Treating the Difficult Patient: Integrating Control-Mastery Theory with Exposure and Response Prevention
Saturday October 28, 2017 10:00am – 1:00pm
SFPRG, The Presidio, San Francisco
3 CE credits

Instructor: Steven A. Foreman, MD
This course will review the major reasons that “difficult” patients are recalcitrant to getting better. Control-Mastery Theory can be particularly helpful in solving clinical dilemmas with difficult patients because of its focus on compliances, pathological identifications, passive-into-active testing, and understanding/supporting the patient’s plan. Intense anxiety is another separate but related cause of patients failing to get better. This presentation will review the literature on the efficacy of Exposure and Response Prevention (ERP) with anxious patients as well as the literature supporting the therapeutic efficacy of Control Mastery’s emphasis on pro-plan therapeutic interventions. The goal of the conference will be to illustrate how Control-Mastery Theory can be integrated with Exposure Therapy to help the most difficult patients. The different role of safety in both models will be discussed and integrated. The presentation will emphasize how CMT can help Cognitive Behavioral Therapists and Exposure Therapy can help CMT therapists to provide better care for difficult patients.
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Pathogenic Beliefs
Wednesdays 9:00am -10:00am  November 1, 8, and 15, 2017
SFPRG, The Presidio, San Francisco
3 CE credits

Instructors: Alan Rappoport, PhD and Norman Sohn, LCSW, PhD
In this course we introduce the Control-Mastery Theory term "pathogenic beliefs" and discuss the significance of such beliefs in the formation and maintenance of dysfunctional behavior.  A single case will be studied in depth to show how a patient's pathogenic beliefs can be identified. We will use recorded therapy sessions, patient history, and discussions with the case therapist to illustrate how pathogenic beliefs originate and the effect they have in the patient's life. We will also discuss how the patient strives to overcome these beliefs, and what role the therapist plays in the therapy process.

Further information and registration

Effective Psychotherapy Supervision: What CMT and Relational Psychoanalysis Can Teach Each Other
Saturday December 2, 2017 10:00am – 1:00pm
SFPRG, The Presidio, San Francisco
3 CE credits

Instructors: Joan Sarnat, PhD and Jack Bugas, PhD
Joan Sarnat is a psychoanalyst who has written and taught widely on the supervisory relationship.  Jack Bugas is a longtime SFPRG member and was formerly the Training Director of the SFPRG clinic.

Learning objectives:
1. Conceptualize supervision as a relationship in which emotional experience—in addition to didactic teaching—facilitates supervisee development.

2. Apply the CMT clinical concepts of “unconscious plan” and “unconscious testing” to the supervisory relationship.

3. Discuss the overlap between the supervisory concept of “parallel process” and the clinical concept of “passive-into active.”

4. Describe how safety in the supervisory relationship may help the supervisee to master traumatic feelings evoked in the clinical relationship, and also help the supervisee to become conscious of unconscious clinical and supervisory material.

Further information and registration