2016 SASH Conference Presentation Materials
Post Trauma Intimacy: Systemic Sexual Healing
Daniel Glaser, MSW, LCSW (PDF)
This presentation will define the many faces of active trauma including verbal, physical and sexual abuse. Passive trauma, emotional incest, unfinished business, and existential trauma are additional potential sources for creating intimacy related problems. Mental health sequelae to trauma can manifest in relapse behaviors, such as sexually compulsive behaviors. Systemic, psychodynamic, and cognitive-behavioral perspectives will be addressed. The intersystem approach to sexual healing will be explored in order to create emotional attunement and build trust in repairing relationships. Methods to nurture the body, mind, emotions and spirit will be presented. Promoting self/other intimacy through adaptive coping can foster life-affirming and relationship enhancing behaviors. Clinical case examples along with evidence-based therapeutic interventions will be discussed in order to cement therapeutic concepts into real life success.
Partner Oriented Disclosure: A Trauma-Informed Approach that Benefits Partners and Addicts (PDF)
Lisa Ferguson, MA, LCAC, CSAT, CADAC II, CCPS
More information is now available about the trauma endured by partners of sex addicts. Before this new wave of research, disclosures were largely addict focused, timed by the trajectory of addict recovery, and not recognized as connected to the timeline of partner healing. While good therapists focused on the comfort and aftercare of partners during and after disclosures, the preparation and methodology of therapeutic disclosure were largely addict-centered. We now understand that trauma undergone by partners is enormous and demands our focus. The issue of emotional safety is, therefore, paramount for expedited healing (Hermann, 1992-1997). With this in mind, we bring trauma to the forefront not only in our treatment mindset for partners but also in methods of scheduling and rendering therapeutic disclosure (Blankenship & Steffens, 2013). Through trauma informed disclosure, we bring to bear simple techniques that accelerate emotional, spiritual, and physical healing for both partner and addict.
Getting to the Heart of the Matter: Integrating Sandtray and EMDR to Address Sexual Trauma (PHD)
Jennifer Mathis, LPC, PhD Candidate
Integrating sandtray therapy with EMDR can help client’s access deeper levels of trauma that may be blocked when attempting to access through more traditional methods. Utilizing this modality allows the clients to begin to process their trauma in a bottom-up approach. The sandtray helps regulate the nervous system and calm the fight-flight response. This allows the therapist to install more resourcing in prepping for EMDR therapy. For many sexual trauma victims providing additional resourcing can be very effective. Research has shown that EMDR is extremely effective in reducing PTSD symptoms. Through the use of addiction, specific protocol’s EMDR can also be used to address addiction as well as any underlying trauma.
Using a Psychobiological Approach to Couple Therapy® (PACT) to Heal the Wounds of Problematic Sexual Behaviors in Relationship (PDF)
Elaine G. Tuccio, LCSW
Rebuilding trust and repairing bonds are two of the most difficult tasks partners in a loving relationship face in recovery from problematic sexual behaviors. The couple therapist must assist the couple in creating and maintaining an authentic connection, both within themselves and with each other. As part of this process, attachment experiences are essential for the couple to develop the personal and coregulatory capacities for calm, trust, security, and touch. A Psychobiological Approach to Couple Therapy (PACT; Tatkin, 2003, 2012) draws on research in the areas of devel-opmental neuroscience, attachment theory, and arousal regulation. It is a phenomenological approach, with skills and interventions designed to drive partners toward secure functioning (i.e., become grounded in sensitivity, fairness, justice, collaboration, and true mutuality). It addresses psychobiological issues within the partner dyad, and uses the dyad as the agent of change, enabling partners to become experts on each other.
Erotic Countertransference: Afternoon Delight or the Radical Search for Truth? (PDF)
Alexandra Katehakis, MFT, CSAT-S, CST-S AASECT Diplomate
Erotic countertransference was once thought to be a product of unconscious and conscious emotional reactions and fantasies of the therapist in relation to the patient. A more modern understanding of countertransference is that patient and therapist are mutually influenced by one another. Working with issues of sex and sexuality makes the therapist susceptible to inevitable erotic exchanges with the patient. This course will focus on how to manage and use feelings of erotic energy, and what to do in its absence. Through case studies we will parse out the various parts of patient’s selves revealed in therapy, and speculate on the disavowed selves that are sequestered. Finally, we will better understand how all of these aspects mingle in the therapeutic setting and how long-term, sex addiction thera-py is only effective when desire has been stirred and appropriately worked through.
Raising the Bottoms: Intervening on Sex Addiction (PDF)
John Leadem, LCSW, CSAT-S, CMAT, & Shawn Leadem LCSW, CSAT, CMAT
Raising the Bottoms is a unique blend of traditional Johnson Intervention wisdom and a series of task oriented strategies, providing the interventionist with a clear framework for raising the bottoms of the intervention team members, the addict and the treatment process. The pervasive shame found in sex addiction is unparalleled in other addictive disorders. Families fractured by sex addiction often feel obliged to maintain the subterfuge even while burning in the flames of betrayal. This model goes beyond the traditional notion that the main objective is to get the addict into treatment and holds that a successful intervention gets all involved in the treatment needed to match their identified needs. The model addresses the therapeutic needs of the concerned others in a way that greatly reduces the protagonist’s resistance, promoting a shared model of recovery rather than the “addict as the identified patient model” which can be shaming and often backfires.
CBT for the Treatment of Sexual Addiction (PPT Download)
Thaddeus Birchard, DPsych, MSc
This presentation is an introduction to cognitive behavior therapy (CBT) and its application to the treatment of sexual addiction. The session will review interventions that are used in the treatment of sexually compulsive men. Attention will be given to the collection of the data from the presenter’s outcome studies. Comorbid disorders and their treat-ment using CBT protocols will be included, as well as the psychosexual treatment of comorbid sexual dysfunctions. The session will conclude with an explanation of the advantages of a group treatment program.