Working With Defenses and Counterdefenses: When the Office Door Closes, Part II

Wednesday, March 2, 2011: 12:00 PM-4:00 PM
Point Hilton at Squaw Peak
This session is about practicing psychotherapy and addressing tough defenses when we are alone with the patient, facing critical issues - and often wish we were not. This seminar will address complex concepts of primary resistances, managing ragefulness, family problems and the complexities of countertransference. This seminar will be limited to 25 persons, with a minimum of five years practice experience. It will be four hours in length. Participants are encouraged to discuss their own cases and practice questions, since the presentation will be interactive and experiential. This training is about what you do and how defenses vividly color your experiences.
I. Introduction of Topic

    A. Explanation of concepts to be addressed and relationship to small group process work.

    B. Objectives of seminar: increased subject awareness, richer understanding of therapist's conscious and unconscious roles in treatment, new ways to conceptualize treatment and patient care. C. Processing case examples with group.

II. Defenses and Counterdefenses:

    A. Relevance and meaning today

    B. Differentiating "types" of defensive systems as: conscious or unconscious, positive, negative, objective, subjective, narcissistic - with emphasis on last three.

    C. Case examples to illustrate each:

III. Small group case discussion, with following questions:

    A. Which are the hardest cases for therapists to manage?

    B. What makes these cases so difficult?

    C. How does the therapist use "emotional communications" with such cases?

    D. How do emotional interventions help to resolve highly charged resistances?

IV. General discussion of focus group work.

V. Summary and review.

VI. Question and answer period

VII. Closing

This seminar will address the meaning and importance of defenses and counterdefenses to the practicing therapist - with specific reference to their frequent disguises in treatment as rage, hurt, anxiety and other emotional expressions. Intense feelings thoughts and feelings may be induced in the most skilled therapist when patients present with strongly resistant behaviors, such as intense rage; refusal to pay; chronic lateness; unreasonable demands and entitlements; loyalty struggles; suicide attempts; and other issues and events. This presentation will be interactive and experiential. Small group size will allow for close examination of case questions, current theories, topic exploration and general discussion. The presenter's objective is to enhance participants' awareness and understanding of these complex issues and thus feel greater confidence and knowledge in addressing and managing these vital elements of practice.
Primary Presenter:
S.Roy Erlichman, PhD, CAP, CEDS

Biographical Statement Dr. S. Roy Erlichman is a partner in ERE Associates, with offices in Palm Beach Gardens and South Miami, Florida, and holds degrees in both Psychology and family therapy. He is a Certified Addictions Professional, Certified Eating Disorders Specialist and an Approved Supervisor through the International Association of Eating Disorders Professionals (IAEDP). Dr. Erlichman has served as president of the board of directors of IAEDP, as co-chairperson of the Certification Committee, and was co-author of the first major revisions of the certification requirements for professionals. Currently he is an active member of the board of directors of IAEDP. Dr. Erlichman is a graduate of the Philadelphia School of Psychoanalysis and completed the certification program in family therapy at the Department of Family Psychiatry at Eastern Pennsylvania Psychiatric Institute. He is a member of Phi Beta Kappa and numerous professional organizations. Dr. Erlichman’s biography has been noted at various times in Who’s Who In The East, Who’s Who In The South, Who’s Who In The World, Men of Achievement, and other reference books. Dr. Erlichman has been a frequent presenter at eating disorders conferences throughout the country. His particular interest areas are working with highly resistant behaviors, countertransference issues and the needs of the practicing therapist. He has written various professional articles and appeared on many television and radio programs. His daily work is dedicated to the practice of psychotherapy and the clinical supervision of other professionals.

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