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San Francisco Psychotherapy Research Group, Clinic and Training Center Newsletter
Issue #26
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August 22, 2008
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As editor of your newsletter I would like to
tell you of my journey to this position. I
first became acquainted with Control Mastery
theory as an intern in private practice under
the estimable supervision of Melanie Clark in
Benicia. Her gentleness and intelligence
provided a stable background and foreground
to my becoming a helpful therapist. My
progression toward
integration of self and practice was informed
without the pedantics I had assumed were
necessary as a result of an open-ended
education from Cal State Hayward, East Bay
Campus.
I had been attracted to the tenets of
Object Relations but found that I lost track
of my clients in trying to translate the
intellectual concepts of that theory into the
actual experiences of my clients in the room.
When Melanie, without intimidation or
forcefulness, guided me towards understanding
my clients from the Control Mastery tenets of
irrational beliefs, testing and their
inviolate desire to rid themselves of
obstacles I began to feel more comfortable in
my helpfulness and closeness to their
experiences. I felt relief; I had found a
process that matched my inner beliefs about
the reasons people seek help from therapists
and how to help them do that.
I read Engle and Ferguson's book about
imaginary crimes, guilt and the concept of
altruism, that children take on the burden of
comforting their parents even as it derails
their own development. Along with Melanie's
supervision these concepts made so much sense
and released me from an uncomfortable
perspective that people seeking therapy
actually want to confirm their unreasonable
beliefs and learn to be comfortable with
their self-defeating behaviors.
I became excited about attending the 2004
March Workshop and booked a room close to the
Presidio. I had the wonderful opportunity to
study with Joe Weiss and Hal Sampson and
experienced the humbling and supportive
attitude of Control Mastery first hand. The
presenters were intelligent, instructive and
open, the courses were relevant and
informative, the Presidio open and beautiful.
I felt such gratitude to the founders and
practitioners of Control-Mastery that I
became open to any opportunity to give back
to SFPRG and at a Town Hall meeting I offered
up my services, became part of the Membership
Committee and took on the challenge of this
email newsletter. I have taken several
workshops, Michael Lowenstein's case
conference and the first Post-Graduate
course, all of which were worth much more
than the money I paid. I have been rewarded
with a deepening of my therapeutic skills,
interpersonal relationships, collegiate
environment, and, I have become a nicer person.
I heartily encourage all of you who have
not yet become members of SFPRG to do so
during this membership drive. The benefits
and opportunities are more than you imagine
and the rewards are deeply satisfying.
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PRESIDENT'S REPORT
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From Steve Foreman
Dear Colleagues,
The summer is coming to a close and the
SFPRG educational program will be starting up
in September. There will be a great series
of classes and conferences. Five clinical
case conferences in Control Mastery Theory
are offered in San Francisco and the East Bay
as well as a research class. There are four
fall conferences offered starting with the
Paradox of Power on September 28 and
followed by Law and Ethics, An
Introduction to Control Mastery Theory, and
The Sexual Intelligence of Men. Please
see the SFPRG Website (SFPRG.org) for
details, dates, and places. Please come to
the conferences for excitement, professional
enhancement, and continuing education
credits, and, tell your friends.Read On
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MEMBERSHIP COMMITTEE REPORT
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From Kathy DePaola
HEAD'S UP!!! The Membership Committee is
launching the membership drive and sending
out renewal letters to all members in
September. We will
also start planning the October Member Mambo
and Town Hall meeting soon.
Kathie Dunn, our newsletter editor reports,
that there are now 431 subscribers to the
Newsletter. The Newsletter is helping SFPRG
to expand its membership.
Peter Schumacher is making progress with
the online searchable data base he is working
on which will be used for a referral service
for our members.
Karen Hubble, who is Chair of the
Fundraising Committee, will be working with
her committee to create a strategy for a
major fund raising drive and will coordinate
their efforts with the membership committee.
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EDUCATION COMMITTEE REPORT
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From Patsy Wood
Hi Everyone,
This fall is going to be an exciting one
for us at SFPRG with a series of amazing
workshops that shouldn't be missed! First of
all we have a workshop
on a very thought-provoking topic featuring
Dr. Heather Clague and Dr. Helene Goldberg
entitled, "Looking at the Darkside:
Aggression, Evoluation
and Evil in Clinical Practice." The
workshop will examine the adaptive nature of
aggression in human life and how it can be
reframed for clients in
a way that is non-shaming and that
facilitates empowerment and change. This
workshop will be at the Jewish Community
Center in San Francisco on Saturday September
27 from 9 to 1:15; it is extremely
inexpensive and provides 4 CEU's for licensed
professionals. Read On
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SFPRG CLINIC REPORT
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From Carol Drucker
The SFPRG clinic has grown and flourished
over the last 8 years. And as I take on my
new position as Clinical Director I would
like to acknowledge the individuals who have
made it such a success. The clinic was the
wish of both Joe Weiss and Hal Sampson. They
each felt that training new clinicians in our
theory was an important way to continue to
have Control Mastery seen by a larger
audience.
