2019 Preconference Sessions:
Preconference #1: The Spiritually-Based Treatment Of Moral Injury
If moral injury impacts your life directly or indirectly (loved ones, patient care, employment, physical health, depression, etc.), you may have noticed that psychotherapy and pharmacotherapy do not work well with disorders of a spiritual nature.
This skills-training event will provide clinicians with a treatment model and rationale for approaching those suffering the guilt and shame of moral injury. For differential diagnostic purposes, PTSD and moral injury will be compared and contrasted.
For over 40 years, Dr. Nuckols has worked with a wide variety of clinical scenarios. Of great interest is addiction and trauma and their many manifestations. The overall goal of this session is to help diagnose moral injury either in one’s self or others we treat or live and/or work with while simultaneously presenting and describing the implementation of a treatment model framed by a cognitive-behavioral approach and driven by spiritual movement.
Upon completion of this training, participants will be able to:
- Describe differences in the neurobiology and treatment approach for moral injury as compared to PTSD.
- Discuss the differences in treatment goals for the management of moral injury compared to PTSD.
- Discuss and implement a spiritually-based treatment model for the management of guilt and shame associated with moral injury.
FACULTY: CC Nuckols, PhD, President, Cardwell C. Nuckols &
Assoc. LLC, Longwood, Florida
Preconference #2: A Triangle of Understanding: From Trauma to Drama to Stability
This session will introduce The Amplified Drama Triangle, a practical tool to understand relationships. We will discuss use of the triangle in therapy, for treatment of addictions and personality disorders.
We will begin with the history of the original Karpman Drama Triangle by Stephen B. Karpman, M.D., who introduced the roles of Victim, Persecutor, and Rescuer. Building on Karpman’s use of the inverted triangle, Psychologist Greg Lester related the drama triangle to understanding personality disorders. Now, the creation of the Amplified Drama Triangle is having remarkable benefits for clients and professionals!
Setting the triangle on its base, we will draw the figure of the Amplified Drama Triangle. In easy to understand terms, we will clarify the interaction between V-P-R roles. From a look at positions in the space outside the triangle, we will recognize how avoiding drama creates frustration and chaos. To alleviate drama and avoidance, we move into the triangle. There we will find the benefits of identifying needs, setting boundaries, and problem-solving. (This process may sound confusing; drawing it on paper will be eye opening!) Examples will be provided of the effectiveness of this tool for teens, couples, and elders.
We will apply The Amplified Drama Triangle as a lens to view dysfunctional family of origin abuse and neglect. It will become clear how protective initial reactions to traumatic situations such as violence, substance abuse, and accidents can cement into depression, codependency, or revenge mode. We will identify how survival-based defense mechanisms solidify to form self-defeating and destructive patterns-which range from negative self-talk to addictions to suicidal ideation or attempts.
“Crazy making” drama patterns form the basis of disordered personality types, which, more often than not, co-occur with substance use disorders. We will review a practical method of diagnosis and the three “Formal Diagnosis Clusters” of personality disorders. We will briefly trace the drama shifts for Antisocial, Borderline, and Narcissistic Personality Disorder (as taught by psychologist Greg Lester).
We will close with discussion on how to implement the Amplified Drama Triangle for increased stability in professional ethics and boundaries, such as preventing burnout.
Goals and objectives include:
- Learn the function of the roles of victim, persecutor, and rescuer
- Recognize how drama distracts from meeting needs and solving problems.
- Identify and use terms for when people are “out there” rather than “stepping in.”
- Learn the essential ingredients to the “with” of relationship to Spirit, self, and others.
- Apply the triangle to assist with diagnosis and treatment of personality disorders.
- Practice using the triangle in specific situations such as professional boundaries and ethical dilemmas.
FACULTY: Wendi Martell-Daniels, LCSW, SAC,Therapist/Counselor, Visions Counseling, Merrill, Wisconsin
2019 Session and Institute Faculty Information