Transforming Resistance with Difficult to Reach Clients: Working with the Challenges of Defense and Anxiety Steven Shapiro, Ph.D. Friday, November 8, 2019 Denver, Colorado
Join AEDP Rocky Mountains in welcoming Dr. Steven Shapiro for a one day workshop on working with some of the biggest challenges we can face in our clinical practice: working with defenses and anxiety.
Location: The Conflict Center 4140 Tejon Street, Denver, Colorado
Date/Time: Friday, November 8, 2019. 9:00 a.m.-5:00 p.m.
Ironically, many clients interfere with the very progress they seek and suffering they hope to alleviate through their own resistance. This causes both tragic consequences for the client, as well as frustration and a sense of failure for the therapist. While clients enter treatment with good intentions and conscious motivation, resistance is unconscious and difficult to approach without a comprehensive, step-by-step system. Because resistance impedes the therapeutic relationship and hinders progress, it is easy for therapists to take these barriers personally. Without a detailed clinical map, we typically become lost, frustrated, and hopeless, with a tendency to hold the client responsible, describing him as "unmotivated, resistant, unworkable or personality disordered”. Conversely, we blame ourselves with labels such as “inept, inadequate, or incompetent.”
While therapists are trained to facilitate healing, often the promise help is based on the presumption that the client can successfully access enough healthy resource to openly address self-defeating behaviour, painful realities and tender emotional issues that have persisted for a lifetime. Clinicians frequently underestimate the tenacity of resistance and its destructive impact on the therapeutic process. These obstacles are often viewed as "the problem” rather than a predictable part of the process that deserves careful attention and more effective interventions. All too easily, clinicians become discouraged or form an adversarial relationship with the resistance or the clients, themselves. Many therapists have not received adequate training in addressing these complex obstructions; they were led to believe the client must be “sufficiently motivated” or that the therapist’s heartfelt appeal to growth will be enough to promote desired change. This may be true for our healthier clients, but what about those who have more complex issues?
The most innovative and highly-rated aspect of this workshop is the extensive use of actual patient video material to demonstrate the clinical principles presented in the learning modules. The majority of teaching is done using video demonstration accompanied by ongoing discussion and micro-tracking analysis. This format discourages a theoretical or abstract focus, and permits a highly practical, skill building emphasis. Participants will learn methods for rapidly assessing and intervening with a wide range of patients and presenting problems. A variety of videos will be shown, beginning with minimal defense and anxiety, progressing to increasingly high levels of resistance and complexity. Various presentations will be demonstrated including: depression and/or anxiety, attachment trauma, acute trauma, personality disturbance, acting out/ self-destructive behavior, substance abuse, dissociation, paranoia and psychotic conditions in order to demonstrate different ways of intervening based on varied clinical presentations. Course Objectives:
Learn to determine your client’s level of anxiety and affect tolerance, anxiety pathways, defensive operations, capacity for rapid change and assets for growth, as well as ways to intervene optimally based on these factors.
Learn to track important aspects of the client’s internal experience in a systematic and precise manner.
To compassionately, efficiently and effectively intervene to transform resistance with challenging clients who have histories of trauma, high degrees of resistance, or excessive anxiety and dysregulation.
Learn to understand your client functionally based on the dynamic interplay of feeling, anxiety and defense, rather than focusing on symptoms and psychiatric diagnoses as the medical model encourages,
Learn to intervene immediately, within the first moments of the first session, to create the safety and attunement necessary for patients to risk abandoning their resistances and begin making transformational, rather than incremental, change.
Learn a systematic skill set that implores clients to abandon destructive coping patterns once necessary for survival which have long outlived their usefulness and are now a source of untoward suffering. These innovative techniques will robustly expand your clinical toolkit, regardless of your existing approach.
While the ultimate goal is to learn a system which accelerates the healing process, a secondary goal is to help clinicians practice in a way that is deeply rewarding, effective, accelerated and authentic based on your personal and professional history.
ABOUT THE PRESENTER
Steven S. Shapiro, Ph.D. is a clinical psychologist who maintains a full-time private practice in suburban Philadelphia with over twenty-five years of clinical and teaching experience. He has been practicing various forms of Experiential Dynamic Therapy (EDT), since the mid-1990’s. These approaches include Intensive Short-Term Dynamic Psychotherapy (ISTDP), and Accelerated Experiential Dynamic psychotherapy (AEDP). He is a Senior Faculty and founding member of the AEDP Institute in New York City. Dr. Shapiro conducts lectures, workshops and training internationally. His presentations are often commended for translating complex clinical theory into clear, precise, and practical techniques which are easily understandable and readily applied immediately in clinical settings by therapists of all orientations. For 16 years, Dr. Shapiro was the Director of Psychology and Education at Montgomery County Emergency Service (MCES), an emergency psychiatric hospital, where he worked with a range of severe disorders and those committed involuntarily to treatment. This intensive experience has helped inform his approach to transforming resistance with challenging patients who have a history of trauma, a high degree of resistance, or excessive anxiety and dysregulation.
Who Should Attend:
The workshop is well suited for therapists at all levels of experience as it will start with basic, introductory concepts and progress to increasingly complex problems and methods. This workshop is intended for and limited to psychologists, social workers, professional counselors, marriage and family therapists, graduate students, and therapy interns only. Agenda: 9:00 a.m.-10:30 a.m. Video and Discussion
10:30 a.m.-10:45 a.m. Break 10:45 a.m.-12 p.m. Video and Discussion 12:00 p.m.-1:00 p.m. Lunch 1:00 p.m.-2:45 p.m. Video and Discussion
2:45 p.m.-3:00 p.m. Break 3:00 p.m.-5:o0 p.m. Video and closing discussion.
Workshop Completion: CE application pending. Acceptance of this workshop for CE credit is not guaranteed. Attendees must have paid the registration fee, signed in, attended the entire day, completed an evaluation, and signed out in order to receive a certificate of attendance. Failure to do all of the above will result in forfeiture of credit or receipt of a certificate of attendance. No exceptions will be made and partial credit is not available. Please contact Lia Jones, workshop coordinator, at email@example.com. if you have questions or concerns regarding this workshop.
Site Information-Parking, Food, Lodging: The Conflict Center has some limited on site parking and street parking so please arrive early and watch street parking restriction signs such as street cleaning etc. There are lunch places within walking distance and you are also welcome to bring your lunch. Please plan accordingly to be back on time for the afternoon as lunch will be for one hour. There are vacation rentals and hotels within 10-15 minutes drive of the location.
Disability Access: The Conflict Center is ADA Accessible. If you require additional ADA information or accommodations, please contact Lia Jones at 303-344-5405 at least 30 days prior to the event so that we can determine what accommodations can be made.
Privacy Information: Information provided by workshop participants when registering will be available to Building Healthy Relationships, LLC, AEDP Rocky Mountains, R. Cassidy, and the AEDP Institute but will not otherwise be shared unless specifically agreed to by the participant.
Cancellations: Registration cancellations received prior to October 8, 2019 will receive 100% of the registration fee less a $25 administrative fee. Due to fixed costs and commitments, there are no refunds for cancellations received on or after October 8, 2019. All cancellations must be received via email at firstname.lastname@example.org. There are no exceptions to this policy so please do not request an exception.