Latest / The Trauma Therapist / From the archives: Christine A. Courtois, PhD, ABPP
Transcript
- 0:00Speaker 1: Today we even another episode from the archives with one
- 0:03Speaker 1: of my incredible guests. Enjoy Welcome to the Trauma Therpists podcast,
- 0:11Speaker 1: a show about the incredible people dedicated to helping those
- 0:15Speaker 1: of experienced trauma. My name is gy McPherson, and my
- 0:17Speaker 1: mission is to raise awareness of trauma and to inspire
- 0:21Speaker 1: each of us to help those around us.
- 0:25Speaker 2: All right, Welcome to the Trauma Therapist Podcast. My name
- 0:28Speaker 2: is Gay McPherson, and this is the podcast where we
- 0:31Speaker 2: interview master trauma therapists from all of the world to
- 0:34Speaker 2: learn about what inspires them and the steps they've taken
- 0:37Speaker 2: to become.
- 0:38Speaker 3: Masters in their field.
- 0:39Speaker 2: If you're a trauma therapist, if you're interested in trauma therapy,
- 0:43Speaker 2: or if you're simply passionate about helping other people, this
- 0:46Speaker 2: is it today. I am so excited to introduce my guest,
- 0:49Speaker 2: Doctor Chris Courtois.
- 0:51Speaker 3: Chris, are you ready to go?
- 0:53Speaker 4: I am all right.
- 0:54Speaker 1: So.
- 0:54Speaker 2: Doctor Courtois specializes in the treatment of trauma, particularly for
- 0:58Speaker 2: adults experiencing the effects of childhood incests and other forms
- 1:02Speaker 2: of sexual, physical, and emotional abuse. She's worked with these
- 1:06Speaker 2: issues for thirty years and has developed treatment approaches for
- 1:09Speaker 2: complex post traumatic and associative conditions, for which she's received
- 1:13Speaker 2: international recognition. Her new book is Spiritually Oriented Psychotherapy for Trauma,
- 1:18Speaker 2: edited along with Donald Walker and Jamie Atton, is available
- 1:22Speaker 2: now at Amazon dot com, and she has an additional
- 1:25Speaker 2: book which we'll talk about shortly. Chris, I've told her
- 1:29Speaker 2: listeners just a little bit about you take a moment,
- 1:33Speaker 2: let us know something personal about yourself, and then we
- 1:36Speaker 2: will dive in.
- 1:38Speaker 4: Okay, something personal as I originally come from the state
- 1:42Speaker 4: of Rhode Island. I was raised there, and so my
- 1:45Speaker 4: accent sometimes gets muddied and people think that I come
- 1:50Speaker 4: from New York, Okay, but I live in Washington, d C.
- 1:56Speaker 4: I've been in private practice for better than thirty five
- 1:59Speaker 4: years now, specializing and working with adult survivors. I've also
- 2:04Speaker 4: run an inpatient unit for adult survivors for sixteen years,
- 2:09Speaker 4: and currently I'm a clinical consultant, National Clinical Trauma consultant
- 2:15Speaker 4: to Elements Behavioral Health Health, which is a relatively new
- 2:20Speaker 4: health organization and where putting trauma informed care into addiction
- 2:25Speaker 4: services for that for the whole organization.
- 2:29Speaker 2: Great okay, so great introduction there. So this podcast is
- 2:34Speaker 2: about getting to know you seasoned clinicians with goal of
- 2:37Speaker 2: inspiring other therapists. In order to do that, we first
- 2:41Speaker 2: start out really with, you know, hearing what's inspired you,
- 2:45Speaker 2: what's kind of influenced you along this path. Share with us, Chris,
- 2:50Speaker 2: if you will, a mantra, a quote, whatever it is
- 2:54Speaker 2: that's guided you on this journey.
- 2:58Speaker 4: I have many that I can offer you, but one
- 3:02Speaker 4: that I live by is first, do no more harm.
- 3:06Speaker 4: I think that we really have to recognize as we
- 3:09Speaker 4: do this work that we are dealing with individuals, and
- 3:12Speaker 4: especially with interpersonal violence, that we're dealing with individuals who
- 3:17Speaker 4: have been profoundly injured by other people. And so it
- 3:21Speaker 4: is a very sacred obligation to us to do the
- 3:25Speaker 4: work responsibly and ethically so that we are not causing
- 3:30Speaker 4: additional harm to people who have already been injured. Which
- 3:36Speaker 4: isn't to say that we're not going to make mistakes
- 3:38Speaker 4: as therapist. I'm glad you're asking about those kinds of questions,
- 3:41Speaker 4: but it does mean that we really need to be
- 3:44Speaker 4: mindful of the population that we're serving and not adding
- 3:50Speaker 4: more to their burden. And consumers have told us. Consumer
- 3:55Speaker 4: clients have told us that they've been hurt by mental
- 3:57Speaker 4: health professionals. And that's one of the things that inspires me,
- 4:02Speaker 4: is in training professionals is to help that that doesn't
- 4:07Speaker 4: happen again.
- 4:10Speaker 3: So first, do no more harm?
- 4:12Speaker 2: All right, break that down for a little for us, Chris,
- 4:15Speaker 2: When did that first, you know, become resonant for you?
- 4:19Speaker 3: Tell us a story, Take us down to a ground
- 4:22Speaker 3: level for us.
- 4:23Speaker 4: Why that quote, Well, because I had been hearing since
- 4:27Speaker 4: the start of my career and even before I started
- 4:30Speaker 4: seeing these clients clinically. My dissertation was an interview study
- 4:36Speaker 4: of adult survivors of ancestuous abuse, and many of them
- 4:41Speaker 4: told stories of being mistreated by individuals in the mental
- 4:47Speaker 4: health profession or the medical profession who were unaware of
- 4:52Speaker 4: the role of psychological trauma. And unawareness is one thing,
- 4:56Speaker 4: but there are also practitioners out there who really don't
- 5:01Speaker 4: like this population or have stigmatized them. Many of them
- 5:06Speaker 4: have often have been labeled as borderline or even bad
- 5:10Speaker 4: borderline clients, which is an indication that there's something wrong
- 5:14Speaker 4: with them and they can't heal, and so it's really
- 5:17Speaker 4: added to the burden. And we know that healing is possible,
- 5:22Speaker 4: and there are approaches that are now called trauma informed
- 5:26Speaker 4: care approaches to the population that really offers them respect
- 5:30Speaker 4: and understanding and information about their condition rather than you know,
- 5:36Speaker 4: really stigmatizing them or putting an additional burden on them.
- 5:41Speaker 2: All Right, So that's that's exactly what we need to hear,
- 5:45Speaker 2: just to get more specific about you know what's kind
- 5:47Speaker 2: of informing you again.
- 5:49Speaker 3: This podcast is about.
- 5:51Speaker 2: Highlighting your journey to become a master trauma therapist. You know,
- 5:54Speaker 2: people enter into this field for a variety of reasons.
- 5:57Speaker 2: You know, you just mentioned why or an instance of
- 6:00Speaker 2: some clinicians not wanting to get into this field for
- 6:03Speaker 2: a variety of reasons. Myself, you know, I had a
- 6:06Speaker 2: lot to do with my brother coming back from the
- 6:08Speaker 2: Special Forces with PTSD and me not knowing what to
- 6:13Speaker 2: do but really kind of screwing it up. Tell us
- 6:17Speaker 2: the story, Chris, break it down for us. What got
- 6:21Speaker 2: you into this field of.
- 6:25Speaker 3: Trauma.
- 6:27Speaker 4: Well, it's a pretty interesting story. I got involved. I
- 6:32Speaker 4: went to the University of Maryland for my graduate training
- 6:36Speaker 4: and at the time, I was training to be a
- 6:39Speaker 4: college administrator, and I was putting myself through college through
- 6:44Speaker 4: the graduate school by working as a dorm director and
- 6:48Speaker 4: unfortunate series of incidents happened while I was a dorm
- 6:51Speaker 4: director that were extremely traumatic and traumatized me and everybody
- 6:56Speaker 4: who was around, but actually gave me my start. So
- 7:00Speaker 4: I like to say that I get into this field
- 7:02Speaker 4: by backing into it. But the events that happened on
- 7:05Speaker 4: campus where there are a series of kidnapping gang rapes
- 7:10Speaker 4: the year that I took over the dormitory and one
- 7:13Speaker 4: of my staff members was unfortunately one of the victims
- 7:17Speaker 4: of that traumatization, and there was very little information available
- 7:23Speaker 4: on how to help rape victims at the time, but
- 7:27Speaker 4: the movement was taking off and the DC Rape Crisis
- 7:32Speaker 4: Center was founded that very year. A number of us
- 7:36Speaker 4: at the university were outraged by what had happened to
- 7:39Speaker 4: a number of women, and we developed to we just
- 7:43Speaker 4: decided to develop a rape crisis center on campus, and
- 7:47Speaker 4: actually I believe it's the first campus rape crisis center
- 7:50Speaker 4: in the country. And while we're working that hutline, we
- 7:54Speaker 4: started to get calls from women who were not being
- 7:58Speaker 4: raped as a else, but were being assaulted and raped
- 8:02Speaker 4: in their homes, and that all of these events sort
- 8:08Speaker 4: of reoriented my career leanings. I found out that I
- 8:12Speaker 4: was a good listener that I had a lot of empathy.
