San Francisco Psychotherapy Research Group, Clinic and Training Center Newsletter
Issue #8
January 2007
In This Issue  

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Thank you members and readers for your support. We have added 45 new subscribers because of your forwarding actions. Keep it up!

New readers: Consider becoming members of SFPRG. The benefits are multiple, especially in terms of education and support.

Please note the Introduction to Control Mastery Intensive Day Course on Saturday, March 3rd, 2007 from 9am to 4:30pm at the Jewish Community Center, California at Presidio Ave., SF.Read On

FYI: Psychotherapy office sublet-Oakland 3225 Lakeshore Ave at 580; 300 sq ft, available Mond OR Tues, Wed, Thurs, Fri morning, and Saturday. $150 a day per month OR $425 for total time. 2nd story back office in converted home, 9 ft ceilings, quiet, small waiting area, suitable for individual, couple and small groups, large storage closet. Call Don Fenn at 510-531-7244.

PRESIDENT'S CORNER
 
From Jessica Broitman

Reflections in the New Year

It seems like the New Year has started with a bang as we welcome Steve Foreman as the next vice president of the board. He will serve out the remainder of Marshall’s term, which would have ended in June 2008. Steve has many wonderful qualities that will be utilized as we work toward creating a better governance structure that fits our current organization. This change reminds me that we have a lot to do to bring our dreams to fruition.Read On


EDUCATION COMMITTEE NEWS: Annual March Workshop
 
From George Silberschatz

The annual March Workshop takes place this year on Monday March 5 through Friday March 9 at our offices in the Presidio. There are several new classes being offered this year that promise to be intellectually stimulating and clinically exciting:

  • The psychology of medications
  • mastery of trauma through art
  • psychotherapy with chronically ill and dying patients
  • the development and history of control-mastery theory
  • psychotherapy with gay men
  • psychotherapy with borderline patients
  • teaching control-mastery theory

Please take a moment to contact three or four colleagues and actively encourage them to sign up. As in previous years, we will have a number of participants coming from outside of the San Francisco Bay Area including several from Europe. Here's hoping you, your friends and collegues will join us for all or part of the week for this stimulating and exciting March workshop.Read On


WORKSHOP: The Experience of Clinical Supervision
 
From Alan Rappoport

I am pleased to offer my workshop on "The Experience of Clinical Supervision" on March 17, 2007 in the Presidio as part of SFPRG's continuing educational program. I have been doing this workshop for the past several years to an enthusiastic and appreciative reception by participants.

The purpose of the course is to enable supervisors to receive feedback on their supervisory styles, and to expose ourselves to a variety of supervisory styles as a means of enriching ourselves professionally. Read On


RESEARCH GROUP FORMING
 
From Marshall Bush

A new research group is starting up within the next few months headed by Marshall Bush. It will meet every Friday from 2pm to 3pm. The group will develop new lines of control-mastery research. Everyone is welcome. Please send your ideas for control-mastery research projects to Marshall.

drmbush@pacbell.net.


SELF HELP FOR SMARTIES: SUCCESS SECRETS for Weight Loss, Love and Sex, Wealth and Parenting
 
From Irwin Gootnik, M.D.

My newly published book presents an overview of why people get stuck in self defeating behaviors, how to recognize their hidden causes and how to use the information to change.

Most self-help books, magazine articles and gurus will offer many prescriptions for change but they don't explain why one has difficulty putting their advice into practice. They fail to show the reasons specific to one's life which are responsible for your repeated failings.Read On


MEETING SFPRG
 
From Valentina Gandini

The very first time I read something about SFPRG and control-mastery theory was in a magazine put out by my professor was when I was studying for an exam at College in Milan, Italy. I had only learned a few things about this theory and even after the exam the concepts of 'plan' and 'testing' were only theoretical constructs.Read On


Cont'd: President's Corner
 

Recently in a conversation with a colleague we mused together about our dreams for of SFPRG. Our hope is that in the future Control- Mastery theory will be seen as a powerful breakthrough in thinking about the causes of psychological suffering and the way that psychotherapy helps alleviate that suffering. SFPRG had expanded its clinical services to become a major center of treatment and research. Pre-and Post-Doc fellows were lining up to get our training. Psychotherapy researchers begged to use our data. In our version, by the year 2015, our approach to treatment will be well known in psychology programs across the country. Given our relentless and scientific focus on outcome, the popular media will be replete with articles about us. Our members felt proud to be associated with our Center.

