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Intensifying and Integrating Deep Affect
DYNAMIC EMOTION-FOCUSED
THERAPY (DEFT)
Blending the Best of Empirically-Based Attachment Approaches
Videotape Analysis, Skill-Building Role Plays, Lectures
and Discussion
with
Susan Warren Warshow, LCSW, MFT
10 Saturdays in 2012 from 10:00 a.m. - 5:00 P.M.
February 11, March 10, April 14, and May 12,
June 23, July 14,
September 8, October 13 and November 10,
December 8
Skirball Cultural Center
2701 N. Sepulveda Blvd., Room 160, Los Angeles,
CA 90049
Space is limited.
Buffet luncheon provided.
CLICK HERE
for registration form
Contact Susan Warshow at
swarshow@me.com or call
818-703-1145 for more information.
Participants will discover a
DEFT approach that is accelerated, affect and
somatic-focused, experiential and psychodynamic and will
have the option to pursue three levels of certification over
the course of three years (see below). The skills to be
taught produce healing through profoundly intimate,
attachment experiences in treatment that transform the
relationship to self and others. Clinical video recordings
will illustrate the moment-to-moment tracking of anxiety,
shame, guilt, and defense that enables the patient to
experience and integrate exiled emotional states.
The theoretical principles that inspire this course have
significant empirical validation with even the most
difficult patients. Though the material is complex, the
instructors make it “user-friendly” by breaking it down into
digestible components and create fun in the process (it
helps to be learning in a space that is adjacent to a lovely
patio and an exquisite lily pond!).
Participants will learn to rapidly identify defenses and
help their patients to relinquish them using a compassionate
style that incorporates a unique blend of powerful elements.
Another signature aspect of this course is the instructors’
attention to the well-being of therapists learning to master
challenging new skills.
“Affect phobia,” a term coined by Leigh McCullough, Ph.D.,
afflicts therapists as well as patients. To desensitize
clinicians to their own tendencies to avoid intense affects,
the instructors will create a supportive environment that
helps to develop “warrior therapists,” able to shepherd
their patients over frightening emotional terrain as they
face intimidating forces of resistance.
Non-verbal signals that heighten attachment will be
demonstrated, including attuned body language, facial
expression, vocal inflection, and genuine compassion
transmitted through gaze. Verbal expressions, such as the
use of vivid speech and metaphor, help the patient
experience a felt connection to the therapeutic process and
will also be illustrated.
CURRICULUM:
Each session will include videotape microanalysis,
comprehensive skill-building role plays, lectures and
discussion.
Topics will include:
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Awakening the Patient’s Will |
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Processing Sadness for the Cost of the Defenses |
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Creating a conscious and unconscious therapeutic
alliance |
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Moment to moment Tracking of Internal Experience |
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Moving from Externalization to Intrapsychic
Awareness |
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• |
Resourcing and the Awakening of Hope |
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Assessing and Attending to Anxiety |
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Tackling Toxic Shame and Guilt |
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Identifying and Interrupting Defenses with
Compassionate Style |
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Intensifying and Integrating Core Affect |
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Meta-Processing: Co-Reflecting on the
Therapeutic Process |
LEARNING OBJECTIVES:
Clinicians who attend this workshop will be
able to:
Facilitate alliances with
anxious and self-destructive patients
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• |
Describe
and apply techniques to help patients transcend
resistance. |
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• |
Identify
the action tendencies of core emotions. |
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• |
Describe
and apply techniques to help patients defeat
toxic
effects of anxiety, shame and guilt. |
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Define "Response to Intervention" and apply this
technique
to guide treatment. |
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Recognize
indicators of counter-transference difficulties. |
This ten-session workshop is intended for
licensed clinical psychologists, psychotherapists,
psychiatrists, and registered mental health interns.
Faculty:
Susan Warren Warshow, LCSW, MFT, and Board Certified
Diplomate, is a national and international presenter and has
published several journal articles on short-term
psychodynamic treatment. She is on the faculty of
the ISTDP Institute, the Southern California Society for
ISTDP and is an IEDTA-Accredited Teacher/Supervisor. She has
supervision groups and practices individual and marital
therapy in Woodland Hills.
