Working with Adversity
February 3-4, 2024
Day 1, February 3, 2024
Creativity, Neurobiology, and Healing
Bruce D. Perry, M.D., Ph.D.
Dr. Perry is the Principal of the Neurosequential Network a Professor (Adjunct) in the Departments of Psychiatry and Behavioral Sciences at the Feinberg School of Medicine at Northwestern University in Chicago and the School of Allied Health, College of Science, Health and Engineering, La Trobe University, Melbourne, Victoria Australia.
Over the last thirty years, Dr. Perry has been an active teacher, clinician and researcher in children’s mental health and the neurosciences holding a variety of academic positions. His work on the impact of abuse, neglect and trauma on the developing brain has impacted clinical practice, programs and policy across the world.
Dr. Perry is the author, with Maia Szalavitz, of The Boy Who Was Raised As A Dog, a bestselling book based on his work with maltreated children and Born For Love: Why Empathy is Essential and Endangered. Dr. Perry's most recent book, What Happened to You? Conversations on Trauma, Resilience, and Healing, co-authored with Oprah Winfrey was released in 2021.
Over the last thirty years, Dr. Perry has been an active teacher, clinician and researcher in children’s mental health and the neurosciences holding a variety of academic positions. His work on the impact of abuse, neglect and trauma on the developing brain has impacted clinical practice, programs and policy across the world.
Dr. Perry is the author, with Maia Szalavitz, of The Boy Who Was Raised As A Dog, a bestselling book based on his work with maltreated children and Born For Love: Why Empathy is Essential and Endangered. Dr. Perry's most recent book, What Happened to You? Conversations on Trauma, Resilience, and Healing, co-authored with Oprah Winfrey was released in 2021.
The Body Holds the Healing: Research on Lived Experiences and Restoration via Expressive Arts
This presentation emphasizes the role of lived experiences and how implicit communication via expressive arts facilitates restorative narratives. Most trauma specialists agree that lived experiences—first-person stories from trauma survivors—are key to understanding their reactions and recovery, yet few studies use narrative methods and arts-based research designs to evaluate what individuals are telling us through both implicit [non-verbal] and explicit [verbal] communications. This presentation brings together initial data from a five-year grant on expressive arts therapy with the US Department of Education and expressive and sensory-based approaches in programming within the Department of Defense to highlight the importance of lived experiences in recovery and restoration.
Objectives
Participants will:
1) Be able to define expressive arts therapy as a sensory-based, implicit form of communication;
2) Be able to define how coregulation via expressive approaches contributes to restoration and health;
3) Be able to define the “shift phenomenon” as key to access of multiple senses;
4) Be able to define the terms embodied cognition, synchrony, and attunement;
5) Be able to define where image making fits into a continuum of restorative strategies to address distress and trauma reactions;
Objectives
Participants will:
1) Be able to define expressive arts therapy as a sensory-based, implicit form of communication;
2) Be able to define how coregulation via expressive approaches contributes to restoration and health;
3) Be able to define the “shift phenomenon” as key to access of multiple senses;
4) Be able to define the terms embodied cognition, synchrony, and attunement;
5) Be able to define where image making fits into a continuum of restorative strategies to address distress and trauma reactions;
Cathy Malchiodi, PhD, LPCC, LPAT, ATR-BC, REAT
Art Therapy for Refugees in Humanitarian Settings
Natacha Pirotte, MA
Natacha Pirotte is a certified art therapist from the master's program at HAN University, Nijmegen, Netherlands.
In 2016, she joined the humanitarian mission Red Pencil and started the Belgian office. She now coordinates the association's activities in Europe and in countries such as India, Lebanon and others. She also helped set up the European Federation of Art Therapy (EFAT), of which she was General Secretary for the first two years.
Her clinical experience extends to people seeking international protection, young people at risk of social exclusion and cancer patients. She is also involved in art therapy research. Originally trained as a civil engineer, Natacha Pirotte strives to reconcile scientific and art-therapeutic approaches, drawing on the left-brain and right-brain skills she has developed over the course of her life.
In 2016, she joined the humanitarian mission Red Pencil and started the Belgian office. She now coordinates the association's activities in Europe and in countries such as India, Lebanon and others. She also helped set up the European Federation of Art Therapy (EFAT), of which she was General Secretary for the first two years.