- 8:15Speaker 4: I got a lot of good feedback, and so I
- 8:18Speaker 4: changed my major from administration to counseling in counseling psychology.
- 8:24Speaker 4: And when it came time to do my dissertation, Lenora Walker,
- 8:29Speaker 4: who had just finished her pioneering study of battered women,
- 8:35Speaker 4: was actually on campus for a meeting and I was
- 8:37Speaker 4: talking to her and I said, I was casting around
- 8:41Speaker 4: for a dissipation topic, and she said, well, one of
- 8:44Speaker 4: you study these women who are calling. But I couldn't
- 8:47Speaker 4: study adolescents at the time. But what I did was
- 8:51Speaker 4: decide to do an open call for women who had
- 8:55Speaker 4: had incest experience who would be willing to talk to
- 8:58Speaker 4: me about it. Now, this was really radical in those days, obviously,
- 9:02Speaker 4: and these were their very early days. And my committee
- 9:08Speaker 4: at the University of Maryland, I was so fortunate because
- 9:11Speaker 4: they decided to let me do this dissertation, which was
- 9:15Speaker 4: a qualitative study, an interview study, and they set some
- 9:19Speaker 4: parameters around it, which is that every question I asked
- 9:23Speaker 4: I had to tie into the literature, and so it
- 9:27Speaker 4: made me search very widely through the incests literature, and
- 9:32Speaker 4: surprisingly there was one I never would have expected that,
- 9:36Speaker 4: but there was part of luminous literature, and it was
- 9:40Speaker 4: mostly in social work and psychiatry and child welfare and
- 9:44Speaker 4: not in psychology. So I ended up interviewing thirty women.
- 9:51Speaker 4: I ended up later or repeating the survey and had
- 9:55Speaker 4: some male victims as well, and that really set the
- 9:59Speaker 4: course for my interest in this population. There was a
- 10:04Speaker 4: lot of attention at the time being paid to children
- 10:07Speaker 4: and children who were being abused in whatever way in
- 10:12Speaker 4: the family, but there was less attention being paid to
- 10:14Speaker 4: adults who had already gone through the experience, and that
- 10:17Speaker 4: became my area of expertise in nineteen In the mid eighties,
- 10:26Speaker 4: I felt that somehow I had a book in me
- 10:30Speaker 4: about this topic, and I approached publishers. I again got
- 10:34Speaker 4: lucky and Norton. An editor at Norton, Susan Monroe, took
- 10:41Speaker 4: me on as a our brand new writer. She had
- 10:45Speaker 4: no reason to suspect that I could write and took
- 10:49Speaker 4: me on. And it took me a number of years,
- 10:52Speaker 4: but I ended up writing the book Healing the Incests Wound.
- 10:55Speaker 4: It got published in nineteen eighty eight and it turned
- 10:58Speaker 4: out to be a three good page tone and I
- 11:03Speaker 4: was still in graduate student mindset, and I never expected
- 11:07Speaker 4: that anybody would read my book, much less that it
- 11:10Speaker 4: would become well received and you know, sort of a
- 11:14Speaker 4: classic in the field. So this is a long story,
- 11:17Speaker 4: but this is how I this is how I get
- 11:18Speaker 4: into the field.
- 11:19Speaker 2: No, it's it's a it's actually a great story, and
- 11:22Speaker 2: it's exactly what we're kind of looking for here.
- 11:25Speaker 3: I mean, I think that's just amazing.
- 11:27Speaker 2: How you know, you talked about starting off with the
- 11:29Speaker 2: University of Maryland thinking hoping you're going to be getting
- 11:33Speaker 2: into college administration, and then you're profoundly impacted by these events,
- 11:41Speaker 2: I mean just these serious, kind of horrific events, you know,
- 11:43Speaker 2: let's call them what they are, and specifically one which
- 11:47Speaker 2: affected one of your your staff members, and you said
- 11:50Speaker 2: that you were outraged over what.
