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Home > Conference > Archives > 2006 Conference > Pre-Conference Workshops

2006 Pre-Conference Workshops

Twelve pre-conference workshops will be offered. Courses A-F will be offered simultaneously, commencing at 9:00 AM on Thursday, October 26. Courses G-L will be offered simultaneously, commencing at 1:45 PM on Thursday, October 26. Click on a workshop title to learn more:

  1. Basic Course on Self Psychology (Part 1)
  2. Therapeutic Pilgrimage
  3. Space, Form and the Self: A Psychoanalytic Exploration of Architecture
  4. Provision In Analysis: A Theoretical Framework For Clinical Considerations
  5. Writing
  6. Forward and Leading Edge Transference: Applications to Doing Psychotherapy
  7. Basic Course on Self Psychology (Part 2)
  8. Eloquence In The Non-Verbal Realm: A Comparison Of The Use Of Verbal And Non-Verbal Communication In Child And Adult Treatment
  9. The Application of Contemporary Psychoanalytic Concepts to Couples Psychotherapy
  10. Learning Disabilities and Psychoanalytic Treatment of Adults
  11. Master Class
  12. Loving and Leaving: A Re-Appraisal of Analytic Endings

A. Basic Course on Self Psychology

Pre-Conference Workshop Session (Part 1)

Leader:
Allen Siegel, MD

Description:
This pre-conference course will study the basic theoretical concepts and clinical innovations developed by Heinz Kohut and reflected in his psychology of the self as well as the theoretical and clinical ideas found within intersubjectivity theory. The ideas contained within self psychology are experience near and therefore readily understandable, despite the difficulty Kohut had in writing clearly about them. The course contends that because of its affective nearness, an understanding of self psychology theory resides in an unarticulated form within most sensitive people. This course is designed for those who have an interest in, and a sense about the theory, but have not yet studied it sufficiently to be able to articulate its elements with comfort. The morning portion of this 2-session course will be devoted to viewing and discussing the Australian film Muriel's Wedding. Our study of Muriel, her yearnings, emotionally protective maneuvers, and eventual growth will provide us a shared experience as we attempt to grasp her psychology from our "common sense," experience near, perspective. The afternoon session will assume a more formal perspective. Its goal will be to help the participants learn and be able to comfortably articulate the many elements of psychology of the self theory. Power Point will aid in the realization of this goal.

At the end of this course, the participant will be able to understand and articulate the basic ideas contained with self psychology.

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B. Therapeutic Pilgrimage

Pre-Conference Workshop Session

Co-Leaders:
Jeffery Stern, PhD; Marcia Dobson, PhD; Allen Kodish, MD; and Frank L. Summers, PhD

Description:
A question of boundary crossing is raised in the narrative of a case in which a severely depressed and chronically suicidal patient and his therapist cross the ocean together to see the dramatization of a novel - actually a trilogy - at London's National Theater. The books had become something of a shared dream between analyst and patient so the journey that covered thousands of miles represented, paradoxically, a sort of pilgrimage to an interior clinical space. Dr. Stern will lay out the story of how he and his patient decided to make their trip, what happened on it, and its effects on their work in the year and a half since it took place. Drs. Dobson, Kodish and Summers will discuss the case from a variety of perspectives among them the uses and abuses of enactment in psychotherapy, the place of stories in treatments, the importance and meaning of rules within treatment and the meaning boundaries and boundary crossings may have for many of us whether or not we make them the subjects of our papers.

Educational Objective:
To broaden and deepen our thinking about the meaning of actions we take or decide not to take with our patients, and to see the way relational experiences we have with our patients might be considered from different theoretical viewpoints.

