We are very honored to be able to host psychotherapy experts and researchers from all over the world to share their ideas. See below the CME courses assembled they will cover a variety of theoretical, clinical, and empirical research.
The CME Courses will be scheduled for Thursday 7 June 2018: 09:30 - 12:30 hrs., followed by lunch.
- Les Greenberg
- Robert DeRubeis
- Marylene Cloitre
- Bruce Wampold
- Jan Ilhan Kazilhan
- Bethany Brand
- Martin Débanné
- Stephan Doering & Frank Yeomans
- Alessandra Lemma
Leslie Greenberg, Ph.D. is Distinguished Research Professor Emeritus of Psychology at York University and is author of the major texts on Emotion-focused approaches to treatment. He received the American Psychological Association Award for Distinguished Professional Contribution to Applied Research. He has received the SPR Distinguished Research Career award and the Carl Rogers award of the APA Society for Humanistic Psychology.. He conducts a private practice for individuals and couples and offers training in emotion–focused approaches in Toronto and internationally.
Theory and practice
The theory and Practice of Emotion Focused therapy will be reviewed. The importance of working with automatically generated amygdala based emotion will be emphasized. The use of process diagnosis in an emotion-focused approach to identify both adaptive and maladaptive emotions and primary and secondary emotions will be discussed. Major principles of emotional change in psychotherapy will be discussed. The three categories of change that have emerged as most important are: emotion awareness, emotion modulation and emotion transformation processes. Emotion transformation, involves changing emotion with another emotion or with corrective emotional experience. This workshop will focus on these emotion transformation processes and discuss change through memory reconsolidation, an important mechanism by which new emotion and new experience changes old emotion.
Differential intervention based on process diagnosis will be demonstrated. Videotaped examples of evidence based, methods for evoking and dealing with emotions in self-criticism and trauma or emotional injuries from the past with significant others will be presented and discussed Participants will be introduced to the skills of moment by moment attunement to affect, focusing on bodily felt feelings, and the use of two chair methods of dialoguing with parts of self.
Robert J. DeRubeis is the Samuel H. Preston Term Professor in the Social Sciences and Professor of Psychology in the School of Arts and Sciences at the University of Pennsylvania. He has published more than 150 empirical and methodological papers and book chapters on the phenomena that cause and maintain mood disorders, as well as therapeutic processes and mechanisms that account for change and resilience. His team has recently developed an approach to precision mental health that yields a Personalized Advantage Index (PAI) for any given patient. In application, the PAI will yield treatment recommendations that promises to increase the effectiveness of mental health delivery.
Cognitive Therapy for Depression: Insights from 30 Years of Clinical Practice, Supervision, and Research
This workshop is suitable for all those who wish to enhance their clinical or supervisory skills in regard to patients who have problems with depression. The presenter will begin by articulating the core principles of cognitive therapy. He will then describe a tension that many clinicians and trainers experience between the rigor of the cognitive approach and its adaptability to the individual circumstances and problems presented by individuals who come for help. This tension, when understood and managed, can lead to the most powerful implementation of CT. Using case examples, videotape vignettes, and role-plays with audience participants, he will illustrate ways to overcome many of the most difficult problems therapists encounter when learning and practicing cognitive therapy, as well as how get the most out of each session and each course of treatment. Examples will include:
- Using “behavioral” techniques in the context of the cognitive model.
- Dealing with patients’ beliefs about the primacy of the neural over the cognitive, and the related belief in the power of medical rather than psychological intervention.
- Maximizing the synergy and minimizing the interference between medication treatment and cognitive therapy, when treating patients who are also taking medications.
- Avoiding the use of didactic persuasion (lecturing) in favor of Socratic questioning (guided discovery), to enhance the clients’ learning and increase the likelihood that the effects of therapy will endure.
