AAP - 2012 Summer Workshop: More is Better..or Is it? Greed, Excess & Addiction

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Wednesday, June 20, 2012 - 1:45PM - 4:45PM - T1a-T2a

Thursday, June 21, 2012 - 9:00AM - 12:15PM - T1b-T3/1a-5a/6-10

Friday, June 22, 2012 - 9:00AM - 12:15PM - 1b-5b/11a-14a/15-18

Saturday, June 23, 2012 - 9:00AM - 12:15PM - 11b-14b/19-26

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 role excess and addiction have in different systems such as the individual, couple, family and other groups

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 how to integrate new theories about excess and addiction inour assessment of clients

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: Identify psychotherapeutic skills that better treat clients dealing with excess and/or addictions

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.

Describe the implications of the intersection of the attachment style of the patient and the therapist

Identify the concept of projective identification

Identify the concept of enactment

Identify underlying meanings of dreams

Describe and discuss underlying wishes and fears revealed in dreams

Describe and discuss how dreams reveal aspects of character

Identify the use of countertransference to understand enactments

Describe the concept of therapist’s use of self in working through enactments

Demonstrate the ability to apply these concepts to work with patients

Describe how dreams reveal personal intrapsychic history

Describe how dreams reveal interpersonal history

Summarize the importance of context in understanding meaning of a dream

List and describe the psychological stages of pilgrimage and their connection to stages in group psychotherapy

Name and describe the advantages of incorporating walking/hiking (or movement) into group and individual psychotherapy

Describe the personal growth and psychotherapy benefits of outdoor experiences (therapy occurring outdoors)

Identify the neurochemical process of addiction

Name the triggers and develop hypotheses as to what they represent

Coach a patient on phenomenological reporting

Describe the gain knowledge and clinical skill in helping their patients recognize and take responsibility for excesses in their substance use and/or behavioral patterns

Identify personality disorders in patients who are addicted to alcohol and other substances

Explain how skills in the nature and pacing of clinical intervention as to build trust between therapist and patient rather than alienate the patient and slow (or end) the treatment alliance

Identify and differentiate of Excesses, Compulsions and Addictions

Summarize concept of addiction as failed solution to an attachment disorder

Identify personal beliefs that may be barriers to effectively treat clients with addiction issues

Identify and name maladaptive addictive behaviors, which have existed in the past and present for themselves and others

Define ‘chronic developmental trauma’ (poor and inconsistent relational treatment, i.e. abuse, neglect, criticism and hatred which leaves children feeling overwhelmingly bad and terrified).

Identify the elements of safety conflict-free zones within environments (household and work setup), activities (music, reading, exercise, yoga, creative outlets meditation) and most importantly in relationships with significant others

Describe and understand the meanings of the seven dirties words in psychotherapy

Identify their own relationship, both positive and negative to these concepts

Describe how these conflicts are manifest in the consultation room within all of the participants

Name at least three fundamental beliefs most “civilized” humans hold that necessarily contribute to creating, maintaining and amplifying our psychological suffering

Critique the notion that “more of something will bring about happiness” from a psychological, social, ecological, ethical/political and “spiritual” perspective

Identify some simple interventions that can guide themselves and their clients to deepen their fulfillment of “healthy” (i.e., genuine/inherent) needs and desires, and transcend addictive/compulsive (and self-defeating) attempts to remedy psychological suffering through consumption and/or acquisition of material commodities

Demonstrate increased knowledge of sexual addiction/compulsion in the context of the couple dyad

Display increased skill in addressing infidelity related to sexual addiction/compulsivity

Practice restraining the impulse to project their sexual/couple value system onto others

Describe the ways that you are too “attached” or “consumed” by your work as a psychotherapist

Develop an understanding of how you might be able to find more balance in your approach to your work life

Express your understanding of the concept of having too much of a good thing and how that might be limiting in your life

Describe and identify areas of difficulty that gay men typically bring to psychotherapy

Identify ways in which addictions impact gay men uniquely both in their behavioral and substance abuse forms

Summarize specifically how these might be combined in a unified manner that might inform a typical practice of psychotherapy

Co-create a community of 24 persons in which the flexibility and resiliency is increased. Participants will be able to identify attitudes about use and abuse of substances, understand biases, describe stereotypical thinking and stigmatization

List the basic principles and tenets of 12 step programs, and describe the energy, intimacy and openness in the structure of the 12 step meeting

Identify how the 12 step recovery process treats the “addict” brain and effects the “recovery” brain

Teach alternative soothing and comforting strategies to patients

Describe the craving/redirection cycle

State and correct relapse warning signs

Describe their own experiences with excess and addiction and those of their family members

Summarize how the experience in their own histories with addiction will make their way into the work with patients and how to handle counter –transference in this realm

Describe knowledge base regarding boundaries between therapist and patient when the therapist is in their own recover

List behaviors and attitudes that support denial of addiction

Describe function and benefits of 12 Step Program (AA, NA, CA, Alanon, etc.)

List three alternative self-help and support groups to a 12 Step Program

Give and receive group support, attunement and solace and they will experience first hand the importance of these gifts in the path of recovery

Identify the safety requirements (i.e. time boundaries, physical safety, resonance with feelings which combat isolation and shame) of a therapy group with functions as a recovery group

Identify the difference between thrill seeking and unconscious self-risking/ sacrificing behaviors and healthy and necessary intentional interpersonal and personal risk-taking

Identify the intervention approaches by which the therapist can create an open, meaningful, and non-judgmental dialogue about these concepts with the client

Compare the differences between lo-class and hi-class greed for the client

Explain the relationship with these core issues in a way that is not shameful, but growthful for the client

Name new, alternative roles they can play through their experiential learning about character development and formation in the dramatic process

Identify current topics in relational psychotherapy (experience-near vs. experience-far, model scenes, enactments) and relate them to their lived experience of role and affect in a dramatic production

Describe the centrality of uncertainty in the therapeutic process as they risk entering into the temporary alternative world of a staged play reading

Describe the nature of addition

Identify more than one personal addiction

Explain the power of addiction

Develop, identify, and describe various working definitions of shame.

