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A New Way of Healing Emotional Distress in Hospice and Palliative Care Patients and Staff
For Hospice and
Palliative Medicine Personnel
Sponsors:
St. Richard's Hospice, Worceshire, UK
and
Division of Palliative Medicine
University of California, San Francisco, USA
Co-Sponsors:
By the Bay Health
San Francisco, CA USA
Symptom Management Service
UCSF Helen Diller Family Cancer Center
The MERI Center for Education in
Palliative Care at UCSF/Mt Zion
Spiritual Competency Academy
Trauma-Informed Palliative Care Project
Monday June 10, 2024; 8:00am - 9:00am PDT
with optional additional discussion
of research and clinical examples
9am - 10am PDT
Our first hour will be an opportunity to directly experience (taste!) an adaptation of Manfield's Flash Technique, a neurobiological phenomenon which reduces or eliminates the impact of a previously traumatic and disturbing memory without having to consciously confront the disturbing memory itself.
No personal sharing of memories
will be required.
No previous experience with or knowledge of EMDR or other trauma-informed therapies will be required.
In the second (optional) hour, we will discuss emerging research and clinical data representing this New Paradigm for treating and healing traumatic and disturbing memories.
Anxiety. Fear. Guilt. Regret. Anguish. Moral Injury. Jealousy. Disgust. Humiliation. Panic. Medical Trauma
Life makes us all susceptible at times to these stressful and painful feeling states. But often they are experienced as memories of suffering and trauma.
This can be especially true for people facing serious and life-threatening medical conditions, as well as for palliative care and hospice staff who often
bear witness to deep suffering.
These memories can afflict us long after the initial wounding, despite our attempts to change them through distraction, mindfulness and meditation, spirituality, or psychotherapy.
This webinar will present a simplified version of Manfield's Flash Technique for reducing the disturbance of memories
that can be incorporated into the toolbox for a wide range of medical professionals, including hospice and palliative care personnel such as nurses, social workers and counselors, occupational and physical therapists, chaplains, end-of-life doulas, and bereavement counselors.
One hospice patient's comments after
feeling bad that she "was a difficult patient," and
then doing the Flash Technique with a counselor:
"I don't have to feel bad about this any longer...
My beliefs are valid, and if they don't understand that,
its not my fault!"
One person’s experience with the Flash Technique:
“I watched my beloved husband die painfully in the ICU. I have a very vivid visual memory and was concerned that I would not be able to carry the experience. I fortunately received a 30-minute flash therapy session a few days later to help process the memory. Surprisingly, one single session has helped tremendously. One can even feel it working immediately through the session as each time the memory is recalled it is less visceral. I highly recommend the flash therapy technique in addition to regular talk therapy for anyone who is processing a painful traumatic memory.”
Another's patient's experience with the Flash Technique:
"I don't know what you did but this was literally the first time I was totally anxiety free. And today was horrible until we talked. These last couple of weeks have been awful and sad so it's really really nice to breathe without my heart trying to jump out of my chest when I'm at home. I just wanted to thank you."
A person with neurofibromatosis
who experienced the Flash Technique:
"The flash therapy helped me achieve something I didn’t think would be possible. The tapping/blinking was my favourite one, this experience actually blew me away. I just can’t explain the feeling. Sitting and speaking about something you feel passionate about while tapping and blinking puts you in a happy place, I guess, safe, comfortable! It’s a strange feeling and I was a bit reluctant to actually believe this would work because I thought the painful memories were too deep. But hand on my heart OMG, it’s like the poisonous words in my head and the knife in my heart aren’t there anymore. It’s crazy and if I’m being honest, a completely bizarre feeling, when I think back to these memories that have tortured me for many years, I just don’t care, my heart doesn’t hurt and the words don’t bother me."
D.Cox, J.L. Fellows & J.M.R. Goulding
Patient perspective on a novel psychological therapy approach (flash technique) for neurofibromatosis. Clinical and Experimental Dermatology, Volume 47, Issue 4, 1 April 2022, Pages 789-790, https://doi.org/10.1111/ced.15064
The current paradigm for conventionally recommended "Evidence-Based Psychotherapies" (EBP's) for trauma and PTSD assumes that conscious exposure to the memory, even if titrated in small doses, is necessary,
While effective in some cases, such exposure therapy can be distressing, which creates problems with treatment acceptance and has potential for re-traumatization.
