Keynote Speaker

Featured Presenters

Peer reviewed clinical presentations from leading EDT clinicians and trainers


Les Greenberg

 

Les Greenberg (born 30 September 1945) is a Canadian psychologist born in Johannesburg, South Africa, and is one of the originators and primary developers of Emotion-Focused Therapy for individuals and couples. He is a professor emeritus of psychology at York University in Toronto, and also director of the Emotion-Focused Therapy Clinic in Toronto. His research has addressed questions regarding empathy, psychotherapy process, the therapeutic alliance, and emotion in human functioning.

Greenberg studied engineering and worked as an engineer before earning his Ph.D. in psychology from York University in 1975. With his mentor Laura North Rice, who had studied with Carl Rogers at the University of Chicago, he began doing psychotherapy process research, attempting to mathematically model therapist–client interactions and using techniques of task analysis. He was also influenced early in his career by Juan Pascual-Leone's neo-Piagetian constructivist model of mind. His first academic position was at the University of British Columbia in counseling psychology, and he completed an externship at the Mental Research Institute in California in 1981.[1] Initially trained in a client-centered therapy approach, he then trained in Gestalt therapy and over the years was exposed to many other approaches including systemic-interactional, psychodynamic and cognitive therapy. He returned to York University in 1986 as professor of psychology.

Greenberg has published numerous articles and co-authored the major books on emotion-focused approaches to psychotherapy. He is a founding member of the Society for the Exploration of Psychotherapy Integration (SEPI) and a past president of the Society for Psychotherapy Research (SPR), from which he received the Distinguished Research Career Award in 2004. The Canadian Psychological Association awarded him the Professional Award for Distinguished Contributions to Psychology as a Profession, and the American Psychological Association awarded him the Award for Distinguished Professional Contributions to Applied Research and the Carl Rogers Award. He has been on the editorial board of many psychotherapy journals, including the Journal of Clinical Psychology, Journal of Consulting & Clinical Psychology, Journal of Family Psychology, Journal of Marital & Family Therapy, Journal of Psychotherapy Integration and Psychotherapy Research.

Emotion Process in the Treatment of Depression
Emotion-focused therapy (EFT) of depression is an evidence based treatment that helps people activate their underlying maladaptive emotion schematic memories of shame, fear and sadness to make them amenable to alternative emotionally adaptive responses. Access to adaptive emotions such as, empowering anger at violation, sadness at loss, as well as more compassionate sentiments toward the self, then help combat depressogenic feelings of powerlessness, hopelessness, self-contempt and shame. This leads to a change in self and self-other narratives. Research on this EFT process of change will be presented. This view will be compared and contrasted with EDT/ISTDP. Differential intervention based on process diagnosis and the use of gestalt methods of dialoguing with parts of self and imagined significant others in an empty chair will be demonstrated.


Allan Abbass

Dr. Allan Abbass is a Professor of Psychiatry and Psychology and founding Director of the Centre for Emotions and Health at Dalhousie University in Canada.

He completed Medicine at Dalhousie University, a residency in Family Medicine at McGill University and has worked as both a family physician and an emergency physician. He began training in Intensive Short-term Dynamic Psychotherapy in 1990. He completed a Psychiatry residency at the University of Toronto in 1995 with the goal of teaching and conducting research in psychotherapy. 

He is now a leading teacher and researcher in the area of Short-term Psychotherapy, having contributed over 175 publications and most recently his first book Reaching Through Resistance: Advanced Psychotherapy Techniques. He developed an innovative program for treating medically unexplained symptoms in the Emergency Department that won a “Canadian Leading Practice” award.  He has received a number of teaching awards including a national teaching award in Psychiatry and the Douglas Utting Prize for contributions to the treatment of Depression. He has been honored with visiting professorships at various institutions, including most recently the Tavistock in London, where he provides training programs.

Treatment of Treatment Resistant Depression in the Setting of Psychosomatic Disturbance
In this presentation Dr Abbass will illustrate the treatment process of Intensive Short-term Dynamic Psychotherapy with a patient with conversion disorder, chronic depression, and chronic self neglect. Once the somatic symptom is removed the intense self destructive core is uncovered and is managed through focused work in the therapeutic relationship including pressure to self-caring and underlying feelings that this pressure activates. The long term damaging effects of attachment trauma and the recovery process through mobilization and processing complex transferred feelings will be illustrated.


Michael Alpert

For the past 40 years,Michael C. Alpert, MD, MPH, has worked to advance brief psychotherapy by arranging forums and conferences, teaching mental health professionals, and establishing an international organization devoted to short-term psychotherapy.

During the last 15 years I've become increasingly impressed by how simply getting people to become aware of the expression on their faces produces a positive change in the way they treat themselves. This new enhanced connection with themselves solves problems and reduces symptoms. At this conference I will be doing a live demonstration interview with an audience volunteer. I invite you to participate in the live demonstration interview so that you can experience the process of 'self-connection'.

Self-Connection Psychotherapy
SCP is a 4th generation STDP. In Self-Connection Psychotherapy a patient first describes his problem while observing the expression on his own face that is displayed on a monitor. He then describes what he sees and how he feels as he observes the image. Next, he is encouraged to explore the reaction of the image on the screen, i.e., the part of him that is being observed. As the patient's observing and observed parts are helped to interact, they become more aware of each other and more connected. As the connection grows, defenses and symptoms wash away. I'm pleased to be presenting it at this conference. I'll be demonstrating SCP live before the audience with an audience volunteer so that you will see how it works in real time.


Kees Cornelissen

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 board of IEDTA and the editorial board of the Ad Hoc Bulletin as well as co-trainer in several international core-groups on ISTDP in Norway, England and Poland and The Netherlands. 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 used to work before retirement in the Viersprong, a residential centre for psychotherapy in the South of the Netherlands, while developing a centre of expertise in ISTDP in the Netherlands where people can receive core training and specialize in residential treatment with ISTDP as well, he is now working in private practice in the city of Breda in the Netherlands.

The Henchman: 50 Ways to Soothe Your Mother
In this presentation a patient will be brought forward who suffers from lifelong depression. The patient learned to neglect herself and her feelings chronically and was invited by her mother to serve as her henchman with a twofold task; soothe her and contain the father’s aggression as best she could. In several vignettes to be shown on video the patient will successively be presented either in her chronic state of depression (while using antidepressants) and later in the treatment in the alleviation of the depression (without any medication) while discovering what is the genesis of this reaction-formation she is so entangled in. There will be an assessment of the importance of this insight by the patient and of her improvement by the therapy so far. The patient is treated with classical ISTDP in an outpatient setting.

This presentation is about a woman who was programmed from her early youth to sustain and aid mother in her efforts to keep the marriage going and sacrifice herself for this goal.
The husband was supposed to be the aggressive one and mother the victim, Mother made clear to her daughter that she was an unwanted child, the reason to marry her husband, and the she was supposed to help mother to keep going, a task the patient identified with and kept doing this till today. It is inevitable to conclude here that our patient has generalized this behaviour and applied it to the adult world she now lives in.

Mother was familiar with depression and taught her daughter how to organize her inner-self and her internal experiential world in such a way that this habit of depressing yourself became a basic skill she , the daughter could and would use every day in later life. The result of this early learning process is that our patient is depressed since childhood, she even has clear memories about the ways this was developed and vividly can remember when and how it came into existence. The patient was formerly treated with antidepressants for 15 years, she went through CBT without any result and was referred for ISTDP by a colleague who came to understand that the genetics of her depression were a mere result of the process of upbringing and not genetically based.


