This workshop summarizes the strategy and tactics of psychodynamic psychotherapy with these patients. The role of interpretation, transference analysis, technical neutrality and countertransferenece will be emphasized. Specific technical approaches will be summarized, particularly contract setting, management of suicidal threats, paranoid regression and dishonesty in patients' communication. Finally, supportive psychotherapy with those patients who cannot be treated with an exploratory approach will be outlined.
Fundamentals of Group Therapy: Selection of patients, preparation, group development, tasks and techniques of the therapist. Use of video vignettes will illustrate fundamentals.
This workshop is a phenomenology of melancholy. Jungian approaches to depression; clinical treatments, societal implications, resistances, suicidal risks and practical techniques will be demonstrated. The 50-minute, prizewinning BBC Documentary "Kind of Blue," narrated by the presenter will be featured.
This workshop focuses on identifying core beliefs and themes in couples and families that are constraining change. Creative use of the interview and interventions, including symbols, metaphors, language, fantasies and rituals to point a direction for change will be demonstrated.
Methods for training therapists customarily are directed to developing cognitive abilities. Using Milton Erickson as a model, an alternate, experiential approach is offered. The "evoking style" of the therapist determines the outcome of the treatment more than the theoretical and clinical methods to which the therapist ascribes.
The evolution of psychotherapeutic methods over the past 200 years from Mesmer through the psychoanalytic schools, behaviorism and current cognitive psychology tells a fascinating tale of our evolving understanding of human nature. In this address we will trace the development of fundamental techniques such as suggestion, free association, active imagination, gestalt dialogue, focusing, Erickson's indirect approaches and what I now call "The Basic Accessing Question."
Anyone can perform brief or short-term therapy, but unless pivotal issues are addressed, the treatment will, at best, be too narrow and restricted. It is essential to employ empirically established methods whenever possible, but also to have a framework and rationale for on-the-spot inventiveness. This Invited Address will explain how to be precise and targeted while also ensuring that interactive healing processes are put into effect.
The author traces the evolution of psychodynamic theory over the past fifty years and demonstrates how various individuals and schools of thought have contributed to increasing conceptual clarity despite significant continuing differences. Along with these theoretical advances, there have been important changes in analytically-oriented therapeutic techniques.
Cognitive therapy was originally developed for the treatment of Depression and Anxiety. Since its early beginnings various clinicians and investigators have extended its use to a wide variety of disorders and populations. Systematic outcome studies have demonstrated its efficacy not only in the garden variety of disorders such as Depression, Anxiety and Panic but also in medical disorders such a low back pain, diabetes, chronic fatigue syndrome and chronic hypertension.
In the early decades of the 20th century Freud's mastery of the craft of presenting a case enthroned a belief that anxiety disorders were caused by repressed emotional complexes and that recovery required the restitution of repressed ideas. This belief dominated psychotherapeutic practice, and even though little was to be seen in the way of success, any alternative was treated with scorn. Mid-century studies of experimental neuroses showed that these disturbances were the consequence of the learning of maladaptive anxiety and could be overcome by systematic counteraction by other emotions.
Zeig (1995) demonstrates the Ericksonian approach to psychotherapy while working with Carol, a woman whose nail-biting habit is rooted in anxiety. After gathering information on her personal history, Zeig helps Carol utilize her values and history to affect change. The process is both humorous and dramatic. After working to change associations linked to the problem behavior, Zeig offers Carol an ordeal that will produce a "guaranteed cure." Hypnosis is offered as the "dessert", rather than the main course. Ericksonian approach to psychotherapy.
How does one master the practice of psychotherapy? Should training emphasize theory, technique, or research? What about the personal growth of the clinician? We will identify seven essential "postures" through a series of graduated, Psychoaerobics exercises. Attendees will participate in growth games and group hypnosis to explore the merging of discipline and spontaneity that occurs in the most artful and effective clinical work. The program focuses on refining the therapist's lenses (perception), muscles (therapeutic power), heart (compassion), and hat (social role).
Educational Objectives:
(1) List three therapist postures that were especially well-developed in Erickson.
(2) Given a case, describe how to use a Psychoaerobic exercise.
Otto Kernberg (1995) demonstrates a supervision session with a therapist who presents a case of a 42-year-old male with a narcissistic personality and self-destructive tendencies. This male therapist feels as though the therapy has reached a stalemate. Kernberg suggests various hypotheses about the case. The volunteer then describes his reaction to the supervision.
Erving Polster (1995) demonstrates with Delisa, who is troubled by her work with geriatric patients. Polster leads Delisa quickly and deeply into her own fears of death and loss. Polster jokes, confronts, and directs Delisa into a greater self-awareness. Following the demonstration Polster explains his work and addresses questions.
