Working with Intense Shame and Negativity in Psychotherapy: Advantages of a Multiple Self-State Model of Mind


2018 PSPP Spring Program
Saturday, March 3, 2018

Richard A. Chefetz, MD 

Location: Philadelphia Ethical Society
1906 Rittenhouse Square, Philadelphia, PA 19103

6 CE’s WILL BE AWARDED FOR ATTENDING THIS PROGRAM

PROGRAM DESCRIPTION

Catastrophic shame is often at the core of complex developmental and blunt traumatic experiences left over from childhood. These experiences guide the trajectory of adult living that constantly threatens to veer off the tracks of adaptive functioning. The powerless, voiceless, and often immobilized mind struggling with crushed self-esteem can find a temporary respite from feelings of non-being in the assertion of negativity, a paradoxical display of the power to destroy. In this day-long workshop, shame is explored through the lens of affect theory and a model for treatment is proposed through an adaptation of Donna Hicks’ program of international conflict resolution and its emphasis on assuring the dignity of all parties. Using video-tape and case presentations, patients mired in depersonalization and negativity will help us to understand the additional importance of somatically-based psychotherapeutic approaches.

Richard A. Chefetz, M.D. is a psychiatrist in private practice in Washington, D.C. He was President of the International Society for the Study of Trauma and Dissociation (2002-3), Co-Founder and Chair of their Dissociative Disorders Psychotherapy Training Program (2000-2008, and is a Distinguished Visiting Lecturer at the William Alanson White Institute of Psychiatry, Psychoanalysis, and Psychology. He is also a faculty member at the Washington School of Psychiatry, the Institute of Contemporary Psychotherapy & Psychoanalysis, and the Washington Center for Psychoanalysis. He is a Certified Consultant at the American Society of Clinical Hypnosis, and is trained in Level I and II EMDR. Dr. Chefetz was editor of “Dissociative Disorders: An Expanding Window into the Psychobiology of Mind” for the Psychiatric Clinics of North America, March 2006, “Neuroscientific and Therapeutic Advances in Dissociative Disorders,” Psychiatric Annals, August 2005, and “Multimodal Treatment of Complex Dissociative Disorders,” Psychoanalytic Inquiry, 20:2, 2000, as well as numerous journal articles on psychodynamic perspectives on trauma, dissociation, and clinical process. He recently published a book with Norton (2015), in their Interpersonal Neurobiology series, Intensive Psychotherapy for Persistent Dissociative Processes: The Fear of Feeling Real,http://books.wwnorton.com/books/Intensive-Psychotherapy-for-Persistent-Dissociative-Processes/

LEARNING OBJECTIVES

At the conclusion of this program, participants will be able to:

1. Describe the difference between the words affect, feeling, and emotion as well as the clinical utility of distinguishing between them.

2. Predict the general underlying cause of addictive behavior.

3. Plan for specific psychotherapeutic exploration of addictions and their relief.

4. Explain the likely sources of negative therapeutic reaction in the treatment of a person with a complex dissociative disorder.

5. Describe a clinical stance that will slowly erode use of negativity and the negative therapeutic reaction.

6. Explain the value of a multiple self-state psychology in working with negativity and the negative therapeutic reaction.

REFERENCES

Davis, M., Walker, D. L., Miles, L., & Grillon, C. (2010). Phasic vs sustained fear in rats and humans: role of the extended amygdala in fear vs anxiety. Neuropsychopharmacology, 35 (1), 105-135.

Hassert DL, Miyashita T, Williams CL. (2004) The effects of peripheral vagal nerve stimulation at a memory-modulating intensity on norepinephrine output in the basolateral amygdala. Behav Neurosci. 118(1):79-88.

Lanius R. A., et al. (2017). The innate alarm system in PTSD: conscious and subconscious processing of threat, Curr Opin Psychol (2017)

LeDoux, J. E., & Pine, D. S. (2017). Using neuroscience to help understand fear and anxiety: a two-system framework.  American Journal of Psychiatry, 173(11), 1083-1093.

Pulver, S. (1999). Shame and Guilt: A Synthesis. Psych Inquiry, 19, 388-406.

Putnam, F. W. (2016). The Way We Are: How states of mind influence our identities, personality, and potential for change: IPBooks.net

Rauch, S. L., et al. (1996). A symptom provocation study of posttraumatic stress disorder using positron  emission tomography and script driven imagery. Archives of General Psychiatry, 53, 380-387.

S.S. Tomkins & Demos, V. (Ed.). (1995). Exploring affect. The selected writings of Sylvan S. Tomkins. New York: Cambridge University Press.