- 11:52Speaker 3: Happened, and was that.
- 11:56Speaker 2: Was was that kind of the full crumb on which
- 11:58Speaker 2: everything shifted for you, this outr age or you know,
- 12:04Speaker 2: I find it interesting that you know, we start something,
- 12:08Speaker 2: we started journey and something shifts and causes us to
- 12:12Speaker 2: shift gears a little. You talked about being a good
- 12:15Speaker 2: listener and finding out that you were really a good
- 12:17Speaker 2: fit for this field. Was where what was that point
- 12:21Speaker 2: that that that switched for you internally.
- 12:24Speaker 3: Do you think it was that point.
- 12:28Speaker 4: Of outrage and really and really learning how commonplace rape
- 12:33Speaker 4: and other forms of sexual assault were, and and even
- 12:36Speaker 4: being being even more outraged by ancestorous abuse because not
- 12:40Speaker 4: only it's an assault, but it's an assault by by
- 12:44Speaker 4: someone related to the victim, and it's a lot more complicated.
- 12:48Speaker 4: I mean, I certainly have learned a lot more since then,
- 12:52Speaker 4: but in the early years, we were, you know, we
- 12:56Speaker 4: did not have a good basis of understanding it, and
- 12:59Speaker 4: so we're talking about stranger rape and then all of
- 13:02Speaker 4: a sudden, we're talking about rape by family members. You know,
- 13:05Speaker 4: it was exponentially that more outrageous or that much more
- 13:11Speaker 4: you know, disturbing. And then you know, if you don't
- 13:15Speaker 4: even go that far, if you look at the statistics
- 13:17Speaker 4: of rape on campus that started even back then, there's
- 13:21Speaker 4: a one in five chance for a woman to be
- 13:24Speaker 4: raped during her college career. And that is just an
- 13:29Speaker 4: astounding statistic. And you know, with all the attention that's
- 13:32Speaker 4: being placed at a rape on campus these days, that
- 13:37Speaker 4: statistic has not changed in forty years. It's really remarkable,
- 13:42Speaker 4: with all our efforts, and that makes me outraged as well.
- 13:46Speaker 2: It is it is, you know, and and that word
- 13:49Speaker 2: out outrageous in a sense is really one of the
- 13:53Speaker 2: impetuses for this podcast.
- 13:56Speaker 3: You know, one of my roles is working in a clinic.
- 13:58Speaker 2: We see a lot of kids with the early psycho
- 14:00Speaker 2: and we get these calls day after day after day,
- 14:04Speaker 2: and you know, not surprisingly, most of these kids have
- 14:07Speaker 2: have been abused and there's trauma and what is going on.
- 14:12Speaker 2: You know, that really was the emotion behind behind doing this.
- 14:16Speaker 2: But you know, I really appreciate you kind of elaborating
- 14:20Speaker 2: on that. So, you know, we talked a little bit
- 14:23Speaker 2: about your journey Chris, what led you into the field.
- 14:26Speaker 2: Now let's focus on you know, an early clinical error
- 14:29Speaker 2: share with us. Uh, you know, a mi quote unquote
- 14:33Speaker 2: a mistake and error that happened for you and really
- 14:37Speaker 2: maybe what you learn from that, how.
- 14:38Speaker 3: That influenced you. Excuse me, okay, you.
- 14:42Speaker 4: Know, I think it's a kind of error that influences
- 14:45Speaker 4: are all novice therapists and can be even more so
- 14:51Speaker 4: for novice therapists dealing with trauma, and that is over
- 14:56Speaker 4: involvement and rescuing and also getting too close too fast
- 15:03Speaker 4: trying to help, you know, by trying to fix it.
- 15:07Speaker 4: And I think my major clinical error back then was
- 15:14Speaker 4: in working with someone who was very highly traumatized it
- 15:18Speaker 4: both in the past but had a lot of present
- 15:20Speaker 4: day problems going on, and opening everything all at once
- 15:25Speaker 4: and going along with her desire to treat the incest
- 15:29Speaker 4: while the other things were going on, and it was
- 15:32Speaker 4: way too much, and I was way too involved in
- 15:36Speaker 4: her life, and I didn't have major boundary violations, but
- 15:41Speaker 4: there was way too much contact and you know, not
- 15:46Speaker 4: enough attention put on self regulation and slowing down and sequencing.