That conversation led me to reflect on where I think we need to go in the New Year. I believe that the survival of Control Mastery theory depends on SFPRG’ s continued consolidation into a productive, cooperative, high morale, fiscally responsible and financially solvent, well run organization. Without our “fathers” to represent the origins of the theory, we must rise to carry forth the tenets, teach it worldwide, and further develop the ideas utilizing new research developments. We must create a healthy environment for providing quality research, clinical training and psychotherapeutic services from a Control Mastery perspective.

My vision for the future of SFPRG includes a strong Board of committed, respectful colleagues, with the shared goal of providing a center for the theory to grow and develop. While a wide variety of passions, interests and specializations exist amongst us, our mutual respect, appreciation, admiration for Control Mastery theory can help us learn from each other and utilize the best of our inspirations to create the strongest organization possible. Board membership should expand to include community leaders, lawyers, financial experts, fundraisers, and marketing experts helping us to successfully achieve our goals.

In the future, general membership will have increased and member participation will be high and rewarding. Committees are fully functional and filled with both junior and senior members from all psychological disciplines. Role and responsibilities of committee chairs are clearly delineated and each committee holds themselves accountable for task completion. Member services will have increased with an expansion of the on-line journal disseminating the findings of the Research group through the publication of scientific papers, books, and articles and we have developed a national psychotherapy referral system.

My hope is that the stability of the organization will not be dependent upon volunteer labor as funds will exist to ensure our stability. We will have obtained self sustaining status through an endowment and fundraising campaign. Our budget should be able to cover at least 3 ½ (full time equivalent) positions. The Executive Director will be fully operational and successfully managing the daily operations of the organization with the help of an office manager, and office staff.

The clinic is a highly sought after placement, multi- disciplinary and running at full capacity offering superb training and a full range of psychological services for adults, couples, families and children including assessment and treatment. We will be seeing more than 100 patients a week, each receiving excellent treatment. Supervision and teaching staff are enthusiastic about the quality of students with whom we are working. My hope is that we will have funds to support a half-time clinic director, and half-time training director and office staff. Stipends will exist for our highly motivated and appreciative interns who love their training. APA accreditation could follow.

Ongoing research will be in place, testing the efficacy and effectiveness of psychotherapy interventions and modalities informed by Control Mastery, and other psychology research related to our basic constructs that have important clinical relevance. We are encouraging and promoting ongoing empirical research into mental functioning, psychopathology, and the process of psychotherapy. We are testing new concepts and theories about the development and treatment of psychopathology. We are able to improve existing treatment evaluation methods and develop new measures to assess mental functioning, emotions, and treatment effectiveness.

I hope that the educational components of the group will have large audiences, resulting in stimulating classes and conferences which meet the learning needs of the community. We are providing continuing education for therapists and counselors in the San Francisco Bay Area, nationally, and internationally as well as offering more small conferences giving more members the opportunity to teach. Our Post- License training program is hugely successful and will run at full capacity. A Speaker’s Bureau will have been well established, offering speakers for all aspects of both the public and professional’s needs.

Lots of dreams - Next I will address what I believe is needed to accomplish this vision.


