Affect Confusion, Cumulative Trauma and Attachment Disruptions: Psychotherapy for Borderline Disorders A 2-day training workshop at London on Relational and Integrative Psychotherapy with Dr Richard G. Erskine London, 10 & 11 November 2017 (Friday & Saturday) 9:30am - 5:00pm on both days

For many psychotherapists, borderline clients present a professional challenge because of their frequent relational conflicts, varying developmental levels of transference, and their polarization of emotions, such as: idealization and hate, elation and despair, anger and dependency.

 

This two-day course will provide diagnostic perspectives on Attachment Disruptions, an understanding of the aetiology of Early Affect-Confusion and the formation of the Borderline Personality, the therapeutic use of treatment contracts, the significance of an attuned therapeutic relationship, and working knowledge of when and how to use behavioural interventions and/or supportive age regression.

 

At this unique and practical training workshop, Dr Richard Erskine draws on an integrative therapeutic and relational approach and specifically draws our attention to clients whose narrative is characterized by affect confusion and attachment disruptions – where the narrative alternates between blaming others and self-criticism, where the client seeks justification for felt rage and harbours explicit confusions about how others treat him/her.

 

In a relationship-oriented psychotherapy, the therapist’s self is focused on assisting the client’s process of developing and integrating full contact and the fulfillment of relational needs. Of particular importance is the process of attunement, not just to thoughts, feelings, behaviors and physical sensations, but also to vitality affects, such that an experience of unbroken feeling-connectedness is created.

 

Through lecture, case-vignettes, videos, therapy demonstrations and clinical discussions, the workshop helps us examine and identify reparative action for potentially unmet relational needs, which can include:

 

 

Validation and affirmation within a relationship Acceptance by a stable, dependable and protective other person Confirmation of personal experience Self-definition Impacting the other person Specifically, we consider the interpersonal needs which may often have been absent in our client’s significant relationships: for the other to be patient, calm, consistent, dependable and validating; and how the therapist can provide opportunities for the client’s self-definition and agency. We consider the unique, professional challenges that we face in such situations, when the client presents with apparent relational conflicts, varying developmental levels of transference and polarization of emotions. Keeping in mind the therapeutic challenges we face as psychotherapists, psychologists, counsellors and psychiatrists, Richard focuses on the centrality of an involved therapeutic relationship while emphasizing the in-depth methods of a psychotherapy that integrates the client's affect, cognition, physiology and behaviour. Emphasis will be placed on: diagnostic perspectives on Attachment Disruptions an understanding of the aetiology of early Affect-Confusion and the formation of the Borderline Personality the therapeutic use of treatment contracts the significance of an attuned therapeutic relationship, and a working knowledge of when and how to use behavioural interventions and/or supportive regressions Overall, the workshop equips us with practical methods that are effective in psychotherapy, including: methods of transference resolution and countertransference identification, the bifurcation of therapeutically relevant challenges, calibrating for juxtaposition reactions, responding to oscillating relational-needs, and the importance of a sustained phenomenological inquiry and affect attunement Learning Objectives At this workshop, participants will: assimilate and comprehend a series of therapeutic interventions that reflect relational, co-constructive and intersubjective sensitivity in the psychotherapy of clients with Borderline Personality traits differentiate between various forms of therapeutic inquiry and apply the skills of acknowledgement, validation and normalization formulate a therapeutic perspective that will include the significance of attunement to the client’s affects and rhythm while resonating with the client’s level of emotional development critique a psychotherapy demonstration and describe what they think is therapeutically effective About the speaker Richard G. Erskine, Ph.D., is a Clinical Psychologist and Training Director of the Institute for Integrative Psychotherapy (New York City and Vancouver). Originally trained in client-centered child therapy, Dr Erskine also studied Gestalt therapy with both Fritz and Laura Perls. He is a certified clinical Transactional Analyst and a Licensed Psychoanalyst who has specialized in psychoanalytic self-psychology and object-relations theory. His work is an integration of these concepts and more than forty years of clinical experience, which has included working with disturbed children, inmates in a maximum security prison, borderline and narcissistic clients, post-traumatic stress and dissociative identity disorders. Recently his research and clinical practice have focused on the treatment of the schizoid process and on the psychotherapy of obsession. He is the author of several books and scores of articles on psychotherapy theory and methods. His best-selling book (with Jan Moursund and Rebecca Trautmann) is "Beyond Empathy: A Therapy of Contact-in-Relationship" (1999, Brunner/Mazel) and most recently, in 2015, he has published “Relational Patterns, Therapeutic Presence” (Karnac). Workshop Schedule 10 November 2017, Friday, Day 1 9:30am to 5:00pm, Lunch at 1:00pm (a light lunch is provided as part of the workshop) Module 1: therapeutic responses to relational needs Module 2: therapeutic involvement: the process of acknowledgement, normalization and presence 11 November 2017, Saturday, Day 2 9:30am to 5:00pm, Lunch at 1:00pm (a light lunch is provided as part of the workshop) Module 3: affect confusion: oscillating between despair and rage Module 4: relational healing for affect confusion and attachment disruptions Recommended reading for this workshop: chapters 13, 14, & 15 in Richard Erskine’s recent book, “Relational Patterns, Therapeutic Presence” (Karnac Books)
Loading

Continuing professional development through seminars, workshops and conferences for psychotherapists, counsellors and psychologists.