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The presenters at this IEDTA Conference are therapists from different schools of Short-Term Dynamic Psychotherapy. These different schools, all Experiential Dynamic Therapies, share a belief that the experiencing of repressed painful emotions as an important curative factor.
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Keynote Speaker:
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Dr. Jaak Panksepp
"Primary-Process Emotionality Within the Mammalian Brain: Toward a Scientific Psychiatry & Novel Trends in Therapeutic Practice"
>> View slides from Jaak Panksepp presentation |
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Allan Abbass, MD
"Davanloo's ISTDP: Following the Unconscious Therapeutic Alliance to the Primitive Core of the Highly Resistant Depressed Patient"
>> View slides from Allan Abbass presentation-Vancouver2010
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Michael Alpert, MD
"Melting Resistance with Mind-Body Techniques"
>> View slides from Michael Alpert presentation-Vancouver2010
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Thomas M. Brod, MD
"Blighted Blessing: Post-Traumatic Scanning and Brittle Success"
>> View slides from Thomas Brod presentation-Vancouver2010
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Kees Cornelissen, SocD
"The Spirit Eater: A Case of Mental Cannibalism and How to Survive" |
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Patricia Coughlin, Ph.D
"Facilitating the Development of the Unconscious Therapeutic Alliance to Overcome Resistance"
>> View slides from Patricia Coughlin presentation
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Helena Eckerberg, Ph.D
"Treating Marital Stalemates: The Woman Who Couldn't Tolerate Anxiety" |
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Jon Frederickson, MSW
"The Man Who Had 14 Previous Therapies"
>> View slides from Jon Frederickson presentation
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Allen Kalpin, MD
"The Use of "Being Present" in the Assessment and Overcoming of Resistance"
>> View slides from Allen Kalpin presentation
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Leigh McCullough Ph.D.
"Easing up on the Brake Pedal: Resolving Affect Phobias in the Resistant Patient" |
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Robert Neborsky, MD
"The Resistance of the Primitive Brain: contrasting Freud, Jung and Davanloo's Approach to Instinct with Findings from Modern Research"
>> View slides from Robert Neborsky presentation
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Ferruccio Osimo, MD
"Recovering from Treatment -Resistant Depression with Intensive Experiential Dynamic Psychotherapy"
>> View slides from Osimo Ferruccio presentation
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Steven Sandler, MD
"From Dissociation to Intimacy: Working with Emotional Detachment" |
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Josette ten Have-de Labije, PsyD
"Guilt, Punishment and Exile: The Tragedy of the Abused" |
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Susan Warren Warshow, MSW
"Convinced He Couldn't Feel"
>> View slides from Susan Warren Warshow presentation
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Kristin Osborn, MA, LMHC
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"The Machine Builder" by Leigh Mc Cullough, PHD
>> View slides from Kristin Osborn presentation
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Dr. Jaak Panksepp
Veterinary and Comparative Anatomy,
Pharmacology and Physiology College of Veterinary Medicine
University of Washington
“Primary-Process Emotionality Within the Mammalian Brain: Toward a Scientific Psychiatry & Novel Trends in Therapeutic Practice”
Enormous advances have been made in the last few decades in understanding how emotions are organized in the brain. This knowledge will change the scientific foundations of psychiatry and lead to a revolution in the treatment of emotional disturbances that accompany mental illnesses. The neuroscience of primary-process emotional processes can promote a new era of psychiatric diagnostics and facilitate the development of new symptom-based clinical interventions that focus on the specific emotional problems of clients, as well as the development of new biomedical therapeutics that work optimally in clinical psychotherapeutic contexts.
This presentation will also provide a working understanding of how emotional feelings are created in the brain and how we have a new understanding of the foundations of consciousness through a focus on nature of basic emotional processes through a detailed study of the underlying brain processes in animals models and human brain imaging. The focus will be on how feelings of sadness/grief and playful-joy are created in the brain, and discuss how the identification of such endophenotypes is changing scientific psychiatry. The talk will included some discussion of how this knowledge can promote a scientific understanding a variety of clinical problems including anxiety, PTSD, panic attacks, depression and childhood disorders such as autism and ADHD. The emerging discoveries of Affective Neuroscience are providing a framework for understanding how pro-social brains/minds are epigenetically constructed through the facilitating effects of early pro-social interactions.
Dr. Panksepp is renowned for coining the term, “affective neuroscience” to describe the field that studies the neural mechanisms of emotion. He is known in the popular press for his research on laughter in non-human animals such rats.