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C. Space, Form and the Self: A Psychoanalytic Exploration of Architecture

Pre-Conference Workshop Session

Co-Leaders:
George Hagman, MSW and Carol M. Press, EdD

Guest Artists:
Leslie Hogan, DMA, Composer and David R. Shaddock, PhD, Poet

Description:
This workshop will introduce the participants to a self-psychological understanding of the creative mind of the architect and the function of architecture in the psychology of self. Attendees will come to understand how the blending of self-experience with form, space, color, line and sound, is elaborated throughout life by means of our capacity and motivation to experience the world as having ideal formal characteristics, most importantly beauty, but also the sublime, and on the dark side, ugliness. The architect's role is to create environments that are radically infused and structured by human subjectivity. Carol M. Press has choreographed a dance (set to an original score by Leslie Hogan with poetry by David Shaddock) that embodies the changing relationship between a person and their surround. The dance reveals the crisis and creative restoration of a self, aesthetically engaged with the architecture around her. George Hagman will introduce the participants to the person and architecture of Frank Lloyd Wright. Wright sought through his work to create ideal domestic worlds that would function psychologically to promote self-cohesion and vitality by means of particular aesthetic elements. Attendees will not only acquire knowledge of a great artist, but also develop a better understanding of the broad psychological impact of modern architecture. Participants will then engage in an experiential exercise to explore the space and forms that are immediately around them.

The goal is to increase awareness and self-reflection to the ubiquitous impact of architecture on self-experience. Participants will also examine and discuss the clinical relevance of these processes. Finally, a "field trip" will be conducted to the "Robie House", perhaps the most important of Frank Lloyd Wright's influential Prairie Style homes.

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D. Provision In Analysis: A Theoretical Framework For Clinical Considerations

Pre-Conference Workshop Session

Co-Leaders:
Lucyann Carlton, JD, PsyD and Estelle Shane, PhD

Description:
This workshop is divided into two parts. In part one, we argue that psychoanalytic theories may either conceptualize human development, illness, and cure as predominantly dynamic process, or as predominantly reified structure. This distinction has profound impact on understanding and practice, as we will address in Part one. Briefly, a structure theory conceptualizes mind as a self-contained, tangible object developing in predetermined linear stages, according to universally applicable principles, and change occurs through prescribed techniques. A process theories, on the other hand, conceive of mind as dynamic, non-linear process in which thoughts and feelings emerge and organize in unpredictable ways as a product of ongoing complex interactions among the brain, body and environment (human and nonhuman). Mind forms and functions in relationship with others, and is envisioned as "quintessentially relational." Development, illness, and therapeutic action are phenomena with neither predetermined universal stages nor predictable end states.

Application and Case Presentation:
We have chosen to explore the traditional concept of provision within a psychoanalytic relationship in order to understand and demonstrate the impact of a process or structure theory in clinical practice. To this end, Dr. Carlton and Dr. Shane will each present a case where provision of something more than verbal interpretations is featured, but the notions and types of provision in each case are significantly different. Participants will also be encouraged to share a current clinical dilemma with which he or she may currently be struggling. The group will be asked to consider all of these cases from both process and structure perspectives, as well as to reflect on how each type of theory conceptualizes provision and how each contributes differently to thoughtful deliberation of possible therapeutic responses.

At the conclusion of this presentation, the participant will be able to differentiate structure theory from process theory, using the concept of Provision as a central feature.

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E. Writing

Pre-Conference Workshop Session

Co-Leaders:
Judith Pickles, PhD and Joye Weisel-Barth, PhD, PsyD

Description:
This workshop is intended to help writers expand their capacities to bring clinical and theoretical material to life on the page, evoking the implicit and stating the explicit, making use of both experiential and explanatory levels of discourse. Participants will work on their own idea for a writing project during the entire workshop, moving toward finding their own distinctive voice.

In this structured, yet free-flowing workshop, we will encourage playing with ideas. Through a combination of short lectures, discussion, and guided tasks, at the conclusion of this workshop, the participant will be able to:

  1. Describe more vividly central aspects of their writing project: the patient, the therapist-patient dyad, a clinical moment, a theoretical idea, clash, or resonance
  2. Distinguish and identify various modes of clinical writing: the narrative, evocative, enactive, and theoretical
  3. Find the center or core motive for your paper - the problem or dilemma for which your paper is the solution
  4. Identify key Ideas, concepts, and perspectives that would contribute to understanding your dilemma or core problem
  5. Write your central idea or thesis in a few sentences
  6. Identify the gap you are addressing, placing your thesis within the contemporary psychoanalytic landscape
  7. Address the literature review, the introduction, the abstract, and aspects of preparing your paper for submission to a psychoanalytic journal

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F. Forward and Leading Edge Transference: Applications to Doing Psychotherapy

Pre-Conference Workshop Session

Co-Leaders:
Marian D. Tolpin, MD and Frank Lachmann, PhD

Description:
The clinical utility and applicability of "leading edge" and "forward edge" formulations will be illustrated and discussed among the presenters and the participants. Leading edge formulations are offered by the analyst when appropriate as a way of casting what the patient may experience as shameful or guilt ridden, in terms of the patient's regulation of affect, arousal, self cohesion and self continuity. The accent here falls on the analyst. In forward edge formulations the analyst is attuned to what the patient may be presenting that indicates a tendril of psychological growth. The accent here falls on the patient. The two are compatible but not identical.

