San Francisco Psychotherapy Research Group, Clinic and Training Center Newsletter
Issue #16
September 2007
In This Issue  

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Greetings!

We are back from summer with exciting opportunities for the fall. Please consider sharing with other reader/members your experiences with Control Mastery theory by writing an article for your newsletter.

ITS MEMBERSHIP TIME!!!
 
9 & 10 Funston Ave, The Presidio

You are cordially invited to become a member of SFPRG. By clicking on the Presidio picture you will go straight to our website Membership page where an application and more information is available. First year membership fee is only $75 and all fees are tax deductible! Read On


REFLECTIONS ON THE POST-GRAD TRAINING PROGRAM
 
From Kathie Dunn
9 & 10 Funston Ave, The Presidio

As an alumni of the first Post-Grad Training Program I must speak out to all of you. I am emphatic in my enthusiasm of the excellence of the program; it's presentation, guidance and fellowship deepened my understanding and application of control mastery theory. As a three year MFT I joined with Ph.D.s, M.D.s, LCSWs and other MFTs in the didactic and case presentation format.

The program content was carefully thought out, well organized and presented especially well by its faculty Marshall Bush, John Curtis, Michael Lowenstein and George Silberschatz, and like all SFPRG offerings, well-priced. We had numerous guest speakers who elucidated the finer points of the content and then the material was applied through a participant case presentation.

There were ample opportunities for questions and for relating our experiences in understanding the theory, its development, the central themes and its application. The atmosphere is collegiate, fun and relaxed with lively discussion, good food, too.

The program begins on Wednesday, October 17 and I strongly urge you to sign up now; also be sure to tell your colleagues. To find out more click on the Presidio picture at the top of the article to enter our website and you'll be on the Post-Grad page.


RESEARCH CORNER
 
From Marshall Bush

I encourage all members and their friends and families to attend the free parenting lecture series that begins on 9/26/07. You will learn a lot and have fun. The lectures will be offered the 4th Wed. eve of the month at the historic and beautiful Swedenborgian Church (on Lyon and Washington Streets, right outside of the Presidio). Our kick-off speaker is Steve Foreman.

The 2 PM Friday Research Group has begun on Fridays. If you would like to attend, call me (Marshall Bush) at 415-561-6775. I am interested in all of your research ideas. Our mission is to extend control- mastery theory and learn interesting new things in the process.


CONTROL MASTERY IN THE ROOM
 
From Joy Misra

In my talks with my supervisor, Adrienne Wolmark, who taught me control mastery theory while doing my internship at the YWCA in Portland, Oregon, I came to recognize that the pulls and draws I felt toward a client such as disgust, ambivalence, care-taking, protectiveness and admiration were clues to the client's story and their patterned way of being in the world. Read On


TRAINING CENTER CORNER
 
From Barbara Sapienza

We are off to a precious start with five new interns, giving us a total of eleven. Myself, Jessica Broitman, Molly Sullivan, Ginger Rhodes and Marshall Bush, along with visiting Peter Schumaker, sit in awe of them. We've met twice and the energy is incredible!

Alan Rappoport and Carol Drucker will begin next week with the seminars and didactics, along with Supervision.

I am reminded of those 'going back to school days' when everything is new and fresh and there is a place for the unexpected. We have a chance to dance with each other around a theory that says that each of us has a plan to be whole and will coach the other in order to find that whole. I am grateful to the SFPRG community who eagerly and freely give of their time to make this happen.


OUR NEW DVD
 
From George Silberschatz

Our DVD -- "Psychotherapy Case Formulation from the Perspective of Control-Mastery Theory" is now available for sale (through Rob). The DVD contains a brief overview of key control-mastery concepts such as the role of trauma in the development of pathogenic beliefs, the patient's plan, testing, etc. This is followed by an intake interview, which lasts about 35 minutes. A plan formulation of the case is presented next followed by 4 examples of the patient testing the therapist. The nature of each of these tests and an illustration of how the plan formulation is used to understand them follows. The DVD will be extremely valuable for anyone who wants to see how to use control-mastery theory to understand and follow rich clinical material. The DVD is also a valuable resource for people who wish to teach or give clinical workshops.


