Moving to Intensive Psychotherapy at Two or More Times per Week
Instructor: Heather Craige, MSW
Assistant Instructor: Elissa Baldwin, PhD, LCSW
Most patients and therapists assume that meeting once weekly is the standard “dosage” for psychotherapy. However, for many people, including those who have painful symptoms, longstanding difficulties in relationships or work, disturbances in self-image or mood, a highly punitive conscience, self-defeating behavior patterns, rigid defenses, a history of relational trauma, difficulty with affect regulation, or borderline object relations, once weekly therapy may be ineffective.
Some people opt for increased frequency, not only because they are in pain, but because they desire deeper self-understanding as a pathway to a richer and more creative life. The decision to undertake a more intensive psychotherapy is often made after an initial crisis has been resolved in therapy. Because many patients are unaware of the benefits of intensive psychodynamic therapy, it is the therapist’s responsibility to raise the issue and make the recommendation.
Working at higher frequencies sets the stage for a different quality of experience in therapy. Rather than focusing on symptoms or “the events of the week,” frequent sessions allow time to explore the patient’s thoughts, feelings, dreams and relationships, and to identify conscious and unconscious factors contributing to painful symptoms. Increased frequency allows time to identify patterns of behavior, thought and feeling that lead to self-defeating behavior.
Finally, greater frequency allows a more intensely experienced relationship to develop between patient and therapist, providing a rich laboratory for examining and healing painful relational patterns that were forged during the vulnerable years of early childhood. This kind of work may become playful and deeply fulfilling for both patient and therapist.
This 8 session course is for therapists who wish to understand how and when to recommend therapy at a frequency of two or more times per week, and when such a recommendation is contraindicated. Reality issues such as time, money and insurance will be addressed in a way that does not inhibit the therapist’s thinking about what is optimal for the patient. We will also consider when increasing frequency may be part of the solution for a treatment that is stagnant or locked in struggle.
We will use psychoanalytic concepts including transference, countertransference, defense, projective identification, and attachment to understand the resistances in both patient and therapist to engaging in intensive psychotherapy. Each participant will have the opportunity to develop skill in making recommendations for psychotherapy at two or more times per week by presenting a case during the evaluation phase or at impasse. Further, therapists may bring the case back into the group after having made recommendations so that we can grapple with resistances as they arise in both patient and therapist, using role-play and the group as consultants.
Class will be limited to 10 students and is intended for intermediate level clinicians.
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 of the instructors.
Time: Thursday, 7:00 pm - 8:30 pm
Dates: September 20 - November 15, 2012 (no class on October 18)
Class Size: Class will be limited to 10 students.
Location: Lucy Daniels Foundation, Cary
CME Credits: 12
CE Credits: 9 Category A and 3 Category B
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.
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.
Non-matriculated students should include the registration fee with the course application.
By August 23: $25
After August 23: $40
Registration Deadline: September 6
In special circumstances we may accept registrations after September 6, but there will be an additional $20 late registration fee.
$235 for students matriculated in the certificate programs
$290 for psychiatry residents and graduate students
$315 for non-matriculated students
The registration fee is non-refundable.
Students who cancel after the registration deadline but before class begins will be given a tuition refund less a $40 administrative fee.
There will be no refunds for cancellations after class begins.
Students who drop the class after it begins are expected to pay the full tuition.
Participants should obtain a copy of Deepening the Treatment
by Jane S. Hall, published in 1998 by Jason Aronson. Before the start of class, please read the Introduction and Chapters 1 through 3 (to page 96).
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 and via interlibrary loan through your local public or university library.
A series of articles and the remaining chapters of the book will be assigned on the first night of class.
About the Instructors:
Heather Craige, MSW
is a clinical social worker and psychoanalyst 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 the psychoanalysis training program 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 the subject of termination in the Journal of the American Psychoanalytic Association
, Psychoanalytic Dialogues
, and Psychoanalytic Inquiry
Elissa Baldwin, PhD, LCSW
is in private practice in Chapel Hill, where she sees children, adolescents, and adults. Her interests include comparative psychodynamic theories and dynamic models of child and parent guidance. In addition to her clinical work, she has conducted qualitative research on the topic of the parent-therapist alliance in child psychotherapy. She is on the faculty of the Psychoanalytic Education Center of the Carolinas and has been a lecturer and research advisor in the MSW program at the Smith College School for Social Work.
Class participants will gain:
An understanding of the clinical indications for intensive psychotherapy, 2 times per week and more.
Experience in presenting recommendations for intensive therapy during the evaluation phase and at impasse.
An ability to anticipate and analyze patient resistances to engaging in intensive psychotherapy, using psychoanalytic concepts such as transference, countertransference, defense, projective identification, and attachment to understand these resistances.
An appreciation for the therapist’s resistances to deepening treatment.
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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