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The Multiple Self-States Drawing Technique: Creative Assessment and Treatment With Children and Adolescents

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About the Course:

This Clinician’s Manual describes the Multiple Self-States Drawing Technique (MSSDT), a unique, arts-based, trans-diagnostic clinical assessment tool and treatment approach for children and adolescent psychotherapy patients. The MSSDT incorporates contemporary research-based neuroscience perspectives of multiple self-states theory. Psychologically overwhelming and traumatic experiences that our young patients may have endured, can lay the groundwork for dissociated, shame-based, and disavowed emotional states – rendering distressed young persons as not fully known to themselves. The MSSDT provides a novel opportunity to help bridge the gap in youngsters’ awareness of their discrete emotional states through their artistic expression and telling of their personal stories. Emotionally dysregulated, trauma-based, and dissociative self-states are compassionately and creatively explored, while a focus on adaptive, resilient states of well-being is promoted. In that sense the MSSDT offers a strengths-based approach that can encourage self-understandings, foster the therapeutic bond, and help inform the practitioner of definitive life experiences of the child or teen, in a supportive, non-threating atmosphere. In reading this book, clinicians will learn about key concepts of trauma treatment such as affect regulation principles, attachment relationship, the continuum of dissociation, cultivation of mentalization skills in young patients, the value of art activity, fostering new self-narratives, the clinicians’ therapeutic stance, and how to practically apply the MSSDT across preferred treatment modalities, in one’s psychotherapy practice.

This course is based on the book, The Multiple Self-States Drawing Technique: Creative Assessment and Treatment with Children and Adolescents created by Susan C. Parente, Psy.D. in 2020.

Publication Date:

1st Edition June, 2019

Course Material Author

Susan C. Parente, Psy.D.
Susan C. Parente, Psy.D. is a licensed psychologist, with additional degrees in school and educational psychology, and music therapy. As a psychodynamic and relational practitioner, she incorporates a variety of therapeutic techniques including mindfulness approaches, EMDR, and cognitive-behavioral modalities, to lend a holistic, integrative orientation to her work. Dr. Parente has provided child, adolescent, family and adult psychological treatment services, comprehensive psycho-diagnostic assessment, consultation to schools and families, and creative arts and play therapy in multiple settings. She has maintained a private practice in her Montclair, N.J. office for over 25 years.

Susan C. Parente, Psy.D. authored the material only, and was not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.

Course Creator

Sandi Cardaman
Sandi Cardaman has been a Licensed Mental Health Counselor for more than 15 years. She has worked with eating disorders, domestic violence and clients who are working with the dependency system.

Recommended For:

Counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for all levels of knowledge.

Course Objectives:

After taking this course, you should be able to:

  1. Explain the historical usage of projective drawing techniques in clinical practice.
  2. Describe traditional vs. Therapeutic Assessment models of psychological assessment.
  3. Explain the psycho-neurobiological construct of the multiple self-states model.
  4. Summarize the “window of tolerance” concept.
  5. Identify trauma types.
  6. Describe the dissociation continuum.
  7. Distinguish the characteristics of a secure attachment profile as related to affect regulation.
  8. Describe the therapeutic benefits of art activity in the clinical setting.
  9. Define three core components of immediate self-experience.
  10. Incorporate an intentional psychotherapeutic stance in clinical practice.
  11. Describe four phases of the MSSDT in psychotherapy practice.
  12. Utilize the MSSDT as a method of clinical assessment and the advancement of treatment goals with an array of child and adolescent psychotherapy patients .


Disclosure of Relevant Financial Relationships

Disclosure of Relevant Financial Relationships

CE Learning Systems, LLC is an independent provider of continuing medical education. CE Learning Systems, LLC has no proprietary or financial interest in medical or healthcare products over which the FDA (USA) or EMA (EU) has regulatory authority.

In accordance with our disclosure policies, CE Learning Systems, LLC is committed to ensuring balance, independence, objectivity, and scientific rigor for all accredited continuing education. These policies include assigning relevance to, and mitigating, all perceived or real conflicts of interest between any individual with control over the content and any ineligible company (commercial interest).

Any individual with control over accredited content, including planner, faculty, and reviewer, is required to globally disclose:

  1. Individual relationship(s) or lack thereof, and its nature, with any/all ineligible company, and
  2. any investigational, off-label, or non-FDA approved content or discussion

CE Learning Systems, LLC has reviewed these disclosures, assigned relevance based on the relationship and scope of content, and identified those with the potential to compromise the goals and educational integrity of the education. Relevant relationships, or lack thereof, are shared with the learner.

Education has been independently peer-reviewed to validate content, mitigate identified conflicts of interest, and ensure:

  1. All recommendations involving clinical medicine is based on evidence that is accepted within the medical profession as adequate justification for their indications and contraindications in the care of patients.
  2. All scientific research referred to, reported, or used in accredited continuing education in support or justification of a patient care recommendation conforms to the generally accepted standards of experimental design, data collection, and analysis.
  3. Content is appropriate, fair and balanced, unbiased, referenced, and non-promotional.

The planners have reported the following: There are no relevant disclosures.

Course Material Author

The authors have disclosed any disclosures within the material.

Course Creator: Sandi Cardaman
There are no relevant disclosures.
Commercial support

There is no commercial support for this distance-learning course.

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Course Retired
Course Number 102947
5.5 CE credit hours
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Exam Fee $32.84
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Course Materials $40.00

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