As most people who work in the addiction field already know, chronic addiction and relapse is more than just a behavioral issue. Understanding the effects of unresolved pain/trauma and dissociation is critical in breaking these cycles of self-destructive patterns seen in substance use disorder, process addictions, addiction substitution and related mental health symptoms. In this workshop, Mrs. Caldwell Engle will review her Integrated Addiction Model, a "function" driven model. She will compare and contrast the fundamental differences between this approach to that of behavioral approaches. She will identify the underlying "dissociative root" seen in most, if not all, addictive patterns, mental health diagnoses and many physical symptoms/diagnoses. This dissociative root is the result of the physiological "fight or flight" response which is often inadvertently trigger by clients who do not have emotional regulation skills and/or significant amounts of unresolved trauma. These unhealthy patterns serve to minimize emotional pain by creating a dissociation or disconnect between mind and body, thus reducing the overall integrated experience. Over time, clients actually become "addicted" to this dissociative phenomenon as a means of regulating their emotional pain.
To further illustrate this dynamic, as well as provide specific treatment techniques, Mrs. Caldwell Engle will review her "Spectrum of Emotions". This concise and easy to follow diagram will discriminate between healthy and unhealthy emotional expression. It will also address the most common corresponding addictions, psychiatric diagnoses and medical diagnoses often seen in the comorbid client. This diagram is also useful for teaching clients about emotional regulation and guiding therapy objectives. Many different emotional responses will be described within this framework along with cognitive and experiential strategies for helping clients learn how to self regulate and manage their feelings from an integrated space. Research findings, clinical examples, case vignettes, and photos of client art work will be shared.
Identify the core differences between a function driven model and a behavior driven model.
Recognize the underlying dissociative root seen in all addictive patterns
Differentiate integrated emotional responding from dissociated emotional reacting
Differentiate patterns of emotional under-responding and over-responding and their corresponding effects on addictive, psychiatric, and medical symptoms and diagnoses
Name various experiential techniques that create integrated experiences and healthy emotional resolution