Her clinical experience extends to people seeking international protection, young people at risk of social exclusion and cancer patients. She is also involved in art therapy research. Originally trained as a civil engineer, Natacha Pirotte strives to reconcile scientific and art-therapeutic approaches, drawing on the left-brain and right-brain skills she has developed over the course of her life.
Merging Creative Arts Therapies with Trauma Resolution Modalities
This workshop will present the benefits of merging the creative arts and somatic work with trauma resolution modalities (such as EMDR and the Flash Technique).
Therapists often make the assumption that clients have access to their bodies as a resource in therapy; for example, by inviting them to notice sensations during breathing exercises, or while exploring a distressing event. Without stabilization and distress tolerance skills, many clients with complex trauma have difficulty being mindfully present in their bodies without becoming overwhelmed.
This presentation will focus on practical and effective strategies to help clients build the skills they need to mindfully have an embodied experience in the present moment, which is essential to safely confronting and processing the past. Participants will be introduced to The COME BACK Tool, a set of eight body and arts-based stabilization practices, and will be able to offer some of these practices immediately with clients using the scripts, and even apply them to their own self-care routine.
Objectives:
Participants will:
1. Be able to define the challenges clients with complex trauma face in accessing their bodies as a resource in therapy sessions and the limitations in using traditional approaches without adequate distress tolerance skills and stabilization techniques.
2. Be able to acquire practical skills to implement The COME BACK Tool effectively.
3. Be able to incorporate these self-care practices into their own lives, enhancing their ability to guide clients through mindful embodiment and trauma resolution processes.
Therapists often make the assumption that clients have access to their bodies as a resource in therapy; for example, by inviting them to notice sensations during breathing exercises, or while exploring a distressing event. Without stabilization and distress tolerance skills, many clients with complex trauma have difficulty being mindfully present in their bodies without becoming overwhelmed.
This presentation will focus on practical and effective strategies to help clients build the skills they need to mindfully have an embodied experience in the present moment, which is essential to safely confronting and processing the past. Participants will be introduced to The COME BACK Tool, a set of eight body and arts-based stabilization practices, and will be able to offer some of these practices immediately with clients using the scripts, and even apply them to their own self-care routine.
Objectives:
Participants will:
1. Be able to define the challenges clients with complex trauma face in accessing their bodies as a resource in therapy sessions and the limitations in using traditional approaches without adequate distress tolerance skills and stabilization techniques.
2. Be able to acquire practical skills to implement The COME BACK Tool effectively.
3. Be able to incorporate these self-care practices into their own lives, enhancing their ability to guide clients through mindful embodiment and trauma resolution processes.
Jennifer Marchand, MA, CCC, RCAT
Reclaiming Resilience: Fostering Wholeness in Relationship with Creative Somatic Wisdom
Resilience is inherent in all of us. It holds the landscape of beauty, hope, connection, alignment and the felt sense of being whole. This presentation will examine ways of collaboratively supporting our clients to reclaim their unique sense of embodied resilience while navigating the impacts of past and ongoing trauma due to the impacts of oppression and explore ways of embodying an anti-oppressive lens through somatic inquiry and creative dialogue.
This presentation will explore art and somatic-based practices that integrate supporting clients to cultivate a relationship with the wisdom of the body through creative, mindful practices that support a reclaiming and embodiment of resilience as a way of being and witnessed as an inherent wisdom that can be nurtured, sustained, and celebrated. Jacquie will lean into exploring trauma and resilience from a somatic perspective.
Objectives:
Participants will:
1. Be able to explore collaborative methods to restore clients' embodied resilience amid the effects of trauma and oppression.
2. Be able to integrate the use of engagement in art and somatic practices, nurturing clients' embodiment of resilience.
3. Be able to examine trauma and resilience through a somatic lens.
This presentation will explore art and somatic-based practices that integrate supporting clients to cultivate a relationship with the wisdom of the body through creative, mindful practices that support a reclaiming and embodiment of resilience as a way of being and witnessed as an inherent wisdom that can be nurtured, sustained, and celebrated. Jacquie will lean into exploring trauma and resilience from a somatic perspective.
Objectives:
Participants will:
1. Be able to explore collaborative methods to restore clients' embodied resilience amid the effects of trauma and oppression.
