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• Archive: Shame has an insidious impact on our traumatized clients’ ability to find relief and perspective even with good treatment.
• Feelings of worthlessness and inadequacy interfere with taking in positive experiences, leaving only hopelessness.
• This 60-minute recording was webcast live from the office of Dr. Janina Fisher and introduces shame from a neurobiological perspective—as a survival strategy driving somatic responses of automatic obedience and total submission.Learn to help clients relate to their symptoms with curiosity rather than automatic acceptance, discriminate the cognitive, emotional, and physiological components of shame, and to integrate somatic as well as traditional psychodynamic and cognitive-behavioral techniques to transform shame-related stuckness.Discriminate the clinical implications of physiological and cognitive contributors to shame.Describe cognitive-behavioral, ego state, and psychoeducational interventions to address shame in clinical practice.The Neurobiology of ShameThe role of shame in traumatic experienceShame as an animal defense survival responseEffects of shame on autonomic arousalShame’s Evolutionary PurposeShame and the attachment systemRupture and repair in attachment formationMaking Meaning of ShameFeelings of disgust, degradation, and humiliation are interpreted as “who I am”Cognition and the bodyInternal working models predict the future and determine our actionsWorking from the “Bottom Up”The role of procedural learning and memoryPhysiological effects of mindful dual awarenessUsing mindfulness-based techniques to inhibit self-judgmentA New Relationship to the Shame: Acceptance and CompassionRe-contextualizing shame as a younger self or partBringing our adult capacity to our childhood vulnerabilityHealing shame through compassionate acceptanceThe Social Engagement System and the Healing of ShameSocial engagement and the ventral vagal system (Porges)The incompatibility of shame and social engagementThe therapist’s own social engagement system as a healing agent