treating the highly resistant patient: a videotape presentation
Presenter: Jon Frederickson, MSW
Saturday & Sunday, January 24 & 25, 2009
Saturday, 9:30 AM–5:00 PM
Sunday, 9:30 AM–4:30 PM
“I’m not an emotional person.” “I don’t
want to be close to my wife.” “Other people tell me I am passive
aggressive.” “Maybe I’m not able to do this.” Highly resistant
patients present unique challenges to therapists. Their defenses,
resistances, and lack of involvement sabotage their relationships and
therapies. The patient to be presented failed in six previous
therapies. His defensive manner of relating remained untouched.
This videotape presentation will study the initial session with a highly
resistant patient with obsessional defenses.
Attendees will learn how to identify defenses and
how to help the patient see and turn against defenses. Videotapes will
also illustrate common transference resistances of passivity,
non-involvement, helplessness, and defiance, which can sabotage any
therapeutic alliance. Attendees will learn how to identify subtle
signs of these resistances and how to intervene effectively.
Videotapes will show how effective work with resistances helped a patient
develop a genuine, collaborative therapeutic alliance.
Rather than a pure lecture format, the
presentation will be supported by moment to moment analysis of videotaped
sessions to provide detailed examples of how to work with highly resistant
patients and build a successful therapeutic alliance.
Objectives
This workshop is designed to help you:
2.
Identify forms of resistance which prevent the
establishment of a therapeutic alliance.
3.
Intervene effectively with defenses.
Presenter
Jon Frederickson, MSW is co-chair of the
Intensive Short Term Dynamic Psychotherapy Training Program at the
Washington School of Psychiatry. He also trains groups of therapists
in
Schedule - Saturday
9-9:30
Registration & Continental Breakfast
9:30- 11:00 Theory presentation:
Typical defenses and forms of transference resistance.
11-11:15
Coffee break
11:15-12:30 Microanalysis of
Session Videotape: Opening of the initial session: assessment of
anxiety and defense. Clarification of defense. Resistance
appears in the therapeutic relationship
12:30-1:45 Lunch
(off site)
1:45-3:00
Microanalysis of Session Videotape: Turning the patient against his defenses
and resistance: identifying the price his resistance will cost in the
therapeutic relationship.
3:00-3:15
Coffee break
3:15-4:30
Microanalysis of Session Videotape: Deactivating the omnipotent transference
(where therapists usually get in trouble). Helping the patient turn
against his resistance.
4:30-5
Discussion
9:30-10:30 Theory presentation:
Resistance to emotional closeness in therapy. Interventions and their
rationale.
10:30-10:45 Coffee break
10:45-12:00 Microanalysis of Session
Videotape: Turning against the resistance. Breakthrough to
unconscious feelings and impulse. Working with complex transference
feelings.
12:00-1:15 Lunch (off site)
1:15-2:30 Drop in
resistance: breakthrough to deeper complex unconscious feelings.
2:30-2:45 Coffee break.
2:45-4:00 Progress and
shift in defenses and resistance.
4:00-4:30 Discussion
Location
The Washington School of Psychiatry
5028 Wisconsin Avenue, N.W., Suite 400
Washington, DC, 20016
Directions
CE/CME Award - 11
Fee - $330.00
continuing education
The Washington School of Psychiatry is approved by the American Psychological Association to provide continuing education for psychologists. The Washington School maintains responsibility for the program.
The School is approved by the Social Work Board of the State of Maryland as a provider of continuing education for social workers.
The School is approved by the Medical Society of Maryland (MEDCHI) for continuing education for psychiatrists.
Registration
Please call the School at 202-237-2700 to register. You can also use the conference registration form to register for this seminar by faxing it to WSP at 202-237-2730, or mail the form to: Washington School of Psychiatry, 5028 Wisconsin Ave., NW, Ste. 400, Washington, DC 20016.
Cancellations and Refunds
Refunds will be made for cancellations received at the School office in writing prior to January 16 and are subject to a non - refundable administrative fee of $50.
Disclosure of Commercial Support and the Unlabeled use of a commercial product. No member of the planning committee and no member of the faculty for this event have a financial interest or other relationship with any commercial product(s) discussed in this educational presentation.