Cont'd: March Workshop Tentative Schedule
 

MORNING SCHEDULE (10 am-12 pm)

Morning group for New Participants: Study of presented case (M. Bush & S. Foreman)

Morning Group for Returning Participants:Participant's Cases (M-W: J. Broitman, E. Lansford, P. Ransohoff) (Th-F: W. Dickman & H)

Monday (March 5)

1-3pm: Etiology of Psychopathology - how pathogenic beliefs are formed (J. Curtis & P. Wood)

1-3pm: Psychology of Medications (M. Lowenstein & N. Sohn)

3:15-5:15 pm: Mastery of Trauma through Art (J. Dulay, P. Ransohoff, S. Steinberg)

3:15-5:15 pm: A Control Mastery Perspective on Sexual Arousal (M. Bader, Grooh)

Tuesday (March 6)

1-3 pm: How Patients Test (S. Badger, Z. Itzhar-Nabarro, G. Silberschatz)

1-3pm: Psychotherapy with Chronically Ill and Dying Patients (A. Hirshfeld & K. Hubble)

3:15-5:15 pm: The Development and History of Control Mastery Theory (M. Bush, H. Sampson, S. Steinberg, E. Weiss)

3:15-5:15 pm: Chemical dependency/ addictions (M. Clark, W. Meehan, P. Wood)

Wednesday (March 7)

1-3 pm: Case Formulation from a Control Mastery Perspective (M. Bush, A. Rappoport, P. Schumacher)

1-3 pm: Couples Therapy (J. Maslow & D. Zeitlin)

3:15-5:15 pm: Trauma (E. Lansford & G. Rhodes)

3:15-5:15 pm: Psychotherapy with Gay Male Clients (T. Moon)

Thursday (March 8)

1-3 pm: Countertransference (M. Clark, D. Oulie, H. P. Broch)

1-3 pm: Adult Case Conference (P. Abrinko, K. DePaola, M. Sullivan )

3:15-4:30 pm: Individual Case Consultations & Research Consultation (Let the office know your interest when registering)

3:15-5:15 pm: Cases that are Difficult to Formulate (M. Black & J. Schreiber)

Friday (March 9)

1-3 pm: Psychotherapy with Children & Adolescents (S. Badger, W. Dickman, M. Jaffe)

1-3 pm: Teaching Control Mastery Theory (M. Bush, J. Curtis, G. Silberschatz)

3:15-5:15 pm: Psychotherapy with Borderline Patients (J. Edmund & S. Foreman)

3:15-5:15 pm: Discussion of Control Mastery Theory—strengths and limitations (S. Gassner, M. Lowenstein, G. Silberschatz)

5:30-7 Reception at #10 Funston –

7:30pm: SFPRG goes to the Movies — informal discussion (no CEs) Join us for a viewing of the first part of "Country Boys," PBS documentary that tracks the lives of two teens as they fight to overcome the poverty and extreme family dysfunction of their childhood in their quest for a brighter future. Their lives provide us with an in vivo opportunity to apply control mastery theory in an effort to understand how they are working to disconfirm their pathogenic beliefs.

LCSWs/MFCCs: SFPRG is a provider approved by the Board of Behavioral Sciences, Provider Number PCE104, for CE credit on an hour-for- hour basis.

PSYCHIATRISTS: SFPRG is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians. The SFPRG takes responsibility for the content, quality and scientific integrity of this CME activity.

PSYCHOLOGISTS: As of January 2002, changes in MCEP regulations have allowed the CMA credit provider status of SPFRG to satisfy MCEP credit requirements, resulting in psychologists being able to directly report their SFPRG CME credits to MCEP. Psychologists attending this workshop may report hour-for-hour toward their CE requirements.


Con't: "The Experience of Clinical Supervision"
 

The purpose of the course is to enable supervisors to receive feedback on their supervisory styles, and to expose ourselves to a variety of supervisory styles as a means of enriching ourselves professionally. We take turns providing supervision to each other on actual cases. After each episode, class members discuss the character of the process and what we can learn from it. The persons acting as supervisor and supervisee, and the rest of us will discuss what worked well, as well as ways to improve areas that worked less well. As the day goes on, an atmosphere of safety and closeness typically develops which makes the experience personally and professionally meaningful.