CERTIFICATIONS
Three levels of certification are available through the
DEFT program and participants will also be eligible for
additional certification from the ISTDP Institute (see
below).
After completing Level
1, the first 10 month program, all participants will receive
a Certificate of Curriculum Completion in DEFT.
Clinicians who continue to Level 2 and complete a
second 10 month block will be eligible for a Certificate
of Competence in DEFT. This certificate requires
submission of an audio-visual vignette (30 minutes in
length) showing qualifying defense work with a moderately
fragile or moderately resistant patient.
Clinicians who continue to
Level 3 and complete a third 10 month block will be
eligible to become a Certified DEFT Therapist. This
certification requires submission of two audio-visual
vignettes (30 to 45 minutes in length) showing qualifying
work with an extremely “fragile” patient as well as a highly
“resistant” patient.
The
ISTDP
Institute will also provide a Certificate of Curriculum
Completion in “Intensifying and Integrating Deep Affect” to
participants who complete the three year program outlined
above. In addition, participants are eligible to receive a
“Certificate of Competency” from the ISTDP Institute upon
approval of qualifying videotape (details to be announced).
VIDEOTAPE SUPERVISION IS
STRONGLY ENCOURAGED BUT OPTIONAL
_______________________________________
FEE: 10 sessions at $1950.00
(195.00 per day) before January 15, 2012; 10 sessions at
$2025.00 thereafter. Lunch and materials will be included;
additional training materials are optional and will carry a
fee. Payment plans can be arranged in cases of financial
necessity.
LOCATION: Skirball Cultural
Center 2701 North Sepulveda Blvd., Los Angeles, CA 90049
REGISTRATION: Please
contact swarshow@me.com for more details.
CANCELLATIONS AND REFUNDS:
Full refund up to January 6, 2012 minus a $25 fee to cover
administrative costs. No refunds after that date.
Important Disclosure and Information for Participants: None
of the planners or presenters of this program have any
relevant financial relationships to disclose.
CE Units: 65 per 10
month program. The International Experiential Dynamic
Therapy Association (Provider #4796) is approved by the
American Psychological Association to sponsor continuing
education for psychologists. IEDTA maintains responsibility
for the Program and its content. Susan Warren Warshow
(Provider #PCE 3853) is approved by the California Board of
Behavioral Sciences to provide continuing education units
for MFTs and LCSWs in California.
This activity is co-sponsored
by the IEDTA. IEDTa is approved by the
American Psychological Association to sponsor continuing
education for
psychologists. IEDTA maintains responsibility for the
program and it's
content.
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Intensifying Deep Affective Processing
An Experiential Extended
Workshop for Psychotherapists
With Clinical Video Illustrations and Skill Building,
Role-Playing Practice
Presented by
Susan Warren Warshow, LCSW
Dates:
5 Saturdays: August 13th, Sept. 10th, Oct. 15th and Nov 12,
and January 14, 2012
11:00 a.m. - 4:00 p.m.
Buffet lunch and materials included
Location:
Skirball Cultural Center
2701 N. Sepulveda Blvd., Los Angeles, CA 90049
CLICK HERE
for registration form
Contact Susan Warshow at
swarshow@me.com or call
818-703-1145 for more information.
This five-part workshop will
provide therapists with clear, practical teaching in the
application of an accelerated emotion-focused dynamic
psychotherapy. It will include role-playing of specific
interventions for different phases of treatment with a broad
spectrum of psychoneurotic disorders. Clinical video
recordings will illustrate a transformational process that
enables patients to experience their deepest emotions and to
integrate the avoided parts of the self.
The course is informed by the discoveries of H. Davanloo,
the creator of ISTDP, and includes powerful elements that
can be integrated into other therapies. This model has
empirical validation with even the most difficult patients.
A greater capacity for emotional intimacy and successful
attachment is a highly valued benefit to most patients.