Dr. Panksepp's present research at the University of Washington is devoted to the analysis of the neuroanatomical and neurochemical mechanisms of emotional behaviors (in the emerging fields of affective and social neurosciences), with a focus on understanding how various affective processes are evolutionarily organized in the brain. He and his research team look for linkages to psychiatric disorders and drug addiction. They conduct research on the brain “instinctual” mechanisms of fear, anger, separation distress (panic), investigatory processes an anticipatory eagerness, as well as rough-and-tumble play. They are especially interested in how various brain neuropeptide systems regulate emotional feelings and social bonds.
Prior to the ongoing work on emotional systems, Panksepp studied hypothalamic mechanisms of energy balance control and neural regulation of sleep-waking states. In addition to 300+ scientific articles, Panksepp has co-edited the multivolume Handbook of the Hypothalamus and of Emotions and Psychopathology, a series in Advances in Biological Psychiatry and most recently a Textbook of Biological Psychiatry (Wiley, 2004), His other textbook, Affective Neuroscience: The Foundations of Human and Animal Emotions (Oxford, 1998), has helped inaugurate a new field of inquiry which attempts to probe the affective infrastructure of the mammalian brain. His working assumption is that all of consciousness was built on affective value systems during the long course of brain evolution.
Dr. Jaak Panksepp is Baily Endowed Professor of Animal Well-Being Science at the College of Veterinary medicine, Washington State University. He is the founder of the new field called Affective Neuroscience.
He is the author of Affective Neuroscience: the Foundation of Human and Animal Emotions (Oxford, 1998), editor of a Textbook of Biological Psychiatry (Wiley, 2004) and seven other books. Panksepp is author of over 400 scientific articles, chapters and reviews devoted to elucidating the basic mechanisms of motivations and emotions as well as the fundamental nature of consciousness an self-representation in the brain. His present research is devoted to the analysis of the neuroanatomical and neurochemical mechanisms of emotional behaviors in the emerging fields of affective and social neurosciences. His main research interest is unraveling the nature of primary-process emotions in the mammalian brain—SEEKING, FEAR, RAGE, LUST, CARE, PANIC and PLAY—using modern neuroscience and genetic tools and seeking linkages to major human concerns. His work led to a new treatment of autistic children and current work is devoted to non-pharmacological therapies for ADHD. Ideas for new anti-depressants and anti-suicide agents are currently being clinically evaluated.
Allan Abbass, MD
Halifax, Canada
"Davanloo's ISTDP: Following the Unconscious Therapeutic Alliance to the Primitive Core of the Highly Resistant Depressed Patient"
Davanloo has described phases in ISTDP of resistant patients including the phase of Repeated Unlocking of the Unconscious. In this phase rage and primitive rage and guilt are experienced directly in the therapy sessions and in between sessions. The unconscious therapeutic alliance is in a dominant position and the work can proceed rapidly. In this session, Dr Abbass will demonstrate this process with a treatment session from a highly resistant patients with depression and somatization and characterological problems. The relief brought about by working through such material will also be illustrated.
is currently a Professor of Psychiatry and Psychology, Director of Psychiatric Education and founding Director of the Centre for Emotions and Health at Dalhousie University.
He completed medicine at Dalhousie, Family Medicine at McGill and Psychiatry residency at University of Toronto . He is a leading teacher and researcher in the area of Davanloo's Intensive Short-term Dynamic Psychotherapy. He provides ISTDP training programs to local and International audiences in the area of anxiety, depression, somatic disorders and personality disorders. He has received a number of teaching awards including a national teaching award in Psychiatry. His recent research includes a randomized trial of ISTDP for personality disorders and several systematic reviews including the Cochrane Review of Short-term Psychodynamic Psychotherapy for common mental disorders.
Michael Alpert, MD
New York, USA
“Melting Resistance with Mind-Body Techniques"
Resistance has many causes, conscious and unconscious. More importantly, it's directly linked to the problems that bring patients to treatment – symptoms causing such discomfort that they come to therapists despite the cost and embarrassment. Therapists sometimes enter into a struggle with resistance rather than using the link between resistance and symptoms to quickly reduce them.
Sometimes a frontal attack on resistance is successfully employed. It is one of many ways of working with resistance. I'm going to describe the use of body sensations to (1) bypass resistance or (2) treat it as merely another symptom and use it as a model for reducing symptoms. Simply exploring physical sensations removes symptoms and solves problems. I'll provide an explanation of the method based on recent neurobiological research.
