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Digital Recordings

Shame and Self-Loathing in the Treatment of Trauma

Shame often prevents your traumatized clients’ recovery and hampers their ability to find relief and perspective despite effective treatment. Feelings of worthlessness and inadequacy interfere with taking in positive experiences, leaving only hopelessness. Don’t miss this opportunity to learn effective experiential exercises drawn from Sensorimotor Psychotherapy, from internationally renowned trauma professional Janina Fisher, Ph.D. Dr. Fisher will show you how to help clients relate to their symptoms with mindful dual awareness and curiosity rather than automatic acceptance. If you are frustrated with the lack of treatment success in your traumatized clients, this recording will provide the solutions for long-term healing.

Despite your best efforts, unshakeable feelings of shame and self-hatred often undermine treatment: your clients repeatedly take two steps forward, then one step back. In this recording you will understand shame from a neurobiological perspective-as a survival strategy driving somatic responses of automatic obedience and total submission-enforced by the client’s punitive introspection.

Watch this recording and learn to integrate traditional psychodynamic and cognitive-behavioral techniques with Sensorimotor interventions that emphasize posture, movement and gesture. With these new techniques, issues of shame can become an avenue to transformation rather than a source of stuckness.


Product Details
Average Rating:
Janina Fisher
5 Hours 58 Minutes
Audio and Video
12 Dec, 2016
Product Code:
Media Type:
Digital Recordings - Also available: DVD



This online program is worth 6.0 hours CPD.



Janina Fisher's Profile

Janina Fisher Related seminars and products: 40


Janina Fisher, Ph.D. is a licensed clinical psychologist and former instructor at The Trauma Center, a research and treatment center founded by Bessel van der Kolk.  Known as an expert on the treatment of trauma, Dr. Fisher has also been treating individuals, couples and families since 1980.

She is past president of the New England Society for the Treatment of Trauma and Dissociation, an EMDR International Association Credit Provider, Assistant Educational Director of the Sensorimotor Psychotherapy Institute, and a former Instructor, Harvard Medical School.  Dr. Fisher lectures and teaches nationally and internationally on topics related to the integration of the neurobiological research and newer trauma treatment paradigms into traditional therapeutic modalities. 

She is co-author with Pat Ogden of Sensorimotor Psychotherapy: Interventions for Attachment and Trauma (2015) and author of Healing the Fragmented Selves of Trauma Survivors: Overcoming Internal Self-Alienation (2017) and the forthcoming book, Working with the Neurobiological Legacy of Trauma (in press). 

Speaker Disclosure:

Financial: Janina Fisher is in private practice. She receives a speaking honorarium from PESI, Inc.

Nonfinancial: Janina Fisher has no relevant nonfinancial relationship to disclose.

Additional Info

Program Information

Access for Self-Study (Non-Interactive) Access never expires for this product.

Target Audience

Addiction Counselors, Case Managers, Counselors, Marriage & Family Therapists, Nurses, Psychologists, Social Workers, and other Mental Health Professionals


  1. Evaluate the effects of shame and self-loathing symptoms and identify how these symptoms inform treatment interventions.
  2. Determine the impact of the neurobiological effects of shame as it relates to clinical practice.
  3. Evaluate cognitive schemas and its clinical implications.
  4. Articulate the foundation of Sensorimotor Psychotherapy as it relates to clinical treatment.
  5. Apply simple yet effective clinical interventions drawn from Sensorimotor Psychotherapy to alleviate symptoms in clients.
  6. Utilize clinical techniques, such as, memory processing, cognitive-behavioral and ego state as related to clinical treatment.


The Neurobiology of Shame

  • The role of shame in traumatic experience
  • Shame as an animal defense survival response
  • Effects of shame on autonomic arousal
  • Why shame can be treatment-resistant
Shame and Attachment: Its Evolutionary Purpose
  • Shame and the attachment system
  • Rupture and repair in attachment formation
  • What happens to shame without interpersonal repair
The Meaning of Shame in the Treatment of Trauma
  • Disgust, degradation, and humiliation
  • Cognitive schemas that exacerbate shame
  • Internal working models
Treating Shame
  • Sensorimotor Psychotherapy: Physiological state as the entry point for treatment
  • Regulating shame states with somatic interventions
  • Using mindfulness-based techniques to inhibit self-judgment
Healing Shame: Acceptance and Compassion
  • Re-contextualizing shame as a younger self or part
  • Dual awareness of who we are now and who we were then
  • Getting to know our “selves”
  • Bringing our adult capacity to our childhood vulnerability



Overall:      4.8

Total Reviews: 694


Robin R - WEAVERVILLE, North Carolina

"I feel fortunate to have the ability to learn from Dr. Fisher. Please continue to make her expertise available to web learners. She is the best."

Robert H - GLENBURN, Maine

"Very satisfied with over all presentation."

Serene W - ASHTABULA, Ohio


Roberta R - Albuquerque, New Mexico

"Janina Fisher is a very gifted presenter."

Dao N - Upland, California

"Very knowledgeable presenter. Excellent delivery style."

Jaimie C - SIERRA VISTA, Arizona

"Great course!"

Pam P - WILLIAMSBURG, Virginia

"Course was very informative and appropriate for use with my patients in my practice, as I work with trauma patients."

Vivian M - LUTHERVILLE, Maryland

"I really liked her delivery and experience. "


"Excellent training!"

Kristin A - Helena, Montana

"really enjoyed Dr. Fisher's training--will be able to incorporate so much of this into my own practice. Look forward to more trainings with her!"

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