Develop, identify and describe working definitions and differences for the following: greed, addiction and compulsivity

Describe the theories of shame (i.e. Erikson’s developmental stage: Autonomy vs Shame: Early Childhood, ages 18 months – 3 years).

Define the concept of sufficiency

Contrast the states of deficit and satiation

Describe their approach to self-management

Identify at least one situation and reason why therapists would shy away from discussing clients' sexuality in therapy with them, or why they challenge clients too much

Identify at least one excess and one deficit in their own sexual attitudes and behaviors that may influence how they work on their clients’ sexuality

Practice articulating at least one of their own experiences that reflect their thoughts and feelings about sex and sexuality

Define and understand Process Addictions

Describe the difference between a compulsive behavior and an addictive one

Identify and explain how their own emotional issues and early experiences drive them to compulsive behavior and addictions

Identify two subtle and two obvious negative effects of excessive behavior

Identify two ways you are blocked from compassion and/or forgiveness in treating patients

Compare two ways you are blocked from compassion and/or forgiveness of self to that of your treatment with patients

Identify the understanding of other cultures’ relationship between shame and greed, excesses and addictions

Identify their own experiences of shame, to better understand the historical origins of their shame and its impact on their life as individuals and, as a result, on their practice working with individuals, couples and groups

Describe the behavioral milieu of growing up in an addicted family system

List the behvioral characteristics of adult children of trauma and addiction (ACOA)

Identify several therapeutic techniques useful to facilitate the recovery of ACOA

Discern their own experiences of greed and excess, especially in their more hidden forms in our culture

Describe the power of shame and its role in silencing our common human neediness

Describe and analyze the relationship between greed and excess and the role of both early and current emotional deprivation in the maintenance of the excessive, unmodulated emotional states.

Identify what “Medicating your feelings” means and the various ways that there are to medicate/deaden/quiet painful feelings and the possible consequences of those behaviors

Summarize and challenge their own resistances to overcoming addictions

Summarize the ways in which addictions limit their effectiveness as a psychotherapist

Identify and be kind to themselves as they confront their own addictions

Explain the differences between addiction and compulsivity, including theories and research on the neurological imprinting that is different for both

Describe base between the Affective experience of Shame and the Behavioral impact on Greed, Excesses and Addictions, – how the feelings of shame inform the behaviors of greed, excesses and addictions, as well as the inverse relationship of the two

Review, summarize and analyze all of the didactic and group demonstration information that they have received in the workshop and to apply that information to the treatment of the individuals, couples and groups in their practice, with the goal of reducing shame and its impact on greed, excesses and addictions

Specify how they approach getting their needs met in groups

Specify the impediments to getting their needs met in groups

Describe how the process of a group contributes to the freedom or lack of it to explore issues

Summarize the relationship of trauma to addiction

Identify the neurotransmitter most frequently involved in the experience of pleasure, as part of the brain’s reward center

Name one way in which a behavior associated with sex addiction can provide a valuable insight into underlying issues relevant to psychotherapy

Describe the awareness of one’s addictive behaviors and what underlies these compulsions

Demonstrate ritual practices that nourish the void that addictions fail to fill

Demonstrate how music, art, writing, movement, meditation, etc can reduce toxic behaviors and transform the person into an authentic self

Identify areas of compulsion and addiction in relationship to money

Identify the roots of such beliefs in early formative experiences, and recognize the role of parental teachings and family beliefs

Identify the impact of peer experiences and personal choices upon their habits and behavior

Identify their role and the roles of others in an addiction system

Express their fears, ansieties, resentments and other destructive forces at work in an addiction situation

List behaviors and dialogues that would be "role-changing' and potentially healing in an addiction situation

Clarify how Desire defines the human condition (or the human realm among the six realms named in buddhist tradition)

Suggest how a view of the realms, inclusive of the pretas or ‘Hungry ghosts’ may also be relevant to our topic

Explain how viewing greed,excess,addiction as simple extremes on the inevitable human continuum(basic human nature), or as related to particular points on the ‘Wheel of Life’ (often called craving and clinging/ or grasping), will help a therapist work with self as well as with clients who are struggling with these issues

Identify some of the common fears that men have about women

Apply this knowledge to a further understanding of some of the issues their male patients have in intimate relationships with the women in their lives

Identify and work with some of their counter-transference in working with female patients

Examine each group member's creative wrigint of struggle shared

Describe the group process used to increase support and offer reactions aimed at diminishing pain

Name the tools used in recovery programs in fighting this emotional addiction

State 3 ethical principles that are important in addressing the most common ethical dilemmas in the treatment of addictions

Name 3 ethical dilemmas and their solutions which are unique to treating sexual addictions

Summarize 3 ethical dilemmas and their solutions which are unique to treating alcoholism and substance abuse

Identify and imagine ways of working with folks around craving and grasping-- from the buddhist standpoint--to help end suffering through a mindful path of renunciation (which will be properly defined), or one of transforming poisons/negative energies into medicine or wisdom

Explain how issues of dependency and counter-dependency are salient in the therapeutic process

Objective 4: Identify different types of excesses and addictions and the functions each may be playing in a client's life or within a system

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: Discuss how differentiating between addiction to substances and "process addictions" can affect assessment and treatment

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 6: Specify how a therapist's own struggles with greed, excess and addiction can impede or stregthen a client's process

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?

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