I'll also present a series of vignettes to demonstrate how I go about exploring the physical experience of symptoms. Patients learn they can use their body, just as they use their mind, to find solutions to problems.
Michael C. Alpert, M.D., M.P.H., received his undergraduate and medical degrees at the University of California and his public health degree at Harvard University. He has over thirty-five years' experience as a practicing psychiatrist. Dr. Alpert is founder of the STDP (Short-Term Dynamic Psychotherapy) Institute of New York and New Jersey . In 1989 he developed AET, Accelerated Empathic Therapy, which emphasized using empathy and self-disclosure to gain access to the experience of emotions. He one of the founders of the IEDTA (International Experiential Dynamic Therapy Association) and is a co-founder of the institute's listserv. Dr. Alpert has contributed to professional books and journals, among them the International Journal of Short-Term Psychotherapy, the Journal of Psychotherapy Practice and Research, and Psichiatria Pratica. He has devoted his last five years to the development of a new sensation based therapy described in his new book, Sensation Science. Dr. Alpert has offices in New York City and New Jersey.
Thomas M. Brod, MD
Los Angeles, USA
“Blighted Blessing: Post-Traumatic Scanning and Brittle Success"
Brief treatment with modified ISTDP provided major relief for a woman with multiple health problems and difficulty sustaining close emotional relationships. This treatment explored her experience of abuse by her mother, its installation of compulsive scanning and other-responsiveness, and the resulting brittle professional success that followed. Treatment consisted of 9 sessions covering 11 hours. Vignettes have been selected from 4 sessions to illustrate her initial fragility, resistance to emotional closeness, transference-countertransference observations of a central defensive feature of her character--use of subtle defenses of accommodation to destroy intimacy and closeness. A master of hiding herself to adapt to the expectations of others, she experienced a vicious rageful self when the defense was blocked. The resulting treatment gave her an enormous boost of self-agency and personal freedom.
Thomas M. Brod, M.D., is Associate Clinical Professor, Psychiatry, Geffen UCLA School of Medicine and senior faculty of the New Center for Psychoanalysis, Los Angeles. He studied ISTDP first with Robert Neborsky MD and then with Habib Davanloo MD. He is currently vice-president of the Southern California Society for ISTDP and a Distinguished Life Fellow of the American Psychiatric Association. He is in private practice in west Los Angeles. Dr Brod graduated from the University of California, Berkeley (English), and received his medical degree from the University of Southern California. After serving in the Indian Health Service of the U.S. Public Health Service, he was selected into the National Institute of Mental Health Career Development Program, and was sponsored by NIMH during his residency and fellowship at UCLA Neuropsychiatric Institute (Psychiatry). In addition to his work with, and teaching of, intensive dynamic psychotherapy, Dr. Brod is a national leader in the field of brainwave biofeedback and is a Senior Fellow of the Biofeedback Certifying Institute of America. He has also organized conferences for psychotherapists and the arts community with the Museum of Contemporary Art (Los Angeles), and, most recently on the films of screenwriter Charlie Kaufman (Being John Malkovich, Eternal Sunshine of the Spotless Mind, etc.) Dr. Brod is also a certified yoga instructor and a volunteer teacher at his local YMCA.
Kees Cornelissen, SocD
Halsteren, Netherlands
"The Spirit Eater: A Case of Mental Cannibalism and How to Survive"
Anxiety, especially when it is generalized,can become a heavy burden in daily life. When mixed with defensive phenomenon's such as mistrust and projection, this burden can become almost insurmountable.
Many of our patients have experienced one or more traumatic experiences in life. Sometimes we are struck by a patient's (ego)strength or capacity to adapt to a very difficult situation or even to survive a terrible upbringing. Sometimes we have a hard time to cope with the full extent of a chronic process of traumatization that has taken place. But sometimes we are simply amazed by the capacity of the person to protect the inner self from the attacks of very aggressive parents.
The man, I will present to the conference is such a patient. He was raised by a mother who was diagnosed as a borderline personality disorder (probably middle or low-levelled). His capacity to stay close to an inner sense of right and wrong, to be faithful to his need for love and care as a justified cause, and his longing for closeness and moreover to keep a healthy connection with his biological processing of feelings was striking. The personal integrity, carefully hidden and protected by him became the patient' s secret and drive in life.