Topics will include:
• Identifying Goals for Treatment
• Forming Collaborative Alliance
• Strengthening Self-Reflective Capacity
• Maintaining Affective and Intrapsychic Focus
• Theory and Management of Anxiety, Shame and Guilt
• Rapid Identification and Management of Defenses
• Role-playing and group process.
LEARNING OBJECTIVES:
Clinicians who attend this workshop will be
able to:
• Facilitate alliances with anxious and
self-destructive clients/patients.
• Help patients turn against their resistance to
treatment.
• Identify the action tendencies of core emotions.
• Help patients defeat the toxic effects of anxiety,
shame and guilt.
• Choose interventions weighted toward feeling instead
of cognition.
• Identify specific defenses in verbal and non-verbal
communications.
• Use "Response to Intervention" to guide treatment.
• Utilize the Triangles of Conflict and Person.
• Recognize indicators of counter-transference
difficulties.
This five-session workshop is intended for
licensed clinical psychologists, psychotherapists,
psychiatrists, and registered mental health interns.
Faculty:
Susan Warren Warshow, LCSW,
MFT is a Board
Certified Diplomate and is on the faculty of the Southern
California Society for Intensive Short- Term Dynamic
Psychotherapy and is an IEDTA-accredited teacher and
supervisor. She is an international presenter and conducts
seminars, training programs and private supervision for
professionals in the L.A. area. She has published several
journal articles on ISTDP.
FEE:
$1000.00
CANCELLATIONS AND REFUNDS:
Full refund up to July 23, 2011 minus $25 administrative
costs. No refunds after that period.
Important Disclosure: Information for all learners: None of
the planners or presenters of this program have any relevant
financial relationships to disclose.
CE Units: 20 continuing
education units for MFTs and LCSWs in California.
CEU’s for Ph.D.’s to be determined.
CLICK HERE
for registration form
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Monthly Mondays with Susan
Supervision/Training group in
ISTDP/EDT
21241 Ventura Blvd., Suite 251
Woodland Hills, CA 91364 818-703-1145
12:30-2:30 p.m.
Next meeting March 28, 2011 and every 4
weeks thereafter.
$100.00 per meeting. |
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Washington School of Psychiatry
6th Annual Summer Immersion Course
Intensive Short Term Dynamic
Psychotherapy
June 5 -10, 2011
Graves Mountain Lodge, Syria, Virginia
22743
Featuring Susan Warshow, MSW and Jon Frederickson, MSW,
Chair
Imagine you are studying with highly skilled Short-Term
Dynamic Therapy clinicians with a group of devoted
students, surrounded by the mountains of the Shenandoah
National Park. You are able to study videotapes and discuss
clinical issues all day long and party all night with your
newfound friends. Surrounded by nature, in the early evening
you watch black bears amble down from the mountains to
nibble cherries from the nearby orchard. You sit on the
porch in front of your room gazing over the mountain valleys
watching the sunset.
This is not a fantasy. It is the
School of the Washington Scholl of Psychiatry Intensive
Short Term Dynamic Psychotherapy Training Program. Come join
us for our annual intensive training week.
Awakening Hope to Defeat Resistance
By Susan Warshow, MSW
People often come to us in a state of defeat, skepticism and
doubt that we can help them. Disappointing prior therapies
and aborted efforts at self-improvement may cause them to
ask, “What will be different this time?” “I have nothing
left.” “I feel empty.” “What can you do?” Suffering is
second nature like a parasitic vine attached to an otherwise
healthy tree. Yet as we practice ISTDP
and heighten
awareness of the perpetrator system (toxic anxiety, guilt,
shame and defense), we often see hope and choice
spontaneously and breathtakingly emerge. Hope is not as an
end point but is a dynamic process that both initiates and
propels therapeutic movement.
J. Weinberger’s review of hundreds of outcome studies tells
us that “revival of hope” is among the top curative factors.
What occurs both internally and within the therapeutic
relationship to help generate hope? Hope surfaces in a
millisecond and can easily be undetected. How do we rapidly
identify it and mine the therapeutic opportunities that hope
presents?