My own physical disabilities as well as my performance anxiety during my childhood and adolescence impelled me to read many ancient and modern philosophers who had worked on the philosophy of human happiness and unhappiness. Thinking about their views and adapting them to my own life, I made myself distinctly less disturbed as well as less disturbable.
The development of cognitive-behavior therapy parallels major developments in how to conceptualize the role of cognition in psychopathology and behavior change. Dr. Meichenbaum will trace his "personal journey" as a clinician and researcher, noting the altering views of cognition from a behavioral, information processing and constructive narrative perspective. He will examine the therapeutic and research implications of this shift.
The split in the modern personality is between the head and the body, between the rational mind and irrational gut feelings. It reflects the split in this culture between science and the natural forces in life and nature which science attempts to control. The modern individual lives largely in his head and is out of touch with his body because he had deadened it to suppress the fear, the pain and the despair which he experienced in childhood.
In the ancient world, the philosopher was a physician of the soul who, employing the healing word (iatroi /ogoi), offered counsel to persons perplexed by problems in living. After the triumph of Christianity, the priest as confessor-counselor replaced the philosopher as rhetorician of consolation. With the birth of psychiatry, and especially since the Freudian revolution, we call helping persons with words "psychotherapy." I shall try to show that without a decisive separation of rhetorical healing from medical healing, psychotherapy as the secular cure of souls is doomed to extinction.
Madanes will present guidelines for the positive use of shame in couples and families. Stories from therapy will be told to reveal complicated problems in which shame, sex, power and love are interconnected. Looking at extreme cases of violence will throw light on when it is appropriate to experience shame and how to recover from the pain that shame represents.
In the 1990's all factors of therapy are changing. The way of financing therapy is changing, there are new types of clientele, there are striking differences in ideology and the training of therapists is becoming a new kind of enterprise.
This talk proposes to separate psychotherapy approaches into two groups: one called the "psychological therapies," focused on the growth and development of the individual psyche, and the other, the "social therapies," which deal with broader issues of relationship and the social web. My aim is to create a freer field for dialogue between two points of view that are historically independent from each other and that derive from a different conceptual base.
The client's task is to try to be open to his/her inner experiencing, disclosing it to the therapist. A client discovers difficulties in doing so, thus disclosing the resistances which are isomorphic with the client's difficulties in life more generally. The therapist's task is to teach and monitor this process.
The Basic Accessing Question is a simple fail-safe approach to accessing inner resources and creative problem solving by the patient with a minimum of suggestion by the therapist.
Seminal laboratory experiments show how habits are unlearned. Behavioral analysis: Accurately identify fear eliciting stimulus patterns. Description of major techniques with case examples, e.g., systematic desensitization, flooding, assertiveness training. Practica involving attendees showing treatment of specific anxiety constellations will reveal how the therapist adjusts to the individual.
A consistent, testable theory can permit the importation of effective techniques, not theories, on patients. Knowing when to apply a specific technique and how to enhance compliance will be stressed.
Presentation of the principles of feminist therapy as utilized with women who have been battered, sexually abused as children or adults. Such techniques also can be used to treat sexual misconduct by therapists and sexual harassment, including dealing with issues such as dissociation, obsessions and cognitive distortions.
This workshop focuses on the control theory and how it relates to the practice of Reality Therapy. Demonstration with volunteers from the audience who will role-play actual clients they are now working with will be highlighted.
Memories may be treated as one-act dramas, dialogues or dreams, as volunteers use them, incorporate them in new ways and let them return to the past. Demonstration, with audience volunteers, of a single childhood memory to make changes in their current lives will illustrate Redecision Therapy.
The development of the capacities of the healthy real self is described along with the impairments in these capacities that ensue in the Disorders of the Self. A diagnostic system based on the Disorders of the Self is presented, its conceptual basis is explained, and it is compared with DSM IV. A central triadic psychodynamic theme of these disorders, i.e., self-activation leads to depression which leads to defense, is described.
Human problems can be seen as "games without end; " that is, as recurring behaviors based on the continuous application of rigid rules, but devoid of rules for the change of these rules. What are such "meta-rules" and how can they be introduced?
The focus will be on the cognitive-behavioral treatment of adults who have been ''victimized'' by natural and intentional design. Specific assessment and treatment interventions will be critically examined and demonstrated.
Those who grow up in chemically dependent families have strong survivorship skills. Unfortunately, for too many, they continue to present to the world a false self often becoming our "closeted" depressed, angry and addicted client. This workshop focuses on 1) treatment orientation and priorities, and 2) core clinical issues. Due to the managed care environment, experiential focus will be on homework assignments.