Four neurobiological research labs over the past 10 years have demonstrated that "Exposure" can be effectively delivered Non-consciously—and thus without causing traumatized or phobic people to experience distress. These results also shed additional light on consciousness and resilience.
Manfield's Flash Technique is evidence-based and has been taught internationally since 2017 in 6-hour workshops by Phillip Manfield, PhD and Lewis Engel, PhD and has 17 peer-reviewed and 2 andomized controlled (RCT) studies to-date. In a 6-hour free training in April, 2024, 18,000 trauma-informed clinicians registered, with nearly 2,000 attending the live training.
In Oakland California, USA, an adaptation of this technique has been taught to children and teachers as part of their Social Emotional Learning curriculum.
See a brief discussion of the Flash Technique here:
Flash Technique discussion, Drs. David Bullard and Bessel van der Kolk
and
UCSF Weill Institute for Neurosciences seminars 2022 and 2023
Recent peer-reviewed articles on the Flash Technique:
Manfield, P., Engel, L., Greenwald, R. & Bullard, D. (May, 2021). Flash Technique in a scalable low-intensity group intervention for COVID-19-related stress in healthcare providers. Journal of EMDR Practice and Research Vol 15 Issue 2,
https://doi.org/10.1891/EMDR-D-20-00053
article link
Izmir, S.B.I., & Akyol, C.C. (2024). EMDR Flash Technique in adolescents with depression: A twelve-week follow-up study. Clinical Child Psychology and Psychiatry, 13591045241247701. https://doi.org/10.1177/13591045241247701
article link
Cox, D., Fellows, J. L., & Goulding, J. M. (2022). Patient perspective on a novel psychological therapy approach (flash technique) for neurofibromatosis. Clinical and Experimental Dermatology.
https://doi.org/10.1111/ced.15064
article link
Yaşar, A. B., Konuk, E., Kavakçı, Ö., Uygun, E., Gündoğmuş, İ., Taygar A. S., & Uludağ, E. (2022). A Randomized-Controlled Trial of EMDR Flash Technique on Traumatic Symptoms, Depression, Anxiety, Stress, and Life of Quality With Individuals Who Have Experienced a Traffic Accident. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.845481
article link
Presenters:
David Bullard and Sheena MacKenzie
Sheena MacKenzie is a Counselor at St. Richard's Hospice, Worcester, UK, an independent hospice founded in 1984 with 350 full- and part-time staff providing free services to over 3,500 people annually in the Worcestershire community. Sheena is an Accredited Member of the British Association of Counselling and Psychotherapy and has Diplomas in Integrative Counselling and Substance Misuse and PG Certification in EMDR (Eye Movement Desensitization and Reprocessing), Level 4 EMDR and Level 2 Internal Family Systems (IFS). She began her career addressing the needs of homeless and roofless people and worked in Substance Misuse for 18 years, where she ran a Mindfulness Based Relapse Prevention group. Sheena has been at St Richards Hospice for 6 years.
Sheena's training in the Flash Technique, EMDR and other approaches to healing led her to be part of an innovative, trauma-informed palliative care working group (TIPC) based in the UK which is now expanding internationally. Her personal experience with a partner receiving hospice care at St. Richard's in 2001 inspired her to help others in these important times for individuals and families.
David Bullard, PhD is clinical professor - volunteer, in the UCSF Departments of Medicine and of Psychiatry and Behavioral Sciences, Weill Institute for Neurosciences. He is a licensed psychologist with advanced training in the trauma-informed therapies EMDR and Somatic Experiencing, and has been teaching an adaptation of the Flash Technique for the past seven years, including for the San Francisco Psychological Association; University of California, San Francisco; San Francisco Zen Center; and TibetHouse.US in New York City. David also presented in 2022 at both the First Annual International Flash Technique Conference and at the International Society for Traumatic Stress Studies.