Jessica Broitman in her role of
director of the clinic has done so much work
to ensure that the clinic has blossomed and
grown. Under her tutelage the clinic has
grown from a small adjunct of the Wright's
clinic to a thriving independent entity.
Jessica will remain in her position as
director of the clinic for the upcoming year
but is actively looking for a replacement.
Barbara Sapienza, whose position I am
replacing, has also done a remarkable job as
clinical director for the last 5 years. She
brought a warmth and thoughtfulness to the
training that is very unique. Her presence
will be sorely missed. Her shoes will be
very hard to fill. We all wish Barbara all
the best as she steps down.
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RESEARCH COMMITTEE REPORT
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From John Curtis
The San Francisco Psychotherapy Research
Group Clinic and Training Center is the
(grand) child of the Mount Zion Psychotherapy
Research Group (MZPRG) which was established
by Joe Weiss and Hal Sampson to conduct
research on the Control-Mastery Theory. The
MZPRG met weekly (on Fridays, hence the
nickname the Friday Group) for many years to
plan, discuss, and report on the on-going
research that Hal and Joe organized and that
was carried out by the various members of the
group. The MZPRG achieved international
recognition for the ground-breaking research
that it conducted on the process and outcome
of psychotherapy. Following the publication
of The Psychoanalytic Process, and in
some measure fueled by the demise of the
Department of Psychiatry at Mount Zion
Hospital, the MZPRG was reorganized as a
free-standing non-profit organization and
re-named the San Francisco Psychotherapy
Research Group (SFPRG). The mission of the
SFPRG was to continue conducting research on
the theory and to disseminate the theory
through courses, writing, and presentations.
The establishment of a training clinic
resulted in the current name iteration:
San Francisco Psychotherapy Research Group
Clinic and Training Center. Read On
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NOTES FROM THE RESEARCH FRONT
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From George Silberschatz
As many of you know, I believe that it is
crucial for our group to develop rating
scales that reflect some of our key concepts
and that could easily be used by
investigators or clinicians outside of our
group. Toward this end, we* (see end of
article) have been hard at work for the last
year developing a new pathogenic belief scale
(some of you have already used the scale
on-line in rating one of our brief therapy
cases, Leon). We are now ready to take a
big leap and try the scale out as a
self-rating measure, which entails people
rating themselves on the pathogenic belief
scale and completing a couple of other brief
inventories.
There are two ways that readers of the
Newsletter can contribute to this new
research effort: 1) I hope that many of you
will go to this web site (click on the link
below)
http://www.surveymonkey.com/s.aspx?sm=xTqaNDAsvihuQrNrdjn02g%3d%3d
and complete the scale and related
inventories, which will take approximately 15
to 20 minutes of your time; and 2) that you
will forward this link and ask your
colleagues, students, friends, and relatives
to do the same. Please note that all
responses on this site are entirely anonymous
and there is absolutely no way that any
respondent can be identified (no names or
email addresses are requested and the
recording of IP addresses is disabled).
Statistical validation of this new measure
will require approximately 1000 participants
and that is why we urgently need everyone's
help. Since participation is entirely
anonymous we will not know who has or has not
filled out the questionnaire. So if you have
any questions/comments/suggestions about the
study or see other ways of using the
pathogenic belief scale, please email me
directly at George.Silberschatz@UCSF.EDU .
The "we" who have been working on
developing and refining the pathogenic belief
scale include John Belford, Marshall Bush,
John Curtis, Kathy De Paola, Zohar
Itzhar-Nabarro, George Silberschatz, Michelle
Skeen, Molly Sullivan, Judith Wilson and Neil
Young. Anyone who would like to get involved
in scale development and testing should
contact me.
