Description:
Educational Objectives:
*Sessions may be edited for content and to preserve confidentiality*
Outline:
Introduction and Panel Overview
Moderator: Michael Yapko
Cloe Madanes stresses the importance of addressing violence and abuse in therapy.
Freud and the History of Abuse in Therapy
Madanes recounts Freud’s early theory linking child abuse to mental illness, later recanted under social pressure.
Family therapy in the 1950s shifted to focusing on real relationships over internal fantasies.
PTSD vs. Abuse
Madanes distinguishes trauma from disasters (PTSD) versus abuse by loved ones.
Emphasizes confronting betrayal with genuine apology and reparation.
Supports involving both victim and abuser in healing networks when appropriate.
Victimization Data and Impact
Epidemiological data shows high prevalence of neglect and emotional abuse in psychiatric cases.
Revictimization is common and often overlooked.
Advocates for consistent assessment of trauma history in mental health care.
Assessment and Treatment
Trauma often overlaps with substance abuse and depression.
Speaker criticizes rigid 12-step and trauma-only models; urges integrated, respectful, and individualized care.
Challenges in Trauma Work
Speaker questions memory reliability but stresses honoring each person's lived experience.
Warns against “magic bullet” techniques; emphasizes meaningful, relational healing and forgiveness.
Integrating Therapeutic Approaches
Speaker urges combining models: systemic, developmental, and psychoeducational.
Comprehensive care should target symptoms and developmental wounds.
Strong therapeutic alliance is key.
Debate on EMDR
One panelist critiques EMDR, citing lack of sufficient data.
Another defends EMDR’s evidence base and client-centered framework.
Agreement: integration of methods is essential for effective trauma therapy.
Audience Q&A
Topics: symptom reduction, EMDR use with dissociative disorders.
Consensus: need to treat both symptoms and root developmental trauma.
Emphasis on empirically supported, multimodal approaches.
FRANK S. PITTMAN Ill, M.D., is a psychiatrist and family therapist in private practice in Atlanta, Georgia. He is an internationally popular lecturer known for his. witty and incisive workshop presentations. Dr. Pittman has won awards from AFTA and AAMFT. For 16 years he has written the movie column for the Family Therapy Networker.
Cloé Madanes, HDL, LIC, is a world-renowned innovator and teacher of family and strategic therapy and one of the originators of the strategic approach to family therapy. She has authored seven books that are classics in the field: Strategic Family Therapy; Behind the One-Way Mirror; Sex, Love and Violence; The Violence of Men; The Secret Meaning of Money; The Therapist as Humanist, Social Activist and Systemic Thinker; and Relationship Breakthrough. She has presented her work at professional conferences all over the world and has given keynote addresses for The Evolution of Psychotherapy Conference, the American Association of Marriage and Family Therapy; the National Association of Social Workers, The Erickson Foundation, the California Psychological Association and many other national and international conferences. Madanes has won several awards for distinguished contribution to psychology and has counseled outstanding individuals from all walks of life.
Donald Meichenbaum, Ph.D in Clinical Psychology is currently Research Director of Melissa Institute for Violence Prevention, Miami (melissainstitute.org). He is one of the founders of cognitive behavior therapy. He was voted one of the most influential psychotherapists of the 20th century. Latest books include "Roadmap to Resilience" (www.roadmaptoresilience.com) and "Evolution of Cognitive Behavior Therapy: A Personal and Professional Journey."
Francine Shapiro, Ph.D., is the originator and developer of EMDR, which has been so well researched that it is now recommended as an effective treatment for trauma in the Practice Guidelines of the American Psychiatric Association, and those of the Departments of Defense and Veterans Affairs. Dr. Shapiro is a Senior Research Fellow Emeritus at the Mental Research Institute in Palo Alto, California, Executive Director of the EMDR Institute in Watsonville, CA, and founder and President Emeritus of the Trauma Recovery EMDR Humanitarian Assistance Programs, a non-profit organization that coordinates disaster response and low fee trainings worldwide.