RECENT PUBLICATIONS
 

Isa Sammet, Falk Leichsenring, Henning Schauenburg, & Sylke Andreas (2007). Self-ratings of pathogenic beliefs: A study based on the control- mastery theory. Psychotherapy Research, 17, 494- 503. The authors developed a new self-rating measure -- List of Pathogenic Beliefs -- designed for patients to rate pathogenic beliefs. Comprised of 23 items, the new measure correlates significantly with two other widely used measures of psychopathology (The SCL - 90 and the Inventory of Interpersonal Problems).


FOR YOUR INFORMATION
 
Case Conferences and Office Rentals
9 & 10 Funston Ave, The Presidio

Don't forget, there are several case conferences available to members around the Bay Area. Click on the Presidio picture and choose Classes/Calendar for more information on the conferences.

  • How Psychotherapy Works - SF - Peter Shumacher - Monday ams
  • The Therapeutic Process - SF - Steve Foreman - Wednesday afternoon
  • Wednesday Case Study Group - SF- Norman Sohn & Alan Rappoport - mornings
  • Psychotherapy From a Control Mastery Perspective - Orinda - Michael Lowenstein - Friday am
  • The Joy of Therapy (East Bay) - Helene Goldberg - Thursday afternoons

Two offices available part-time in a beautiful Victorian building in North Berkeley. The building is walking distance to the North Berkeley Bart station and several bus lines. It is in close proximity to a quaint shopping area. Both offices are quite spacious and are perfect to use as a secondary office space.

The first office is available on Mondays and Fridays. It is suitable for psychoanalysis, and adult, couples, and adolescent psychotherapy. It has a private kitchen and bathroom. Contact Suzanne Gassner at (510) 528-6042

The second office is available all day on Thursdays and on Monday mornings. It is newly furnished and suitable for adults, couples, and adolescents. Contact Madeline Feingold at (510) 540- 8715

Large psychotherapy office for rent in Pacific Heights Victorian building. Great location on Sacramento St. near Presidio Ave. Available immediately. $950 per month. Please call Norman Sohn, Ph.D. for appointment (415) 563-8276.


Con't: Membership
 

We are excited about our plans for expanding our programs and our training center. We welcome your support and participation as that is vital to our future .

SFPRG has made important strides during the past year in growing our organization. We expanded our course offerings and are creating new opportunities for members to teach, participate in study groups and serve on committees.

Among the new member benefits this year are free research consultation and free writing consultation with plans underway to offer low-fee case consultation. (If you would like to help provide any of these services please contact the office.)

Our clinic and training program have been hugely successful. There is no better low fee therapy available anywhere in the Bay Area. We now have 10 superb interns, excellent supervisors, and outstanding applicants for training. We extend our heartfelt appreciation to all who supervised and taught classes. Our program would not be possible without their generous help and support. Please continue to spread the word that our clinic is accepting referrals on a sliding scale from $25 -$85.

Our organization has prospered under the skillful leadership of our Board, the hard work of our Administrative Director, Rob Petitpas, and our hard- working committee chairs and committee members.

We will prosper even more if you join SFPRG and lend us your support. If you are interested in joining a committee, please indicate that on the membership form or email the office at sfprg@sfprg.org. Most of the committees meet at our Presidio office, often on Fridays at noon.

Please join us in our effort to conduct research on the psychology of the mind, especially as it bears on the effectiveness of psychotherapy; to support the training of mental health professionals through our training center; to provide mental health services through our low-fee clinic, and to promote mental health through the education of the public. If you have any questions about membership, you may call the office.

For information on the OPPORTUNITIES FOR MEMBERS, MEMBERSHIP BENEFITS, and HOW DO I JOIN? click on the Presidio picture at the beginning of this article and go directly to the membership page of our website.