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CLARIFICATION TO JULY ARTICLE
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From Patsy Wood
The following is an important clarification
from the write-up on the SFPRG Training
Clinic data that appeared in last month's
newsletter. The write up cited Lynn O'Connor
in addition to Linda Tetzloff and Marshall
Bush as being the key individuals involved in
the development of
the current treatment protocol at place in
our clinic. Actually the protocol was
based largely on a protocol developed for
her dissertation research by Dr. Jane
Weisbin entitled "A Dose Response Study of
Control Mastery Theory."
In this 2003 study Dr. Weisbin examined
weekly follow up data in control mastery
therapies of 11 patients at the SFPRG Clinic
and compared the response rate over time to
that in other psychotherapy outcome research.
She found that the recovery rates were
comparable to other dose-response therapies
demonstrating the efficacy of Control Mastery
Therapy, especially over longer periods of
time. She writes in her abstract: "Survival
analysis suggested that 25% of the patients
beginning therapy in the dysfunctional
range would reliably improve after 14
sessions, 50% after 19 sessions and 75% after
30 sessions. These figures are not
statistically significant, but do compare
favorably with prior dose-response
literature, though they lean toward the
higher number of sessions required. Level of
distress at intake was found to be positively
correlated with time to improvement which is
correlated in several dose response studies."
Dr. Weisbin has a private practice in
Berkeley and has been a member of SFPRG since
1999.
Patsy Wood
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GREETINGS FROM GERMANY
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From Vale Gandini
Dear SFPRG,
As some of you might remember I am now in
Germany, one year already passed by. I came
here to work on a project with Professor
Mergenthaler, a name known from the Group.
He gave me the chance to apply his informatic
method of research, the Therapeutic Cycle
Model, used in psychotherapy, to contribute
on the research about the Control Mastery Theory.
The Therapeutic Cycle Model, successfully
applied to psychotherapy (Mergenthaler, 1996,
2008) makes use of two change agents,
"Affective Experiencing" and "Cognitive
Mastery", measured as Emotional Tone and
Abstraction in the verbal expressions of
patient and therapist verbatim transcripts.
The main idea is to use transcripts coming
from the San Francisco Psychotherapy Research
Group and to apply Mergenthaler's method of
analysis to study if the concepts of the
Control Mastery Theory can find an empirical
support by TCM.
The research is meant to observe which
phenomena, patterns of the Cycle, are taking
place in terms of linguistic analysis during
moments like: pathogenic beliefs, testing,
plan and plan formulation.
The decision to apply the Therapeutic Cycle
Method was reached because it is considered a
reliable method of research in psychotherapy
to study conflicts, traumas, and change in
the therapeutic process.
This method makes it possible to focus not
only on the patient, but also on the
therapist. This is crucial from the Control
Mastery's point of view considering the
testing and the plan formulation concepts, on
order to understand the consequences of the
therapist's responses to the events which
demonstrate those concepts.
We would like to use for our project the
case of AR, which was the object of recent
analysis conducted by M. Bush. We
unfortunately still have not managed to get
hold of this material, but we still would
like to count on that.
In the meanwhile we are using as a pilot
case the transcripts of Myra, trying to
organize the collection of data, and the
analysis in order to provide guide lines
useful for following cases. We hope to get
some feedback about the material and what you
think about my project, for any question or
advice.
I am still looking forward to be back to San
Francisco for the next March Workshop, where
I would like to be able to present much more
about what we are trying to do over here.
Best wishes everyone,
Please, contact me:
valentina.gandini@uni-ulm.de
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ANNOUNCEMENTS
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+Rob Petipas announces that the fall class
schedule is up on the website and a hard copy
of the fall brochures will be out in September.
+Marshall Bush announces that his Friday 2pm
research group will begin meeting again on
Friday, September 5 in the conference room at
9 Funston Ave. We will be studying the
process of
testing and the patient's reactions to passed
and failed tests in a recorded analysis and
in a recorded short term therapy. My goal for
this year is to complete at least one formal
study. The group members
are brilliant, the discussions are
intellectually stimulating, and we do our
best to make it a lot of fun. If you are
interested in attending, please contact me at
415-561-6775.
+Office For Rent: Sunny, large and
beautifully decorated office available in the
Presidio at 10 Funston. The office has high
ceilings, a fireplace, bay windows and a
waiting room. It is available 2 days per week
and evenings. Please contact Kathy DePaola
at 415-561-6788, or depbigsf@pacbell.net for
further information.
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Cont'd: President's Report
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Last month I mentioned Patsy
Wood's analysis of outcome data from the
SFPRG Clinic but I neglected to mention that
the first outcome study from the SFPRG clinic
was done by Jane Weisbin under the
supervision of Lynn O'Connor in 2003. I am
hoping to develop a complete catalogue of all
the research done by our group, so that
everyone's work is acknowledged and
appreciated.