Jon Frederickson

 

Jon Frederickson, MSW, is on the faculty of the Intensive Short Term Dynamic Psychotherapy (ISTDP) Training Program at the Washington School of Psychiatry. He is also on the faculty of the Laboratorium Psykoeducaji in Warsaw and teaches at the Ersta Skondal Hogskole in Stockholm. Jon has provided ISTDP training in Sweden, Norway, Denmark, Poland, India, Australia, and the U.S.  He is the author of over thirty published papers and two books, Co-Creating Change: Effective Dynamic Therapy Techniques and Psychodynamic Psychotherapy: Learning to Listen from Multiple Perspectives. His book, Co-Creating Change, won the first prize in psychiatry in 2014 at the British Medical Association Book Awards. He has DVDs of actual sessions with patients who previously failed in therapy at his website www.istdpinstitute.com. There you will also find skill-building exercises designed for therapists. He writes posts on ISTDP at www.facebook.com/DynamicPsychotherapy . His next book, The Lies We Tell Ourselves, will come out in January 2017.

A Case of Depression and Self-Destructiveness
This presentation will show work with a 71-year-old self-described gigolo who had a history of profound self-destructiveness and chronic depression. He lost every job he ever had. He had girlfriends who supported him while he had affairs on the side. He had been diagnosed with bipolar mood disorder, was a former cocaine abuser, and had been psychiatrically hospitalized for depression. He had sabotaged almost all of his previous friendships, and had been a shoplifter in many of his jobs. Previous treatments and medication had brought no relief to his depression.

The video will show how intensive short-term dynamic psychotherapy enabled this highly resistant man to see his defenses, which were sabotaging his life and relationships. In particular, we will focus on how to help patients see and let go of highly syntonic defenses, which would sabotage any relationship, including the therapeutic alliance. The material will show how working in the therapeutic relationship and the experience of deep grief and guilt can lead to recovery from depression.


 Josette ten Have-de Labije

Josette ten Have-de Labije, registered psychologist-psychotherapist and clinical psychologist, studied at the universities of Groningen and Amsterdam (the Netherlands Institute for Brain Research). She started her professional career in 1972 at the department for Neuro and Psychophysiology of the Free University of Brussels (Belgium). Thereafter she has worked in the Netherlands at a public mental health center for ambulant (non-residential) patients as coordinator of the Behavior Therapy Department and member of the Diagnostic Staff. Since 1990 she is working in private practice.

As a qualified psychotherapist and clinical psychologist she was trained as cognitive-behavior therapist (individual and group setting), couples therapist, therapist for psychodynamic individual and group psychotherapy, and therapist for Intensive Short-Term Dynamic Psychotherapy.  From 1989 - 1992 she was a member of the Dutch ISTDP core-group, which was trained and supervised by Professor Dr H. Davanloo. She has given supervision, post doctorate courses and workshops (behavior therapy, ISTDP) in the Netherlands, England, Denmark, Poland, Italy, Canada, USA.  She has organized several national and international conferences on Behavior Therapy, on Cancer Treatment and Mental Health, and on ISTDP.
She is editor in chief of the Ad Hoc Bulletin for STDP : Practice and Theory. She wrote several articles, a self-help book on fear of flying and her last book: Josette ten Have-de Labije and Robert J. Neborsky: Mastering ISTDP: A Roadmap to the Unconscious (Karnac). Until January 2013 she was a member of the Board of Directors of the International Experiential Dynamic Psychotherapy Association (IEDTA). At present she is in the IEDTA’s Advisory Board.

Paradise Lost: An Anxious Girl, Depressed and Dissociated
The nineteen year old patient was referred because after some improvement her therapy of one-year duration had been stuck. She had sought help because of depressive complaints (dysthymia of early onset, low energy, low self-esteem, decrease in concentration, indecisiveness, and hopelessness, all of at least two years duration). The patient and I had 5 three-hour ISTDP sessions. During the initial interview it soon became clear that the patient´s excessive and unhealthily regulated anxiety (including dissociation) had been the cause of the disappointing results of her former therapy. The patient had first noticed her depressive complaints and anxiety when eight years old, the time of her parents’ divorce. Her condition went unnoticed by her parents. As so often with these young patients suffering from dysthymia, she later started to develop substance abuse problems (she smoked hashish, became anorexic and and alcoholic).

The focus has been on helping the patient in regulating her excessive anxiety, restructuring her ego adaptive capacity, experiencing her painful impulse and feelings that had been associated with her former traumata, and work them through. Both patient and therapist were happy with the working alliance and therapy results: the patient´s anxiety was mostly healthily regulated, she took responsibility for coping with her emotions and anxiety, she passed her school exams, she took the challenge of going abroad (one year volunteer work). Participants at the conference will witness parts of sessions 1,2,3 and 4.


Robert Neborsky

Robert J Neborsky was one of H Davanloo’s original core trainees and has practiced ISTDP for 35 years. Early in his training he noticed that Davanloo’s tapes captured both mythic tragedy and archetype in each of his successful cases. In that light, he will present a case of treatment resistant, recurrent depression in a patient who also is an avid student of spirituality. The case illustrates the patient ‘s profound “stuckness” in a depressive psychoneurosis (misdiagnosed by prior clinicians as bipolar disorder). He demonstrates how his techniques of mobilizing both unconscious archetypes and oedipal guilt allows the patient to free herself from her symptoms, change her character and undergo a re-birth of her self-worth. This also has a profound effect on her sexuality, her marriage and her spiritual path.

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 was a member of the Board of Directors 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. 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 president of the society.

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). In 2010, he edited and published The Collected Writings of Robert J Neborsky, MD ( second edition in press) along with The Collected Writings of Josette ten Have de Labije,( Itasca). In 2011, he co-authored Mastering Intensive Short-term Dynamic Psychotherapy: A Roadmap to the Unconscious.

Dr. Neborsky’s professional activities include training students in the techniques of his unique Attachment-Based variety of Intensive Short-Term Dynamic Psychotherapy (IS-TDP), presenting at local, national and international symposia. He leads core trainings in Aarhus Denmark, Berlin , Germany, Calgary Canada , and London, England. He is actively researching the interface between attachment theory, neuroscience, and psychotherapy.

Beyond Davanloo’s ISTDP: The Next Frontier
Robert J Neborsky was one of H Davanloo’s original core trainees and has practiced ISTDP for 35 years. Early in his training he noticed that Davanloo’s tapes captured both mythic tragedy and archetype in each of his successful cases. In that light, he will present a case of treatment resistant, recurrent depression in a patient who also is an avid student of spirituality. The case illustrates the patient ‘s profound “stuckness” in a depressive psychoneurosis (misdiagnosed by prior clinicians as bipolar disorder). He demonstrates how his techniques of mobilizing both unconscious archetypes and oedipal guilt allows the patient to free herself from her symptoms, change her character and undergo a re-birth of her self-worth. This also has a profound effect on her sexuality, her marriage and her spiritual path.


Kristin Osborn

Kristin A. R. Osborn, MA, LMHC is a licensed mental health counselor and was trained by- and then trained others on behalf of DR. Leigh McCoullough, PhD, founder of Affect Phobia Therapy (APT). She founded the Certified APT™ -Training Program in 2009 and presents internationally, offering ongoing training in Boston, London and Stockholm. She is a lecturer (part-time) in Psychiatry at Harvard Medical School (HMS), at Beth Israel Deaconess Medical Center, is the Director of HMS Psychotherapy Research Program and has recently launched a research study on therapist affect phobia and its impact on patient outcome. Her passion is teaching clinicians how to integrate research in their clinical training and she developed the ATOS-Therapist Scale, Accessibility Scale, Congruent/Incongruent Scale and the Control Mastery Scale, which are featured in her upcoming book; Paraverbal Communication in Psychotherapy: Beyond the Words, Rowman & Littlefied (in press). Kristin is President of the International Experiential Dynamic Therapy Association (IEDTA), on the advisory board of Stockholms Akademi for Psychkoterapiutbildning (SAPU) and a member of the continuing education faculty at William James College and RINO-Noord Holland. She has published articles and chapters on training clinicians including; Learning how to rate videa-recorded therapy sessions: A Practical Guide for Trainees & Advanced Clinicians, Psychotherapy Journal (2011); On-line Supervision in Affect Phobia Therapy (2016); and Creating Change Through Focusing on Affect: Affect Phobia Therapy, Working on Emotions in Cognitive Behavioral Therapy: Techniques for Clinical Practice Guilford Press (2014). To learn more about Kristin and her work, go to www.affectphobiatherapy.com.