2. Be able to integrate the use of engagement in art and somatic practices, nurturing clients' embodiment of resilience.
3. Be able to examine trauma and resilience through a somatic lens.
Jacquie Compton, MA, RP, RCAT
Creativity and Institutional Suffering
This presentation explores the profound interplay between institutional suffering and the communities entrenched within it, emphasizing their inherent resilience. It delves into the effective management of creative practices as a means to confront and address the pervasive issue of institutional labeling.
Central to this exploration is the role of collective creative spaces, acting both as catalysts and mirrors, revealing the unique styles inherent within these communities.
Within the context of public hospitals and educational environments at the peripheries of Buenos Aires, this abstract sheds light on the transformative journey from perceiving obstacles to embracing opportunities. It underlines the pivotal role of collective creative spaces, particularly art therapy groups, in fostering and showcasing individual styles.
Moreover, it contemplates the involvement of actors, emissaries, and recipients entrenched within institutional systems of health and education, probing the question: Why immerse ourselves within the artistic climate as a means of engagement and transformation within these institutional frameworks?
Objectives:
Participants will:
1. Be able to analyze and articulate the intricate dynamics between institutional suffering and the resilience inherent within affected communities
2. Be able to explore and apply effective strategies for utilizing creative practices as tools to address and confront institutional labeling.
3. Be able to assess the significance and effectiveness of collective creative spaces, particularly art therapy groups, in fostering and showcasing individual styles within marginalized institutional settings.
Central to this exploration is the role of collective creative spaces, acting both as catalysts and mirrors, revealing the unique styles inherent within these communities.
Within the context of public hospitals and educational environments at the peripheries of Buenos Aires, this abstract sheds light on the transformative journey from perceiving obstacles to embracing opportunities. It underlines the pivotal role of collective creative spaces, particularly art therapy groups, in fostering and showcasing individual styles.
Moreover, it contemplates the involvement of actors, emissaries, and recipients entrenched within institutional systems of health and education, probing the question: Why immerse ourselves within the artistic climate as a means of engagement and transformation within these institutional frameworks?
Objectives:
Participants will:
1. Be able to analyze and articulate the intricate dynamics between institutional suffering and the resilience inherent within affected communities
2. Be able to explore and apply effective strategies for utilizing creative practices as tools to address and confront institutional labeling.
3. Be able to assess the significance and effectiveness of collective creative spaces, particularly art therapy groups, in fostering and showcasing individual styles within marginalized institutional settings.
Elsa Scanio, MA
COMPASSION CARE: Embracing Creative &
Culturally Sensitive Connections in Wartime. An Exploration of the Use of Artful Connection in the Midst of Conflict and Trauma
On February 24, 2022, Russia started a full-scale invasion of Ukraine. Thousands of people have been killed, lost their homes, and were forced to flee their country and leave their lives behind. Currently, there are over eight million ‘officially registered’ Ukrainian refugees across Europe, and over six million internally displaced families across the entire country of Ukraine.
First Aid of The Soul (FAS), a 501c(3) nonprofit, launched in March 2022, was formed in response to this war with the mission of providing accessible mental health support services to Ukrainians affected by the war. A global collective of clinical experts from the expressive and creative arts fields was mobilized to offer trauma-informed mental health and psychosocial support services to Ukrainians through multifaceted, holistic, and creative approaches.
This panel presentation will explore the work of First Aid of the Soul and the framework that the core clinical team has been developing since the onset of the war. Through discussing the challenges and obstacles faced in offering our services, cultural nuances, complex past, and how FAS has been implementing creative interventions within this work to build a sense of belonging, empowerment, dignity, and compassion. The panel will also address the importance of what it means to hold culturally sensitive space, beyond language barriers, that is trauma-informed and meets the immediate needs of those we aim to serve.
This presentation describes how FAS has structured its response to the suffering of the nation Ukraine, and specifically what they have done to come alongside colleagues as they have faced the adversity of the war. The FAS team outlines specifically how they have fostered growth and offered psychological respite through trauma-informed care and artful connections and interventions. The aim is that their mission and story will offer tools and techniques for implementing first aid support in times of ongoing crisis –virtually, creatively, and with a culturally and trauma-informed lens.
Learning Objectives:
The participants will be able to:
1. explore trauma-informed care necessary in war teritories and how to navigate that care when people are in crisis.
2. gain insight in facilitating an effective virtual support group,
developing a supportive and trusted community.