At the conclusion of this presentation, the participants will be more alert to the subtle signals given by patients that some shift toward psychological growth is emerging. Furthermore, they will be able to promote this developmental advance through their attention to aspects of the patient's communication that can be seen as striving toward self cohesion, self stability and self regulation of affect and arousal while the patient may simultaneously still be in the gripe of pathological patterns.

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G. Basic Course on Self Psychology

Pre-Conference Workshop Session (Part 2)

Leader:
Allen Siegel, MD

Description:
Please see description for Part 1.

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H. Eloquence In The Non-Verbal Realm: A Comparison Of The Use Of Verbal And Non-Verbal Communication In Child And Adult Treatment

Pre-Conference Workshop Session

Leaders:
Iris Hilke, MA; Rosalind Chaplin Kindler, MFA; Mark Smaller,PhD; Dorienne Sorter, PhD; and Jacqueline Gotthold, PsyD

Description:
This pre-conference panel will focus on the contributions of child analytic treatment to the development of self psychological theory and adult treatment. Contemporary clinical theory now includes a consideration of the dyadic, interactively regulated, bi-directional nature of the therapeutic encounter, as well as an acceptance of both implicit and explicit modes of communication. These ideas enhance the valuable traditional self psychological theories which inform treatment. The clinical experience with children with its emphasis on metaphor, non-verbal expression, as well as development, relational and transference/counter-transference perspectives, highlights self psychology concepts in the most experience-near way.

This workshop will utilize clinical material from the case of an eleven year old boy with selective mutism. Central theoretical concepts from contemporary and traditional self psychological perspectives will be addressed. How the principles utilized in this child case inform adult treatment will also be addressed.

This workshop will enable participants to:

  1. Identify theoretical dimensions of a child treatment from self-psychological/relational perspective along the dimensions of interactive regulation, bi-directionality implicit and explicit dimensions of communication in the treatment process and a neuron-psychoanalytic approach.
  2. Workshop participants will be able to apply those theoretical dimensions from a child treatment to work with adults.

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I. The Application of Contemporary Psychoanalytic Concepts to Couples Psychotherapy

Pre-Conference Workshop Session

Co-Leaders:
Carla Leone, PhD and David Shaddock, PhD, MFT

Description:
Even the most experienced couples therapists struggle with the many challenges and difficulties inherent in work with couples, but a solid theoretical framework for understanding and responding to these can render the task less daunting and more effective. Recent developments in psychoanalytic theory, including nonlinear dynamic systems theory, infant research, and the work of the Boston Process of Change Group, have much to contribute to the understanding and treatment of couples. This workshop will attempt to incorporate some of these recent contributions into an overall self psychological, intersubjective approach to couples treatment. It is thus designed to be useful to both experienced couples therapists interested in discussing new ideas and particularly difficult couples, as well as to self psychologically trained individual therapists interested in expanding their clinical range.

Dr. Leone will begin by presenting a summary of the basic tenets of a self psychological, intersubjective approach to couples work. She will briefly highlight relevant concepts from the work of the Boston Process of Change group, including moments of meeting and implicit relational knowing, and discuss their application to couples therapy. She will then distribute a detailed transcript of a couples session she conducted and facilitate a "line-by-line" discussion of the material and the concepts it illustrates.

Mr. Shaddock's presentation will focus on treating "the self in the system" - addressing the developmental needs of each partner in a conjoint context. He will begin with a brief overview of infant research and psychoanalytic systems theories, focusing on the work of Beebe & Lachmann and Stolorow, Atwood & Orange. He will discuss the application of these findings and theories to couples in which one partner has a history of childhood trauma or developmental arrest. He will then consider the implications of these concepts for the "problem of alterity" - the difficulty partners have in staying with their own thoughts and feelings while recognizing the other partner's differently organized subjective world. Mr. Shaddock will present a videotape case presentation that highlights the importance of understanding a couple's implicit non-verbal communication.