- 15:52Speaker 4: The word sequencing is not in my first book, and
- 15:55Speaker 4: it was only in nineteen ninety two when Judy Herman
- 15:58Speaker 4: published her book Trauma Recovery, and several of us have
- 16:02Speaker 4: finally gotten it by then that we realized that the
- 16:05Speaker 4: work has to be really very mindfully paced, and that
- 16:12Speaker 4: you know, you can't do it all at once, and
- 16:14Speaker 4: if there are other traumas or other life stresses going on,
- 16:17Speaker 4: that those kinds of issues probably need to be addressed
- 16:20Speaker 4: first before we do anything else.
- 16:23Speaker 2: So you mentioned over involvement and rescuing and kind of
- 16:26Speaker 2: going too fast. So with this one particular client that
- 16:30Speaker 2: you mentioned, was it that you. You just started, you know,
- 16:35Speaker 2: seeing this individual and things just took off for a session,
- 16:38Speaker 2: second session, and.
- 16:41Speaker 3: You just got caught up, like you said.
- 16:43Speaker 4: Yes, yeah, she was. She was in such bad shape
- 16:48Speaker 4: early on, and really I didn't have the clinical experience
- 16:51Speaker 4: at that time, but I started seeing her three times
- 16:54Speaker 4: a week to support her. And then there were multiple
- 16:57Speaker 4: phone calls in addition to three times a week since
- 17:01Speaker 4: she was dealing with you know, current events as well
- 17:05Speaker 4: as the ancestuous pass and passed and her past was
- 17:08Speaker 4: really complicated severe, it was really overwhelming her. And instead
- 17:13Speaker 4: of slowing it down and really pacing it, and you know,
- 17:16Speaker 4: we just went forward and she ended up and this
- 17:20Speaker 4: may have happened otherwise. She ended up being hospitalized in
- 17:24Speaker 4: a number of times. She actually was the impetus for
- 17:29Speaker 4: our putting together, you know, an inpatient program that specializes
- 17:34Speaker 4: in working with adult survivors. But you know, I think
- 17:38Speaker 4: we could have possibly saved her from some of the
- 17:42Speaker 4: additional pain that she went through. Now I've talked to
- 17:46Speaker 4: her about this and she says, oh, no, it was
- 17:48Speaker 4: right on when we started, and I needed all of
- 17:51Speaker 4: that attention. And I do believe that. But I also
- 17:54Speaker 4: believed that if I were to do it a case
- 17:57Speaker 4: like this again today, I would do it very differently,
- 18:00Speaker 4: and I would pay much more attention to setting foundations
- 18:03Speaker 4: and setting limits on what we were talking about and
- 18:06Speaker 4: merely helping who has stabilize their current life before moving
- 18:09Speaker 4: into working on the ancestuous issues.
- 18:14Speaker 2: And you know, I think you're you're right on the
- 18:17Speaker 2: money when you said that this is uh uh, you know,
- 18:20Speaker 2: an error or a situation that many therapists get into,
- 18:23Speaker 2: and certainly many of the individuals have had on this
- 18:25Speaker 2: podcast have said something you know, very very similar, if
- 18:30Speaker 2: not identical, and it's always interesting to then draw the
- 18:36Speaker 2: kind of distinction between you know, that kind of error
- 18:40Speaker 2: and then the experience that's involved to be able to
- 18:44Speaker 2: manage that same situation right, and to be able to
- 18:48Speaker 2: manage and and to hold the boundaries, to be able
- 18:51Speaker 2: to sequence, to be able to engage with the client,
- 18:56Speaker 2: and and and let them know that there's there, there's
- 19:00Speaker 2: a pace here, and that takes talk to us about
- 19:03Speaker 2: what's involved, uh, what it takes to do that.
- 19:08Speaker 3: You know, you said, if you were going to do
- 19:09Speaker 3: it again, you do it much differently.
- 19:10Speaker 4: Yeah, Well, I talked to clients very directly now about
- 19:14Speaker 4: the sequence treatment model and why it's so useful, and
- 19:19Speaker 4: what we're wanting to do, and and actually why we
- 19:22Speaker 4: want to lay a base foundation, especially uh of the
- 19:28Speaker 4: ability to handle their emotions and emotional regulation and not
- 19:33Speaker 4: having you know, a variety of crises or current stresses
- 19:38Speaker 4: going on at the same time as they're doing work
- 19:40Speaker 4: that's going to be daunting. I talked to them about
- 19:44Speaker 4: very deliberately wanting to maintain their functioning, and so we
- 19:48Speaker 4: do it in a you know, approach avoid kind of way.