Mobilizing a Therapeutic Alliance
By Jon Fredrickson, MSW
How can we mobilize the conscious and unconscious
therapeutic alliances with ISTDP if the patient
unconsciously attempts to establish a misalliance? How do we
help the patient see how she treats herself cruelly as her
molesting father did? We will show how to address defenses
and mobilize her conscious therapeutic alliance. Also, we
will focus on how to recognize and amplify signals from the
unconscious therapeutic alliance to grab hold of what is
healthy in the patient. And finally, we will show how to
help the patient turn against identification with her
molesting father so she can face her rage instead.
Location: Graves Mountain Lodge, Syria, Virginia
22743 (www.gravesmountain.com)
Fee: $1700 includes tuition, lodging and meals. Space is
limited. Your space is reserved once we receive your fee.
Registration: Contact Debbie Schechtman at
dschechtman@wspdc.org
For more information, contact Jon Fredrickson at
jfredrickson@verizon.net
Presenters:
Jon Frederickson, MSW, is the co-chair of the ISTDP training
program at the Washington School of Psychiatry, chair of the
ISTDP Core Training for the Norwegian Society for ISTDP and
on the faculties of the Italian ISTDP Society and the
Southern California Society for ISTDP.He is the author
of/Psychodynamic Psychotherapy: Learning to Listen from
Multiple Perspectives /and several articles on ISTDP.
Susan
Warren Warshow, MSW
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Intensifying Deep Affective Processing
An Extended Workshop for
Psychotherapists
with Clinical Video Illustrations
Presented by
Thomas M. Brod, MD and Susan Warren Warshow, LCSW
Dates:
5 Saturdays: January 8, February 12, March 12,
April 2, and May 14, 2011
10:30-3:30 p.m.
Location:
Skirball Cultural Center
2701 N. Sepulveda Blvd., Los Angeles, CA 90049
This five-part workshop will provide
therapists with clear and practical teaching in the
application of an accelerated affect-focused dynamic
psychotherapy. Clinical video recordings will illustrate a
transformational process that enables patients to experience
their truest emotional self and also to integrate the
avoided parts of the self. The course is informed by the
discoveries of H. Davanloo, the creator of ISTDP, and
includes powerful elements that can be integrated into other
therapies.
This model has empirical validation with even the most
difficult patients. A greater capacity for emotional
intimacy and successful attachment is perhaps the most
valued benefit to most patients.
There will be four hours of lectures, demonstrations and
group discussion in each session; a buffet luncheon will be
provided.
Topics will include:
• Identifying Goals for Treatment
• Forming a Collaborative Alliance
• Strengthening Self-Reflective Capacity
• Maintaining Affective and Intrapsychic Focus
• Theory and Management of Anxiety, Shame and Guilt
• Rapid Identification and Management of Defenses
• Training group process.
LEARNING OBJECTIVES:
Clinicians who attend this workshop will be
able to:
• Facilitate alliances with anxious and
self-destructive clients/patients.
• Help patients turn against their resistance to
treatment.
• Identify the action tendencies of core emotions.
• Help patients defeat the toxic effects of anxiety,
shame and guilt.
• Choose interventions weighted toward feeling instead
of cognition.
• Identify specific defenses in verbal and non-verbal
communications.
• Use "Response to Intervention" to guide treatment.
• Utilize the triangles of conflict and person.
• Recognize indicators of counter-transference
difficulties.
This five-session workshop is intended for
licensed clinical psychologists, psychotherapists,
psychiatrists, and registered mental health interns.
Faculty:
Thomas Brod, MD is Associate Clinical Professor,
Psychiatry, Geffen UCLA School of Medicine, faculty New
Center for Psychoanalysis, and in private practice. He has
studied ISTDP with Robert Neborsky MD and Habib Davanloo MD;
he is co-vice-president of the Southern Californian Society
for ISTDP.
Susan Warren Warshow, LCSW, MFT is a Board Certified
Diplomate and practices psychotherapy in Woodland Hills for
individuals and couples. She conducts seminars, training
programs and private supervision for professionals in the
L.A./Pasadena area. She has presented internationally and
published several journal articles on ISTDP.