During the last part of the workshop, the presenters will comment on each other's presentations and clinical material, and facilitate an open discussion with workshop participants. The many challenges and difficulties of couples work will be highlighted, especially counter-transference difficulties, and participants will be encouraged to utilize the discussion time to share their experiences and ideas and gain support from each other.

At the conclusion of this workshop, attendees will

  1. Understand the basic tenets of a self psychological, intersubjectve systems approach to couples therapy.
  2. Understand the importance of implicit, non-verbal communication and of "now moments" of heightened emotional intensity in the couples therapy process.
  3. Be able to explain how the developmental needs of each partner can be met in couples treatment.

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J. Learning Disabilities and Psychoanalytic Treatment of Adults

Pre-Conference Workshop Session

Leaders:
Margaret Amerongen, MSW, RSW; Margaret Baker, PhD; Myrna Orenstein, PhD; and Joseph Palombo, MA

Description:
Many therapists are unable to recognize or address learning disabilities (LD) in their patients. Moreover, they may not realize that LDs often have profound effects on patients' lives and that an LD may adversely affect treatment especially when unidentified. This workshop will present a self psychological perspective on LDs and their effect on adults and on therapy.

It will include the following:

  1. An overview of LD's, which will be illustrated through engaging participants in brief exercises that mimic the experience of various forms of LD
  2. Elaboration of clues from the patient's history throughout life that indicate the possibility of LD
  3. When to refer for psychological assessment
  4. The impact of a diagnosis of LD in adulthood

Clinical material from 2 cases will be presented in which the patients have ADHD and Executive Function Disorder. The material will illustrate how signs of LD were evident in these patients' histories and in the therapeutic process. Working with and accommodating the LD in the therapeutic process with be discussed.

At the end of the workshop, participants will increase their familiarity with the nature of LD, signs of LD in the histories and treatments of their patients, and the impact of diagnosis of LD in adulthood. Participants will learn how to work with the LD in the therapeutic process.

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K. Master Class

Pre-Conference Workshop Session

Co-Leaders:
Shelley R. Doctors, PhD; Alan Kindler, MBBS, FRCPC; and Sarai Batchelder, PhD

Description:
A senior psychoanalytic candidate will present extensive clinical material to the group, pausing frequently for participants to raise questions and offer observations. The clinical/theoretical discussion aims to enhance understanding of contemporary Self Psychological approaches to practice. This is suitable for all levels of clinical experience.

At the conclusion of this presentation, the participant will be able to understand clinical events with a greater theoretical range and to participant in them with a richer repertoire of effective responsiveness.

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L. Loving and Leaving: A Re-Appraisal of Analytic Endings

Pre-Conference Workshop Session

Co-Leaders:
James L. Fosshage, PhD; Kenneth A. Frank, PhD; Sandra Hershberg, MD; and Estelle Shane, PhD

Description:
This panel will explore the ways in which developments in self psychological, non-linear dynamic systems theory and relational psychoanalysis, influenced by attachment theory and infant research, have affected contemporary considerations in the way an analyst conceptualizes and approaches the termination process. The contemporary analyst breaks with classical tradition in emphasizing the analyst/analysand relationship, constituting commitment between two individuals engaged in an intimate, mutually caring relationship, as well as the role of insight. A core aspect of the classical notion of termination involves the analysand's renunciation and mourning the loss of the analyst, privileging the analysand's ability to separate, that requires the finality of ending as a demonstration of the analysand's deepened capacity for insight, internalization of the analyst's functions and a shift to self-analysis. In order to elucidate contemporary conceptualizations, the panel will explore the following questions with the use of clinical illustrations: Is psychoanalysis ever fully completed, or is it a singularly, intimate, enduring "till death do us part" relationship? In what way(s) does, or should, the relationship change during the ending phase? Are there certain essential tasks that are part of the process of termination? If we conceptualize termination to be a part of the mutually constructed experience of analysis with evolving personal meanings, based on the specific analytic pair, how does this view influence our technique? Should we regard post-termination contact as an indication of a failed analysis or as proof of the natural, expectable situation when an analysis has gone well?

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