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Emergence of Cumulative Trauma States in Family Systems

 Export to Your Calendar 4/10/2020
When: Friday, April 10, 2020
12:00 - 1:45 PM
Where: LACPA Conference Room
6345 Balboa Blvd., #126
Encino, California  91316
United States
Contact: LACPA Office

Online registration is available until: 3/12/2020
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Friday, April 10


Emergence of Cumulative Trauma States in Family Systems


Presented by: Katrina Wood, Ph.D.


This presentation differentiates between the effects of Post-Traumatic Stress due to Single Episodic Traumatic events, and Cumulative Trauma States & PTSD delayed, resulting from less obvious repetitive lack of emotional and psychological attunement within family systems. When undetected and untreated, harmful, destructive behaviors towards self and others may result.


 Dr. Katrina Wood (Psy 17362)  is a licensed clinical psychologist in the state of California, and owner of Wilshire Valley Therapy Centers in Los Angeles. www.wilshirecenter.net She also writes a therapy blog http://drkatrinawood.com/ and specializes in the treatment of adults who have experienced trauma in childhood.

Her most recent publication was in the National Psychologist 2019 . Article: When Empathy is contra-indicated in the treatment of Trauma States’. Dr. Wood has four adult children and lives with her husband in Sherman Oaks with her two dogs and two cats. She has post doc  3 year psychoanalytic training certifications from at the Institute of Contemporary Psychoanalysis in Los Angeles,  and continues to be mentored by expert in the field of Trauma, and a founder of the analytic institute Dr. Robert D Stolorow.



                                         Outline - Emergence of Cumulative Trauma States in Family Systems

25 minutes

1.       Discuss origins and development of contextual cumulative trauma states within family systems.

2.       Discuss impact of Mental Illness in family systems and Addictive Behaviors. Explore the affective impact, interpretive meanings, and pathological roles assumed, by family members when exposed to these various disorders, citing two examples.

3.       Explore and describe the affect ‘Shame’, which impacts and contributes and inhibition of healing with both PTSD and cumulative trauma states within family systems.

4.       Discuss distinctions and impact of ‘custodian care’ and significance of ‘absence of emotional care’. Include discussion of key characters in film Harold & Maude, highlighting examples of Empathic misattunement and consequences.

25 Minutes

  1. Explore the notion of the Cartesian Isolated Mind per Descartes (I think therefore I am) vs. Heidegger’s Man is Steeped in Mood (I feel therefore I am).

6.       Explore misappropriation of the term Anger Management. Revisiting Anger:  Its place in the matrix of shaping and integrating of emotional health. Negative and positive aspects.

  1. Recognizing and discuss impact of historical  ‘ trauma triggers’ in everyday life and develop coping skills in ‘ real time’.
  2. Discuss longing & loss in relation to untreated Trauma states. Cite short specific readings pertaining to examples of the development of Cumulative Trauma states from Dr Robert D Stolorow, Charles Bukowski. Dr. MM Kahn, Dr. George Atwood, Dr Frances Grossman, Dr Elizabeth Hopper, Dr Joseph Spinazzola and Dr Marla Zucker. 

20 Minutes

  1. Discuss how development of untreated accumulative trauma states may lead to suicidal ideation & completion of suicide.
  2. Challenge concept of Sigmund Freud’s “Death Wish”.  Explore concept of presence of a “Relational Home” per Dr. R D Stolorow .

11.   How does transference stimulate trauma states within therapeutic settings and also every day in the work place? Discuss and present Coping & Management techniques for patient management awareness & healing.   

20 Minutes

  1.  Explore the idea of an unattended historical Fuse /Ticking Time Bomb.  What these terms mean and how scenarios are silently develop.

13.   Present when at times empathy may be detrimental to treatment. Discuss contraindicated approaches and why timing is critical for furtherance of effective treatment. Read short segment from article by Dr. Katrina Wood. National Psychologist 2019.

  1. General Overview. Discuss possible therapeutic blind spots, clinician transference and concept of rupture and repair in therapeutic setting.


Course Goals and Educational Objectives

Attendees will be able to expand existing limited definitions of the development of PTSD Trauma and discuss differences between Single Episodic Trauma and cumulative trauma states.

  • Attendees will be able to assess distinctions between diagnosis of PTSD experienced by Single Episodic Events, and a diagnosis of PTSD delayed resulting from the emergence of Cumulative Trauma States over extended time within family systems, where chronic emotional neglect and other maladaptive behaviors are present.


  • Attendees will note distinctions between current interventions for treatment of PTSD due to Single Episodic Events such as Critical Incident Debriefing, EMDR and Evidence Based Cognitive Behavioral treatments, and alternative treatment modalities for emerging Cumulative Trauma states PTSD delayed . These modalities include Emotion focused therapeutic interventions, Inter-subjectivity theory & other contemporary treatments .


  • Attendees will be able to assess more effectively the presence of Cumulative trauma states / PTSD delayed , from more traditional diagnosis such as Panic disorder , GAD,  depressive disorders NOS and adjustment disorders  also  among children , assess more acutely cumulative trauma states from oppositional defiant disorder and ADHD including how to proceed effectively clinically. 


Parking info for Weekday/daytime programs:


The LACPA office address is THE ENCINO OFFICE PARK, 6345 Balboa Blvd, Building 2, Suite 126, Encino, CA 91316 - second building from Balboa Blvd., conveniently located near ample free daytime/weekday street parking on Balboa Blvd, south of Victory Blvd.  Both sides of Balboa have all day free parking.  There is also plenty of free parking at the Sepulveda Basin Sports Complex on the west side of Balboa, south of Victory, 6201 Balboa Blvd. (2nd driveway past the Busway). A 3-4 minute walk to the office door.  Wherever you park, please check the signs. 


Parking at The Encino Office Park lot between the hours of 9 a.m. – 6:30 p.m. is restricted to building tenants only.  Please do not park in the lot at the building.



* Attention Brown Bag Attendees!


There is a café in our complex called Park Café and Grill located in building four. They carry a wonderful selection of sandwiches, burgers, salads, soups and daily specials throughout the day.    


If you are interested, you may place an order the morning of the program 818-578-5606.  Walk-ins are fine.


For their menu and more details, you can view their website at www.parkcafeandgrill.com



This Brown Bag Event is available to all LACPA Members.  

This is a FREE LACPA MEMBER BENEFIT. Seating is limited.  


Certification of Attendance for Continuing Education Credit

Please note that the Brown Bag Programs are being offered as a LACPA Membership Benefit.  Attendance is limited to 50 LACPA members. Should you have a friend or colleague who would like to attend, please have them join LACPA before they send in this registration form. Programs subject to change.


The Los Angeles County Psychological Association (LACPA) is approved by the American Psychological Association to sponsor continuing education for psychologists. LACPA maintains responsibility for this program and its content.


This course may be taken to satisfy the California Board of Behavioral Sciences (BBS) continuing education requirements.



It is important to note that APA continuing education rules require that LACPA only give credit to those who attend the entire workshop.  An evaluation of the workshop must be completed. Those who arrive more than 5 minutes (for a 1.5 hour program) after the scheduled start time or leave before the workshop is complete will not receive CE credit. Partial credit may not be given.


Program and location are subject to change.



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