It's important for people within our group
as well as in the greater community to
appreciate the tremendous empirical base upon
which Control Master Theory is based.
Some of this body of work has been
documented in Chapter 11 of George
Silberschatz' book, Transformative
Relationships. Some of these studies are
printed in their entirety on Vic Comello's
website, controlmastery.org (a link is
available through our website, SFPRG.org,
click on the link below). We do not yet have
a comprehensive list of research performed by
SFPRG. John Curtis,
chair of the Research Committee, is taking on
the task of developing this catalogue and is
asking people to email studies that have been
completed, are currently underway, and are
being planned. I would like to see all of
these completed studies available in their
entirety for viewing, or at the very least
their abstracts. I would also like to see
all of the dissertation studies and other
research studies currently underway
acknowledged and listed. The research that
SFPRG is doing and has done is a tremendous
achievement and should be a source of pride
for our group.
The SFPRG Clinic is taking on eleven
excellent interns starting in September.
This is an increase of one intern from last
year. The clinic did 110 intakes in the
eleven months between September '07 and
August '08. This is an increase from the 100
intakes done in the previous year from
September '06 to September '07. The clinic
is serving a tremendous function providing
excellent low cost psychotherapeutic services
to the San Francisco community. It is also
providing wonderful training to psychology
and social work interns who benefit from some
of the best supervisors in the San Francisco
Bay Area. Finally, it is a potentially rich
source of data for studying "Control Mastery"
therapies in formal process and outcome studies.
Our Fundraising Committee, under the able
leadership of Karen Hubble, has been meeting
and planning how to introduce SFPRG to the
larger community. We are planning a brochure
that testifies to how grateful patients are
for Control Mastery Therapy, how grateful
student therapists are for Control Mastery
supervision, and how respected and seminal is
Control Mastery research is in the world of
psychotherapy research. We are also hoping
to revamp our website to allow individual web
pages for each member. We also want to
improve the current website to make it more
accessible to people who want to attend
seminars, participate in the clinic training
program, get therapy through the clinic, or
just learn about Control Mastery Theory.
Because we believe that Control Mastery
Theory is extremely valuable to clients,
practitioners, and researchers, we would like
to expand the program. That would mean we
could give more conferences in the Bay Area
and elsewhere, we could do more research, and
we could improve our training program, and
even pay our interns. In order to expand
our program, we would need to expand our
budget, which would require increased
membership and increased donations from
outside individuals and organizations.
We are asking current members to increase
dues if they can afford it. We are also
asking non-members to join, attend more
seminars, and come to more conferences. We
are trying to develop a thriving volunteer
program where people help with putting on
seminars or by assisting in research, and in
return learn more about theory or research.
Our assets are that we have a large group
of talented practitioners, teachers,
researchers, and writers who are enthusiastic
about Control Mastery Theory and have a lot
to give. We are trying to organize that
enthusiasm so that we at SFPRG can do more
work - more teaching, more research, and more
effective therapy. We want to test the
theory empirically, improve the theory, and
interface with talented practitioners,
teachers, and researchers from other theories.
I wish you all a wonderful end of summer,
and hope to see many of you at conferences,
seminars, and wandering around SFPRG in the fall.
Steve Foreman
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Con't: Education Committee Report
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The second workshop featuring
Jules Bernstein is "Law, Ethics and
Personal Values: What's a Therapist to Do?"
and will be located at 9 Funston from 9
am to 4pm on October 11th and will provide
you with 6 CEU's for a very good price. This
is a law and ethics workshop
that examines some of the more charged issues
that mental health professionals face and
views them in a way that privileges the
client as much as possible. While the
legal issues ethics of basic professional
practice are covered, framing the workshop in
terms of these more controversial issues
gives participants a perspective they don't
often get at most Law and Ethics workshops.
I think you will
find the workshop very stimulating and it
will enable to meet your licensing
requirements as well!
On Saturday October 18th we have an
Introduction to Control Mastery workshop
taught by Dr. Steve Foreman, Dr. Stephen
Kanofsky and Dr. Jan Schreiber. (check
the website for availibility!)
Again it will meet at the SF JCC from 9 am to
4:30 and provide 6 CEU's of
credit. For students the cost is $20 for the
workshop so if you are working
with students who are expressing an interest
to know more about Control
Mastery, this is the workshop for them.