Open Your Heart in the Face of Depression: Using APT to empower your clients to leave their symptoms behind  
This presentation will show work with a married, sixty-year-old, mother of two, who has a history of complex trauma, adolescent onset anorexia, and chronic depression. The patient experienced a reemergence of trauma symptoms following a diagnosis of breast cancer, and was referred for therapeutic treatment by her surgeon. From age twelve to seventeen, her mother suffered from postpartum depression and alcoholism, and she assumed the role of caretaker for her mother and infant brother. For five decades, her sole purpose in life has been to care for others. However she experiences more pain then pleasure in this role as while she is able to give loving care, she is unable to receive it from others or provide it for herself. Previous treatments and medications have offered her no relief from her depression, or self-destructive behaviors.

Vignettes from psychotherapy sessions will show how Affect Phobia Therapy helps this woman to recognize her defenses, and understand how they keep her locked into a childhood role that is destructive to herself and her relationships. As she begins to let go of her defenses, she initially experiences anger, grief, shame, and guilt. As she experiences and expresses her true feelings, she recalls important memories that allow her to see how she inherited guilt and shame from her parents and how these feelings have contributed to her over-giving, anorexia and depression. We watch her work through her childhood dynamics and untangle them from the present, so she can begin to live a whole life, one where she is now able to receive love.


Ferruccio Osimo

Ferruccio Osimo, MD, Psychiatrist, lives in Milan, Italy. He is married with two daughters.

Ferruccio was always deeply interested in making psychotherapy as effective and as brief as possible. He trained at the Tavistock Clinic in London with Dr. David H. Malan, carrying out process and outcome research on Brief Psychotherapy, that resulted in a book, Malan & Osimo (1992). Osimo’s room at the Tavistock was next door to Dr. John Bowlby, the founder of Attachment Theory. Back in Italy, Ferruccio invited John to give a 2-day theoretical and clinical seminar in Milan. The verbatim transcript of the seminar, with a chapter on the convergence of AT and IE-DP/EDT is now a book, Bowlby, (2013). Ferruccio attended the 3-year ISTDP Core Training held by Dr. Habib Davanloo in Geneva, and joined the Short-Term Psychotherapy Research Program, held by Dr. Leigh McCullough at Harvard Medical School, see McCullough, Osimo et al (2003). Osimo realized the enormous potential of Davanloo’s ISTDP, and decided to facilitate its further development and evolution. He consulted with seven former Davanloo students: M. Alpert, P. Coughlin, D. Fosha, Allen Kalpin, J. J. Magnavita, and the late L. McCullough and I. Sklar. The eight of them deliberated to found the IEDTA. Ferruccio served as IEDTA President (2001-07). The foundation Conference of IEDTA, Core Factors for Effective Short-Term Dynamic Psychotherapy was held in Milano, see Proceedings (2001). Ferruccio Osimo evolved ISTDP into his model of Intensive Experiential-Dynamic Psychotherapy, IE-DP, that lays a unique emphasis on explicitly exploring and taking care of the real human relationship between patient and therapist, in a way that enhances the healing power of technical intervention. IE-DP is described in various papers and books, e.g. the Comprehensive Handbook of Psychotherapy (2002), Osimo (2003); Osimo & Stein (2012).

Dr. Osimo has held numerous courses and audiovisual seminars in North America, Brazil, Europe, and Israel. He has worked as Adjunct Professor at Milan University School of Psychiatry, and teaches in various Psychotherapy Training Centres and Core Training Programs. He started the first Italian (2001), UK (2006) and Israeli (2012) EDT Core Training programs. He is the head of APDE, Italian EDT Association, and maintains a clinical practice in Milano. For references and free download of the 2001 IEDTA Conference Proceedings, go to www.ferruccioosimo.com

Short-Term Treatment of Lifelong Attachment Pathology
Dr. Osimo will present his model of Intensive Experiential-Dynamic Psychotherapy applied to a depressed woman, with the attachment pattern of devoting to men that keep distant and uncommitted. With those she likes, she is instead paralysed by anxiety, which makes the relationship impossible. In her teens she has been anorexic with self-induced vomiting. Before entering IEDP, she had long-term individual and group psychotherapy, that helped her partly. However, though being a successful MD, she still let herself be used, carried a sense of deep solitude, and was unable to fulfil her attachment needs. The diagnosis was: Depression + Avoidant Personality.

In IEDP, the use of techniques is actively integrated with exploration and care of the real patient-therapist human relationship. This makes technical interventions, e.g. those aimed to counter the self-sabotaging forces, more rapidly effective, providing at the same time a corrective experience of pathological attachment patterns. After-termination follow-up will show the patient having happily healed from her character and attachment pathology, and capable of explaining what helped her the most. Video clips will be shown from the first extended interview, therapy sessions, and 1-year after termination follow-up. Main learning point: exploration and therapeutic use of the real therapist-patient relationship.


John Rathauser

John H. Rathauser, Ph.D. is a licensed psychologist with over 35 years of clinical experience.  Following completion of his doctorate in clinical psychology at the California School of Professional Psychology – Los Angeles, his postdoctoral experiences began with a five-year period of training at the Postgraduate Center for Mental Health in New York.  In 1994 John Rathauser entered into training with Habib Davanloo, M.D. in Montreal, Canada, spending eight years in Dr. Davanloo’s Core Training Group. This training is ongoing, with annual, weeklong metapsychology conferences, which Dr. Davanloo continues to hold in Montreal. John Rathauser’s private practice in Kendall Park, N.J. is largely devoted to the practice of Davanloo’s Intensive Short-Term Dynamic Psychotherapy (IS-TDP), as well as providing training to mental health practitioners individually and in core training programs. He has offered numerous presentations on IS-TDP nationally and internationally, and is a co-founder of The Mid-Atlantic Society for Training and Research in Davanloo’s IS-TDP. You can contact him at This email address is being protected from spambots. You need JavaScript enabled to view it..

A Case of Depression and Malignant Character Defenses
The mechanism of instant repression of murderous rage is a defense universally available to all people suffering major clinical depression. Caution has often been advised in prematurely urging the depressed person to face underlying emotions, as at it’s worst, this can precipitate suicidal ideation or attempts. The therapist treating depression using Davanloo’s Intensive Short-Term Dynamic Psychotherapy (IS-TDP) recognizes that proper assessment involves recognition of a constellation of factors, and how rapidly we undertake the task of attempting to work with underlying emotion is determined by an assessment of the degree of anxiety, co-existence of characterological defenses, and activation of the neurobiological pathway of rage.

This presentation will review the critical importance of this assessment and provide audio-visual vignettes from the mid-phase of therapy with a 43 year old male with a history of depression dating back to childhood, coupled with a long-standing avoidance of seeking help, followed by two failed therapies (each of 8 to 12 months duration). At the point of entering this treatment he was emotionally depleted, expressing hopelessness and futility in attempting another treatment, but agreeing to try once again at the urging of his wife. He is viewed as depressed as well as presenting complex symptom and character disturbances (e.g. masochistic patterns of self-sabotage, defeat, and punishment). By history trauma involves sexual molestation at an early age, along with earlier developmental trauma with ruptures to the emotional bonds with his parents. The audio-video presentation will demonstrate usage of pressure and challenge, activation of the transference component of the resistance (TCR), leading to an “unlocking” of the unconscious and exposure of the early trauma to the bond in relationship to a genetic figure.

Learning objectives:
Participants will be able to identify 3 factors that indicate a green light to move toward underlying emotions in a complex depressed patient.
Participants will learn to identify danger signals to indicate the need for additional restructuring in a complex depressed patient.