The patient's upbringing was characterized by deprivation of food, shelter and appropriate clothing. There was abuse of power, abandonment and threats. Mistrust and communication fuelled by his mother's projections and his mother's mental cannibalism of her son. But this man managed to stay friendly and supportive to his beloved ones, to achieve, and first of all to stay alive and raise a family of his own.
When this patient came for therapy there was no way of saying whether we could achieve and have success.
Kees L.M. Cornelissen is a trained and registered psychotherapist in The Netherlands in private practice and in residential treatment. He was educated as a sociologist at the Free University in Amsterdam. During his professional life he was trained in Group analysis, Client-Centered therapy, and in Transactional Analysis amongst others and became a teacher and supervisor in several psychotherapeutic modalities. In 2005 he developed and founded the only existing residential program on ISTDP and successively several day-treatment programs. Though educated in the theory and practice of ISTDP by H. Davanloo in Canada he was trained in ISTDP as a member of the continuing educational program on ISTDP in the Netherlands by Josette ten Have-de Labije among others. He is now a trainer in ISTDP and on the editorial board of the Ad Hoc Bulletin and co-trainer in several international core-groups on ISTDP in Norway, England and Poland. He has presented on many national and international conferences, has written several articles re specific topics in the application of the technique of ISTDP and a book on residential treatment with ISTDP, the R-ISTDP (2007).He works in the Viersprong, a residential centre for psychotherapy in the South of the Netherlands.
Patricia Coughlin, Ph.D
Philadelphia, USA
"Facilitating the Development of the Unconscious Therapeutic Alliance to Overcome Resistance"
I will be presenting the case of a 65 year old woman who has been in therapy nearly all her life, but still suffers from anxiety, depression, a host of physical illnesses (many requiring medication), and a lack of closeness in all relationships, including those with her husband and daughter.
What does ISTDP offer that all the other methods of therapy she has tried did not? Research reveals that only 20% of the patients who consult an outpatient psychotherapist are able to make significant use of interpretation, the primary tool employed by psychodynamic therapists. For the other 80% of patients, a high level of anxiety and heavy reliance on defenses against feelings and close contact with the therapist interfers with accepting help.
Davanloo has developed a systematic series of interventions used in the pre-interpretaitve phase of treatment, in order break down defenses and liberate previously buried feelings and impulses, facilitating the healing process. As he became more and more successful with this group of resistant patients, he discovered a common dynamic operating in nearly every case. He found that these patients were being dominated by guilt and driven by an unconscious need to punish themselves for their rage toward attachment figures who had neglected and mistreated them. If the patient’s need to suffer and be punished is not made conscious, it can overwhelm the therapists efforts and lead to repeated failure.
In this presentation, I will focus on the opening sessions of therapy - illustrating how these powerful techniques for identifying and challenging defense and resistance mobilizes the healthy part of the patient, still hoping against hope for a healing experience. By blocking defense and resistance, we activate complex transference feelings, and facilitate the development of what Davanloo refers to as the Unconscious Therapeutic Alliance.
It is not enough to remove defenses, but to activate and strengthen the patient’s innate desire to attach and to become who they really are. By providing the patient with the opportunity to face complex transference feelings directly, the alliance is strengthened and will become the real engine to healing, operating as a kind of guiding light, leading therapist and patient to the early traumas and core conflicts responsible for the patient’s problems. This is often referred to as the “Breakthrough”, in which patient and therapist discover the unconscious forces responsible for the patient’s suffering. This kind of deep understanding of self is the most lasting result of all effective therapies. However, as Pennebaker has verified in his research, only those who become emotionally involved in the process of therapy achieve this end.
Dr. Patricia Coughlin (Della Selva), Ph.D. is a licensed Clinical Psychologist with over 25 years of clinical experience. In addition to seeing patients in her private practice in Philadelphia, PA , Dr. Coughlin conducts training and supervision groups for mental health professionals around the world. She has held faculty positions at Northwestern University Medical School and Albany Medical College. Currently she is on the faculty at Thomas Jefferson Medical School. Over the past 15 years she has written professionally, given presentations at professional conferences and conducted workshops for mental health professionals around the world. Currently, she is conducting supervision groups and training workshops in California, Washington, DC, Aarhus and Copenhagen, Denmark .
Her first book, Intensive Short Term Dynamic Psychotherapy: Theory and Technique , is considered a classic in the field. Dr. Coughlin's newest book, Lives Transformed was written in collaboration with Dr. David Malan, and published in 2006 by Karnac Books.
