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Premature termination is a significant problem in psychotherapy, with deleterious impacts on both clients and therapists. For example, research shows that clients who prematurely terminate show poorer treatment outcomes, are less likely to make lasting changes in their symptoms, and are more likely to over-utilize the health care system. Research also shows that when clients end treatment prematurely, their therapists often experience a sense of failure with the loss. Additionally, repeated dropout by clients can lead to experiences of demoralization and burnout in their providers. Current estimates indicate that approximately 1 in 5 clients will drop out of psychotherapy and/or counseling prematurely. Although these numbers may differ depending on the setting and client type, almost all therapists will experience premature termination at some point in their practice.
The purpose of this workshop is provide strategies and approaches that therapists can use to reduce premature termination in their practice. This workshop will begin with a discussion of what premature termination is and why some clients choose to end treatment prematurely. It will then cover the latest research on the frequency of premature termination and client, therapist, treatment, and setting risk factors associated with its occurrence. In the second half of this workshop, eight evidence-based strategies for reducing premature termination will be presented. These strategies include: providing role induction, incorporating preferences into the treatment decision-making process, planning for appropriate termination, providing education about patterns of change in psychotherapy, strengthening hope, enhancing motivation for treatment, fostering the therapeutic alliance, and assessing and discussing treatment progress.
Therapy with adults or couples with children frequently presents opportunities to help parents understand and improve parent-child dynamics. Parenting reveals implicit and unconscious expectations about raising children that are often culturally determined, and based on each parent’s own childhood experiences. This seminar draws on theories from systems, object relations and the parenting literature to show how unconscious factors get played out in the parent-child relationship. Therapists can help parents identify ways that their own childhood experiences, and aspects of the marital relationship, are played out in the parenting process. Through presentation of theory, and case examples, participants will be able to understand how to raise and explore parenting dynamics in the therapy session, and help parents find new ways of relating to their children and each other. This is particularly import in work with highly conflicted couples, even those who have divorced but have difficulty co-parenting.
Therapy with adults or couples with children frequently presents opportunities to help parents understand and improve parent-child dynamics. Parenting reveals implicit and unconscious expectations about raising children that are often culturally determined, and based on each parent’s own childhood experiences. This seminar draws on theories from systems, object relations and the parenting literature to show how unconscious factors get played out in the parent-child relationship. Therapists can help parents identify ways that their own childhood experiences, and aspects of the marital relationship, are played out in the parenting process. Through presentation of theory, and case examples, participants will be able to understand how to raise and explore parenting dynamics in the therapy session, and help parents find new ways of relating to their children and each other. This is particularly import in work with highly conflicted couples, even those who have divorced but have difficulty co-parenting.
Most therapists recognize the power of the past as it is revealed in the way partners respond to each other. The therapist can be baffled by emotionally intense reactions that seem way out of proportion to the moment. Repeated conflict themes also suggest that the ways partners interpret each other’s behavior can only be understood by exploring their individual lived experience. This seminar presents an overview of an object relations approach to working with couples, and describes dynamics that are unique to this clinical approach. You will understand how unfinished business from the past and each partner’s relational past can unfold in patterns and postures that work against intimacy. You will also be able to understand how extreme emotional reactions and black & white thinking create instability and specific relationship problems. The seminar will explain a range of techniques that can help couples acquire new ways of responding to each other and strengthening intimacy. You will also understand how the therapist’s intuition and reaction to partners is an important source of information that allows insight into the core themes and facilitates the partners ability to heal past wounds while forging deeper intimacy.
High rates of adolescent depression and suicide present as a major international public health problem. Suicidal adolescents are often a daunting population for clinicians to work with given their high-risk. Of the few effective treatments for this population, many are often multi-modal involving individual and group therapy, medication, etc. An empirically supported family therapy for adolescents struggling with depression and suicide that requires only weekly sessions and which can be conducted on an outpatient, home-based, or inpatient basis is Attachment-Based Family Therapy (ABFT). ABFT emerges from interpersonal theories suggesting adolescent depression and suicide can be precipitated, exacerbated, or buffered against by the quality of interpersonal family relationships. It is a trust-based, emotion-focused psychotherapy model aiming to repair interpersonal ruptures and rebuild an emotionally protective, secure-based, parent-child relationship. The therapy is trauma-focused while also being brief and structured. Treatment is characterized by five treatment tasks: a) reframing the therapy to focus on interpersonal development, b) building alliance with the adolescent, c) building alliance with the parents, d) facilitation conversations to resolve attachment ruptures and e) promoting autonomy in the adolescent.