3. explore how to organize an effective response to treat and
support colleagues facing daily global crises.
4. explore the various avenues in which support is needed and interventions that are effective when colleagues face trauma on a national/global level.
5. analyze specific creative interventions that have been effective and culturally attuned to colleagues in a warzone and will experience a collective grounding activity
First Aid of The Soul (FAS), a 501c(3) nonprofit, launched in March 2022, was formed in response to this war with the mission of providing accessible mental health support services to Ukrainians affected by the war. A global collective of clinical experts from the expressive and creative arts fields was mobilized to offer trauma-informed mental health and psychosocial support services to Ukrainians through multifaceted, holistic, and creative approaches.
This panel presentation will explore the work of First Aid of the Soul and the framework that the core clinical team has been developing since the onset of the war. Through discussing the challenges and obstacles faced in offering our services, cultural nuances, complex past, and how FAS has been implementing creative interventions within this work to build a sense of belonging, empowerment, dignity, and compassion. The panel will also address the importance of what it means to hold culturally sensitive space, beyond language barriers, that is trauma-informed and meets the immediate needs of those we aim to serve.
This presentation describes how FAS has structured its response to the suffering of the nation Ukraine, and specifically what they have done to come alongside colleagues as they have faced the adversity of the war. The FAS team outlines specifically how they have fostered growth and offered psychological respite through trauma-informed care and artful connections and interventions. The aim is that their mission and story will offer tools and techniques for implementing first aid support in times of ongoing crisis –virtually, creatively, and with a culturally and trauma-informed lens.
Learning Objectives:
The participants will be able to:
1. explore trauma-informed care necessary in war teritories and how to navigate that care when people are in crisis.
2. gain insight in facilitating an effective virtual support group,
developing a supportive and trusted community.
3. explore how to organize an effective response to treat and
support colleagues facing daily global crises.
4. explore the various avenues in which support is needed and interventions that are effective when colleagues face trauma on a national/global level.
5. analyze specific creative interventions that have been effective and culturally attuned to colleagues in a warzone and will experience a collective grounding activity
Wendy Bradley, MS, ATR-BC, CLAT
Mary Jeppsen, PhD, LPC, LMFT
Anna Kegeles, MA, ATR-P
Nathalie Robelot-Timtchenko, MA-ET, LMHCA
Anastasia Titova, LPCC, MA-ET
Day 2, February 4, 2024
The Restoration of the Self: Navigating Trauma Through Art and Mind-Body Healing
Ruth A. Lanius, M.D., Ph.D.
Emotional Inheritance and How Can We Creatively Break It
This presentation delves into Emotional Inheritance, revealing how intergenerational silenced experiences shape lives. It explores trauma layers across generations—grandparents', parents', and personal trauma—manifesting as dissonance between aspirations and realities, impacting mental and physical health. Neuroscience advancements validate these observations, spotlighting epigenetics' role in modifying gene expression in trauma survivors' descendants. Relationships amid intergenerational trauma are examined, uncovering an unconscious drive for healing within intimate connections. Reparation emerges as a powerful, creative impulse, aiming to mend familial wounds and foster hope. However, it distinguishes between productive reparation, fostering healing, and manic reparation —a cyclical, unattainable pursuit. This presentation navigates the impact of emotional inheritance on healing, emphasizing the complexities of intergenerational trauma and the transformative potential within intimate connections.
Objectives:
Participants will:
1. Be able to analyze and explain the interconnectedness of emotional inheritance, recognizing how silenced experiences across generations impact individuals' mental and physical health.
2 Be able to explore the the transmission of trauma across three generations.
3. Be able to differentiate between productive and manic forms of reparation within familial and intimate relationships amidst intergenerational trauma.
Objectives:
Participants will:
1. Be able to analyze and explain the interconnectedness of emotional inheritance, recognizing how silenced experiences across generations impact individuals' mental and physical health.
2 Be able to explore the the transmission of trauma across three generations.
3. Be able to differentiate between productive and manic forms of reparation within familial and intimate relationships amidst intergenerational trauma.
Galit Atlas, Ph.D.
Trauma Treatment and Art Therapy (TT-AT). A Protocol for Brief Trauma Treatment
This presentation addresses the critical gap in mental health resources, particularly in countries with limited access to long-term therapy and mental health professionals. It introduces the Trauma Treatment protocol (TT-AT), an approach developed by Paola Luzzatto using the International Society for Traumatic Stress Studies (ISTSS) six patient’s symptoms and needs. Unlike traditional methods focusing on trauma exposure, TT-AT prioritizes addressing these six specific needs, as underlined by ISTSS.