Helena Eckerberg, Ph.D
San Francisco, USA
"Treating Marital Stalemates: The Woman Who Couldn't Tolerate Anxiety"
This therapy was precipitated by a marital crisis with an impending split due to recurrent volatile arguments. As the crisis was stabilized, it became clear that individual therapy was indicated for both partners and we began individual sessions around the middle of my first year of training in ISTDP under the tutelage of Drs. Neborsky and ten-Have-de -Labije. The patient suffered from high chronic anxiety with occasional panic attacks, interspersed with periods of headaches and depression. She had a traumatic childhood history with a violently abusive father and passively depressed mother who did everything to maintain the illusion of a happy family, creating a forced pleasing attitude on behalf of the patient, while harboring rage and grief underneath. These complex powerful feelings were trapped by intense anxiety which was defended against through various syntonically maintained strategies. After an unconscious working alliance was established and the patient was better able to physically bear painful feelings, we began to explore these in more depth together. This vignette demonstrates the emergence of complex feelings, the impact of longterm unintegrated trauma, the therapist's attempts to build healthy ego adaptive capacity and resolving the traumatic effects.
Helena Eckerberg, Ph.D. is a licensed clinical psychologist in private practice in Palo Alto and San Jose, Ca. She received her degree from the California School of Professional Psychology and was a co-founder of the Silicon Valley Psychotherapy Center, Inc., where she specialized in relationship and intimacy problems including issues around sexuality. She also received training from the Couples' Institute in Menlo Park under Drs. Bader and Pearson. As she was influenced by attachment theory and had a keen interest in temperament and parenting, it was inevitable that she would attend a seminar with the prominent attachment researcher Mary Main among others. It was during this and a follow-up “must” seminar that she met Drs. Neborsky and ten-Have-de-Labije which became a life changing event. She recently graduated from the San Francisco core training group and is continuing with a fourth year elective training. She is now serving as President of the newly formed Northern California Society for ISTDP.
Jon Frederickson, MSW
Washington, USA
"The Man Who Had 14 Previous Therapies"
When working with the treatment resistant patient we must assess what factors prevent the patient from developing a therapeutic alliance. This patient had been diagnosed with major depression, panic disorder, bipolar mood disorder, obsessive compulsive disorder, somatization disorder, agoraphobia, and anorexia. This was in addition to his recovery from alcoholism and current addiction to opiates. The presentation will show how to assess and address the pathways of unconscious anxiety discharge and defense structure in the fragile patient so that we can establish therapeutic alliance. Particular emphasis will be placed on anxiety regulation and restructuring projection.
Jon Frederickson, MSW, is co-chair of the Intensive Short Term Dynamic Psychotherapy Training Program at the Washington School of Psychiatry. He also teaches ISTDP in Great Britain, Denmark , Norway , Poland , and Italy. He has published over twenty articles and a book, Psychodynamic Psychotherapy: Learning to Listen from Multiple Perspectives.
Allen Kalpin, MD
Toronto, Canada
"The Use of "Being Present" in the Assessment and Overcoming of Resistance"
In recent years the concept of mindfulness has become increasingly influential in psychotherapy. Coming originally from Buddhist meditation, mindfulness involves a focus on "being present." Emotional experience and emotional closenes take place in the present moment. Thinking and talking about one's life, thoughts, problems and feelings can often be unconsciously used as a way to avoid being fully present and in touch with emotions and interpersonal connection. It can be the case that until there is an inquiry into the degree that a patient is present, it will be unclear what types and amount of resistance is in operation. The challenge to the patient to become more present represents an indirect challenge to many defenses at the same time and to the whole system of resistance. It also provides an opportunity to explore interpersonal presence, which is the capacity for emotional closeness and connection. In this presentation Dr.Kalpin will show audiovisual vignettes of psychotherapy sessions which will illustrate the use of this approach in the context of Experiential DynamicTherapy (EDT).
Allen Kalpin, MD is a medical doctor practicing psychotherapy and providing psychotherapy supervision in Richmond Hill, Ontario, Canada. In addition to his psychotherapy work, he also practices addiction medicine in Toronto. He is past president of the General Practice Psychotherapy Association (GPPA) of Canada, a founder and board member of IEDTA, founder and moderator of the STDP Email Discussion List, and creator and manager of the IEDTA website. Dr. Kalpin does EDT teaching and supervision internationally, and has published many articles on EDT. He is calls his EDT approach (MI-EDT). He is the current president of IEDTA.
Leigh McCullough Ph.D.