Dr. Marylene Cloitre is the Associate Director of Research of the National Center for PTSD Dissemination and Training Division at the Palo Alto VA Health Care Services, California, USA. She is also Clinical Professor (affiliate) of Psychiatry and Behavioral Sciences at Stanford University. Her research and clinical work for the past 20 years has focused on the long-term effects of chronic trauma on social and emotional functioning. Her current research is dedicated to the development of effective, patient-tailored, flexibly-delivered mental health programs. She is past-president of the International Society for Traumatic Stress Studies and was a member of the World Health Organization (WHO) ICD-11 working group on trauma-spectrum disorders.
Group STAIR: Principles, Interventions and Delivery
Skills Training in Affective and Interpersonal Regulation (STAIR) is an empirically supported treatment for trauma survivors that focuses on the development of emotion regulation and interpersonal skills. It has been shown to reduce PTSD symptoms and depression as well as improve emotion regulation, social support and relationship functioning. This workshop will provide a session by session review of the STAIR group program with hands-on experience via roles plays and breakout into small group work. Use of group STAIR in conjunction with trauma-focused work will be discussed as well as its delivery in various treatment settings (inpatient and outpatient) and across different populations (e.g., adolescents, adults).
Bruce Wampold, Ph.D., Director of the Research Institute at Modum Bad Psychiatric Center in Vikersund, Norway and Emeritus Professor at the University of Wisconsin—Madison, is well known for his book The Great Psychotherapy Debate: The Evidence for What Makes Psychotherapy Work. Professor Wampold will discuss what really makes psychotherapy work—and importantly how psychotherapy outcomes can be improved. Hint: Improvement will not be achieved through finding a better brand of psychotherapy.
What Makes Psychotherapy Work…And How to Make it Better
There are many psychotherapy approaches (more than 500!) and they are all about equally effective. A model is needed that explains how so many different treatments produce therapeutic benefits. In this workshop the Contextual Model, which posits that psychotherapy works through three pathways, is presented. The research evidence and clinical examples are provided. It is concluded that the therapist who delivers the treatment is more important than the particular treatment provided. Then the characteristics and actions of effective therapists are discussed, with clinical examples of the skills that are needed to be an effective therapist. Finally, deliberate practice is presented as a means to develop skills and become a more effective therapist.
JAN ILHAN KIZILHAN
Prof. Dr. Jan Ilhan Kizilhan, psychologist, psychotherapist, trauma expert, orientalist, head of department of Mental Health and Addiction at the State University in Baden-Württemberg, Germany, and is chief psychologist of the Special-Quota Project, a programme funded by the State Government of Baden-Württemberg. The project aims was to bring 1100 women and children who have been held hostage by Islamic State to Germany for medical treatment. He is also the Founding Dean of the Institute for Psychotherapy and Psychotraumatology at the University of Duhok/Northern Iraq.
Genocide, Trauma and sexual violation - Terror crimes against religion minorities in Middle East
In July and August, 2014, fighters tore into Kurdish northern Iraq and committed a horrific genocide under the black banner of Islamic State. Islamic State fighters took more than 7000 people hostage, killing around 5000, mainly men. Captured women and girls have been subjected to sexual violence as an explicit Islamic State tactic to break the dignity and the honour of the communities.
The Yazidis are are facing three types of trauma, not just their individual recent trauma but a transgenerational and collective trauma—they’ve faced genocide 73 times during the ottoman empire. Such deep-rooted traumatic instability complicates narrative therapy, in which an individual is helped to identify with their history and value to confront the problems they have.
