Psychologist Sheppard Pratt Health System Pikesville, MD
Disclosure: I do not have any relevant financial / non-financial relationships with any proprietary interests.
One of the biggest factors to successful treatment of children with disruptive behaviors and intense emotions is how to overcome resistance to treatment. Resistance is natural when change is required. Yet, underlying resistance is a fear of change and of the unknown that accompanies change. In particular, treating traumatized and dissociative children is an even more delicate and challenging process given the unique dynamics related to the child’s heightened sense of fear, the child’s often chaotic internal system and stress on the family environment. Therefore, a critical goal for the therapist is to be a master of overcoming resistance with children and their parents because that is often a primary cause for treatment failure
This workshop will examine five main factors that can influence resistance in treatment of dissociative children and adolescents: how safe the child feels in therapeutic relationship, how safe the child’s internal system feels toward one another and toward the therapist; how safe the child feels in his/her own environment, and contingent upon that is how open or resistant the parents are to receiving treatment for their own histories of trauma that interfere in the child’s safety, and finally, how the therapist manages countertransferences to resistance. These obstacles can be narrowed down to emphasizing the goal of healing that can help to mitigate resistances. Many effective interventions and creative solutions will be described throughout the therapeutic process with case examples that will help to overcome the different levels of resistance and emphasize the goal of healing at criticial junctures. Artwork and clinical videotapes will illustrate these points.
Describe the dynamics involved in resistance to treatment with dissociative children
Explain strategies to help mediate child’s resistance
Discuss how to manage therapeutic countertransference to child or parent’s resistance to dissociative treatment