Katie Aafjes-van Doorn

After receiving my master’s degree in Clinical Psychology in the Netherlands in 2005, I moved to the United Kingdom (UK). I earned a master’s degree in Psychological Research, followed by a doctorate in Clinical Psychology at University of Oxford, and gained licensure in the UK. I worked clinically in a variety of inpatient and outpatient services, mainly using second and third wave CBT and short-term dynamic therapy approaches. In 2012, I moved to California, USA, where I have been working as a clinical postdoc at a psychoanalytic psychotherapy clinic in San Francisco, accruing clinical hours for my USA licensure. Alongside my clinical career, I have always maintained a great interest in process-outcome research. I initiated small-scale therapy effectiveness studies in local clinical services, which lead to several published papers, wrote book chapters for the APA and BPS on 'psychologists as researchers', 'process-outcome research' and 'clinical psychology' and have presented my psychodynamic process-outcome research projects at several SPR conferences.

Patients’ Affective Processes within Initial Experiential Dynamic Therapy Sessions
Authors: Katie Aafjes-van Doorn (Presenter), Peter Lilliengren, Angela Cooper, James Macdonald and Fredrik Falkenström 

Aim: Psychotherapy process studies have indicated that patients’ in-session emotional arousal may be a key component of effective psychotherapy. Therefore, an important task for further psychotherapy process research is to elucidate the processes that contribute to adaptive affect experiencing during therapy. The aim of this study was to investigate the relationships between patients’ levels of insight, motivation and inhibitory affects and the patients’ corresponding level of adaptive affect experiencing in initial Experiential Dynamic Therapy (EDT) sessions.
Methods: Four hundred and sixty-six 10-minute video segments from 31 initial sessions were rated using the Achievements of Treatment Objectives Scale (ATOS). A series of multi-level growth models were estimated to predict patients’ adaptive affective experiencing (Activating Affects) across session segments.
Results: In line with our expectations, higher levels of Insight and Motivation related to higher levels of Activating Affects per segment. Contrary to expectations, however, lower levels of Inhibitory Affects were not associated with higher levels of Activating Affects. Further, a time-lagged model showed that Insight, Motivation or Inhibition in the previous segment did not predict Activating Affects in the next segment, possibly indicating that 10-minute segments may be suboptimal for testing temporal relationships in affective processes.
Discussion: Our results suggest that when therapists seek to intensify patients’ immediate affective experiencing, they should focus on increasing insight into defensive patterns and, in particular, motivation to give them up. Reducing inhibitory affects may be less of a priority in an initial EDT session. Implications for EDT theory and further research are discussed.


 Leone Baruh

Leone Baruh is a psychologist and psychotherapist, Director of the SPAI Master in Intensive Short Term Dynamic Psychotherapy (www.spaigroup.net), and founder and CEO of SPID-B (Sviluppo Psicoterapie Intensive Dinamiche Brevi). Leone is in private practice since 1993 and has devoted the last 15 years of his career in spreading, promoting and teaching Short Term Dynamic Psychotherapies. More recently he is developing and testing with SPID-B brand new STDP models for Families, Couples, Adolescents and Sportsmen.

Intergenerational Family Therapy: A Field Trial
The Intergenerational Family Therapy (TIF) is an experimental psychotherapy model linking different orientations in a synergic and integrated way.  Its goal is to push each family group member a small step ahead to obtain a more significant achievement in the system, in order to retroactively facilitate additional changes in each of its members. The linchpin of the model lies in the chance to use ISTDP to generate small and significant individual changes in a short time, and to make them available to a more complex system, the family (or the couple).

TIF integrates three main theoretical models:
1.    Systemic Family Therapy to support the therapists in understanding the role of each family member towards the others
2.    ISTDP as it's the model that best allows getting into the deep pathological nucleus of the parents in a short space of time
3.    CBT as, in particularly with children, allows to work on the front door symptoms lessening them and providing the parents and the children operative tools to manage emergencies.

We follow a starting base protocol called "Diagnosis and Unlock" that has four main goals:
1) A deep understanding of the psychological problems
2) An emotional unlocking that allow perceiving that the problem has a solution
3) A symptomatic relief
4) The evaluation of how to proceed

Case presentation
In the case we are going to present we will show some significant moments of the individual therapies (ISTDP) and some vignettes of the first and last couple session. We will show, through the parents' words:
The child symptoms improvements,
The improvement of the quality of the relation between the parents and with the child
The improvement of the relations with the classmates
We will finally show the summary tables of the test improvements of both parents.

The case of the family “A” looks complex since the request of help. We are asked for a couple sessions to definitively evaluate which to recommend:  proceeding towards a conjugal separation (husband’s goal) or a wedding rescue (wife). During the consultation phase it arose that their child has been followed, once a week, by a child neuropsychiatrist to treat different somatizations, mainly concerning the respiratory area, leading him to face night apneas and violent asthmatic allergies since he was an infant. In the years before the therapy the child’s diseases required several First Aid interventions, mainly for choking risk. In the past their child (8 years old) experienced relationship problems with his mates (and in the classroom with the teacher) that made him becoming a bullying victim and brought him to “three nervous breakdowns”.  Very often children somatizations are equivalent to depression in adults and the lack of improvements of the pharmacological therapies and of the psychotherapy make these kind of cases particularly fitting the TIF.

The mother (51) suffers from a anxious depressive syndrome and for almost one year she was treated with a pharmacological therapy (paroxetine), interrupted during the TIF therapy. The father (57) shows suffers from significant anxiety with a dissociative disorder. The couple has followed a therapy lasted for about one year apparently not bringing any benefit.
Significant changes emerged from the tests carried out comparing, on the SCL90R scale, the beginning of the therapy with the tenth session (90 min.) .  We will show extracts from the first and the last sessions of the couple as well as some from the individual therapy sessions of each of the family members. The changes in the child will be described turough the parent’s words.


Sara Basso

Sara Basso is a Clinical-Dynamic psychologist, psychotherapist in training in a four-year post-graduate school in short-term dynamic psychotherapy and student in core training with Leone Baruh in Intensive Short Dynamic Psychotherapy (ISTDP). She works with children, adolescents and young adults at Centro MasterMind, a clinical center of psychologists and psychotherapists in Castelfranco Veneto - Treviso (Italy). She is also a specialist in support to bereaved persons after tragic and sudden deaths. She was also involved in clinical and scientific research with University of Padua's Development and Social Psychology Department, publishing articles, posters and book chapters. She was 2nd level University Master Tutor in “Parenting and child development” at the University of Padua. She collaborated with the University of Padua and the Hospitals of Padua and Camposampiero (Padua) doing clinical evaluation and psychological support with children and adolescents. She is specialist in developmental disorders, anxiety and mood disorders, menagement  of bereavement and life traumatic events. She coordinates training initiatives for parents, teachers and other professionists. In collaboration with Centro Mastermind's colleagues she is experiencing unexplored opportunities to integrate ISTDP with other psychotherapeutic models used in childhood.


 

 Luca Rossi

Luca Rossi is an ISTDP psychotherapist with adults and older teens in private office in Padua (Italy). He is psychotherapist  and president of the Centro-Mastermind, a clinical center of psychologists and psychotherapists in Castelfranco Veneto - Treviso (Italy). He is a coordinator, tutor and co-teacher with Leone Baruh in his core training in Intensive Short Dynamic Psychotherapy (ISTDP). He is also involved in clinical and scientific research with University of Padua's Development and Social Psychology Department, publishing articles and poster. He is member of SPID-B Srl (Development Psychotherapy Intensive Dynamics Short) board of directors. SPID-B is a company that provide brief psychotherapy services in Italy, specialized in intensive short-term therapy for professionals and athletes. He is counselor of SPAI (Society of Analytical Integrated Psychotherapy) board of directors. SPAI is a psychotherapists association that promotes integration of psychodynamic psychotherapy with contributions of other psychotherapeutic approaches. In collaboration with Centro Mastermind's colleagues he is experiencing unexplored opportunities to integrate ISTDP with other psychotherapeutic models used in childhood.