I have thoroughly enjoyed leading these workshops, and look forward to another wonderful class. If you would like to contact me: arappoport@alanrappoport.com

The Experience of Clinical Supervision

Saturday, March 17, 2007

10 Funston, Presidio

$75 Members, $95 Nonmembers

LCSWs/MFCCs: SFPRG is a provider approved by the Board of Behavioral Sciences, Provider Number PCE104, for CE credit on an hour-for- hour basis.

PSYCHIATRISTS: SFPRG is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians. The SFPRG takes responsibility for the content, quality and scientific integrity of this CME activity.

PSYCHOLOGISTS: As of January 2002, changes in MCEP regulations have allowed the CMA credit provider status of SPFRG to satisfy MCEP credit requirements, resulting in psychologists being able to directly report their SFPRG CME credits to MCEP. Psychologists attending this workshop may report hour-for-hour toward their CE requirements.


Cont'd: Irwin Gootnik's new book: SELF HELP FOR SMARTIES
 

Here are some familiar type magazine articles:

-The five easy steps to losing weight.

-Four secrets to being successful with women/men.

-You too can be a millionaire.

-How to solve your child's behavior problems.

The reader of my book will learn which of their specifc family dynamics were responsible for their ongoing problems, and how and why they continue into their adult life even though they have left their families years ago. Most people are skeptical that this can be accomplished but here is what makes that possible.

I explain why the causes for these behaviors, (outlined below) remain hidden from consciousness and are difficult to access, even though it is necessary to see what is beneath the surface if one is to successfully overcome one's problems.

The charts in particular, and the real life examples and explanations will quickly help a person to see which one of five or six common causes are responsible for their self-defeating behavior.

The charts in the book are organized according to the responses that one made to the flaws of one's parents and siblings which led to one's self destructive patterns. The responses to those flaws are one of three types:

Accomodations

Rebellion-protests

Mimicking

For example, weight loss difficulties can be understood as staying overweight in order to

1. Accommodate to a parent or sibling who is threatened by you being attractive by staying heavy.

2. Acommodating to a parent or sibling who is threatened by your success with your opposite sex parent. You might stay fat in order to avoid being favored by that parent.

3. Accommodating to your parent who feels happy and fulfilled when you eat. Therefore you don't stop when you are full, in order to not disappoint your parent and feel bad.(guilty)

4. Accommodating a parent who was tight with money and couldn't stand for you to waste food. "The children in Africa are starving." So you eat everything on your plate even when no longer hungry.

What about rebelling as a motive for staying fat?

1. Your parent is obsessed with thinness and scrutinzes your eating habits. As a protest, you rebel by overeating, hoping that your parent will get the message and stop being so obsessed with weight and looks.

2. Your parent witheld food, especially desserts as a way of manipulating or punishing you. You rebelled by secretly eating desserts whenever you can.

3. You weren't allowed certian foods because your parent thought they were terrible for your health, or because of allergies or specific illnesses. You felt cheated and rebelled by overeating to overcome the sense of feeling deprived.

What about Mimicking as a cause of staying heavy?

If you believed that you had something to do with your parent or sibling being fat, you won't feel that you deserve to be better off than they, and so you too remain fat. You don't want them to feel bad about their weight problems so you join the fat club.

The same kinds of charts and real life examples explain people's problems with love and sex, career and wealth, and parenting.

My book contains many explanations about how the powerful affects of guilt and resentment drive self-defeating patterns. For example, by not accommodating your parent or sibling's flaws, and instead doing what is right for you, you are made to feel guilty about hurting them. ("How could you do this to me." "After all I have done for you." "Just wait until you have kids." etc.) These type of comments are often accompanied by pouting, sulking, withdrawing, screaming etc. which reinforce the fact that they have been hurt by you.

In order to not feel guilty you tried to please them, rescue them, and not threaten them, no matter the cost to your well being. Finally when your resentment and anger about accommodating finally intensifies enough, you begin to shift to acting in your own self interest until your guilt about that pushes you back in the direction of accommodating. That is why people so often experience repeated frustration because pursuit of their goals is usually followed by undermining them.

My book also explains the following:

-Why some people have to feel like a victim.

-How psychological crime, punishment, and psychological jail are always related.

