The Advanced Master Program on the Treatment of Trauma
ROADMAP FOR MODULE FOUR
1
Shame The internalization of shame
can give trauma survivors a
sense of control. Think of your
What are the 2 areas of the brain clients whose shame may
Lanius mentions are involved in function this way and add
the visceral feeling of shame? them to your “My Clients” list.
My Clients:
According to Steele, what are the
4 strategies clients might use to
cope with shame?
According to Bryant-Davis, what
kind of relationship patterns can be
an indicator of shame?
According to Porges, why is learning
about polyvagal theory particularly
helpful to trauma survivors?
Ogden modeled several somatic
indicators of shame. What are they?
How does Sweezy help create ‘distance’
between a client’s self and their inner
critic that holds the shame?
Have you noticed any of
these indicators of shame in
your clients? Add them to
your “My Clients” list.
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ROADMAP FOR MODULE FOUR
2
Self-harm
I know what questions to ask to My Clients:
differentiate between parasuicidal
and suicidal behavior
According to Lanius, what trauma
symptom can be an overlooked
self-harming behavior?
Rather than a safety plan, what is a
What’s the effective “one-two more appropriate alternative to
punch” that self-harming gives helping clients manage dysregulation
the body according to Fisher? according to Dana?
3
According to Fisher, what is the Moral injury
strategy to use with self-harming
clients to make self-harm less What are the 2 risk factors that
appealing? make an individual vulnerable to
moral injury?
Have you updated
your client list with
the strategy you’ll
try using? Think of clients who may be
at risk of moral injury based
on these risk factors. Add
them to your “My Clients” list.
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ROADMAP FOR MODULE FOUR
What is the somatic approach that Have you updated
Ogden introduced to work with your client list with
moral injury? the approach you’ll
try using?
My Clients:
According to Nash, instead of helping
clients reconcile the past we need to
help them:
4
Positive Emotion
I understand how a client’s nervous
system can be protecting them by not
tolerating positive emotion
How do you help a client titrate their
experience of positive emotions to stay
within their window of tolerance?
List some questions to ask to assess
whether a client has difficulty
experiencing positive emotion:
Dana talked about the
importance of ‘savoring’ brief
moments of positive emotion.
Write down one client you
want to try this with on your
“My Clients” list.
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