- 19:52Speaker 4: Also make clear that I think that PTSD is now
- 19:57Speaker 4: identified as a condition of that involved considerable avoidance, and
- 20:02Speaker 4: that we are going to work against the avoidance, and
- 20:05Speaker 4: that's part of what we're doing, but we're going to
- 20:08Speaker 4: do it in a modulated approach avoid kind of way,
- 20:12Speaker 4: and we're going to try to work it to their
- 20:14Speaker 4: tolerance and work on building their tolerance skills and their
- 20:18Speaker 4: ability to stay self regulated as they handle the material
- 20:23Speaker 4: that comes up. So all of those things are discussed
- 20:26Speaker 4: ahead of time. I also personally have limits and a
- 20:32Speaker 4: lot more boundaries and limitations, and I'm also very happy
- 20:38Speaker 4: to say, and you know, I found that this works
- 20:40Speaker 4: because in my own private practice. I may have to
- 20:44Speaker 4: hospitalize something someone maybe every five years, and that is
- 20:48Speaker 4: very reluctantly. I don't want to hospitalize and I want
- 20:52Speaker 4: people to be able to do this work on an
- 20:54Speaker 4: outpatient basis and have been successful in being able to
- 21:00Speaker 4: follow this model and keep people from being hospitalized.
- 21:05Speaker 2: Okay, awesome, thanks for the explanation there. So now we
- 21:09Speaker 2: get to one of my favorite questions. You know, we
- 21:11Speaker 2: talked about some of the challenges of the specialization. We
- 21:15Speaker 2: talked about what kind of inspired you to get into
- 21:18Speaker 2: the field in the first place. You know, I also
- 21:20Speaker 2: believe it's really important that we know why we're doing
- 21:23Speaker 2: something because the answer to that, in a sense, you know, guides.
- 21:27Speaker 3: Us along.
- 21:29Speaker 2: In our work and what we do. And then this
- 21:31Speaker 2: is a little different than the question that what led
- 21:34Speaker 2: you into the field? But share with us, Chris, why
- 21:37Speaker 2: you're doing this on a day to day basis. What's
- 21:41Speaker 2: your why?
- 21:43Speaker 4: Well, it's very related to why I've been in the field,
- 21:45Speaker 4: but it is it's on a number of different levels
- 21:50Speaker 4: with directly with the individuals of our work. With the
- 21:53Speaker 4: why is because I think we're making a difference and
- 21:57Speaker 4: we're giving an opportunity for are healing where there might
- 22:01Speaker 4: not have been one. But as you know, guy, I'm
- 22:05Speaker 4: very active at a professional level nationally and internationally with
- 22:09Speaker 4: trauma societies, and you know that takes up my time
- 22:13Speaker 4: as much as anything. And my reason for that is
- 22:16Speaker 4: because I firmly believe that we many of us who
- 22:21Speaker 4: are you're calling us the pioneers or senior folks, but
- 22:27Speaker 4: you know, many of us who get in this field
- 22:29Speaker 4: for a long time, we made the mistakes. And I
- 22:33Speaker 4: really feel like new therapists don't have to make the
- 22:37Speaker 4: same mistakes that we did and that we have. This
- 22:40Speaker 4: is another ethical imperative that those of us who have
- 22:44Speaker 4: gone through this have a responsibility to teach up and
- 22:47Speaker 4: coming clinicians not to make the same mistakes, including helping
- 22:52Speaker 4: novice therapists not you know, flail around in the deep
- 22:56Speaker 4: water until they've learned how to how to And it's
- 23:01Speaker 4: a metaphor I use with my supervisors all the time.
- 23:05Speaker 4: So I've been involved in calling for the inclusion of
- 23:10Speaker 4: trauma in professional training across the board, across all professions
- 23:16Speaker 4: and at different levels, starting at even the high school
- 23:20Speaker 4: an undergraduate level, as well as in professional training. And
- 23:24Speaker 4: I've been active in working with the development of competencies,
- 23:28Speaker 4: what competencies, what knowledge and skills bases are needed in
- 23:33Speaker 4: order to do this work. And the way it works now, unfortunately,
- 23:37Speaker 4: is there are so many trauma survivors, as you were
- 23:40Speaker 4: suggesting with your own population, there are so many trauma
- 23:43Speaker 4: survivors who are even clinical populations that you know, by default,
- 23:50Speaker 4: trainees and novices are going to be dealing with them.