David's interview with Bessel van der Kolk in 2015 can be found at
https://www.psychotherapy.net/interview/bessel-van-der-kolk-trauma
In 2023, David received the Distinguished Contribution to Psychology Award from the The California Psychological Association.
"I have had the pleasure of knowing David for several years and admire his ability to bring kindness and humor into his interaction with others with such ease. He is most known for his work with trauma and relationships, where, in addition to his professional expertise as a clinical psychologist, he also brings important Buddhist insights as part of his therapeutic approach. I recommend him as a caring and entertaining teacher."
Thupten Jinpa, PhD, principal English translator to H.H. the Dalai Lama since 1985, founder and chairman of the Compassion Institute and author of A Fearless Heart: How the Courage to be Compassionate Can
Transform Our Lives (2015).
“I have attended David’s previous presentations about the newest and absolutely the most interesting and powerful direction of the treatment of trauma. It will change how you view trauma treatment and possibilities for healing. Highly recommended.”
Nancy Haugen, PhD, associate clinical professor, department of psychiatry and behavioral sciences, UCSF Weill Institute for Neurosciences. Chairperson for disaster mental health for Marin County Psychological Association.
David and Sheena have no financial ties to Dr. Manfield or to the FlashTechnique.com seminars. They highly recommend the 6-hour Flash Technique training webinars for psychotherapists found at
Flashtechnique.com.
Monday, June 10, 2024; 8am-9am PDT
with optional additional discussion 9am-10am PDT
CLICK TO REGISTER
Although everyone will have the opportunity to learn about and experience a modification of the Flash Technique, this participation alone will not qualify those without a mental health background to be deemed a "trauma-informed therapist." For psychotherapists to get further training, a 6-hour introductory course by Manfield and Engel is highly recommended, offered to EMDR or other trauma-informed mental health therapists. These are given every couple of months, and can be found at flashtechnique.com
Past participants in this webinar experienced new understandings about conscious awareness, memory and how to use this technique to diminish the disturbance of their own memories. It also was especially valued as providing ways to directly help others suffering from trauma and by referring to qualified mental health specialists trained in the Flash Technique.
Thank you! We look forward to an interesting time together!
Information on Continuing Education Credit for Health Professionals
With Appreciation to Spiritual Competency Academy for donating CE credit opportunities
2 CE credits for psychologists are provided by the Spiritual Competency Academy (SCA) which is co-sponsoring this program. The Spiritual Competency Academy is approved by the American Psychological Association to sponsor continuing education for psychologists. Spiritual Competency Academy maintains responsibility for this program and its content
The California Board of Behavioral Sciences accepts CE credits for LCSW, LPCC, LEP, and LMFT license renewal for programs offered by approved sponsors of CE by the American Psychological Association
LCSW, LPCC, LEP, and LMFTs, and other mental health professionals from states other than California need to check with their state or country licensing board as to whether or not they accept programs offered by approved sponsors of CE by the American Psychological Association
SCA is approved by the California Board of Registered Nursing (BRN Provider CEP16887) for licensed nurses in California. RNs must retain their certificate of attendance for 4 years after the course concludes
For questions about receiving your Certificate of Attendance, contact Dr. David Bullard at david@drbullard.com
For questions about CE, contact Spiritual Competency Academy at info@spiritualcompetencyacademy.com
Learning Objectives: At the end of the program, participants will be better able to:
Describe the perceptual error of a disturbing memory
Describe what is meant by "Unwilling Suspension of Disbelief"
Demonstrate a short visualization that will diminish sensory, emotional and cognitive disturbances of a difficult memory
To obtain the 2 CE or 2 CPD credits,
the full 2-hour program must be attended.
1 CPD credit awarded for attending the first hour.
THOSE WISHING 2 CE CREDITS MUST SIGN IN AND OUT AT THE START AND ENDING OF THE WEBINAR BY EMAIL.
INSTRUCTIONS WILL BE EMAILED TO ALL REGISTRANTS INCLUDING THOSE SELECTING THE CE OPTION ON SUNDAY EVENING AND AGAIN MONDAY MORNING, AN HOUR BEFORE THE EVENT STARTS.
Recording will be sent out
a few days after the event to all who registered
and will be available for 30 days of viewing
THANK YOU!
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