In this workshop, Dr Levy will use lecture and case studies to provide an overview of the theoretical principles, research support, and clinical strategies forABFT. Dr. Levy will review how attachment theory,emotional regulation, and trauma resolution informthe delivery of this treatment approach. She will review the goals and structureof the five treatment tasks that provide a roadmapfor delivering this interpersonally focused psychotherapy effectively and rapidly in community mental health.
High rates of adolescent depression and suicide present as a major international public health problem. Suicidal adolescents are often a daunting population for clinicians to work with given their high-risk. Of the few effective treatments for this population, many are often multi-modal involving individual and group therapy, medication, etc. An empirically supported family therapy for adolescents struggling with depression and suicide that requires only weekly sessions and which can be conducted on an outpatient, home-based, or inpatient basis is Attachment-Based Family Therapy (ABFT). ABFT emerges from interpersonal theories suggesting adolescent depression and suicide can be precipitated, exacerbated, or buffered against by the quality of interpersonal family relationships. It is a trust-based, emotion-focused psychotherapy model aiming to repair interpersonal ruptures and rebuild an emotionally protective, secure-based, parent-child relationship. The therapy is trauma-focused while also being brief and structured. Treatment is characterized by five treatment tasks: a) reframing the therapy to focus on interpersonal development, b) building alliance with the adolescent, c) building alliance with the parents, d) facilitation conversations to resolve attachment ruptures and e) promoting autonomy in the adolescent.
In this workshop, Dr Levy will use lecture and case studies to provide an overview of the theoretical principles, research support, and clinical strategies forABFT. Dr. Levy will review how attachment theory,emotional regulation, and trauma resolution informthe delivery of this treatment approach. She will review the goals and structureof the five treatment tasks that provide a roadmapfor delivering this interpersonally focused psychotherapy effectively and rapidly in community mental health.
We are a part of a massive social experiment. Sex, gender, and relationship dynamics are changing faster than at any time in recorded history, all within a backdrop of exploding artificial intelligence (AI). Younger generations are increasingly comfortable with technology interfacing all aspects of their lives. The potential risks inherent in human:human sex have been highlighted by COVID-19. Enter virtual reality porn and yes, sex robots. Experts predict that within 20-50 years, robots that move and interact in humanoid ways will be affordable for many. It is highly conceivable that an infant born today can have their first sexual experience with a robot. Mental health professionals will better serve their clients if they understand the increasingly powerful impact new developments in sex tech and AI have on sex and intimacy. The time is now for us to being this critical discussion.
We are a part of a massive social experiment. Sex, gender, and relationship dynamics are changing faster than at any time in recorded history, all within a backdrop of exploding artificial intelligence (AI). Younger generations are increasingly comfortable with technology interfacing all aspects of their lives. The potential risks inherent in human:human sex have been highlighted by COVID-19. Enter virtual reality porn and yes, sex robots. Experts predict that within 20-50 years, robots that move and interact in humanoid ways will be affordable for many. It is highly conceivable that an infant born today can have their first sexual experience with a robot. Mental health professionals will better serve their clients if they understand the increasingly powerful impact new developments in sex tech and AI have on sex and intimacy. The time is now for us to being this critical discussion.
Who we are as sexual beings carries profound personal and interpersonal meaning for each of us. Research consistently demonstrates that for most people, sexual satisfaction is a critical component of relationship and life satisfaction. Yet as important as sex can be, sexual concerns are strikingly common, even among non-clinical populations. Most therapists feel they’ve been inadequately trained to address sexual issues with their clients. This talk offers actionable advice for general therapists treating sexual dysfunction in men and women, with a focus on heterosexual relationship dynamics.