Bethany Brand, Ph.D. is the Martha A. Mitten Professor of Psychology and the Director of the Clinical Focus program at Towson University near Baltimore, Maryland, USA. Dr. Brand specializes in the assessment and treatment of trauma related disorders including posttraumatic stress disorder (PTSD) and dissociative disorders (DDs). She has over 25 years of clinical and research experience, including training at Johns Hopkins Hospital, George Washington University Hospital, and at Sheppard Pratt Health System’s Trauma Disorders program. Dr. Brand has been honored with numerous research, teaching and clinical awards and served on several national task forces that developed guidelines for the assessment and treatment of trauma-related disorders. Dr. Brand is the Principal Investigator on a series of international treatment studies of patients with dissociative disorders (the TOP DD studies). Dr. Brand is also the Principal Investigator on a series of studies that are developing methods for distinguishing DDs from other conditions including malingered DDs. She has delivered clinical and research presentations around the world. In addition to assessing and treating patients, Dr. Brand serves as a forensic expert.
Diagnosis and Treatment of Dissociative Disorders: The TOP DD Studies
Severe dissociative symptoms are common among individuals who experienced complex trauma, particularly developmental trauma. Yet few clinicians have been trained to assess and treat severe dissociation. Patients with dissociative disorders typically struggle with myriad co-morbid disorders and symptoms including chronic self-destructive and suicidal behavior. To date, there has been insufficient research about the treatment of dissociative disorders in part due to the difficulties of creating a standardized treatment that can benefit these chronically ill and high risk patients. Expert consensus guidelines have recommended a primarily psychodynamic treatment that includes a variety of interventions to help stabilize these challenging patients. The presenter is the primary investigator of the first online, psychoeducational program aimed at helping dissociative patients and their therapists stabilize patients’ safety, emotion regulation, and quality of life - the Treatment of Patients with Dissociative Disorders (TOP DD) Network program. Dr. Brand will briefly present information about the diagnosis of severe dissociation and dissociative disorders. She will then provide an overview of the TOP DD Network program’s methodology and findings. Results thus far show promising decreases in symptoms, improved affect regulation, quality of life, and self-compassion, and greater knowledge and use of symptom management skills. Both therapists and patients report it is a useful adjunctive program that supports individual psychotherapy. The TOP DD Network program shows promise as a potentially cost-effective, easily accessible method of improving DD patients’ safety, emotion regulation, and quality of life, while also providing basic training to therapists about treating DD patients.
Martin Debbané is Associate Professor and director of the Developmental Clinical Psychology Research Unit at the Faculty of Psychology and Educational Sciences, University of Geneva (Switzerland). He is also Senior Lecturer at the Research Department of Clinical, Educational, and Health Psychology, University College London (UK). He acts as associate, supervisor and trainer in mentalization-based therapies at the Anna Freud Centre in London (UK), as well as in the francophone network for mentalization-based therapies.
Introduction to mentalization-informed clinical practice with adolescents
This CME session will introduce clinicians to the concept of mentalization, as well as the clinical principles when focussing psychotherapeutic work on developing/strengthening the mentalizing capacity in adolescents. We will first discuss theory briefly, and review the links between attachment, socio-emotional development, cerebral development and mentalizing, with a specific focus on adolescence. We will then elaborate on the links between mentalizing and psychopathology. Thereafter, we will cover the clinical principles of the application of mentalization-based practice to adolescents. We will go over the therapeutic stance, pre-mentalizing modes, as well as some principles for increasing mentalizing in family work. The workshop will make use of role plays and clinical illustrations to illustrate the principals in clinical practice, and aims to involve participants in this interactive workshop.
Stephan Doering, M.D., is psychiatrist and psychoanalyst (Vienna Psychoanalytic Society, IPA). He is chair and professor of Psychoanalysis and Psychotherapy at the Medical University of Vienna, Austria. His main research foci are diagnosis and treatment of personality disorders as well as psychotherapy research. Since 2014 he is President of the International Society of Transference-Focused Psychotherapy (ISTFP).
frank elton yeomans
Dr. Yeomans graduated from Harvard College, Yale Medical School, and the Weill-Cornell psychiatry program. He is Clinical Associate Professor of Psychiatry at Weill-Cornell and Adjunct Associate Professor at the Columbia Psychoanalytic Center. He has authored and co-authored articles and books on Transference-Focused Psychotherapy for personality disorders and teaches widely on that subject.
