload. When patients are still in the group, these conditions may stalemate therapy. Even after leaving, feelings of dependence in therapy may trigger fears of being subjugated.

 

CV: Dr. Blizard is clinical psychologist and psychoanalyst in Binghampton, New York. Her research focuses on perpetrator attachment, the transgenerational passing on of trauma and attachment trauma in Borderline Personality Disorders.

5:45 pm

Final statements

6:00 pm

End of main conference