Con't: Control Mastery In The Room
 

This is in line with control mastery theory, in which the client presents "tests" to their therapist, and often reactivates their old wound in an attempt towards resolution with the therapist around this deeply loaded issue.

Particularly, it was interesting to have five or six clients back to back and feel energized or depleted due to who was coming into the room; such different responses, feelings and energy from person to person because the tests were different, even if some of the core issues, such as omnipotent responsibility, shame, rejection and worth were the same.

I remember one client in particular who I disliked setting boundaries with. I noticed that in calling her when appointments were missed I dreaded having to be the authoritarian rule-setter and worried about her response to me for charging for sessions missed.

This is in line with her personal story, in which she was more of the adult and caregiver in her family. She had more of a friendship with her caregivers in which she often had to be too responsible. Similarly, she mentioned feeling like I could be a friend, even as she realized it wasn't possible for us to spend time together like she wanted.

Early in our sessions, she asked if I would buy tickets to come to a performance she was in. I examined if this was a test of worth though decided it was actually a test of boundaries, realizing she would be relieved if I wasn't able to come. My client audibly sighed with relief when I told her my decision because of the boundaries at the core of our dynamic.

My client had actually coached me into getting the response she wanted and needed. If I had failed the test I believe it would have been possible to repair; and she would have given me equal clues as she did when I passed the test, through nervousness and other nonverbal behaviors, or perhaps by creating more distance in our relationship, to coach me that this was a test of such boundaries. Could her therapist provide limits where others in her early life could not?

Tests feel different from the normal therapy material when clients place them in the room. They have a charge or an edge. There seems to be an aliveness about the statement, or almost a questioning... Are you, my therapist, going to buy this as I put myself down? Are you going to call me out on my low self-worth? Will you too reject me, when I share my stories of being rejected in childhood and marriage? Will you hurt me if I make myself and my "worst" layers available to you?

Will the wounds from the past be healed this time, through the repetition compulsion, and give me the chance for something better by practicing my deepest issues on you, my therapist, or will I be wounded again, and largely have to carry the wound on my own? These questions and statements are the core that drives client behaviors in therapy ,"testing", as it is called in control mastery.

This holds true in working with relationships as well. Core issues of worth and rejection, for example, seem to play in harmony (or disharmony) with each other. I remember one couple in which, if it were individual therapy, I would've been working with one partner that it is okay to say no, that she was worthy of it, after a lifetime of trauma in which "no" hadn't been an option. This "no" was coming out in every direction in their interactions and fit in with her partner's core issue of rejection.

Control mastery is wonderful in that it acknowledges the therapist's own feelings and hunches. Counter-transference is thus one of the best tools a therapist has for knowing the inner world and subjective experience of clients.

I was able to look at the strength and intensity behind my counter-transference with this couple and get information into their dynamic.

I remember one session in which the partner who was often rejected, expressed gratitude towards me for a session we had done together. This couple was one of my favorites to work with because of how genuine, honest and raw they were.

Yet, I found it hard to take the compliment like the partner who was learning to say "no". Trust was the underlying issue. Could anyone be trusted enough to be allowed into the private, phenomenological world, enough to prove themselves as "good"? Worthlessness, hopelessness and fear of manipulation were all tied in.

The trauma wound was alive. My counter- transference may have been a response to feeling the "passive into active" experience of what it was like to be my client who was a trauma survivor and hadn't been trusted herself.

At other points in the therapy, I would feel how aching it must be to be the other partner and to get rejected. This information was invaluable to me in working with this couple. It gave me both empathy and a template to work with them. Tests, countertransference, and digging deep to the seminal layers of what is being reenacted drives at the esoteric in a very real and practical way. I could get to the root with a pragmatic tool to do the digging.

That is why control mastery works for me. Everything is simply information which gives me a solid structure to understand the complex, without pathologizing. People simply are; their behaviors, thoughts and emotions are all information in an attempt to heal and this is what both they and I want for them.



Again, I urge you to write an article for your newsletter, become a member of SFPRG and take the Post-Grad program. They are win/win solutions!

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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