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In this ADVANCED WORKSHOP, Dr. Meichenbaum critiqued the concept of trauma and PTSD and assessed the “state-of-the-art” in treating individuals with PTSD, Complex PTSD and comorbid psychiatric and physical disabilities. He highlighted a strength-based assessment and treatment approach and examined what distinguishes those individuals (some 30%) who develop adjustment difficulties versus the 70% who evidence resilience, and in some instances, post-traumatic growth. Using a Constructive Narrative Perspective, he provided specific ways to bolster resilience in six domains – physical, interpersonal, emotional, cognitive, behavioural and spiritual. A Case Conceptualization model was offered that informs assessment and treatment decision-making with a special focus on interventions with individuals who have experienced physical injuries such as traumatic brain injuries and related pain disorders resulting from such traumatic events as automobile accidents and other traumatizing events. He demonstrated how to implement the Core Tasks of Psychotherapy that characterize “EXPERT” therapists. How to use computer technology as adjunctive tools was highlighted, as well. A detailed Handout is provided that offers specific treatment guidelines with a special focus on how to conduct integrative treatments for individuals with comorbid disorders such as substance abuse, depression/suicidality and negative emotions such as anger, guilt, shame, complicated grief and moral injuries. The role that the family members play in the healing process was addressed.
A brief overview of the concept of PTSD and the "state-of-the-art" of alternative treatment approaches, controversies and implications for treatment.
What factors distinguish individuals who develop PTSD and related adjustment difficulties versus individuals who evidence resilience and posttraumatic growth.
The critical role of a Case Conceptualization Mofrl (CCM) in informing assessment and treatment decision-making.: A case example with individuals with Traumatic Brain Injuries.
The Core Tasks of Psychotherapy: What "Expert" Psychotherapists Do.
The role of the therapeutic alliance/Psychoeducational/Ways to nurture hope/How to build skills and build in generalization procedures.
Ways to address issues of traumatic memories and ways to bolster resilience.
Focus on specific ways to bolster resilience in clients and significant others (family members).
Specific ways to Bolster Resilience in the Physical, Interpersonal, Emotional, Cognitive, Behavioural and Spiritual Domains.
How to provide Integrative Treatment with clients with co-morbid psychiatric and physical disabilities and adjustment difficulties.
Addressing issues of treatment of non-adherence and non-compliance.
The potential role of computer technology as adjunctive tools to psychotherapy: A look into the future.