Attachment and Psychoanalysis:
Restoring the Capacity for Secure Love in Adult Psychotherapy
Instructors: Heather Craige, LCSW and Sally Davis Comer, PhD, LCSW
This 8 session course will focus on the clinical application of attachment theory and research to the treatment of adults in individual psychoanalytic psychotherapy. We will review the history of attachment theory and its relationship to other schools of psychoanalysis. We will also survey the major research methods used in the assessment of secure and insecure attachment styles (avoidant, ambivalent, disorganized).
Using clinical material we will explore how these early relational patterns become represented in the child’s inner world and subsequently re-enacted in adult life, including in the therapeutic relationship. Psychoanalytic concepts of resistance, defense, transference and countertransference can be freshly viewed through the lens of attachment, in which maladaptive ways of relating in adulthood are understood as adaptations that ensured the patient’s survival as a young child. Maintaining this perspective in the face of the patient’s dismissing, rejecting and confusing behaviors helps the therapist keep a non-reactive and empathic interpretive stance that may allow the patient to “earn” the capacity for secure attachment.
Each session will include discussion of both reading and clinical work, and students will have the opportunity to present their own work with patients.
Class will be limited to 14 students and is intended for psychodynamically-oriented psychologists, psychiatrists, clinical social workers, licensed professional counselors, and other clinicians at an intermediate level.
Prerequisite: Students will need a basic exposure to and understanding of psychoanalytic theory and its application to the treatment of patients. Applicants can meet this requirement through previous coursework, training, or supervision (e.g., Thinking Psychoanalytically: The Basics; the PPSC Introductory Course; psychoanalytic coursework or supervision in graduate school/residency or post-graduation). Applicants who do not meet this requirement may register for the course with permission from the instructors.
Time: Thursday, 7:30 pm - 9:00 pm
Dates: January 24 - March 21, 2013 (skipping March 14 for AAPCSW conference)
Class Size: Class will be limited to 14 students.
Location: Lucy Daniels Foundation, Cary
CME Credits: 12
CE Credits: 12 Category A
LPC Credits: 12 CE clock hours
Training Program Credit: Students who successfully complete this course can earn elective credit in both the psychoanalysis and psychoanalytic psychotherapy training programs.
Registration Fee: $25 for non-matriculated students
Matriculated students aren't charged a course registration fee.
Non-matriculated students who register for more than one course in a semester pay only one registration fee.
The registration fee is non-refundable.
We're unable to accept credit card payments. Please send a check payable to PECC.
Registration Deadline: January 17
We may accept registrations after January 17, but there will be an additional $20 late registration fee.
$235 for students matriculated in the training programs
$290 for psychiatry residents and graduate students
$315 for non-matriculated students
The registration fee is non-refundable.
The cancellation deadline is January 16.
Students who cancel after January 16 but before January 24 will be charged a $40 late cancellation fee.
Students who cancel or drop the class January 24 or later are expected to pay the full tuition.
Prior to the start of class, students should purchase and read chapters 1 through 10 (190 pages) of Attachment in Psychotherapy
by David J. Wallin. If you click on the book title, you will be linked to the book's page at Amazon.com, where new and used copies are available. The book can also be obtained at other online bookstores.
Additional readings by Bowlby, Karen, Holmes, Wallin, Schore, Main, Tronick, Applegate & Shapiro, Slade, Fonagy, Allen, Daniel, Nelson, Lyons-Ruth, Bretherton, Siegel, and Chused will be assigned.