The protocol's implementation spans continents currently, reaching Africa and Europe. A case study featuring two patients exemplifies the effectiveness of TT-AT, showcasing its applicability to both PTSD and Complex PTSD symptoms.
Concluding, the abstract highlights ongoing advancements and the imperative for further research on the protocol's efficacy. It emphasizes the necessity of continued investigation and development to optimize trauma treatment strategies, particularly in regions facing resource constraints in mental health care.
Objectives:
At the end of the presentation, the participants will:
1. Be able to synthesize the core principles of the Trauma Treatment protocol (TT-AT) and recognize its application in resource-constrained mental health settings.
2. Be able to analyze the six steps of the protocol and their individual focus through presented case studies.
3. Be able to explore the current implementation of TT-AT in Africa, examining the challenges and successes of applying this protocol in regions lacking mental health resources.
The protocol's implementation spans continents currently, reaching Africa and Europe. A case study featuring two patients exemplifies the effectiveness of TT-AT, showcasing its applicability to both PTSD and Complex PTSD symptoms.
Concluding, the abstract highlights ongoing advancements and the imperative for further research on the protocol's efficacy. It emphasizes the necessity of continued investigation and development to optimize trauma treatment strategies, particularly in regions facing resource constraints in mental health care.
Objectives:
At the end of the presentation, the participants will:
1. Be able to synthesize the core principles of the Trauma Treatment protocol (TT-AT) and recognize its application in resource-constrained mental health settings.
2. Be able to analyze the six steps of the protocol and their individual focus through presented case studies.
3. Be able to explore the current implementation of TT-AT in Africa, examining the challenges and successes of applying this protocol in regions lacking mental health resources.
Paola Luzzatto, Ph.D.
Working with Adversity: Art Therapy Intervention for Parent-Child Dyad
Lucille Proulx, MA, ATR, RCAT, ATPQ
From Cradling to Thriving: Art Therapy in Times of Adversity, and the Subtle Role of Neuroaesthetics
Maria Regina (Gina) A. Alfonso, Ph.D., MSEd, ATR-BC, LCPAT
Pioneering Art Therapy in India: A Resilient Work with Adversity
Oihika reflects on her pioneering journey introducing art therapy in India, a realm where it previously didn't exist. Her experience navigating adversity embodies the broader migration of art therapy to a new cultural landscape. Delving into the ethical dimensions of pioneering, she presents highlights and challenges along the road, culminating with a creative video from her doctoral program, encapsulating the ethical dilemmas inherent in such groundbreaking work. This introspective journey offers insights into the challenges and triumphs faced while spearheading an innovative approach merging Western theories learned in the art therapy program, within the Indian cultural context. The discussion culminates with the contemplation of ethical considerations, providing a fitting conclusion to the interview, encapsulating the complexities and ethical nuances of pioneering art therapy in an uncharted territory like India.
Objectives:
At the end of the presentation, the participants will:
1. Be able to identify the challenges and complexities faced when introducing art therapy to a cultural context where it was previously non-existent, comprehending the broader implications of pioneering work within a new cultural framework.
2. Be able to analyze and evaluate the ethical dilemmas inherent in pioneering endeavors, particularly within the realm of introducing innovative therapeutic practices like art therapy to a new cultural landscape
3. Be able to derive lessons and strategies from Oihika's journey in pioneering art therapy in India, enabling them to conceptualize potential challenges and devise ethical approaches when introducing novel therapeutic practices or initiatives within diverse cultural contexts.
Objectives:
At the end of the presentation, the participants will:
1. Be able to identify the challenges and complexities faced when introducing art therapy to a cultural context where it was previously non-existent, comprehending the broader implications of pioneering work within a new cultural framework.
2. Be able to analyze and evaluate the ethical dilemmas inherent in pioneering endeavors, particularly within the realm of introducing innovative therapeutic practices like art therapy to a new cultural landscape
3. Be able to derive lessons and strategies from Oihika's journey in pioneering art therapy in India, enabling them to conceptualize potential challenges and devise ethical approaches when introducing novel therapeutic practices or initiatives within diverse cultural contexts.