How would you like your name to appear on your certificate?

Profession

What activities did you attend at the event?

Friday, March 23, 2012 - 2:00PM - 5:15PM - Training Session

Saturday, March 24, 2012 - 9:00AM - 12:15PM - Morning Workshop

Saturday, March 24, 2012 - 2:45PM - 6:00PM - Afternoon Workshop

Agreement

By completing this form, you attest that you have participated in all selected activities in thier entirety.

I agree

Please rate the following:

The program was relevant to my work.

Content matched stated objectives.

Usefulness of handouts/AV.

Quality of facilities.

How well did the educational sessions give a balanced view of therapeutic options, including the use of generic names?

If you rated any of the above questions with 'fair,' 'poor,' 'disagree,' or 'strongly disagree' please explain in detail (e.g. session title, speaker name, situtation):

Please rate the speaker(s) as a group. You will have the opportunity to elaborate on an individual speaker in the following question.

Objective 1: Discuss the importance of meeting our clients at their edge in psychotherapy

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

If you have additional comments regarding the session or individual speaker(s) - e.g. teaching ability, expertise, organization of materials, etc. - please use the space below:

Objective 2: Explain the need for psychotherapists to become proficient in recognizing when their clients are working at their edge

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Objective 3: Demonstrate psychotherapeutic methods that empower clients to reach for their edge in psychotherapy

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Identify at least three researchers/theorists who were integral to the developmenta of experiential psychotherapy

Compare and contrast at least two underpinnings central to the Fishbowl exercise, including confidentiality

Discuss at least three observations noted during the workshop that enhanced self-awareness

Demonstrate greater awareness of internal dialogue

Identify and discuss internal limits with fellow colleagues and supervisors

Identify and discuss their own needs for autonomy or need for community

Define and describe shadow and subpersonality aspects of themselves, both positive and negative

Articulate and evaluate the appearance and effects of shadow aspects in their lives

Express resistance to owning shadow parts and practice new ways to integrate them in their lives

Name, describe and demonstrate nine main parental functions

Identify one’s own assets and deficits in regards to the parenting one received as a child

Describe the basic elements of a psychomotor structure

Locate aspects of themselves that support creativity

Select authentic ways of caring for the shelf and others

Evaluate current bonding patterns

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Demonstrate greater awareness of internal dialogue

Identify and discuss internal limits with fellow colleagues and supervisors

Identify and discuss their own needs for autonomy or need for community

Define and describe shadow and subpersonality aspects of themselves, both positive and negative

Articulate and evaluate the appearance and effects of shadow aspects in their lives

Express resistance to owning shadow parts and practice new ways to integrate them in their lives

Explain the concepts of Contact Boundary

Discuss "good contact" and disturbances at the contact boundary

Observe and identify the edge of the contact boundary and discuss optimal ways to connect with a client at the edge

Describe clearly their understanding of the interplay between self-knowledge and the impact of the OTHER in their work.

Demonstrate their willingness to take reasoned chances in following their inner voices within this context

Evaluate as to its usefulness some readings in this area

Identify client’s erotic transference and find constructive methods for working with these real and difficult feelings

List erotic countertransference and be able to know how to proceed in the therapy process as well as understanding their need to seek consultation for this predicament

Name new ways of dealing with many kinds of intense feelings associated within the context of a highly functioning therapeutic relationship

Objective 4: Discern the value of working at the edge in the here and now

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Objective 5: Distinguish between therapeutic and non-therapeutic practices of challenging clients to experience their edge

By meeting the above objective my professional competence will increase because I have acquired new strategies to use in my practice.

By meeting the above objective my professional performance will improve because I should be able to implement the new strategies.

By meeting the above objective my patient outcomes should improve due to the implementation of newly-learned strategies.

Please answer the following:

Do you believe this activity was appropriate for the scope of your professional activities?

Was the educational content scientifically sound?

If faculty spoke about off-label or investigational uses of a product, was that information disclosed to you?

Was the mode of education effective to learning?

If you answered "No" to any of the above questions, please explain.

Did you perceive any product/service/company/commercial bias in any educational session you attended or materials you received?

If you answered "Yes" to the above question, please detail the situation below (e.g. session title, speaker name):

Were you solicited by sales personnel in an educational room (other areas do not matter) while you attended this educational activity?

If you answered "Yes" to the above question, please explain in detail (e.g. who, when, where):

How much did you learn as a result of this education program?

What specifically did you learn during this activity that you intend to integrate into your practice?

What questions have arisen in your practice for which you need answers/strategies that you can implement?

What patient/client problems or patient/client challenges do you feel you are not able to address appropriately or to your satisfaction?

What problems are your patients/clients communicating to you that need attention or follow up?

Are you interested in basic, intermediate or advanced level trainings?

Basic

Intermediate

Advanced

What barriers might you have that would interfere with implementation of new information learned from this training?

How can this training (the overall meeting) be improved to better impact competence, performance and/or patient/client outcomes?

Additional comments: