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Mistakes of the Heart: The Healing Power of Therapeutic Repair
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In this online series, Janina Fisher, examines the underlying issues that most often contribute to therapist error and explores how what drives us to do this work can also contribute to “mistakes of the heart".

Like parenting, psychotherapy can be only “good enough.” Therapeutic mistakes are inevitable, yet our work lives don’t allow us opportunities to acknowledge and grow from them. Our mistakes occur in the privacy of an office with no one but the client with whom we could process them fully. We may pause to critique ourselves but rarely have the chance to ask: what in me drove that error? Why do I find myself this same mistake again and again? Why do I empathically fail this client more often than others? Whether the mistakes we make are clinically mis-attuned or the result of our own internal conflicts, there is much to learn both about preventing future mistakes and repairing past or present errors. Therapists regularly confront the insidious impact of shame on their traumatized clients’ ability to find relief and perspective. Feelings of worthlessness and inadequacy interfere with taking in positive experiences, leaving only hopelessness. Increased ability for self-assertion gets undermined by belief systems about worth or deserving. Progress in the treatment, increasing relief from symptoms, even greater success in life tend to evoke shame and self-judgment rather than pride.
This series really touches on some key questions for anyone working in the talking therapies or mental health care: how do I grow in my practice and stay alive to the people who come to see me?
Lectures include:

  • The 'good enough' therapist: common mistakes we make
  • Mistakes of the heart
  • Empathetic failures
  • Attachment styles and the therapeutic relationship
  • When trauma responses co-exist with attachment drives
  • Therapist vulnerabilities and counter transference errors
  • Lessons from Sensorimotor Psychotherapy: when words are not enough
  • Repairing therapeutic ruptures

Janina Fisher, PhD

Janina Fisher, PhD, is a licensed clinical psychologist and former instructor at The Trauma Center, a research and treatment centre 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 Disclosures:
Financial: Dr. Janina Fisher has an employment relationship with the Sensorimotor Psychotherapy Institute. She is a consultant for Khiron House Clinics and the Massachusetts Department of MH Restraint and Seclusion Initiative. Dr. Fisher receives royalties as a published author. She receives a speaking honorarium, recording royalties and book royalties from Psychotherapy Networker and PESI, Inc. Dr. Fisher has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Janina Fisher is on the advisory board for the Trauma Research Foundation. She is a patron of the Bowlby Center.


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