2ATRIUMPublished in treatment manual Addiction and Trauma Recovery: Healing the Body, Mind & Spirit,D.Miller & L. Guidry, 2001, WW Norton
3ATRIUM Number of sessions = 12 Duration of each session = 1.5hr. Structure and content of the ATRIUM model:Number of sessions = 12Duration of each session = 1.5hr.Timing or frequency of sessions = weekly or twice per week
4ATRIUM Structure of each session = didactic component process component- participants to share own experience relevant to session topic,experiential component teaches participants new ideas and skillsa “homework” assignment = handout reviews didactic and experiential content of session; participant creates own mini workbook
5ATRIUM Mind Body Spirit Relational Cognitive Behavioral Assessment & Treatment Model
6addiction and trauma distress ATRIUM... For adults and adolescents who struggle with traumatic experiences...... trapped in the cycleof addiction and trauma distressaddiction and trauma distress
7ATRIUMATRIUM model has been successfully adapted for use with Latina women - the manual and handouts have been translated into Spanish.Homeless individuals and families have successfully participated in ATRIUM groups.
8ATRIUMATRIUM has been implemented to meet the needs of disabled women.ATRIUM groups have also been successful in correctional systems and jail diversion programsATRIUM has been successful in working with populations with AIDSATRIUM has been implemented with men
9ATRIUM Training Who is eligible to become an ATRIUM facilitator? mental health professionals and peer facilitators......who understand the impact of addiction and trauma.
10Women who hurt themselves: A book of hope and understanding ATRIUMThe ATRIUM treatment protocol = sequel to Trauma Reenactment model inDusty Miller(Basic Books, 1994).Women who hurt themselves: A book of hope and understanding
11ATRIUM Which addictions are we talking about? Chemical abuse & dependencyEating disordersSelf-injuryand Self- sabotage….like...
14ATRIUMThe legacy of trauma createsBroken hearts&wounded spirits
15ATRIUM Connection in community… Wholeness in relationship… ATRIUM heals the broken spirit throughConnection in community…Wholeness in relationship…Mission to help others
16Your Surviving Spirit A spiritual workbook for coping with trauma Dusty Miller’s sequel to the ATRIUM manual(New Harbinger, 2003)
17ATRIUM Mind Body Spirit Traumatic injury and change happen at 3 levels:MindBodySpirit
18ATRIUMATRIUM teaches:Understanding connection between trauma reenactment and addictionsThe theory of trauma reenactment: biological and cognitive/emotional impact of traumatic stressInternalization of early trauma-based relationships
19ATRIUM Cognitive & Emotional reenactments of trauma Mental and emotional impact of traumaAddiction and emotional dysregulationDepression, Anger, Fear and AnxietyDissociation
20ATRIUM Trauma re-enactment and the body Re-living trauma through physical pain and illnessBody image - how trauma shapes self-imageTouch and intimacy: challenges
21ATRIUM Healing the Spirit Breaking isolation: Making connections Environmental healing - healing the broken spiritGiving something back - healing through helping others
22ATRIUM The Triadic Self = ATRIUM teaches people to recognize and challengeinternalized representations oftrauma-based relationships
23ATRIUMThe “triadic self” = internalization of past abusive relationshipsVictimAbuserNon-protecting Bystander
24The Internalized Abuser The inner voice representing self-harmful behavior:DrinkingDrug abuseCuttingBinge & purge cycleSelf-sabotaging sex, harmful relationships, etc.
25The Internalized Victim The inner voice representing the small vulnerable self who experiences getting hurt…...The “oh no, not this again!” warning message
26The Internalized Non-protecting Bystander The inner voice representing the “I can’t help it” part of the selfReenactment of not being protected in childhood and…Current inability to protect one’s own self
27Protective Presence Similar to personal understanding of Higher Power or God or SpiritAlso the creation of personal sources of comfort the individual holds in her heart & soul.
28ATRIUM - principles of trauma recovery recognizing and reinforcing resilienceachieving abstinence from addictionhealing the wounds of non-protectioncreating a sacred connection to the Universelearning to help others
29REFERENCESMiller, D. (1994). Women Who Hurt Themselves: A Book of Hope and Understanding. N.Y.: Basic BooksMiller, D. & Guidry, L. (2001). Addictions and Trauma Recovery: Healing the Body,Mind and Spirit. N.Y.: WW Norton.Miller, D. (April 2003). Your Surviving Spirit: A Workbook of Spiritual Resources for Coping with Trauma. Oakland, CA.: New Harbinger..
30REFERENCES:Miller, D. (2002). Addictions and trauma recovery: An integrated approach. Psychiatric Quarterly. 73, 2.Miller, D. (1996). Challenging self –harm through transformation of the trauma story. Sexual addiction and compulsivity. 3,3.Miller,D., (2003) End of Innocence. Psychotherapy Networker. July/August.
31Addiction and Trauma Training ATRIUMAddiction and Trauma TrainingHealing RetreatsATRIUM Institute -Northampton, MA(413)dustymiller.org