Postgraduate Course in Personality Disorders · Theodore Millon, PhD, DSc. 3 This course presents a...

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Postgraduate Course in Personality Disorders with Lorna Smith Benjamin PhD, ABPP, FDHC 3 month intensive course

Transcript of Postgraduate Course in Personality Disorders · Theodore Millon, PhD, DSc. 3 This course presents a...

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Postgraduate Course inPersonality Disorderswith Lorna Smith Benjamin PhD, ABPP, FDHC

3 month intensive course

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"Benjamin's work signifies a quantumadvance in interpersonal thinking regarding

therapy for the personality disorders."

Theodore Millon, PhD, DSc

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This course presents a unique opportunity for those who wish to gain specialized training in personality disorders, as well as top quality training in psychotherapy in general. The uniqueness of this course lies, among others, in that participants will have the opportunity to learn by the side of a leading figure in the field: Lorna Smith Benjamin PhD, ABPP, FDHC.

Quoting from another master figure in the area of personality, Theodore Millon PhD, DSc "Benjamin's work signifies a quantum advance in interpersonal thinking regarding therapy for the personality disorders."

After a lifetime dedicated to research and clinical practice and having worked with as important figures as Harry Harlow, Carl Rogers, Carl Whitaker and John Bowlby, Dr. Benjamin presents a unifying, yet groundbreaking theory of personality disorders with vital implications for the clinical practice.

In this course, offered for the first time in Europe, participants will have the opportunity to enhance their understanding of the theory and practice of psychotherapy in general and of personality disorders specifically, integrate the most important ideas and contributions to the field, go as far as the borders of today's scientific knowledge and see beyond.

On a practical level, they will be introduced to one of the most effective and integrative methodologies for diagnosis and treatment and will acquire skills and resources that will help them resolve some of the most recurrent and challenging issues in the clinical practice.

The training will take place within an international environment at one of the most prestigious centres of psychology in Spain: Hestia International Psychotherapy and Training Centre.

Why this course?

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Why Interpersonal Reconstructive Therapy?Interpersonal Reconstructive Therapy (IRT) is an innovative and integrative approach that connects scientific knowledge from a wide range of fields, providing an in-depth explanation of the factors that give rise to mental health and mental illness.

The guidelines are founded on an attachment-based natural biological model of psychopathology enriched by Primatology, Developmental Psychology, Neuroanatomy and Chemistry. At the same time, it encompasses and integrates theory and fundamental ideas from the main schools of psychotherapy such as the humanistic, cognitive behavioural, psychodynamic and systemic.

IRT includes a case formulation model that specifically addresses each of an individual’s presenting symptoms even in complex cases (e.g. comorbid anger, anxiety, depression, disordered personality patterns). It identifies psychosocial mechanisms for an individual’s symptoms by using an attachment-based theory of affective psychopathology.

The case formulation model is used to select interventions from any known therapy approach to activate mechanisms of change to optimize outcome. This method is reliable, specific and sensitive (Critchfield and Benjamin, 2007, 2010; Critchfield, Benjamin & Levenick, 2015). Clinical observations suggest the IRT treatment model is effective with standard outpatients, while formal data from a small sample of very challenging cases (CORDS: Comorbid, Often Re-hospitalized, Dysfunctional and Suicidal) suggest that patients with IRT trainee therapists who focused more consistently on mechanisms of change in an adherent way had better outcomes1.

¹ This strategy of testing effectiveness by relating activation of mechanisms of symptom to symptom- change presently is favoured at National Institutes of Mental Health (NIMH, 2016). One advantage of this strategy compared to Randomize Control Trial tests of effectiveness is that it provides direct rather than indirect evidence that use of the theory of change actually does relate to outcome and it also can account every individual in the sample.

Structural Analysis of Social Behaviour (SASB) is a tool that assesses interpersonal and intrapsychic behaviour in three different dimensions, providing a lens which helps sharpen the clinician’s perception of content and process in psychotherapy (Benjamin et al., 2006).Interpersonal Reconstructive Therapy (IRT) uses this powerful resource to identify and clarify interactive patterns, enhancing therapists’ ability to choose the most appropriate intervention.

What is SASB?

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The Postgraduate Course in Personality Disorders is a three month intensive course that aims to provide:

• a deep and comprehensive understanding of psychotherapy and psychopathology, with an emphasis on personality disorders;• an integrative, multi-dimensional theoretical framework;• an advanced interpersonal model of therapy for personality disorders;• theoretical and practical tools for appropriate intervention: what to do, for whom, when and how;• the ability to detect interpersonal and intrapsychic patterns that give rise to and reinforce symptomatic behaviours;

• the ability to resolve the problem of overlap among diagnostic categories;• the ability to predict problems that are likely to occur in the therapeutic relationship;• a broad knowledge of evidence based and empirical research in the field of personality disorders;• greater insight and awareness of oneself in the practitioner's role.