- 23:53Speaker 4: They're going to be treating them, and it's sometimes the
- 23:55Speaker 4: case that they get the most difficult cases and they
- 23:59Speaker 4: don't know because they haven't had a new training, and
- 24:02Speaker 4: it comes up, it becomes you know, in the trench training,
- 24:06Speaker 4: which is really a bad way to train. So I
- 24:10Speaker 4: really you know, my passion is to really move the
- 24:13Speaker 4: field along in terms of incorporating what we know into psychology, psychiatry,
- 24:19Speaker 4: all mental health and medical professions so that there's a
- 24:24Speaker 4: lot more understanding and a lot more you know, professionalized
- 24:32Speaker 4: and competent training of the treatment of our clients.
- 24:37Speaker 2: Well, I really love what you're saying here because obviously,
- 24:40Speaker 2: you know, you're you're touching upon your work in a
- 24:44Speaker 2: kind of micro and macro way. You know, in the
- 24:45Speaker 2: national and national and international level. You know, you have
- 24:48Speaker 2: your private practice, and yet you're uh you know, very
- 24:52Speaker 2: involved in with the national societies and helping to integrate
- 24:57Speaker 2: and implement uh you know, trauma and form formed programs,
- 25:01Speaker 2: which is which is really inspiring to me. And this
- 25:04Speaker 2: is kind of a perfect segue into the next question,
- 25:07Speaker 2: which is, you know, advice for early uh.
- 25:11Speaker 3: Stage trauma therapists.
- 25:12Speaker 2: You know, many many listeners here are seasoned therapists, yet
- 25:17Speaker 2: they don't have that trauma experience. Many uh you know
- 25:21Speaker 2: listeners are just beginning their you know, for what foray
- 25:26Speaker 2: into the field of therapy and are eager to learn
- 25:29Speaker 2: more about trauma informed practices. What advice, Chris, would you
- 25:34Speaker 2: have for individuals such as those.
- 25:38Speaker 4: Well, I would have a couple of things. If they
- 25:40Speaker 4: don't get training in their in their professional curriculum, I
- 25:46Speaker 4: think it's absolutely essentially get training elsewhere. And the good
- 25:49Speaker 4: news about that is they are beginning to be training
- 25:52Speaker 4: programs that are online or that are accessible in different locations,
- 25:57Speaker 4: that are organized and that lead to certifications. So that
- 26:01Speaker 4: can be done through the professional societies or organizations like
- 26:06Speaker 4: the Trauma Center in Baltimom in Boston and the University
- 26:11Speaker 4: of Maryland in Baltimore. There are very organized sequences of
- 26:16Speaker 4: courses on topics related to trauma. Also, I think that
- 26:21Speaker 4: beginning clinicians need to be very curious, do a lot
- 26:25Speaker 4: of reading, get yourself a mentor, or get yourself a
- 26:29Speaker 4: support group or a consultant, because you know, what we
- 26:34Speaker 4: teach clients is doing their work and connecting with other people,
- 26:39Speaker 4: and I think that it's imperative that we do that
- 26:42Speaker 4: as well for ourselves. And a specific recommendation I would
- 26:47Speaker 4: make is do not do this work so low. It's
- 26:50Speaker 4: really important that you have people to hold you as
- 26:53Speaker 4: you're doing the work because the material that comes up
- 26:57Speaker 4: is often shocked, shocking. Some of the interactional styles of
- 27:02Speaker 4: traumatized people can be very upsetting and you know, can
- 27:07Speaker 4: push you beyond your limits and interfere with your ability
- 27:12Speaker 4: to you know, have the judgment perhaps and you know,
- 27:18Speaker 4: get involved in dual roles and you know, just there
- 27:22Speaker 4: are a lot of challenges. So the more and James
- 27:25Speaker 4: Chu who's a psychiatrist who's been a mentor of mine,
- 27:29Speaker 4: you know, Jim has said it's not that you're not
- 27:31Speaker 4: going to make mistakes, but knowing about the mistakes ahead
- 27:34Speaker 4: of time, are going to help you to get out
- 27:36Speaker 4: of them a lot faster and realize what's going on.
- 27:41Speaker 4: So you know, at the educational piece, the knowledge piece,
- 27:44Speaker 4: getting support, all of those are really important.