Transference-Focused Psychotherapy (TFP)
This workshop gives an introduction to Transference-Focused Psychotherapy (TFP), which is a psychodynamic treatment for Borderline Personality Disorder. TFP has been manualized and has demonstrated its efficacy in the treatment of borderline patients in randomized-controlled trials. Thus, it can be regarded empirically validated.
TFP was developed by Otto F. Kernberg and is based on psychoanalytic object relations theory. A distinguishing feature of TFP in contrast to many other treatments for BPD is the belief in a psychological structure that underlies the specific symptoms a borderline individual suffers from. In other words, the focus of treatment is on a deep psychological make-up — a mind structured around a fundamental split that determines the patient's way of experiencing self and others and the environment. In such a psychological organization, thoughts and feelings about self and others are split into dichotomous experiences of good or bad, black or white, all or nothing.
TFP is a twice-per-week outpatient individual psychotherapy that combines psychodynamic principles with a structured setting and a treatment contract. The treatment focuses on the transference [the patient's moment-to-moment experience of the therapist] because it is believed that the patient lives out his/her predominant object relations dyads in the transference. Once the treatment frame is in place, the core task in TFP is to identify these internal object relations dyads that act as the "lenses" which determine the patient's experience of the self and the world. It is believed that the information that unfolds within the patient's relation with the therapist provides the most direct access to understanding the make-up of the patient's internal world for two reasons. First, it has immediacy and is observable by both therapist and patient simultaneously so that differing perceptions of the shared reality can be discussed in the moment. Second, it includes the affect (feelings) that accompanies the perceptions, in contrast to discussion of historical material that can have an intellectualized quality.
Yeomans FE, Clarkin JF, Kernberg OF. Transference-focused Psychotherapy for Borderline Personality Disorder. A Clinical Guide. Focusing on Object Relations. Washington, DC: American Psychiatric Publishing 2015.
Note: the CME course from Alessandra Lemma will be scheduled for Saturday 9 June (more information to follow)
Alessandra Lemma is a Consultant Clinical Psychologist at the Anna Freud National Centre for Children and Families and a Fellow of the British Psychoanalytical Society. Until 2016 she was Professor of Psychological Therapies at the Tavistock and Portman NHS Trust and the School of Health and Human Sciences at Essex University. She continues to be Visiting Professor in the Psychoanalysis Unit, University College London where she lectures and supervises PhD students who work on psychoanalytic theory, the body and neuroscience. She is Visiting Professor, Istituto Winnicott, Sapienza University of Rome and Centro Winnicott, Rome. She is the Editor of the New Library of Psychoanalysis book series (Routledge) and one of the Regional Editors for the peer-reviewed journal, International Journal of Psychoanalysis. She has published extensively on psychoanalysis, the body, trauma and the impact of new technologies.
Dynamic Interpersonal Therapy (DIT)
Dynamic Interpersonal Therapy (DIT) is a simple short term (16 sessions) individual therapy protocol for mood disorder. The protocol was designed on the basis of the work of the UK Expert Reference Group on clinical competencies which worked on identifying key components drawn from manualized psychoanalytic/dynamic therapies. It is an easy to acquire, semi-structured, treatment protocol.
The core techniques and strategies underpinning DIT reflect the competences found to characterize models of psychoanalytic psychotherapy which have been shown to be effective. In other words DIT is based on a distillation of the evidence-based brief psychoanalytic/psychodynamic treatments, pooled from the manualized approaches. DIT deliberately uses methods taken from across the board of dynamic therapies and we would Psychoanalytic Psychotherapy and we therefore expect those who have been involved in the development of other brief dynamic models to find many familiar strategies and techniques in DIT.
In this workshop participants will be introduced to the basic techniques of the DIT model. Clinical case studies and videos will provide illustrations of its application to working with depressed patients.