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“The Man Who Was
Convinced He Couldn’t Feel” –
An introduction to Intensive Short-Term Dynamic Psychotherapy (ISTDP)
CALIFORNIA
ASSOCIATION OF MARRIAGE AND FAMILY THERAPISTS
Woodland Hills Country Club
21150 Dumetz Road
Woodland Hills, CA 91364
(NO DENIM ALLOWED IN THE COUNTRY CLUB)
Sunday, February 6, 2011
8:30-11:00 A.M.
Susan
Warren Warshow, MSW, LCSW, will introduce ISTDP by way of a video
presentation consisting of actual therapy with the client together
accompanied by running commentary about what she was doing and why.
Members will have an opportunity during the last half hour of the
presentation to discuss ISTDP at their tables then each table will
choose a representative to present comments and questions to the
presenter for her comment. |
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Thwarting the Transmission of Trauma
Through Deep Affective Processing
Presented by
Robin L. Kay, Ph.D. and Susan Warren Warshow, LCSW
Friday, December 17, 2010: 1:00 to 6:00
and/or Saturday, December 18, 2010: 1:00 to 5:30
Westwood, California (location TBA)
$60 for Day 1 only OR $100 for Both days
Registration is limited!
Early Registration Deadline: December 10, 2010
Download Registration Form
This choice of one or two-day program will
offer participants an opportunity to observe and absorb deep
affective work with patients.
Both instructors specialize in ISTDP: an
affect-focused, accelerated psychotherapy that helps
patients access and process intense and complex emotions and
break the intergenerational cycle of abuse (of self and
others).
Day 1: The program will begin with a brief overview
of attachment theory and ISTDP principles. Next, theoretical
and technical information will be presented on the
therapeutic repair of psycho-trauma which involves helping
patients access and process deep and conflictual emotion.
Each presenter will provide video demonstration of intensive
therapy with patients who have been victimized by
traumatized caregivers, i.e., parents who were abused,
neglected, and/or psychologically damaged.
Day 2: the presenters will again show videotaped
session excerpts and will stop the tapes to allow for
questions, interactive discussion and greater integration of
the therapeutic process. Questions will be encouraged to
better understand how to choose and when to apply effective
interventions to deepen affect and accelerate therapy.
Experiential skill-building exercises will enhance the
learning process. We will also focus on understanding and
managing our own human feelings and reactions while helping
our patients explore their painful abuse accompanied by
intense, conflictual and complex feelings.
Susan Warren Warshow, LCSW, MFT is a Board Certified
Diplomate and Practices psychotherapy for individuals and
couples in Woodland Hills. She conducts seminars, training
programs and private supervision in the L.A./S.F.V. area.
She has presented her clinical work internationally and has
published several journal articles on ISTDP. For more info
call (818) 703-1145.
Robin L. Kay, Ph.D, Assistant Clinical Professor,
Psychiatry, David Geffen School of Medicine at UCLA, is
Coordinator of the Los Angeles Core Training Group for the
Southern California Society for ISTDP and maintains a
private practice in Westwood where she treats patients and
supervises clinicians. She has published articles on
Attachment -Based ISTDP and presented her clinical work
locally and internationally. For more information, go to
www.DrRobinKay.com. or call (310) 474-3020
Contact Dr. Kay at (310) 474-3020 or at
DrRobKay@verizon.net
or
Ms. Warshow at (818) 703-1145 or at
swarshow@me.com
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See bottom of page for detailed description of Susan's topic, From
Distancing Defenses to Emotional Closeness: Traversing the Gap*
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5th International
Experiential Dynamic Therapy Association (IEDTA) Conference
SHORT TERM DYNAMIC PSYCHOTHERAPY FOR
TREATMENT-RESISTANT PATIENTS:
FROM FAILURE AND DESPAIR TO HEALTH AND HOPE
JULY 15th-18th, 2010
University of British Columbia
Vancouver , BC , Canada |
|
Susan Warren Warshow is a highly skilled therapist
and an excellent teacher. With patient and student alike, she
deftly and precisely identifies and targets key factors as the first
step in swiftly, adroitly, and compassionately resolving critical
issues. If you are interested in improving your personal and
professional work, take Susan's seminar.