About the Instructors:
Heather Craige, LCSW
is a psychoanalyst and clinical social worker serving adults and children in Raleigh, NC. During 30 years of practice, she has developed a particular interest in using object relations, attachment, and relational approaches to treat adult survivors of chronic childhood trauma. Heather is a graduate in adult psychoanalysis from the UNC-Duke Psychoanalytic Education Program, now a component of the Psychoanalytic Education Center of the Carolinas (PECC). She also completed the child and adolescent psychotherapy program at the Washington School of Psychiatry. Heather was a founding member of the Board of the Lucy Daniels Foundation, where she coordinates the Foundation’s psychoanalytic treatment program for creative writers. She was a co-founder of the Psychoanalytic Psychotherapy Study Center of NC and was Board Chair of the NC Psychoanalytic Foundation. Heather has published articles on termination of treatment in the Journal of the American Psychoanalytic Association
, Psychoanalytic Dialogues
, and Psychoanalytic Inquiry
Sally Davis Comer, PhD, LCSW
is Director the Psychoanalytic Psychotherapy Training Program of the Psychoanalytic Education Center of the Carolinas. She is a graduate of the Advanced Curriculum of the Psychoanalytic Psychotherapy Study Center. She received her MSW from UNC-Chapel Hill and her PhD from the Smith College School for Social Work. Sally’s long term interest in object relations and attachment theory led to her dissertation topic on family environment and attachment relationships. She was chosen to present her dissertation at the Society for Social Work Research in January 2013. Sally was selected from her doctoral class to attend the Smith College-Sanville Institute Colloquium, which included consultation from Drs. Judith Schore, Alan Schore, and Judith Nelson. She also was selected to attend the University College of London's Research Training Program in Berlin. She has been adjunct faculty in both the UNC-Chapel Hill and East Carolina University MSW programs. She is in private practice in Raleigh, where she sees adults in individual and couples therapy and also works with adolescents.
This course is designed to help participants:
Review the history of attachment theory beginning with the work of John Bowlby. (Night 1)Describe the laboratory separation procedure-- the Strange Situation--originally developed by Mary Ainsworth that allowed researchers to delineate the core elements of both secure and insecure attachment organization (avoidant, ambivalent and disorganized attachment) in young children. (Night 2)
Explain the essential features of the Adult Attachment Interview (AAI) in which narrative patterns are indicative of secure and insecure attachment styles (dismissing, preoccupied and unresolved trauma or loss/disorganized). Become familiar with methods to assess adult attachment style developed subsequent to the AAI. (Night 2)
Identify the hallmarks of the avoidant/dismissing attachment style in adult patients. (Night 3)
Explain what is meant by affect regulation and how this capacity is related to attachment. (Night 3)
Identify the hallmarks of the ambivalent/preoccupied attachment in adult patients. (Night 4)
Discuss the relationship between developmental trauma and insecure attachment styles. (Night 4)
Identify the hallmarks of the disorganized attachment style (unresolved trauma or loss) in adult patients. (Night 5)
Describe what is meant by earned secure attachment. (Night 5)
Illustrate the difference between implicit and explicit memory. Review neurobiology relevant to attachment. (Night 6)
Explain what is meant by the term mentalization and how this capacity is developed in childhood relationships and in psychotherapy. (Night 7)
Listen to clinical material, including the interpretation of transference and resistance to engaging in the therapeutic relationship, through an attachment lens. (Night 8)
Formulate work with a “difficult to engage” patient from the clinician’s practice through an attachment lens. (Night 8)
For additional information please contact:
Sarah Tillis, MSW, Administrative Director
Phone: (919) 490-3212
This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the American Psychoanalytic Association and the North Carolina Psychoanalytic Society. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians.
The American Psychoanalytic Association designates this Live Activity for a maximum of 12 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters of this CME program have any relevant financial relationships to disclose.
The North Carolina Psychoanalytic Society is approved by the American Psychological Association to sponsor continuing education for psychologists. The North Carolina Psychoanalytic Society maintains responsibility for this program and its content.
The North Carolina Psychoanalytic Society is an NBCC-Approved Continuing Education Provider (ACEPTM) and may offer NBCC-approved clock hours for programs that meet NBCC requirements. The North Carolina Psychoanalytic Society is solely responsible for all aspects of the program.
If you have special needs, please contact the Administrative Director.
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