Vikersund, Norway
"Easing up on the Brake Pedal: Resolving Affect Phobias in the Resistant Patient"
Leigh McCullough is Director of the Research Institute at Modum Bad Psychiatric Center in Vikersund, Norway, outside of Oslo. She is an Associate Clinical Professor at Beth Israel Deaconess Medical Center , Harvard Medical School ( Boston, Massachusetts ), where she co-teaches a course on Short Term Dynamic Psychotherapy and co-directs the Psychotherapy Research Program. She is also Director of Research of the International Experiential Dynamic Therapy Association (IEDTA). She is currently involved in an extensive analysis of videotaped psychotherapy to identify mechanisms of change.
Dr. McCullough was the 1996 Voorhees Distinguished Professor at the Menninger Clinic and received the 1996 Michael Franz Basch Award from the Silvan Tomkins Institute for her contributions toward the exploration of affect in psychotherapy. She is the author of several books, (e.g., Changing Character published by Basic Books, 1997, and Treating Affect Phobia published by Guilford Publications 2002.), and her writing focuses on psychotherapy process research, theory and practice of short term dynamic psychotherapy. More information on research and training can be found on her websites www.affectphobia.com and www.leighmccullough.com.
Leigh McCullough is an Associate Clinical Professor and Director of the Psychotherapy Research Program at Harvard Medical School (Boston, Massachusetts), a Visiting Professor II at the Norwegian Institute of Science and Technology (Trondheim, Norway), and Director of Research of the International Experiential Dynamic Therapy Association. She is also Co-Director of the Trondheim Psychotherapy Research Program where she is involved in an extensive analysis of videotaped psychotherapy to identify mechanisms of change.
More information on research and training can be found on the website www.affectphobia.com . She is in Private Practice in Dedham, MA.
Currently, Dr McCullough and her husband, John Boettiger, live in Vikersund, Norway. In their spare time they love to read, garden, hike in the Norwegian woods, enjoy Mediterranean beaches and French wine, but most of all what Italians call "Il dolce far niente," the sweetness of doing absolutely nothing.
Robert Neborsky, MD
San Diego, USA
"The Resistance of the Primitive Brain: contrasting Freud, Jung and Davanloo's Approach to Instinct with Findings from Modern Research"
This presentation will outline the neurobiology and neuroanatomy of human instinctual development and develop the idea of how attachment systems create either healthy or punitive superegos. The presentation will demonstrate how insults to the instinctual system create the unconscious mind as well the force maintaining the resistance. The presentation will clarify the process of projective identification and argue that ISTDP is the treatment of choice in undoing treatment resistance and malignant, progressive psychopathology not amenable to other approaches. The presentation will also discuss the origins of the split between Freudian Analysis and Jungian Analysis, examine their dreams and offer a suggested approach to heal the unfortunate split.
Robert J. Neborsky, M.D., is a psychiatrist in private practice in Del Mar, California, and a Clinical Professor of Psychiatry at UCSD School of Medicine as well as UCLA School of Medicine (Hon). He is member of the Board of Directors and Vice President of the International Experiential Dynamic Psychotherapy Association. He was a founding member on the Editorial Board of the International Journal of Short-Term Dynamic Psychotherapy (Wiley). He is currently guest editor of the Ad Hoc Bulletin of Short-Term Dynamic Psychotherapy. In 2003, Dr. Neborsky was honored by the UCLA School of Medicine clinical faculty association as the Distinguished Psychiatric Lecturer of the year for 2002 .In 2003 he was one of the founders of the Southern California Society for IS-TDP and was elected as president of the society. In 2008 he was appointed a Distinguished Life Fellow of the American Psychiatric Association.
Dr. Neborsky attended the University of Maryland School of Medicine, where he won the Jacob Finesinger Award in Psychiatry. He served his residency at Emory University School of Medicine where he earned the Hope Skobba Memorial Award. He served in the United States Navy as Director of In-Patient Psychiatry at Balboa Naval Hospital . From there he joined the full-time faculty of UCSD School of Medicine as an Assistant Professor of Psychiatry in charge of emergency services and the medical student clerkship. He briefly served as the Director for all undergraduate education in psychiatry. Along with David Janowsky as co-author, he published significant research on the treatment of acute psychosis with high-dose/low-dose haloperidol, and wrote articles on the combined use of pharmacotherapy and psychotherapy in the treatment of depression. In 1981, while training with Dr. Habib Davanloo, he co-founded the San Diego Institute for Short-Term Dynamic Psychotherapy. In 2001, he co-authored Short-Term Therapy for Long Term Change (Norton) and is a contributing author in the 2003 book, Healing Trauma (Norton).
