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Patti Ashley - Toxic Shame in Clinical Practice: Help Clients Release Shame, Get Unstuck and Improve Treatment Outcomes

Patti Ashley – Toxic Shame in Clinical Practice: Help Clients Release Shame, Get Unstuck and Improve Treatment Outcomes

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Faculty:
Patti Ashley
Duration:
5 Hours 49 Minutes
Format:
Audio and Video
Copyright:
Sep 14, 2018

Description

Outline

PART ONE: HOW SHAME SHOWS UP IN TREATMENT
Toxic Shame
Research & Definitions

  • Ruptures in interpersonal relationships create a shame-based identity
  • Shame and trauma function similarly in the nervous system
  • Subconscious shame effects of poisonous parenting
  • Attachment theories as they relate to shame
  • D.W. Winnicott’s true self/false self
  • Shame in family, culture and other systems
  • Limitations of the research

Signs of Toxic Shame:
What to Watch for in Assessment and Beyond

  • Individual Therapy – the client who:
    • Talks the whole session
    • Frequently cancels sessions
    • Feels bad when progress seems to have eluded
    • Terminates treatment early
    • Deflects and projects onto others
    • Relapses and does not return
    • Minimizes problems
    • Excessively intellectualizes and analyzes treatment
  • Couples/Family Therapy
    • The attack/defend patter
    • Anger, rage and contempt
    • Judgment of self and others
    • Grandiosity, narcissism and self-inflation
    • People pleasing and codependency
    • Avoidance
    • Problems with intimacy
  • Group Therapy:
    • Cross-talk
    • Intellectualizing
    • Silence
    • Judgment
    • Conflict

When the Therapist is Part of the Problem
Rigid Treatment Models May Increase Shame and Decrease Positive Outcomes

  • Shame can be activated when therapist appears to be the “expert”
  • Some strategies hinder treatment outcomes
  • Strategies that may create barriers to creativity and relational presence
  • Impact of mirror neurons and epigenetics
  • How naming “shame” can be shaming
  • Unconsciously enacting shaming parent
  • Treating client as appointment or diagnosis
  • What to do when your shame is triggered in-session

PART TWO: TREATING THE TOXIC SHAME
Effectively Treat Toxic Shame
Implications for Treatment to Move Forward with Clients

  • Right and left brain integration
  • Bottom-up versus top-down treatment approaches
  • Modeling, engaging and sustaining self-compassion
  • Repair the interpersonal bridge to self and others
  • Courage and vulnerability in right-brain regulation
  • Sustaining empathy in parallel process
  • Transference and counter-transference in treatment

Therapeutic Strategies:
Putting It All to Practice

  • Build a Safe Therapeutic Holding Environment
    • Establish safety and trust
    • Set a stage for treatment
    • Strong foundation for therapeutic work
  • Build a Solid Relationship
    • Therapeutic empathy as the antidote for shame
    • Connect and establish equal power
    • Mindfulness and compassion
  • Bridge the Head and Heart
    • Psycho-education to demystify shame
    • ”I” statements to identify shame-based feelings
    • Going beyond cognitive therapy models
  • Witness and guide clients through deeper layers
    • Return shame to its origin
    • Somatic strategies
    • Re-wiring new neural pathways
  • Experiential Tools and Techniques
    • Creative arts, writing and movement activities
    • Mindfulness and meditation
    • Archetypes, story-telling and mythology
    • Music and sound healing
    • Journaling and letter-writing
  • Working with Secrets
    • Patience and compassion
    • Deeper shame
    • Tolerance and non-judgmental witnessing
  • Creativity
    • Every client is unique
    • How therapy is like art
    • Goodness of fit
  • Research limitations and potential treatment risks

Faculty

Patti Ashley, Ph.D., L.P.C. Related seminars and products: 3

Patti Ashley, Ph.D., L.P.C. owns and operates Breakthrough Psychotherapy and Parent Coaching in Boulder, Colorado. Combining elements of developmental, cognitive, strength-based, and positive psychology, Dr. Ashley has created a psychotherapy model that helps clients excavate authenticity and life purpose. Identifying dysfunctional patterns and treating shame-based disorders are integral parts of her work with individuals, groups, couples and families.

Patti has over thirty-five years of experience in the fields of education and psychology. These include developing continuing education courses for physicians and hospital wellness programs; instructing undergraduate and graduate courses for universities; and counseling individuals, couples and families in mental health agencies, psychiatric hospitals, and private practice settings.

Dr. Ashley completed a Doctor of Philosophy Degree in 2002. she is the author of the book Living in the Shadow of the Too-Good Mother Archetype, (2014) Dr. Ashley is currently writing two other books scheduled for release in 2018: Reconciliation of the Heart: How Beliefs, Choices and Forgiveness Influence Authenticity and Life Purpose,and Letters to Freedom: A True Story of Grief and Love that Never Dies. Patti is also a featured journalist for numerous publications, and a frequent workshop presenter.

Speaker Disclosures:

Financial: Patti Ashley maintains a private practice. She receives a speaking honorarium from PESI, Inc.

Non-financial: Patti Ashley has no relevant non-financial relationship to disclose.

Salepage: https://catalog.pesi.com//item/toxic-shame-clinical-practice-clients-release-shame-unstuck-improve-treatment-outcomes-34073
Archive: https://archive.ph/wip/xtZ8z

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