The course includes training in use of the highly reliable and valid Structural Analysis of Social Behaviour(SASB; Benjamin, 1978; 1996/2003) to recognize patterns and formally link the past and present.

Psychology graduates, psychotherapists, counsellors, psychiatrists and mental health practitioners,who wish to receive high quality training in psychotherapy and incorporate powerful tools in their practice.

More about the course

Who is it for?

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Lorna Smith Benjamin, PhD, ABPP, FDHC, is former President of the Society for Psychotherapy Research (SPR); creator of Structural Analysis of Social Behaviour (SASB), an observational as well as self-rating method of assessing interpersonal and intrapsychic patterns. Professor emeritus of Psychology and adjunct Professor of Psychiatry at the University of Utah, she continues to teach part-time at the University of Utah Neuropsychiatric Institute and has maintained her clinical practice to this date. Dr. Benjamin was an advisor to the DSM-IV task force that defined personality disorders and is a co-author of the Wisconsin Personality Disorders Inventory (WISPI) as well as the American Psychiatric Association’s Structured Clinical Interview for Diagnosis according to DSM-IV Axis II Personality Disorders (SCID -II).

A STEP AWAY FROM HARRY HARLOW, JOHN BOWLBY, CARL WHITAKER AND CARL ROGERS

Dr. Benjamin’s contribution to the field of psychotherapy as a theorist, researcher and clinician has been significant. By her side, one is just a step away from fundamental contributors to important schools of psycho-therapy. She has worked with John Bowlby, Harry Harlow, Carl Rogers and Carl Whitaker and they have directly influenced her work and research. Her doctoral dissertation with Harry Harlow and her work at his laboratory reflects her lasting interest in studying clinical phenomena using perspectives and methods of basic science.

Who is Lorna Smith Benjamin?

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ACADEMIC HISTORY:

Lorna Smith Benjamin, PhD, ABPP, FDHC received her undergraduate degree from Oberlin College, and her PhD in Psychology in 1960 from the University of Wisconsin- Madison, specializing in Learning Theory, Psychophysiology and Mathematical Statistics. Her dissertation was with Harry Harlow and principles based on Attachment and Primatology have framed her research and practice. Her clinical internship and postdoctoral training were in the Department of Psychiatry at the University of Wisconsin, Madison. There, she progressed from postdoctoral fellow to full professor, and taught Psychotherapy to psychiatry residents and psychology interns until she left in 1988 to go to the University of Utah, Department of Psychology. In 2012, she retired from her positions as Professor of Psychology, Adjunct Professor of Psychiatry and Founder of the Interpersonal Reconstructive Therapy (IRT) Clinic at the University of Utah Neuropsychiatric Institute (UNI). She continues to practice, teach, write and work with the IRT clinic research data.

Her methodological contributions include: statistics papers; Structural Analysis of Social Behaviour (SASB) and Interpersonal Recon-structive Therapy (IRT). Recently, she has proposed a version of Natural Biology that explains psychopathology in a way that clearly guides clinicians in activating mechanisms of change during psychotherapy, especially useful with cases that have been nonrespon-sive. An advisor to the workgroup on personality disorders for the DSM-IV, a consulting editor to two journals (Psychiatry; and Journal of Personality Disorders), her books include:

• Benjamin, L. S. (1996/2003). Interpersonal diagnosis and treatment of personality disorders. N.Y. Guilford Press.• Benjamin, L. S. (2003/2006). Interpersonal Reconstructive Therapy: an integrative personality based treatment for complex cases. N.Y. Guilford Press.

• Benjamin, L. S. IRT for Anger, Anxiety and Depression: it is about broken hearts, not broken brains, (in press, American Psychological Association).

Her honours include Distinguished Research Career Award from the Society for Psychotherapy Research (SPR); honorary degree (FDHC) from University of Umea, Sweden; Bruno Klopfer award for outstanding, long-term professional contribution to the field of personality assessment and a Festschrift about her work sponsored by the University of Utah, Department of Psychology. 2014 Distinguished Psychologist Award for Contributions to Psychology and Psychotherapy from Division 29 (psychotherapy) of American Psychological Association (APA).

Dr. Benjamin’s approach is called Interpersonal Reconstructive Therapy (IRT) and is especially useful for the diagnosis and treatment of personality disorders. She created Structural Analysis of Social Behaviour (SASB), which has been incorporated in many assessment methods including the CCRT, CMP, WISPI, OPD-2. Her use of SASB also informed the DSM-IV descriptions of personality disorder.