EDT Treatment with Pre-Adolescents: Theoretical and Technical Issues in a Case Study
Presenters: Sara Basso and Luca Rossi

We are experimenting with the possibility of using EDT with preadolescent children (from 11 to 13 years old). The patient in this presentation is a boy of 12 years old with a depressive response to a sexual trauma. He was exposed to soccer teammates having anal and oral sex in the locker room showers. Some of them tried to convince him to have sex too. He reacted with closing himself off, impulsiveness, irritability and difficulty concentrating at school. He also shows symptoms that indicate high rise in anxiety, e.g: motor tics, obsessive rituals, stomachache and somatization, motor hyperactivity, anxiety and concerns about school.

After a first therapy cycle of 3 sessions focused on processing his emotional experience about sexual exposure in locker room showers (interview with the patient and separately with the parents focused on anxiety management, psycho-education and tips on how to handle the situation in the locker room and with the coach), therapist and parents decided to continue the child psychological evaluation through psycho-diagnostic tests and clinical interview. Projective tests were used: paper and pencil (family drawing, drawing of a person in the rain, of a group of friends), Rorschach test and Duss fables test. The Wechsler Intelligence Scale for Children (WISC) was also administered.

Considering the issues related to reactive depression, high anxiety levels and child's inability to manage his emotional content, we considered it fundamental to work on his anxiety management and on his underlying unconscious conflicts. To facilitate the psychotherapeutic process, the therapist chose a regressive and anxiety reducing setting, sitting on the mats with the young patient. Preadolescent introspective ability and dialogue skills are not those of the adult, so we oriented ourselves to translate EDT interventions in a drawings sequence too. Because of the necessary changes in the setting with preadolescents, we work trying to integrate EDT technique with projective drawings techniques.
We'll see the psychodynamic sequence of anger, guilt and love in video (during the interaction with the therapist) and directly projected in the drawings sequence. Drawings are of particular interest because they demonstrate that the unconscious alliance is operating: projecting indelibly on the paper feelings, anxiety and defenses. In this way psychotherapist and patient can return several times on one single sequence avoiding the possibility for the child to evade meaningful contents. We'll see the patient directly create the drawings and therapist and patient work actively on them using EDT principles. We'll also see video showing EDT therapeutic work before, during and after the entire sequence of drawings.


 Thomas Brod

Thomas Brod, M.D. is Distinguished Life Fellow of the American Psychiatric Association, is an Associate Clinical Professor of Psychiatry at the UCLA Geffen School of Medicine. He is a senior faculty member at New Center for Psychoanalysis (Los Angeles) and is on the faculty of the ISTDP Institute in Washington, D.C.  He is an Approved Supervisor, International Experiential Dynamic Therapy Association.  A graduate of UC Berkeley (AB, English), USC School of Medicine (MD), UCLA Psychiatry residency and fellowship (MSP), and the Los Angeles Psychoanalytic Institute,  Dr. Brod was an NIMH Career Development Fellow during his training.

The Man Who Decided to Die
This is a case of ISTDP treatment (one week of block therapy) of a young father with recurrent suicidal depression, unresponsive to antidepressant medications.  The video will be presented in three brief segments.  The first vignette condenses the work of the first session to demonstrate pressure on his regressive defenses of projection and impotence as he learns to bear the experience of anxiety underlying rage and guilt.  A second vignette from a later session demonstrates management of an intense (but transient) manic state of mind. The third vignette illustrates how he integrates the affective states with his background disturbances.


 Stephen Buller

Dr Stephen Buller has had a lead role in the development and delivery of psychotherapy in the UK for more than thirty five years. He is Director and Lead Consultant at Cathexis Psychotherapy, a social enterprise for the delivery of evidence based practice, education and training in evidence based psychotherapy. Stephen was formerly Service Lead and Senior Clinical Specialist in NHS psychotherapy services in Derbyshire, UK. Stephen has extensive training and experience across a range of psychotherapeutic models, working with individuals, families, and groups in a variety of settings. His work is predominantly based in psychoanalytic and psychodynamic models, and he has had a significant commitment to development, training, supervision, and research in STPP largely influenced by ISTDP. As a registered mental health professional and registered psychotherapist, Stephen has occupied a number of key roles in professional organisations. He is currently a member of, and vice-chair for the Ethics Committee of UKCP (United Kingdom Council for Psychotherapy), a council member and Chair of Ethics for the Universities Psychotherapy and Counselling Association (UPCA) and a member of the executive committee of the Universities Training College (UTC), a division of the United Kingdom Council for Psychotherapy (UKCP). Stephen is Chair and Senior Consultant for the Psychotherapy Foundation, an organisation working to promote, support and develop the use of safe and effective treatments in evidence based psychotherapy, and the proper and sound governance of these treatments.


 

 Susan Hajkowski

Susan Hajkowski is Lead Practitioner in Psychotherapy, Derbyshire Healthcare NHS Foundation Trust in the UK. Susan is a registered nurse (RMN) and accredited psychodynamic psychotherapist (UKCP). Susan is an Accredited Lecturer at the University of Derby and Associate Tutor at the University of Leicester.  Susan completed training in ISTDP as part of the first core training group in the UK and she has undertaken subsequent extensive training and supervision in ISTDP. Susan’s specialist clinical practice includes the application of ISTDP to severe and complex patient populations and she leads and undertakes outcome, process and effectiveness research alongside PhD research at the University of Leicester. Susan currently teaches, develops trainings and supervises ISTDP and she has delivered research and clinical presentations nationally and internationally. Susan holds a number of organisational roles including member of the Research and Advisory Group of the British Psychoanalytic Council and Susan is current President of the Society for Psychotherapy Research (SPR) UK Chapter.

When Treatment Resistant Depression Is Not What It Seems
Presenters: Susan Hajkowski and Stephen Buller

The clinical case presented is a completed good outcome case of 18 session duration. The patient was seen for ISTDP treatment within secondary public mental health services in the UK, the case having been part of a research study also presented at this conference. Video case material, with a full dataset of routine outcome measures including session-by-session measures, will be demonstrated along with two year follow-up data. Initial presentation included a ten year history of diagnosed treatment resistant depression, and previous past treatments including extensive pharmacology and CBT. The presentation will illustrate a process of psycho-diagnosis demonstrating that, whereas some signs of psychoneurotic defences may be apparent, dominant regressive defences are observable including splitting and projection, along with further indicators of ego fragility. Consideration will be given to progression in psycho-diagnosis, and the use of a single, unified spectrum of psycho-diagnosis with an integration of factors and indicators. Building on this psycho-diagnosis video case material will illustrate alternative baseline diagnoses, and developments in managing regressive defences and low ego capacity. Further illustration of developments in intervention within a graded format will demonstrate the building of ego capacity, enabling breakthrough, unlocking and de-repression.


 Quin van Dam

Quin van Dam, Phd, is a clinical psychologist, psychoanalyst, psychoanalytic psychotherapist, affect phobia therapist and supervisor of the Dutch Psychoanalytic Society (NVPA) and of the Dutch Society of Psychoanalytic Psychotherapy (NVPP). He has a private practice in Leiden and teaches on subjects like affect phobia, personality diagnostics and fear of death. Among his publications are articles about resistance in psychoanalysis, the developmental profile (diagnostics), defense mechanisms and affect phobia. Recently, his article, ‘Death anxiety in psychotherapy: a plea for education’, has been published in the Dutch Journal of Psychotherapy.

Depression and Fear of Death
Many patients with mental problems experience a crippling preoccupation with death. People with depression in particular can come to see death as an escape, using it as a defense against feelings of rage, as an expression of punitive feelings against the self, or as a means of stirring up guilt in others, while similarly being afraid of dying. These defenses and anxieties warrant a thorough examination in the therapeutic setting. But as therapists we are not necessarily equipped to explore these specific anxieties. We ourselves may fear a conversation about death, or can be held back in ways we may not even be aware of. The result can be a collusion of the defenses that are active in the patient and a failure on the part of the therapist to notice his or her preoccupations and fears. What do we gain if we welcome an exploration of the feelings surrounding death into our treatment, specifically in our conversations with people grappling with depression? In my presentation, I will address this question, using two live demonstrations.

