Norwegian Association for ISTDP(N-ISTDP) Flexible and effective ways to handle anxiety and resistance in psychotherapy using ISTDP October 28. - 29. 2015 Ekeberg Restaurant, Oslo, Norway. Presenters: Jon Frederickson, MSW and Allen Kalpin, M.D. During this two day audio-visual workshop, you will be introduced to the theory and technique of Intensive Short-term Dynamic Psychotherapy (ISTDP). ISTDP was developed by Habib Davanloo, MD, in order to accelerate and condense the therapeutic process, achieving deep and lasting results within months rather than years. You will have the opportunity to see the therapy applied across a wide spectrum of patients. Join two of the leaders in this exciting field to explore how ISTDP could enhance your own clinical work. Audiovisual presentations of actual psychotherapy sessions will demonstrate how to work with patients across the spectrum of psychoneurosis. Attendees will learn how to assess the patient’s capacities to engage in therapy: anxiety tolerance, how anxiety is discharged in the body, defensive strategies, and self observing capacities. The conference will highlight the essence of being present while relating to the patients difficulties. Day one: Presentation by Jon Frederickson Building capacity in fragile patients. A patient comes for therapy after decades of treatment suffering from anxiety, depression, dissociation, paranoia, and professional self-sabotage. Faithfully pursuing treatment for years, she received little relief from her symptoms. At the very beginning of the session she regresses immediately. What can we do? This video presentation will show how to address anxiety in the fragile patient and the defense of projection that sustains it. Then we will show how to address depression, somatization, and conversion as they occur in session. The presentation will show how to build the structure within the patient that makes it possible to bear her feelings without projecting them onto other people, and how to help her bear her feelings without getting depressed or somatizing. In particular, we will focus on the micro-analysis of the process to show how and when to support the patient, how to recognize the beginnings of regression so you can intervene immediately, and how to recognize subtle signs of structural change. 0800 - 09.00: Registration 0900 - 09.15: Welcome by the N-ISTDP. 0915 - 1030: Presentation by Jon Frederickson, Assessment of capacity. 1030 - 1045: Coffee 1045 - 1215: Presentation by Jon Frederickson, Restructuring projections 1215 - 1315: Lunch 1315 - 1445: Presentation by Jon Frederickson, Identifying and blocking regression 1445 - 1500: Coffee 1500 - 1630: Presentation by Jon Frederickson, Building capacity in the depressed and somatizing patient 1630 - 1700: Discussion Day two: Presentation by Allen Kalpin - The Interplay between Technique and “Being Present” in ISTDP In Habib Davanloo’s introductory presentations on ISTDP he would often refer to Freud’s 1937 article, “Analysis Terminable and Interminable,” and say that when Freud wrote this at the end of his career, he was acknowledging that the process of psychoanalysis was often interminable. The diligent application of analytic technique, even over a period of many years, often failed to produce the desired therapeutic goals. In ISTDP many of us and our patients become stuck in “trial therapy interminable.” The hope of “unlocking the unconscious” holds such potential for rapid, deep, and lasting therapeutic change that we pursue it enthusiastically, even compulsively. However, our persistent use of “challenge” and “pressure” sometimes ends up going on and on with the enticing therapeutic goal of unlocking the unconscious seeming to be always slightly out of reach. At other times, even after having seemingly achieved an “unlocking,” for some reason, therapeutic change still seems to fall short of expectations. This can result in inadequate results or even worsening of problems for the patient, and frustration, disappointment, and burn-out for the therapist. There is an old joke: “The surgery was successful, but the patient died.” This refers to the idea that at times despite “doing everything correctly,” the outcome is less than ideal. When trying to understand why therapy is not progressing, we can often become aware that we have not sufficiently “restructured the discharge pathways of anxiety” or “restructured the defensive system.” Or, we discover that the patient’s “ability to tolerate anxiety and affect” is still inadequate or that “ego is not sufficiently separated from superego.” But even attention to these factors can be problematic. The problem is that the focus on any preconceived agenda can distract us from being present and responsive to what is happening at the moment. An orientation toward the achievement of a therapeutic goal can overshadow the experience of compassion, empathy, and human connection. Psychotherapy is an “art” as well as a science. The process of mastery of any art involves the ongoing interplay of skill acquisition and creativity. The learning of skills and techniques is important, and in the presentation Dr. Kalpin will highlight relevant ISTDP interventions, including the restructuring techniques listed above. However, he will also emphasize the importance of mindful presence for both the patient and the therapist. Using audiovisually recorded vignettes from psychotherapy sessions he will demonstrate how skills and techniques will be most effective when they are applied in the context of a relationship in which both people are as experientially present as possible. 0900 - 1030: Presentation by Allen Kalpin 1030 - 1045: Coffee 1045 - 1215: Presentation by Allen Kalpin 1215 - 1315: Lunch 1315 - 1445: Presentation by Allen Kalpin 1445 - 1500: Coffee 1500 - 1630:Presentation by Allen Kalpin 1630 - 1700: Discussion \ Presenters: Allen Kalpin, MD, practices and teaches Intensive Short-Term Dynamic Psychotherapy (ISTDP) in Ontario, Canada. He also practices addiction medicine. He is a founder, past president, and current board member of the International Experiential Dynamic Therapy Association (IEDTA) and past president of the (Canadian) General Practice Psychotherapy Association(GPPA). He has published many articles on ISTDP and has taught at EDT andISTDP conferences and workshops in France, Spain, Italy, Denmark, the UnitedStates, and Canada. In his psychotherapy work he includes an overt focus on mindfulness. Jon Frederickson, MSW, is the co-chair of the ISTDP training program at Washington School of Psychiatry, chair of the Training for Trainers program hosted by the Norwegian Institute for ISTDP(NI-ISTDP) in addition to teaching therapists in USA and Europe. He is a highly regarded presenter and has published groundbreaking articles on ISTDP. He has recently published the book Co-Creating Change - Effective Dynamic Therapy Techniques. Registration and payment Attendees are kindly asked to use only information following payment as registrations. It is of utmost importance to attach/fill inn your name, profession, and email address in the payment information. This provides us with the information needed to send out information and handouts etc. For Norwegian registrations please use the following account number: 1503.15.15138 in DnB belonging to Norsk forening for ISTDP. You will receive an email confirmation on your registration when the payment has been registrated on our account. Registrations from outside Norway are asked to use the following payment information: International account number: (IBAN) NO26 1503 1515 138. BIC (Swift-adress): DNBANOKKXXX belonging to Norsk forening for ISTDP. Conference fees: 3200NOK. Seats are limited and registration closes at October 1th. 2015. The Conference fee includes presentation material and coffee, tablewater and fruits. Lunch is included in the fee. Practical information The conference will be held in city center Oslo at the Ekeberg Restaurant. You can get there by cab or use the blue tram nr 18 or 19 and get off at the Ekebergparken. Remember to buy ticket in advance. Lunch and conference dinner Lunch-buffet is available on site and included in the conference fee. The Conference dinner on March 1. will take place at the Ekeberg Restaurant and registration will follow paying 650 NOK to the account number above. Deadline for payment and registration is October 1th. 2015, but due to limitations in number of attendees we recommend you to do this as early as possible. The conference staff can be reached through this email: ISTDPconference2015@istdp.no
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