She is an author on two additional instruments for assessment of personality: the Wisconsin Personality Disorder Inventory (WISPI) and the Structured Interview for Clinical Diagnosis, Axis II. (SCID-II, now renamed SCID-PD to be consistent with the organization of DSM-V). She also founded and directed the Interpersonal Reconstructive Therapy (IRT) Clinic at the University of Utah Neuropsychiatric Institute, with the help of Thomas Woolf, Hospital Director of Patient Services, and Ross VanVranken, Hospital Executive Director.

Lorna Smith BenjaminPhD, ABPP, FDHC

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Hestia International Psychotherapy Centre was founded in Barcelona in 2005. It was the first centre to offer multilingual services in its area in Spain and it has established itself over the years due to its innovative and international character. On a clinical level, Hestia brings together some of the main approaches to therapy (systemic, humanistic, psychodynamic, cognitive-behavioural, among others). Its multi-cultural, integrative and multi-dimensional character is therefore also reflected in its approach to the theory and practice of psychotherapy, aiming towards a constructive coexistence of the different schools of thought.Dynamic, motivated and highly skilled clinicians make up for a committed professional team that works together, continually training and integrating new concepts, approaches and research into a coherent whole.On an educational level, Hestía is committed to offer the highest quality training to professionals who aim to acquire powerful tools and a broad knowledge in the area of psychotherapy. It currently collaborates with renowned local and international institutions and aims to bring together the knowledge, research and know-how of the leading schools and professionals in the field.

About Hestía Centre

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TRAINING PROGRAMThe course runs once a week over three months and consists of four thematic sections.All sessions include: a demo case or a video of a case; reference to DSM / ICD 10 definitions of PD and an IRT case formulation and an IRT treatment plan. The interpersonal dimension of each personality disorder will be studied in depth and participants will be presented with innovative procedures for assessment, diagnosis and treatment.

Section I: Foundational Principles1. Definition (diagnosis) of personality disorder (PD):

a. Review of DSM5 and ICD-10 definitions. What about the factor analytic alternatives?b. IRT perspective on diagnosis PD.c. A real (not relativistic), evidence based definition of mental health and instructions for shaping it.d. Review of causes personality disorder (mechanisms of pathology and change).e. Managing problems of comorbidity with and between PD as well as with affective disorders

(anger, anxiety, depression).f. Evidence base for IRT case formulations.

2. Structural Analysis of Social Behavior (SASB) a tool for accurate pattern recognition with predictive principles:a. Its structure and intellectual history.b. The predictive principles.c. Use of SASB coding in diagnosing PD.d. Use of SASB coding in treatment.e. Group exercises practicing SASB coding and applications of foundational principles.

3. Treatments for personality disorder:a. Case example (mystery diagnosis).b. Standard treatments for PD (CBT, DBT, SFT, TFT, MT) and evidence bases.c. IRT treatment model for PD; the evidence base.d. Group discussion of Section I. Clarifications; requests.

Section II: Cluster B PD: BPD, NPD, ASP, HPDEach disorder follows this outline:

a. Audience present a PD case in role play. If not, LSB provides one.b. Diagnosis PD.c. SASB codes of salient features.d. IRT case formulation.e. IRT treatment plan.f. Discuss interviewing style and prognosis with this case example.g. Q and A.1. Cluster B case 1.2. Cluster B case 2.3. Cluster B case 3.4. Cluster B base 4.

Section III: Cluster C include OCD, AVD, DEP, and PAG1. Cluster C case 1.2. Cluster C case 2.3. Cluster C case 3 or 4.

Section IV: Cluster A and Summary of Course1. Brief summary of cluster A: Schizotypal, Paranoid, Schizoid.2. Group “exam”: A mystery case. Review and Discussion as in session #4 to 10.3. Review of course, Q&A. Plans for future.

The course in detail

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TEACHING TOOLS

• direct observation of psychotherapy sessions;• videos and case visualizations;• practice with Structural Analysis of Social Behaviour (SASB) for pattern recognition;• consultation of cases presented by the trainees;• role plays (LSB in the role of the therapist, trainee volunteers becoming their most vexing case);• bibliographical revisions;• reading assignments.

ACADEMIC RESPONSIBILITIES

1. ReadingExtensive regular reading and private study of at least 12 hours per week is recommended.Prerequisites:

• Benjamin, L. S. (1996/2003). Interpersonal diagnosis and treatment of personality disorders. N.Y. Guilford Press.