First, I will conduct a live interview (in English) with a Dutch colleague, in which we will explore the way she has been held back by her own anxiety and countertransference feelings. We will discuss how these have interfered when talking about death and dying with her depressive patients, and how this can be addressed and improved. Second, I will give a therapy demonstration, inviting someone from the audience to take on the role of a patient with depressive pathology. This will give an impression of the ways in which resistance can be handled, and shows the workings of interventions aimed at helping the patient explore his or her thoughts and feelings regarding death and dying.

Subsequently the discussion can centre around the following subjects:

• experiences in talking about death in psychotherapy, and the barriers audience members may have come across
• experiences with interventions to help depressive patients discuss their feelings regarding death, such as longing, regret or anxiety
•  experiences with an existentialistic approach, in which therapist and patient explore what and who may be important for the patient, what he or she may regret in life, what may still be possible, and how the patient may want to look back on his or her life.


 Risha Henry

Risha M. Henry, PhD received her BA from Stanford University and her PhD in Clinical Psychology from the University of California, Los Angeles (UCLA). Her postdoctoral training has included a fellowship in the Department of Psychiatry and Behavioral Medicine at Stanford University, a research position at the UCLA Neuropsychiatric Institute, and the 3-year ISTDP core training and 2-year ISTDP advanced core training certification programs with Josette ten Have-de Labije, PsyD and Robert Neborsky, MD. Dr. Henry has been in private practice since 2004.  Currently, she practices in Menlo Park, California, and travels to Berlin to assist Dr. Have-de Labije in an international core training group. Her most recent publication, “From Tears of Helplessness to Tears of Joy,” appeared in the December, 2015 issue of the Ad Hoc Bulletin of Short-Term Dynamic Psychotherapy.

From Tears of Helplessness to Tears of Joy:  Navigating the Roadmap to the Patient’s Unconscious
This video presentation includes excerpts from six ISTDP therapy sessions that span the course of one year of treatment of a 34-year-old man suffering from treatment-resistant depression with a history of suicidality and involuntary hospitalization, as well as generalized anxiety and substance abuse. At intake, the patient reported having not responded to four prior experiences with psychotherapy and to seven antidepressant trials. The therapist worked with the patient every two weeks for sessions of 90 minutes in duration. Following the steps along the Roadmap to the Unconscious (Have-de Labije & Neborsky, 2012), the psychotherapist helped the patient resolve his depression and substance abuse, and more healthily regulate his anxiety – moving away from tears of helplessness, through tears of grief and ultimately to tears of joy.


Robert Johansson

Robert Johansson
Department of Clinical Neuroscience, Section of Psychiatry
Karolinska Institute, Stockholm, Sweden
Robert Johansson, PhD is a researcher at the Karolinska Institute, Sweden and IEDTA certified therapist and teacher with a focus on ISTDP. He is the leading authority on Internet-delivered psychodynamic psychotherapy. Dr Johansson and his colleagues have developed a model of affect-focused psychotherapy that enables it to be delivered as guided self-help through the Internet. The effectiveness of the model has been proven in several clinical trials. He has also conducted research on the effects, cost-effectiveness and working mechanisms of Davanloo’s ISTDP. Currently he is working on developing the next generation of computerized psychological interventions.

Recognizing and following the unconscious therapeutic alliance in intensive short-term dynamic psychotherapy
A fundamental assumption in Intensive Short-term Dynamic Psychotherapy (ISTDP) is that systematic techniques in the form of Pressure and Challenge lead to a rise in complex transference feelings (CTF), and that a key mechanism in ISTDP is when those feelings are experienced. The model suggests that the direct experience of the CTF leads to the domination of the Unconscious Therapeutic Alliance (UTA) over the Resistance, which leads to the state of unlocking of the unconscious. In that state, it is possible to experience and work through complex feelings towards key attachment figures and this is then assumed to lead to symptom reduction. Recent research supports this assumption.
Recognizing and following the UTA are key skills in ISTDP, as that can provide important opportunities for the therapist to arrive at critical in-session events in where core issues can be worked through with a maximal symptom reduction.

This talk will illustrate how to recognize and follow the UTA in ISTDP. Several examples of how the UTA emerges in session as a direct result of rise in CTF will be shown. The video illustrates a trial therapy (initial session) with a woman in her 50’s, with a history of somatic symptoms, anxiety, depression, and eating disorder. She had multiple treatment attempts from various clinics over the years. The talk will illustrate how the working through of complex feelings towards past figures helps the patient to have a reduction in symptoms of anxiety, depression and somatic problems.

Learning objectives:
- Learn about how the techniques of Pressure and Challenge lead to rise in complex transference feelings
- Learn how to recognize and follow the UTA
- Learn about the rich symbolic qualities of the UTA
- Learn about the structure of the dynamic Unconscious through the words of the patient


 Nat Kuhn

Nat Kuhn, MD has been studying, practicing, teaching, and writing about Experiential Dynamic Therapy since 1996, when he began a decade-long association with Leigh McCullough. As Assistant Director of her Psychotherapy Research Program at Harvard’s Beth Israel Deaconess Medical Center, he was instrumental in the development and validation of the Achievement of Therapeutic Objectives Scale (ATOS), and co-authored her “Treating Affect Phobia: A Manual for Short-Term Dynamic Psychotherapy” (2003). Since 2008, he has been practicing Davanloo’s ISTDP, publishing his widely-acclaimed “Intensive Short-Term Dynamic Psychotherapy: A Reference” in 2014. He serves on the Board of the IEDTA, and spearheaded the redesign of the IEDTA website. In addition to his private practice in Belmont, Massachusetts, he teaches and supervises ISTDP both locally and internationally, including as a Lecturer (Part-Time) in Psychiatry at Harvard Medical School, where he teaches Short-Term Dynamic Psychotherapy to psychiatry residents. Prior to his career as a psychiatrist, he was a mathematician.

Treatment-Resistant Depression in a Patient with Complex Trauma and Severe Fragility
This presentation includes relatively recent video from the ongoing therapy of a 65-year-old patient whom I started seeing in 2010. At that time she had had 20 years of chronic treatment-resistant depression and suicidality with several serious suicide attempts and over 30 psychiatric hospitalizations. Despite almost continuous treatment including multiple therapists and numerous medication trials, she had deteriorated rather than improving. She has a history of severe trauma including continuous emotional and physical abuse by her mother; sexual trauma including rape; and traumatic interactions with the medical and mental health systems, as well as a history of extreme losses. In addition to depression, her symptoms included anxiety, dissociation, pain, and transient psychosis.

In the first video vignette, she enters depressed and suicidal in the context of a friend’s suicide the day before and the therapist’s imminent departure for a two-week vacation. The vignette illustrates the graded format of ISTDP, demonstrating rapid symptom relief through anxiety regulation combined with small, capacity-building portrayals. In the second vignette from some weeks later, the patient spontaneously reflects on both her gains in therapy (despite almost no medication) and her experience as an ISTDP patient. Although the therapy is not completed, this is a relatively rare opportunity to see video of ISTDP with a patient of this sort.


 
Peter Lilliengren

Dr. Peter Lilliengren is a licensed psychologist , licensed psychotherapist and an assistant professor at the Department of Psychology, Stockholm University, Sweden. Dr. Lilliengren specialises in ISTDP and was trained by Dr. Patricia Coughlin, Dr. Allan Abbass and Jon Frederickson. He lectures in psychodynamic theory, affect theory, attachment theory, psychotherapy research and ISTDP at Stockholm University, Uppsala University, Linköping University, Karolinska Institutet, Skandinaviens Akademi för Psyckoterapiutveckling (SAPU) and Ersta Sköndal Högskola in Stockholm. He is co-chair of the Swedish Society for ISTDP and co-author of the book "Affektfokuserad psykodynamisk terapi", which is the first book on affect-focused psychodynamic psychotherapy in Swedish. Dr. Lilliengren has published several research articles in peer-reviewed journals, including studies on the impact of patients' attachment to the therapist in psychodynamic psychotherapy and a meta-analysis of outcome studies of Experiential Dynamic Therapy (EDT).

