Special Institute Presentations

To kick off the start of the Annual Meeting week, AGPA offers a full-day special institute presentation on Monday, February 26, 2018 from 9:00 AM - 5:00 PM. 
Attendees have the choice to attend either "The Technique of Mentalization-Based Treatment for Severe Personality Disorder," with Peter Fonagy, PhD, or "Maintaining Passion in your Group Work: The Role of the Training Group," with Elliot Zeisel, PhD, LCSW, CGP, FAGPA. 

Continuing Education for Special Institute Presentations: 6.0 credits/.6 units  

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SI-1. The Technique of Mentalization-Based Treatment for Severe Personality Disorder

Instructor: Peter Fonagy, PhD

This presentation will provide a basic but thorough introduction to mentalization-based treatment, including the therapist’s stance, recognizing and addressing inadequate mentalizing, and enhancing mentalizing in the context of psychosocial treatment. The intention is to keep the Special Institute almost entirely practical: although much has been written about mentalizing as a theoretical framework, the focus will be on technique. Through methods such as asking participants to role-play experiences with difficult patients, the intention is to demonstrate how mentalization can provide a framework for therapeutic response and intervention in a group context.

Learning Objectives:
The attendee will be able to:
1. Describe the basic principles of mentalizing theory.
2. State the basic characteristics of the mentalizing therapeutic stance.
3. State the features of inadequate or poor mentalizing. 
4. Describe some of the key techniques available to the therapist to address inadequate mentalizing.
5. Explain the modifications of individual therapy techniques to make them appropriate to group therapy.
6. Identify the mentalizing profile of individuals with borderline personality disorder and how they might differ from antisocial personality disorder.
7. Be able to describe the relationship between the intensification of attachment relationships and mentalizing. 

Course References:
1. Bateman, AW and Fonagy, P. (2016). Mentalization-Based Treatment for Personality Disorders: A Practical Guide. Oxford, UK: Oxford University Press.
2. Klassen, K. (2017). "Mentalization-Based Treatment Techniques in Group Therapy." International Journal of Group Psychotherapy 67(sup1): S99-S108.
3. Karterud, S. (2015). Mentalization-Based Group Therapy (MBT-G): A Theoretical, Clinical, and Research Manual. Oxford, UK: Oxford University Press.
4. Cristea, IA, et al. (2017). "Efficacy of psychotherapies for borderline personality disorder: A systematic review and meta-analysis." JAMA Psychiatry 74(4): 319-328. 

Dr. Peter Fonagy is the Chief Executive of the Anna Freud National Centre for Children and Families. He is one of the developers of mentalization-based treatment, which has been developed in collaboration with a number of clinical sites in the UK and US. He has written numerous books on the subject. He has written over 480 peer-reviewed papers, 250 chapters, and has authored or co-authored 18 books. Dr. Fonagy is a Fellow of the British Academy, the British Academy of Medical Sciences, the Academy of Social Sciences and the American Association for Psychological Science, and was elected to Honorary Fellowship by the American College of Psychiatrists. He has received Lifetime Achievement Awards from several national and international professional associations including the British Psychological Society, the International Society for the Study of Personality Disorder, the International Psychoanalytic Association, the World Association for Infant Mental Health, the Sigourney Award and was in 2015 the first UK recipient of the prestigious Wiley Prize of the British Academy for Outstanding Achievements in Psychology by an international scholar.

SI-2: Maintaining Passion in your Group Work: The Role of the Training Group

 Instructor: Elliot Zeisel, PhD, LCSW, CGP, DFAGPA

This One Day Special Institute will explore the role of the Training Group in the education and maintenance of group clinicians. The Training Group, like other psychodynamic groups, invites exploration of intra-psychic and interpersonal process. Additionally, it encourages examination of case material, encourages the integration of verbal techniques and group leadership skills.  

As a member recounts a challenging moment in practice, the group is invited to associate to the material. Inevitably, someone in the circle understands the conscious and unconscious experience of the clinician and his patient(s) and new understanding emerges. Frequently, a parallel process unfolds in the group and additional meaning becomes available. All of this contributes to the formulation of an intervention that until that moment alluded the clinician. Often she will be invited to engage in a role play that consolidates the new learning. Understanding leads to a sense of competence and the clinician emerges with an effective verbal tool. The Training Group also inoculates against fatigue and reduces the isolation of clinical practice. It refreshes and restores the clinician’s psychic apparatus and extends practice life.

Throughout the day, concise theoretical talks will be followed by a series of demonstration groups. The audience will then be invited into a question and answer exchange in which theory will be tied to the events in the demonstration group. This blend of didactic and experiential learning will contribute to the consolidation of theoretical concepts that support psychodynamic group treatment and the clinical skills that expand the group leader’s effectiveness. 

Learning Objectives:
The attendee will be able to:
1. Increase understanding of the training group and its role in the development and health of the therapist.
2. Understand the steps in building the culture of the group.
3. Develop familiarity with primary feelings as a tool in formulating interventions.
4. Distinguish between self and object feelings.
5. Identify and understand patterns of resistance.
6. Distinguish between subjective and objective countertransference. 

Course References:

1. Ormont, L. (1992). The Group Therapy Experience. New York: St. Martin’s Press
2. Rosenthal, L. (1987). Resolving Resistance in Group Therapy. Northvale, NJ: Jason Aronson.
3. Zeisel, E (2009). Affect Education and the Development of the Interpersonal Ego in Modern Group Analysis, International Journal of Group Psychotherapy, Volume 59, Number 3.
4. Zeisel, E (2012). The Leader’s Use of Self: A Modern Analytic Approach to Working in the Intra-psychic and Interpersonal Realm, Modern Psychoanalysis, Volume 37, Number 2.
5. Zeisel, E (2012). Meeting Maturational Needs in Modern Group Analysis: A Schema for Personality Integration and Interpersonal Effectiveness, In J. Kleinberg (Ed.), The Wiley-Blackwell Handbook of Group Psychotherapy, (pp. 217 - 229). West Sussex, UK: Wiley-Blackwell.

Dr. Elliot Zeisel is a graduate of the Philadelphia School of Psychoanalysis and is a licensed psychoanalyst. He is a founder of the Center for Group Studies and a Distinguished Fellow of AGPA.

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