- 27:47Speaker 2: Okay, and all of this is going to be available
- 27:51Speaker 2: on the show notes page at West Coast Trauma Project
- 27:54Speaker 2: dot com. Hit on the podcast tab and scroll down
- 27:57Speaker 2: to Chris's podcast. So great advice. I think you covered
- 28:02Speaker 2: probably every possible conceivable piece of advice there. That's great.
- 28:07Speaker 2: Appreciate that. So let's get into some go to books.
- 28:10Speaker 2: I mean, you just published two books, so talk to
- 28:15Speaker 2: us about those.
- 28:16Speaker 4: Well, I just published two books last week. It was
- 28:18Speaker 4: a red letter week. I've just written a small paperback
- 28:23Speaker 4: that may be of interest to clinicians and consumers. It's
- 28:26Speaker 4: called It's Not You, It's What Happened to You, and
- 28:31Speaker 4: it is available on Amazon. It's just one hundred pages
- 28:35Speaker 4: and it's designed to really be oriented towards helping people
- 28:40Speaker 4: to understand complex trauma and what treatments are available and
- 28:44Speaker 4: how to access treatment. So that's the first one. The
- 28:48Speaker 4: second one is spiritually oriented Psychotherapy for trauma, and it's
- 28:53Speaker 4: primarily for clinicians, and it's written to really address and
- 28:57Speaker 4: begin to articulate that trauma is extremely discarrating and it's
- 29:03Speaker 4: something that impacts an individual spirituality or religiosity very often,
- 29:08Speaker 4: but it may hit them at the core of their
- 29:11Speaker 4: identity and how they make meaning in the world, and
- 29:14Speaker 4: especially when we're talking about complex trauma, which often involves
- 29:18Speaker 4: betrayal by other people or significant or repercussions in terms
- 29:24Speaker 4: of trusting other people and also trusting God. So we
- 29:29Speaker 4: have addressed that from a variety of different perspectives. The
- 29:34Speaker 4: book doesn't have a focus on Eastern religion practices unfortunately.
- 29:41Speaker 4: Maybe that's the next book to come, but I think
- 29:44Speaker 4: we're it's a good first first take at spiritual issues
- 29:50Speaker 4: and how therapists can address them when they're related to trauma.
- 29:54Speaker 2: Okay, so two books It's Not You, the first of
- 29:57Speaker 2: which It's not You, It's What Happened to You? And
- 29:59Speaker 2: the second Spiritually Learned Psychotherapy for Trauma Awesome. Again, those
- 30:04Speaker 2: will be linked up in the show notes page.
- 30:06Speaker 3: Chris, what.
- 30:08Speaker 2: Maybe can you name two other kind of go to
- 30:10Speaker 2: books that not necessarily don't have to be trauma related,
- 30:14Speaker 2: but ones that have inspired you on your journey.
- 30:17Speaker 4: Yes, they are trauma related. The book Trauma and Recovery
- 30:22Speaker 4: by Judy Hermon, which is originally published in nineteen ninety two.
- 30:27Speaker 4: I call it the instant classic in the field. And
- 30:33Speaker 4: Besil van der Koch's Psychological Trauma. Those were foundational books
- 30:40Speaker 4: for me.
- 30:41Speaker 2: Okay, so Trauma and Recovery by Judi Herman and Bisill
- 30:44Speaker 2: Vandercock's Psychological Trauma. Awesome, Chris, you have been just so inspiring.
- 30:51Speaker 2: I'm glad we finally hooked up here. I just really
- 30:56Speaker 2: appreciate everything you're doing. And you know, from starting out
- 31:01Speaker 2: doing this, it's it's really an inspiration to hear someone
- 31:04Speaker 2: who's had so much experience.
- 31:06Speaker 3: And yet you're still doing it. You know, you're still
- 31:11Speaker 3: reaching out.
- 31:12Speaker 2: I mean you're in private practice now, I'm serious, You're
- 31:14Speaker 2: in private practice, and you're you're you know, on the
- 31:17Speaker 2: national and international stage too.
- 31:20Speaker 3: I let do what you're doing.
- 31:22Speaker 2: I just think you're doing such a great service for
- 31:25Speaker 2: all of us.
- 31:25Speaker 3: So I just want to thank you so much.
- 31:27Speaker 4: Well, thank you. I really appreciate that.
- 31:30Speaker 2: And again thanks for taking the time to do this.
- 31:33Speaker 2: And we will talk soon.
- 31:34Speaker 5: Okay, Bye bye, good care, bye bye.
- 32:01Speaker 2: Home. S