The Efficacy of Experiential Dynamic Therapy for Psychiatric Conditions: A meta-analysis of Randomized Controlled Trials
In order to evaluate the efficacy of Experiential Dynamic Therapy (EDT) for psychiatric conditions, we conducted a meta-analysis of randomized controlled trials focusing on therapy models derived from the work of Malan (1979) and/or Davanloo (1990, 2000, 2005). Twenty-eight studies published between 1978 and 2014 were included, encompassing 1782 adult patients with mood, anxiety, personality or mixed disorders. Across outcome domains, medium size between-group effects (Cohen’s d ranging from 0.39 to 0.65) favored EDT over inactive controls at post-treatment, as well as in symptom measures at follow-up. We found no differences between EDT and active treatments (e.g., medication, CBT, manualized supportive therapy) at post-treatment, but EDT outperformed supportive therapy at follow-up (d = 0.75). In terms of within-group effect sizes, EDT was associated with large improvements in general psychiatric symptoms (d = 1.11), depression (d = 1.33) and anxiety (d = 1.09), as well as small to moderate gains in interpersonal problems (d = 0.55) and global functioning (d = 0.86). Small but significant effects suggested continued improvement between post-treatment and follow-up. Subgroup analyses indicated that EDT may be particularly efficacious in depressive disorders and that individual EDT had larger effects compared to group treatment. Additionally, EDT performed better in higher quality studies. We conclude that EDT is a promising treatment for psychiatric conditions in adults. Further high quality studies evaluating contemporary versions of EDT in specific psychiatric conditions are warranted. The presentation will include updated data from studies published after this meta-analysis was conducted.


Konstantinos Monas

Dr Konstantinos Monas, (born 02/25/1957) is psychiatrist, consultant at the Greek National Health System and Director of the Community Mental Health Center of the Central District of the city of Thessaloniki, Greece. He also holds a research PhD on the psychological difficulties of couples who experience infertility problems. He attended the Medical School of the Aristotle University of Thessaloniki and trained as psychiatric resident at the training program of the B' Psychiatric Dept. of the Aristotle University of Thessaloniki which has a psychodynamic orientation. Dr Monas has worked for many years on the rehabilitation of psychotic patients at the Psychiatric Hospital of Thessaloniki, while at the same time practiced psychoanalytic psychotherapy with psychiatric outpatients in a semiprivate frame.

Since 2009 has started his training on D-ISTDP attending a summer school in Italy and several immersion courses with Allan Abbass. From July 2012 to December 2012 was a visiting professor at the Center for Emotion and Health of the Psychiatric Dept of the Dalhousie University in Halifax, NS, Canada, trained on ISTDP by Dr Allan Abbass. Today, he practices ISTDP at the CMHCCD of Thessaloniki in a public and a semiprivate frame; at the same time he carries out two training programs on ISTDP, one for the psychiatric residents of the B' Psychiatric Dept of the Aristotle University of Thessaloniki and a private one for psychiatric residents, psychiatrists and psychologists. Dr Monas is the main founder and president of the Hellenic Association of Intensive Short-Term Dynamic Psychotherapy.

The Depressive Woman with 22 Abortions
This presentation is about a female mild fragile patient 59 year old, with resistant depression. When she entered the therapy she had already committed two suicidal attempts with medications and was planning a third one. Previously, she had some treatments with combinations of medications and with an unknown form of psychotherapy without significant improvement. We started ISTDP sessions once a week. After a session with graded format, she was able to have several breakthroughs experiencing her murderous rage and also her guilt and grief about the rage towards her husband but also towards her father, her mother and her brother.

An interesting feature about this case is that she experienced complex oedipal feelings which have colored her life and pushed her in a way to her psychopathology. In her marriage had over 22 abortions for unwanted pregnancies in a compulsory way, “having and killing the babies of her husband – father”. She experienced a lot of guilt and grief for these "killed" babies after some breakthroughs. She also had preoedipal difficulties especially with the birth of her brother. After 24 sessions we are moving to the end of therapy and have almost stopped all medications. Another interesting thing in this case is that the oedipal difficulties she experienced as a child had influences from the political situation in Greece in 60's and 70's, as the members of her family were communists and that period communists were chased by the para-state and the Greek military junta. Her father had been arrested and beaten by the police many times and that had a great impact on the patient. She had idealized but at the same time hated her father and she transferred all these feelings to her husband who was a follower of the opposite (right) political party.


Maria Sandgren

Maria Sandgren, PhD, registerd psychologist, certified ISTDP therapist, works as associate professor in psychology at Södertörn University, Sweden and as private practitioner. Her research interest is mainly in social cognition related to political psychology but also emotions, well-being and personality related to music psychology.

How Verbal Accounts Can Create Psychological Distance to Emotionally Loaded Issues in Therapy
In the therapy session with our clients, we use verbal interventions to support clients to mobilize and express feelings. Although the literature gives ample examples of verbal interventions in therapy, very little is known about how and why therapists chose the wordings as they do. In this presentation I will focus on verbal accounts related to interventions for depression, and how the therapist and the clients can regulate the distance (remoteness versus closeness) to emotionally loaded topics by using certain wordings.

In EDP/ISTDP, the therapist makes interventions based on the client’s responses in order to reduce the psychological distance (for the client) to certain emotionally loaded topics. The client may in return react with defences i.e. increase the psychological distance to the same topic which can be defined as resistance, or the client can approach the avoided issue. In the latter case, the client will be able to mobilize and integrate emotions related to the issues of concern. According to Construal Level Theory (CLT, Liberman & Trope, 2010), any event, object or person is psychologically distant whenever it is not part of one’s directly experienced reality in the here and now. The CLT assumes that the psychological distance is related to people’s thinking – mental representation - in abstract and concrete terms.

This presentation will include verbal dialogues from therapies and show how CLT can be helpful to understand how certain interventions are more helpful for the therapeutic process, and others are not. Moreover, it will show how the verbal content and exchange with concrete (specific, detailed) wordings may decrease the distance, whereas abstract (broad, overarching) wordings may increase the distance (in time, socially, affectively etc). The goal of the presentation is to offer an additional perspective of how the therapist and/or the client modify their verbal accounts to create psychological distance (remoteness versus closeness) related to emotionally loaded topics.


 Steven Sandler

Steven B. Sandler is a psychiatrist at Albany Medical Center.  He has been practicing Short-Term Dynamic Psychotherapy, as well as teaching and writing about it, for over 25 years. His newest book is Tea with Freud: An Imaginary Conversation about How Psychotherapy Really Works (Dog Ear Publishing, 2016).  His first book, Remembering with Emotion (Jason Aronson, 2011) was written specifically for therapists.

The Case of Mr. Fix-It
This is a case of depression in a 49-year-old man who has been treated with various medications and therapy trials for 15 years. His motivation for treatment is low, his resistance high. He displays the character trait of intense self-reliance, and he does not like to ask anyone for help. In the videotapes, the patient becomes irritable and sarcastic when I try to talk with him about his central conflict: his need for help vs. his need to be distant and self-reliant. Exploring this conflict, and the fear behind it, leads to a better alliance and ultimately a successful outcome. The approach I use is a less confrontational version of STDP.


 Roger Sandvik Hansen

Roger Sandvik Hansen is a specialist in clinical psychology from Norway. He completed his core training in ISTDP in 2011 with Jon Frederickson, Allan Abbass and Kees Cornelissen, and has continued supervision with Allan Abbass since then. He completed his "Training for Trainers" program with Jon Frederickson at the Institute for ISTDP Training and Research in 2015. The last five years he has been working with an 8-week intensive residential treatment program based on principles from Intensive Short-Term Dynamic Psychotherapy (ISTDP) for patients with known treatment resistant anxiety- and/or depressive disorders mainly with comorbid personality disorders located in Drammen, Norway. Sandvik Hansen is teaching ISTDP at the Faculty of Psychology at the University of Bergen, and he is one of five teachers and supervisors at the Norwegian Institute for ISTDP (NI-ISTDP) currently running eight core training groups in Norway in collaboration with Dr. Allan Abbass. He has presented ISTDP at several clinical facilities and venues nationally, as well as in Sweden and Canada.