Bruce W. Spring, MD
Assistant Professor of Clinical Psychiatry University of
Southern California School of Medicine
Training Group Participant |
“Great course! Her clear demonstration of
how to identify, track and turn rigid defenses into enemies of
the patient, shown through videotapes of her own sessions is
invaluable. I was impressed with her skill both at teaching and
applying this technique in such a positive and respectful way.
Jean Ball, Ph.D.
Assistant Professor, California Graduate Institute> Adjunct
Professor, California State University at Northridge
Training Group Participant
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CALIFORNIA ASSOCIATION OF MARRIAGE AND FAMILY
THERAPISTS
Woodland Hills Country Club
Sunday, October 14, 2007
Experiential Dynamic Therapy:
A Powerful Emotion and Somatic-Focused,
Dynamic, Attachment Centered Therapy
A Videotape Presentation
with Susan Warren Warshow, LCSW, MFT
Therapists often question how to achieve lasting change
with patients with entrenched character pathology. We will discuss
videotaped excerpts from the treatment of a patient who presented
with chronic depression, compulsive sexual behavior and workaholism.
She was a victim of fraternal molestation and extreme family
trauma. To establish an emotionally intimate relationship with the
therapist involved great risk for this patient. It also led and to a
transformed way of being with herself and significant others.
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“You were absolutely amazing. I love your work,
and the video demonstration. I learned so much from it.”
Anita Avedian, Vice-President of Programs,
California Association of Marriage and Family
Therapists |
|
It was so, so wonderful. The word that
was running through my mind yesterday when I left, it’s just
so user-friendly. It was great. I think you are so in your
element. I think you’re a natural teacher of this stuff and
it is so apparent to me how well you have integrated this
style of working. It’s just really inspiring. I don’t have
any constructive criticism at all. It’s only positive,
Susan, what can I tell you? I’m just loving it and I can’t
wait to come next week!
Jill Klepetar, LCSW
Training Group Participant
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“I first saw Susan Warshow's work in
Amsterdam in 2002 and was blown away. Her work
isn't just good. It's beautiful! She has
such a warm, related, and kind way of helping patients
turn against their defenses and resistances. I
regard this one as a must see presentation.”
Jon Frederickson, MSW, Faculty and
Co-Chair, ISTDP Training Program |
Washington School of Psychiatry
ISTDP Training Program presents:
Penetrating Defenses to
Overcome Character Disturbances
Saturday, September 29, 2007
Susan Warshow, MSW
In this presentation Susan Warshow will show
how she helps patients mobilize the will to overcome their
defenses, face feelings, and develop compassion for the
rejected parts of themselves. Videotaped vignettes
will illustrate the process that helps patients develop
affect tolerance, undo irrational shame and guilt, and
experience new levels of freedom. By discouraging the
punitive and encouraging the life-enhancing parts of the
self, she helps patients experience emotional closeness, the
ultimate goal, so the patient need no longer feel alone with
forbidden feelings. |
I thought the training was so clear and so
good. You have this very clear way of analyzing and being
very humble. I can’t think of anything you could have
improved upon. I learned a lot in just one meeting. This is
amazing work and I’m so excited about it. You made it so
comfortable for me, the least experienced person in the
group.
Debra King, M.A.
Training Group Participant
|
Resolving Trauma through Depth Emotional Processing
An Accelerated Dynamic Approach
The National Association of Social Workers
2007 Annual Conference
Saturday, May 5, 2007
1:30 – 4:30 P.M.
San Francisco Airport Marriott, Burlingame
Resolving Trauma through Depth Emotional Processing
An Accelerated Dynamic Approach
San Gabriel Valley Psychological Association Friday, March 2, 2007 12:00 -
1:30 P.M.