-Why people deceive themselves into thinking that they are in control of their life.

-Why people have trouble seeing the flaws in their family even though they can see the damaging effects.

Double trouble: How pleasing one parent can provoke the other, and visa versa.

For example: Overeating to please the parent who loves to see you eat, but causing the other parent to become overly critical or upset. And visa versa.

My book also explains the tremendously important role of siblings in the origin of one's serious problems, and how often it is overlooked by both patients and psychotherpaists.

Because the book is written in a clear easy to read style, without psycho-babble and complicated psychoanalytic theory, it will be useful to the psychotherapist and particularly helpful for people in therapy to have quicker access to and understanding of their underlying problem behaviors.


Cont'd: Meeting SFPRG
 

One year later I started working on my thesis for my Master Degree, which is a required step in Italy to graduate. My thesis was about metaphors in psychotherapy and my Professor, Marco Casonato, asked me an important question: “Would you like to know more about metaphors though attending some lectures of Professor G. Lakoff at the University of California, in Berkeley?” I asked him twice if he was serious about that. He was.

G. Lakoff is the author, with M. Johnson, of the Conceptual Metaphors Theory and he teaches at the Linguistic Department at the UCB. The day after my last exam at college I was on a flight Milan-San Francisco.

My plan was to stay in Berkeley for three months so that I would be home on time to discuss my thesis and to graduate in the summer session.

I attended Lakoff’s lectures, while working on my thesis, from the beginning of February 2006. A few weeks later, I met Jessica Broitman, another of my Professor’s friends, in Berkeley. She kindly invited me to attend the imminent March Workshop about Control-Mastery Theory at the SFPRG.

Without really knowing what I was going towards, I had this great experience, meeting interesting people and experts of this Theory, who opened my mind, my thoughts and my desire to learn more about it.

During that week Jessica asked me another incredible question: “Would you like to come here for your internship when you graduate?” Once again it was a serious question, which changed my programs a lot. I started working even harder on my thesis in order to be able to be in San Francisco in September, and this is exactly what happened.

Do you know that Frost’s sentence which goes like: Two different roads diverged in a wood, I took the one less travelled by and that has made all the difference. It was true for me.


Cont'd: "Introduction to Control Mastery Intensive Day Course"
 

This course is taught by Steve Foreman, MD, Jan Schreiber, PhD and George Silberschatz, PhD. 6 CE Credits ($50 admission fee). This course is a must for anyone who is new to the theory, or who wants to refresh their understanding of the basics of Control Mastery theory and research. Two didactic lectures and a detailed case presentation will each be followed by a question and answer period that offers participants an in-depth dialogue with the three presenters.

Participants will be able to:

·Discuss how pathogenic beliefs are acquired and how they produce psychopathology.

·Describe the patient’s primary motivation in psychotherapy.

·How patients work consciously and unconsciously in therapy in accord with their plans to solve their problems.

·How the therapist can help them in their work.

·Infer a patient’s plan.

·Formulate how testing occurs and specify how the therapist passes tests.

LCSWs/MFCCs: SFPRG is a provider approved by the Board of Behavioral Sciences, Provider Number PCE104, for CE credit on an hour-for- hour basis.

PSYCHIATRISTS: SFPRG is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians. The SFPRG takes responsibility for the content, quality and scientific integrity of this CME activity.

PSYCHOLOGISTS: As of January 2002, changes in MCEP regulations have allowed the CMA credit provider status of SPFRG to satisfy MCEP credit requirements, resulting in psychologists being able to directly report their SFPRG CME credits to MCEP. Psychologists attending this workshop may report hour-for-hour toward their CE requirements.



Take advantage of the education offerings from SFPRG and also know that the fees for these excellent opportunities are less when you become a member and if you register early.

Don't hesitate to benefit from control-mastery theory and the educational opportunities provided.

9 & 10 Funston Ave, The Presidio
Kathie Dunn MFT, Editor
San Francisco Psychotherapy Research Group, Clinic and Training Center

Phone: 415-561-6771
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