• Benjamin, L. S. (2003/2006). Interpersonal Reconstructive Therapy: an integrative personality based treatment for complex cases. N.Y. Guilford Press.

2. Course attendanceTrainees are expected to attend all seminars of the taught part of the course, unless there are exceptional circumstances.

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CALENDAR

• Total length: three months course, from September to December 2017 (13 weeks).• Attendance: once a week (6 hours per day).

Dates

From September 20th to December 13th 2017

Schedule Wednesdays from 9:30 to 15:30

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ACCREDITATION

• First year certificate issued by Hestia International Psychotherapy and Training Centre.• First year certificate issued by the School of Interpersonal Reconstructive Therapy of Barcelona.• Certified by Centro Studi di Terapia Familiare e Relazionale, Rome.• Certified by the Catalan Psychological Association, Spain.

CULTURAL AND SOCIAL ACTIVITIES

The course will include a variety of social events, all optional:

• welcome and orientation day before the beginning of the course;• social activities organised by Hestia (walks around the city, tapa-tours, wine tasting, etc.). Participants will also have the opportunity to share social and educational experiences with the trainees of other psychotherapy courses held at the clinic.

ACCOMODATION

We will provide help and information in finding accommodation in case it is required.

Accommodation is not included in the course fees.

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APPLICATIONS

Documents Required1. Official transcript(s) of University title;2. CV/résumé;3. Personal statement: Approximately 400 words;4. Photocopies of passport or other ID to include photograph and personal detail pages;5. Photocopies of IELTS/TOEFL or other approved English qualification if applicable.

Deadline for applicationsJune 16th 2017Later applications will be considered if places are available.Upon reception of your application, you will be offered an interview (online if it cannot be face-to-face), with the course coordinator.

NUMBER OF PLACES AVAILABLE

Minimum 8, maximum 15 trainees.

The Centre reserves the right to change, amend and modify the above when necessary.

ENGLISH LANGUAGE REQUIREMENTNative or higher level.If your education has not been conducted in the English language, you will be expected to demonstrate evidence of an adequate level of English proficiency.

COURSE FEES 2017

Deposit

Total fee

One instalment:

Two instalments:

A non-refundable 140€ deposit is required within two weeks upon notification of acceptance to the course.

EU/International 2680€ total (deposit included)

2540€, by the 1st of July

1320€, by 1st July1320€, by 1st October

The tuition fees shown are for the year indicated above. Fees for subsequent years may increase or otherwise vary.

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VENUE

HESTIA International Psychotherapy and Training Centre, Av. Diagonal 343, 3º 2ª · Barcelona 08037, Spain.

PROGRAM COORDINATOR

Dimitra DoumpiotiBsc. Psychology from the University of Manchester. Master's in Systemic Family Therapy. Supervisor in training by Centre de Teràpia Relacional i Familiar de Tarragona (CTRFT) and by Centro Studi di Terapia Familiare e Relazionale, Rome.

Accredited psychotherapist by the Spanish Federation of Psychotherapy Associations (FEAP).

COURSE-RELATED ENQUIRIES(Including entry requirements)

PROGRAM ADMINISTRATOR

Guadalupe Fernández Pose+34 [email protected]

Contact hours: Monday to Friday from 10.00 to 17.00

www.psychoterapytraining.eu

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REFERENCES

Critchfield, K. L. & Benjamin, L. S. (2007) Internalized representations of early interpersonal experience and adult relationships: a test of copy process theory in clinical and nonclinical populations. Psychiatry: interpersonal and biological processes, 71, p. 71-92.

Critchfield, K. L. Benjamin, L. S. & Levenik, K. (2015). Reliability, sensitivity, and specificity of case formulations in Interpersonal Reconstructive Therapy: addressing psychosocial and biological mecha-nisms of psychopathology. Journal of Personality Disorders, 29, 547-573.

Critchfield, K. L. & Benjamin, L. S. (2010). Assessment of repeated relational patterns for individual cases using the SASB-based Intrex questionnaire. Journal of Personality Assessment, 92, 480-489.

Critchfield, K. L. and McKaronis, J. E. & Benjamin, L. S. (2014). Integrative use of Cognitive-Behavioural and Psychodynamic techniques in Interpersonal Reconstructive Therapy. Paper presented to the Society for Exploration of Psychotherapy Integration, Montreal, Canada.

NIMH Website (Sept 8, 2016): Psychosocial Research at NIMH: a Primer.

Benjamin, L. S. Rothweiler, J.R. & Critchfield, K. L. (2006). Use of Structural Analysis of Social Behaviour as an Assessment Tool. Annual Review of Clinical Psychology, 2.