Dr. Neborsky's professional activities include treating patients, training students in the techniques of Attachment-Based variety of Intensive Short-Term Dynamic Psychotherapy (IS-TDP), presenting at local, national and international symposia, leading three core training groups and writing a textbook book on AB-ISTDP with Josette ten Have de Labije: Roadmap to the Unconscious ( Karnac 2010). He is actively researching the interface between attachment theory and psychotherapy.
Ferruccio Osimo, MD
Milan, Italy
"Recovering from Treatment -Resistant Depression with Intensive Experiential Dynamic Psychotherapy"
From the beginning of the therapist-patient interaction IE-DP promotes and values the most genuinely personal level of the relationship, on which technical intervention can build. This enhances the power of subsequent therapist interventions, specifically addressing defenses and anxiety, and enables the safe in-session experience of deep, painful feeling and impulse in an atmosphere of inter-personal connection.
Severe depressive symptoms inhibit and disguise Self-expression, depriving individuals of their individuality and making them feel depleted, absent and lacking vital energy, similar to a physically ill person. Depression is actually often mistaken for a purely medical condition to be only treated with drugs. The patient whose therapy will be shown on video illustrates how IE-DP is able to unveil, under the depressive cloud, the real personality of a woman in her 40ies with a long history of relapsing depression and previous failed psychotherapy. At the start of therapy she was on mood-stabilizing medication with high-dosage sodium valproate , lithium carbonate and tetra-cyclic antidepressants. She jeopardized the relationships with the ones she loved: most specifically the relationship between the daughter and herself.
This presentation highlights the experiential activation of emotions from the very beginning of therapy i.e., during the extended initial interview: “Trial Relationship”. Audiovisual vignettes will demonstrate how active monitoring of the fluctuating anxiety and ability to connect emotionally with the therapist become the initial focus of therapeutic intervention. Participants will witness the depressive cloud fading away in the course of therapy, the renunciation of medication, and the reparation in the relationship with the daughter.
Depressive aspects disguised in body and character may stay long time hidden in the individual's character and overall attitude, but do not fail to bring about destructive and Self-sabotaging behavior. Depressive dynamics, however, can be subverted within the therapeutic relationship, enabling individuals to retrieve their vital energy.
Ferruccio Osimo, M.D. was the first president of the IEDTA and recently retired as Adjunct Professor at Università Statale di Milano. He has trained and worked with David Malan in London , collaborating in research which resulted in the book Psychodynamics, training, and outcome in brief psychotherapy by Malan & Osimo (1992). His approach of Intensive Experiential-Dynamic Psychotherapy, originating from Habib Davanloo's ISTDP, has a unique emphasis on explicit exploration of the therapeutic relationship as a basis on which therapeutic techniques can build. He started the Italian EDT Core Training in 2001 and the first UK-based advanced EDT training in 2006. His model of Intensive Experiential-Dynamic Psychotherapy has been presented internationally, and is described in the book Experiential Short-Term Dynamic Psychotherapy: A Manual (2003).
Steven Sandler, MD
Albany, USA
"From Dissociation to Intimacy: Working with Emotional Detachment"
I will be presenting the case of a woman who seeks psychotherapy because of problems with intimacy. She does not feel a genuine connection with others, and she suffers from dissociative symptoms (depersonalization and derealization). In the office, her narrative is disjointed and contradictory, as is typical of patients with an unresolved (disorganized) attachment pattern. Early attempts to explore her transference feelings trigger intense anxiety and nausea. Gradually, working in the transference helps the patient tolerate closeness and explore the loss and trauma that created her symptoms in the first place.
Steven Sandler is Associate Professor of Psychiatry at Albany Medical Center in Albany, New York. He has been practicing Short-Term Dynamic Psychotherapy for almost twenty years; he teaches and supervises psychiatry residents and psychology interns in this model. His current focus in therapy is improving outcomes by working with positive attachment memories as well as negative memories of trauma and loss. (see Psychotherapy 2007)
Josette ten Have-de Labije, PsyD
Berlin, Germany
"Guilt, Punishment and Exile: The Tragedy of the Abused"
We don’t need the violence of wars, natural disasters and so on to be confronted with traumatizing events on a daily basis. There is violence which is not recognized as violence, there is trauma which is not recognized as trauma! Not recognized and acknowledged as violence and trauma by other family members, not recognized and acknowledged as violence and trauma by neighbours, schools, or by therapists, health organizations.