University Club
175 N. Oakland, Pasadena, California
|
Saturday, Oct. 28,
2006 | Pasadena, California
Saturday, Nov. 11,
2006 | Westwood, California |
 |
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Click here for Brochure information
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Compassionate defense interruption
-
Tools to effectively reach core affect
-
Tracking emotions and their somatic manifestations
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Building ego-adaptive capacity, i.e. tolerance for affect
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Activating an intrapsychic focus and therapeutic alliance
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How to tailor interventions for a spectrum of
psychopathology
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Healing through the therapeutic relationship
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Countertransference and training issues
|
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Experiential Dynamic Therapy: Making It User-Friendly
Preserving essential principles with flexibility and
authentic use of self
at the
Third International Congress of the
International Experiential Dynamic Therapy
Association
Freeing the Self:
Working with Core Emotions
in Dynamic Therapy
UCLA, September 9, 2005, 8:00-9:45p.m.
Susan Warren Warshow will explore ways to modify,
personalize, and integrate techniques of defense interruption to access
deep affect and resolve trauma. To effectively apply EDT, it must be
adapted to ones own personal style, personality and orientation.
The presenter will share her own journey in this process.
Videotape presentation.
For more information
click here |
Presenter - International Short-Term Dynamic
Psychotherapy Conference sponsored by the Dutch Association for
Short-Term Dynamic Psychotherapy (VKDP), Amsterdam in September,
2002. |
Presented lecture series on personality disorders to
several medical staffs at hospitals in the Southern California area. She
has guest lectured at California State University Northridge, California
Graduate Institute and California School of Professional Psychology.
|
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From Distancing Defenses to Emotional
Closeness:
Traversing the Gap
By Susan Warshow, MSW |
|
If the patient is
to be known, a requisite if therapy is to succeed, the
distancing defenses must be bravely relinquished. As therapists,
we invite the patient to do the counterintuitive: move towards
painful feeling and, in the process, towards us. By doing so,
the unrecognized and unfelt parts of the self that have been
frozen by trauma can begin to heal and intimacy becomes
possible. |
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Central to the
dynamic relational process that replaces self-hatred with
self-value, shame with openness, and fear with courage is the
transmission of compassion from therapist to patient. Compassion
for self is the engine that makes deep, transformative work
possible. This force is inherent in humans yet often is
deactivated and dormant as a result of relational trauma.
Therapists who sincerely care about their patients and expend
much effort to help them often become frustrated when the
patient is not invested in the partnership. |
|
Mobilizing the
will of the patient to care for the self is one of the great
challenges in psychotherapy. Success rests on two sets of
shoulders! How can we heighten the possibility that the patient
will allow their therapist’s caring to become internalized so
that ever-greater levels of vulnerability can be accessed?
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Transmission of Compassion from Therapist to
Patient
The punitive
parts of the self, i.e. the superego-driven defenses, will
attempt to block this process and must be brought to
awareness if the patient is to build capacity and have the
choice to overcome them. We will consider the therapist’s
language, facial expressions, tone of voice, steadfastness
in the process and other factors that can increase the
likelihood of a successful alliance.
“Your face
comes to mind often when I am in one of my moods where I’m
being unkind to myself and a voice comes up that says, ‘Be
gentle with yourself. Be kind to this magnificent woman.’ I
see your eyes and I see the compassion that comes from them
and I ‘remember’ to be present and real in my gentleness, to
stop the self-hatred and stop the sabotaging personality
from making me miserable.”
Utilizing the
Patient’s Inherent Motivation to Maximum Advantage.
What does the
patient want on the deepest level? How does the therapist
heighten awareness of this potent, expansive force and help
the patient to use it as leverage against the defenses?
Remembering to remember the patient’s own words is one clue!
The Warrior Therapist
In reality,
therapy requires a warrior team involving two courageous
partners. Therapist and patient are both up against a
perpetrator that resides to varying degrees in each of them.
Avoidance of feeling and diminishment of the self are
reinforced by widespread, powerful familial and societal
norms. Several issues will be considered:
1. Surviving
the learning phase while addressing formidable defenses;
mistakes and misalliances.
2.
Withstanding the tide of complex feeling and working with
therapist anxiety.
3.
Counteracting counter-transference based despair and doubt.
4. Sustaining
tenacity and focus within the therapeutic alliance. |
© 2011 Susan Warren Warshow. All rights reserved.
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