Please let your graduate students,
psych assistants and supervisees know about
this workshop. Participants
will come away with a good overview of the
model and how to readily apply it
in work with clients.
Our final fall workshop is on Saturday,
October 25th at the SF JCC from 9 to
12 is also a must for all members and
interested parties. It is taught by
Dr. Michael Bader and is titled,
"What is He Thinking? The Sexual
Intelligence of Men." Again for an
amazingly good price you will come way
with 3 CEU's of credit and a way of viewing
male sexuality that is very
different from the common cultural norms and
values. Dr. Bader will explore
how unconscious guilt and loneliness are
central to male motivation and
sexuality. As any who have attended his
workshops can attest to, you will
find yourself riveted and on the edge of your
chair for the entire three
hours. You don't want to miss this!
Finally, we have five ongoing case
conferences this next year:
Peter Schumacher will be facilitating a
seminar at
9 Funston on Mondays from 10:30
to 12 for 16.5 CEU's of credit this fall.
Alan Rappoport and Norm Sohn will
be offering a case study group on Wednesdays
from 9 to 10 for 12 CEU's this
fall.
Steve Foreman will be facilitating a
conference on the therapeutic
process on Wednesdays from 2:30 to 4 for a
total of 25 CEU's this fall.
Helene Goldberg will be offering a Treatment
by Attitudes case conference in
Berkeley from 2:30 to 4 on Thursdays
afternoons for 19.5 CEU's this fall.
Michael Lowenstein will be offering a
seminar on How Control Mastery
Therapy Works that will meet in Orinda
beginning in January.
And for those who would like to get
involved in research Marshall Bush will be
offering a
research group on Friday afternoons in San
Francisco from 2 to 3pm. For any
of you interested in getting experience doing
clinical research, this is a must!
Please feel free to participate in one or all
of these wonderful educational
opportunities. We look forward to having you
attend.
Patsy Wood
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Cont'd: Research Committee Report
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Research was the raison d'etre and
the bedrock of the MZPRG, and research has
played an important role in the organization
throughout its development. Control-Mastery
Theory always distinguished itself from other
theories by empirically testing and verifying
its tenets. Research was very much at the
core of the theory and played a huge role in
garnering the respect and acceptance from
other clinicians and theorists.
However, my sense is that in recent years
the organization has placed less emphasis on
research and that teaching and training have
been higher priorities. This is not to say
that no research is being conducted. George
Silberschatz and Marshall Bush have each
established groups that have been actively
engaged in research, and other members of
SFPRG have been conducting extra-mural
research on the theory (some of which has
been reported in this newsletter).
With all due credit, these research
enterprises are
very much the creations of the individual
investigators - they are the products of their
initiative and efforts, not of the Group.
The Group does not have a unified research
program and there has been little or no
organizational support for research. As a
result, research is no longer a core
component of the Group; it is not integrated
into the training and education programs that
the Group offers, and, as a result, potential
gold mines of clinical data, such as the
Clinic, have remained untapped.
Steve Foreman and the Board have expressed
their support for bringing research back into
SFPRG, and I am pleased to serve as chair of
the Research Committee with the task of
reinvigorating research in the organization.
The committee (current
members are George Silberschatz, Marshall
Bush and myself) will be meeting soon to
develop strategies for promoting and
supporting both existing and new research
programs. My bias is to encourage and
support research on the basic processes of
psychotherapy.
From its inception, the research of the
Group has focused on investigating the basic
"laws" of psychotherapy, not on
Control-Mastery Theory or techniques per se.
Despite the emphasis these days on trying to
"empirically validate" various treatment
approaches I do not think that there is any
value in trying to prove the primacy of
Control-Mastery Theory over other theoretical
approaches to treatment. Too often such
efforts represent little more than horse
races between different approaches applied to
an often narrowly defined clinical
population.
In my estimation the results of
such studies are often, at best, ambiguous
and provide little if any guidance to the
clinician on how to be of help to a given
patient with his or her individual issues.
In future newsletters I will be reporting on
the work of the Research Committee. In the
meantime, I would appreciate receiving from
the membership reports on any research that
you are involved in on Control-Mastery
theory. Also, please feel free to contact me
if you are interested in being involved in
research or have research interests that you
would like to pursue.
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Please let us know of your experiences with
Control Mastery theory by sending an article
to your newsletter. We are interested and
look forward to your involvement.

Kathie Dunn MFT, Editor
San Francisco Psychotherapy Research Group, Clinic and Training Center
Phone:
415-561-6771
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