The symptoms of unrecognized, unacknowledged and untreated trauma worsen over time and become more complicated as time passes and it becomes more difficult to link present behaviors to the original trauma. Feelings and behaviors linked to past traumatic experiences are reinforced by new traumatic experiences and symptoms and destructive coping behaviors become more severe. Over time acting out, repetition compulsions and episodes of dissociation can become severely debilitating !!!!!
The specific features of the harmful/traumatizing attachment bond, during which specific developmental phases, the subsequent neural dysregulation and memories of the several harmful interactions with each of the particular caretakers will become the basis for the specific (harmful) ways the adult person will have 1) expectations of himself and 2) of the outer world, 3) will understand own and 4) others longings, feelings, norms, values, behaviors, and 5) will interact in intimate and social relationships.
Research and clinical findings from working with traumatized patients indicate that the impact a psychotrauma has on the life of the individual is mainly determined 1) by the nature and degree of interpersonal involvement with the traumatized individual, 2) the age of the traumatized individual, 3) the way the traumatized individual is able to deal with the traumatic event and its effects, 4) the presence of an emotional support-network, 5)the society´s acknowledgement of the trauma.
The videovignettes will show parts of a therapy with a victim of incest, who was punished when she asked for help.
Josette ten Have-de Labije, PsyD is a registered psychologist-psychotherapist and clinical psychologist. She started her career at the department of Neuro and Psychophysiology of the Free University Brussels (teaching and doing psycho-physiological research). She was trained as a behavior and cognitive therapist, as a psychodynamic psychotherapist, working in individual, partner-relation and in group setting. She has a private practice and is teacher and supervisor of ISTDP. She is one of the founders of the Dutch Association for STDP, Chair of the VKDP's training committee, editor of the Ad Hoc Bulletin of STDP: Practice and Theory , author of several articles and the editor of several books.
Susan Warren Warshow, MSW
Woodland Hills, USA
"Convinced He Couldn't Feel"
The patient, age 42, was referred for a consult by his caring therapist because he hadn't been able to feel or identify his emotions in their 2 years of treatment together. His detachment wasn't budging, a chronic defense for most of his life. He remained stuck in depression with vegetative signs, overeating (weight gain of 70 pounds), hopelessness, passivity, and extreme social isolation. Although separated from his wife for close to 2 years, he did not date. He had been completely estranged from his father for months, and he had lost his job.
The patient would be returning to his primary therapist within 1-3 sessions, and there was the possibility that he would leave more discouraged than when he began. As we watch the initial session, the presenter wishes to share what was foremost in her mind during the phase of inquiry. What are the change moments and how do we mine these opportunities? How does the therapist form a therapeutic alliance with a patient who has little or no caring for self? He'd made it reluctantly to the session, but what will help move this immoveable man?
Susan Warren Warshow's passion for ISTDP inspires her to share it with other colleagues through seminars, training programs and supervision. She is currently working on a book that aims to help therapists with their own anxieties and difficulties implementing this profound approach. She is honored to participate in her 4th IEDTA conference this year in Vancouver and considered it a highlight to present at the Washington School of Psychiatry's ISTDP training program in 2007 and Fourth Annual Summer School Immersion Course in 2009. She is a LCSW, Board Certified Diplomate, and LMFC practicing in Woodland Hills, CA. She was a supervisor and coordinator of continuing education at the Department of Psychiatry at Northridge Hospital. At the Center for the Improvement of Child Caring, she produced over 100 public presentations on child abuse and neglect and was publicity director for L.A.'s first child abuse hotline.
Kristin Osborn, MA, LMHC
Kristin Osborn, MA, LMHC is a licensed mental health
counselor, she offers training and supervision groups for mental health
professionals in North Amer- ica and Europe. She has a faculty appointment at
Har- vard Medical School at Beth Israel Deaconess Medical Center where she
teaches 4th year psychiatry residents
Short Term Dynamic Psychotherapy and is a member of
the Psychotherapy Research Program, directed by Dr. Leigh McCullough, Ph.D. She
is also a member of the continuing education faculty at Rino-Nord Holland in
Amsterdam, Holland and at Massachusetts School of Professional Psychology in
Roxbury, MA. Her most recent publication was selected as a chapter in Clinical
Strategies to become a Master Psychotherapist. Kristin Osborn has over 15 years
of clinical experience and sees patients in her private practice in Cambridge
and Concord, MA.
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