The Woman and the Beast
The presentation is from an eight session therapy (each session 90 minutes) with a 50 year old woman referred to the Norwegian 8-week intensive residential treatment program for patients with known treatment resistant disorders. The patient was diagnosed with a recurrent depressive disorder, suffering from depressive symptoms with daily suicidal thoughts since childhood. The last 10 years she has been hospitalized twice after suicidal attempts and has not responded to several different treatments with antidepressants, psychodynamic and cognitive therapy. On the psychoneurotic spectrum the patient was classified as “highly resistant” and she was treated with ISTDP.

The presentation illustrates how mobilization of complex transference feelings goes together with mobilization of unconscious resistance and the unconscious therapeutic alliance. Subtitled videos from session 2, 5, 7 and 8 will illustrate how to identify and help the patient turn against all depressive mechanisms leading to repeated breakthroughs to feelings with (partial and major) unlocking of the unconscious. The outcome after 8 weeks shows how her daily suicidal thoughts, interpersonal problems and depressive symptoms are replaced with adaptive use of emotions, self-care and remission of all depressive symptoms. Several measures (OQ-45, SCL-90-R, IIP-64) show a clinical significant change, maintained at 6 and 14 months follow-up.


Albert Sheldon

Albert Sheldon M.D. is a Clinical Professor of Psychiatry at the University of Washington, Seattle, WA. He has conducted research and taught psychotherapy for 20 years. He has trained in many psychotherapeutic modalities including CBT, EMDR, hypnosis, group therapy, systems oriented therapy, and he trained in short-term dynamic psychotherapy in Montreal for 10 years with Dr Habib Davanloo. Dr Sheldon received a three year Bush Medical Fellowship to pursue research in psychotherapy.


 Beatriz Winstanley

Beatriz Winstanley Sheldon M.Ed.Psych. Graduated from McGill University, Montreal, Canada where she also completed postgraduate specialization in Intensive Short Term Dynamic Psychotherapy with Dr Habib Davanloo. She has had her clinical practice in Vancouver, BC for 25 years. Beatriz has trained and supervised clinical counselors, psychologists and psychiatrists for the past 15 years.

Therapeutic Activation of Endogenous Dopamine Networks to treat Resistant Depression
Presenters: Albert Sheldon and Beatriz Wistanley

This presentation will demonstrate two ways in which the therapist can immediately and actively engage the depressed patient’s mind and brain to provide new adaptive therapeutic experiences in a brief time. We will focus on two goals: first to mobilize primary process emotions such as SEEKING [Panksepp] and Assertive drives to activate endogenous dopamine networks and second to mobilize the prefrontal cortex and Cognitive Consciousness to collaborate in interrupting the negative patterns of rumination, hopelessness, and depression.    

After an introduction, we will do a brief live demonstration with one of the participants to show the process and interventions that can be used to accomplish these goals. We will then use that clinical material to explore in depth the intentions, interventions, and therapeutic evidence that reveal the theory and benefits of these goals.  We will look at the evidence that we all observed in the demonstration to highlight these approaches to treating resistant depression. This will be a collaborative learning experience as all of the participants will share in the experiential process and discuss their own observations.


 Pål Ulvenes

Ulvenes received his Cand. Psychol from the Norwegian University of Science and Technology in 2009. He was involved in a project analyzing videotapes of short-term dynamic and cognitive psychotherapy from early in his studies, and later received his PhD from further analysis of this material. Ulvenes received the PhD from the University of Oslo in 2012 after being supervised by Leigh McCullough, Asle Hoffart and Bruce Wampold. Ulvenes also received extensive clinical supervision from Leigh McCullough and is an IEDTA trainer and supervisor. Ulvenes has been a visiting professor at the university of Wisconsin-Madison, and currently works as a researcher at Modum Bad Psychiatric center in Norway, focusing on effect and process research, particularly for depression. Ulvenes is a member of the editorial board of Psychotherapy and Psychotherapy Research, and was awarded the price for most valuable paper in the journal Psychotherapy for 2012.


 Joel Town

Dr. Joel Town is a Clinical Psychologist and Assistant Professor of Psychiatry and Psychology at Dalhousie University, Canada. He received his doctorate in clinical psychology from the University of Sheffield, England. Since 2011, he has held a faculty position at the Centre for Emotions & Health, Canada, where he is currently the primary investigator on two clinical trials exploring process and outcome in intensive short-term dynamic psychotherapy for somatic symptom disorders and treatment refractory depression. He currently serves as a Consulting Editor of the American Psychological Association Division 29 journal, Psychotherapy and the Society for Psychotherapy Research journal, Psychotherapy Research. His interests include psychotherapy process, health services research and their integration towards advancing psychotherapy training and practice.

Capacity building format in time-limited ISTDP
Dr. Town will present a case from the Halifax Treatment Refractory Depression Trial to illustrate a 20-session time-limited treatment course of ISTDP provided in a routine public healthcare service. This presentation will serve as an example of the capacity building process in a time-limited format. Vignettes from across the treatment course will demonstrate: the initial psychodiagnostic process in a patient with fragile character structure; use of the transference relationship to build anxiety tolerance and enable partial dominance of the unconscious therapeutic alliance with breakthroughs of complex emotions at mid-treatment; and the outcomes of restructuring work at the end of treatment including an absence of primitive defences, replaced by a more positive sense of self and capacity to grieve past attachment traumas.


Jose Verpoort

Jose Verpoort-Douw: In 1997 I was registered as a psychiatrist. After 2 years working with patiets with chronic psychitric illnesses I started working in a clinical setting, specialised in psychodynamic psychotherapy. In 2005 I completed the core group training in ISTDP with J. ten Have and C. Cornelissen, followed by registration as trainer and supervisor in 2015. Since 2002 I work at "de Viersprong" in a residential setting for patients with personality disorders, mostly with comorbid problems.


 

 Tineke Roks

Tineke Roks: I am registered as an all round nurse. I have worked in a residential setting of a psychiatric hospital,  with children and their parents  in an outpatient setting and in a hospital for patients with epilepsy. In the last setting I specialised in sociotherapy. Since 2006 I work at “de Viersprong” , and became trained in applying ISTDP in groups in the sociotherapeutic setting

 Josephine Gelens

Josephine Gelens: In 2004 I completed my study for art therapist and got my registration. After that I worked in several psychotherapeutic settings.  In 2007 I started working as art therapist in a clinical setting at “De  Viersprong” and learned how to use the ISTDP method in art therapy. I developed a method to get patients more familiar with the physical phenomena of anxiety and gave several lectures on this.

R-ISTDP – The Dutch Model
In this presentation we will introduce Residential ISTDP (R-ISTDP in short) as developed by Kees Cornelissen in “de Vierspong”. We apply this model in a daytime program for patients with mostly refractory personality disorders. In this setting all staff members work according to the ISTDP method. The last two years our effect size was 1,7 measured with the BSI. We will outline in which way we apply the optimal level of pressure for each individual patient.
We will support the presentation by showing video material of individual and group sessions with emphasis on one of the group members, a male patient suffering from personality disorder and recurrent depression. The underlying mechanism of his recurring depressive episodes is dismantled with dramatic effect on his functioning.

Team in charge of the residential treatment program at de Vierspong:

Laura Dekkers
Tineke Roks
José Gelens
José Verpoort
Willen Janssen

 

 

IEDTA Conference 2016 - Amsterdam, The Netherlands
    • Location

      Casa 400
      Eerste Ringdijkstraat 4
      1097 BC Amsterdam
      The Netherlands
      Route
    • Follow us

      &nbsp

      Contact

Download Free Premium Joomla Templates • FREE High-quality Joomla! Designs BIGtheme.net