Stechler, G. & Kaplan, S. (1980). The development of the self—A psychoanalytic perspective. Psychoanalytic Study of the Child, 35, 85-105.

Teicher, M., et. al. (2010) Hurtful Words: Association of Exposure to Peer Verbal Abuse With Elevated Psychiatric Symptom Scores and Corpus Callosum Abnormalities. Am J Psychiatry, 167 (12) 1464-71.

Wolff, P. (1987). The development of behavioral states and the expression of emotions in early infancy: New proposals for investigation. Chicago: University of Chicago Press.

TENTATIVE PROGRAM SCHEDULE

8:30 AM – 9:00 AM                Registration

9:00 AM – 11:00 AM              Program begins

11:00 AM – 11:15 AM            Morning break

11:15 AM -12:00 PM             Case presentation #1

12:00 PM – 12:45 PM            Lunch

12:45 PM – 2:30 PM              Program continues

2:30 PM – 2:45 PM                Afternoon break

3:00 PM – 3:45 PM                Case presentation #2

3:45 PM – 4:15 PM                Closing remarks

4:15 PM                               Program concludes

FEES

Fees cover the cost of SIX continuing education credits, light breakfast, lunch, refreshments and coffee

Prior to 2/18/18 / After 2/18/18:

PSPP Members: $120 / $130

Non-Member Professionals: $150 / $160

Early Career Professionals*: $60 / $70

Retired Professionals: $60 / $70

Graduate Students: $15 / $25

*Early career professionals are those within seven years of receiving their professional degree.

Fees listed per person.  Space is limited, so please register as soon as possible.  Refunds requested prior to 3/1/18 paid in full, less a $25 administrative fee.

REGISTRATION

Online registration will be available at the PSPP website http://www.pspp.org/ through 3/1/18. Following this date, participants may register for the program at the door.

Registration by mail is available by contacting: Dr. Sarah White, PSPP Membership Chair: 3804 Church Road, Mount Laurel, NJ 08504  

This program is intended for mental health professionals with an intermediate level of knowledge and experience it is not limited to individuals practicing in a psychoanalytic mode.  

LOCATION AND PARKING

The Philadelphia Ethical Society is located at 1906 Rittenhouse Square, Philadelphia, PA 19103.  For directions, SEPTA, and parking information, please see https://phillyethics.org/public-transit-parking/.

CONTINUING EDUCATION CREDITS

PSYCHOLOGISTS: This program, when attended in its entirety, is offered for 6 continuing education credits. Participants must attend 100% of the program. Upon completion of a conference evaluation form, a certificate will be issued. This serves as documentation of attendance for all participants.

SOCIAL WORKERS AND OTHER MENTAL HEALTH PROFESSIONALS: Social Workers, Marriage and Family Therapists, and Professional Counselors in Pennsylvania can receive CEs from CE providers approved by the APA. Since Division 39 is approved by the APA to sponsor continuing education, these professionals will be able to fulfill their continuing education requirements by attending PSPP/Division 39 approved programs.

RESPONSIBILITY FOR PROGRAM CONTENT

Division 39 is approved by the American Psychological Association to sponsor continuing education for psychologists. Division 39 maintains responsibility for this program and its content.

ACCESSIBILITY, NON-DISCRIMINATION, AND ETHICS

PSPP and Division 39 are committed to accessibility and non-discrimination in continuing education activities and strive to conduct all activities in strict conformity with the American Psychological Association’s Ethical Principles for Psychologists. Participants are asked to be aware of the need for privacy and confidentiality throughout the program. If program content becomes stressful, participants are encouraged to process these feelings during discussion periods. Participants with special needs will be accommodated as possible.

If you believe that a violation of ethics has occurred during this presentation, or if you have concerns about such issues as accessibility for persons with disabilities, distress with regard to program content, or other complaints, please contact Kelly Bassett, MEd at 646-510-1593. There is no commercial support for this program nor are there any relationships between the CE sponsor, presenting organization, presenter, program content, research, grants or other funding that could be reasonably construed as conflict of interest. Participants will be informed of the utility/validity of the content/approach discussed (including the basis for the statements about validity/utility), as well as the limitations of the approach and most common (and severe) risks, if any, associated with the program’s content.

If you are a member and would like to add your name to our waiting list, we will get back to you if we have any cancelations. If you are not a member yet, please visit the Join PSPP page and register as a Guest Member. Thank you for your interest. 

Register for This Event

Please make sure you are logged in for special member pricing.

Registration is closed for this event.

By |2018-06-26T02:06:26+00:00April 30th, 2018|