• Residency 1: October
• Residency 2: April
• Residency 3: October
• Webinars
• Past Curriculum

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Residency 1:
October 23-25, 2023

Day 1
Morning — Curriculum Overview: Applying Three Treatment Models to the Assessment of Health, Injury and Cultural Marginalization

• Describe the importance of using a systemic Macro-Micro approach to psychological assessment and treatment intervention
• Explain how attachment theory acts as a theoretical bridge in understanding how early injuries create the formation of defensively based character structures.
• Compare/contrast the three models used in assessment – Four Quadrant Model, Healthy Self-Model, and Cultural Inequity Model.
• Illustrate how this assessment structure can be utilized across therapeutic disciplines.
• Explain how Shame acts a fulcrum connecting Parts to the Whole (Four Quadrants).
• Illustrate how societal structures of privilege and marginalization reinforce defensive over-compensations and the internalization of shame.

 
Afternoon — Culture and Context

• Identify therapists’ blind spots and implicit biases as they impact the therapeutic relationship.
• Describe how the Four Quadrant Model and the Cultural Inequity Model impact one’s sense of self with regard to privilege and marginalization.
• Describe various cultural biases that impact theoretical orientations and the treatment process.
• Define micro-aggression as it pertains to unconscious bias and sense of safety within the therapeutic relationship.
• Identify the main tenets and practices of cultural humility.

 
Day 2
Morning — Attachment Theory and Its Clinical Implications

• Review attachment processes and identify principles of affect-based self-regulation.
• Assess the neuropsychological foundations of attachment communication and self-regulation.
• Integrate the three Character Solutions – Moving Toward, Away, Against within attachment theory models of human relationship.
• Explain how attachment styles are formed within implicit and explicit memory systems are based on brain development and interactions of experience that affect neurological development.
• Assess the neuropsychological foundations of attachment, communication, and self-regulation.
• Describe how attachment failures are a factor in the internalization of shame and manifest as patterns in present relationships and the therapy.
• Illustrate how attachment injuries become reenacted on a socio-cultural level in the form of systemic oppression.

Afternoon — Foundational Therapeutic Techniques -- Operationalizing Process Dynamics

• Explain the importance of slowing down the therapist/client exchange in an effort to increase “right-brain-to-right-brain” communication.
• Demonstrate how listening for triggers in a patient’s language can be used as an “Entry Point” to amplify what is consciously known as well as hidden from view.
• Illustrate how “Moment-to-Moment Tracking” is a means of slowing down the therapist/client interaction in the service of bringing unformulated material into symbolic representation.
• Demonstrate how the technique of “Forecasting” can be used as a suggestion, thus giving permission to bring unconscious or taboo material to the surface.
• Demonstrate how the techniques of “Mirroring, Naming, and Reflecting” can be used to help clients feel more deeply seen and understood.
• Describe how the above techniques are used as a means of translating right brain experiences into symbolic representation through the use of language. 

​Day 3
Morning — Trauma and Recovery: Part One 

• Define trauma according to DSM-5 and ICD 11. 
• Review the physiological impact to trauma on the HPA axis and ongoing physical repercussions.
• Explain the Triune Brain Theory and how it helps understand the impact of trauma on emotional regulation, and Top-Down and Bottom-Up processing.
• Recognize what impact trauma can have on brain, including neurochemical, neuroendocrine, and neuroanatomic, as supported by recent research.
• ​Understand how trauma impacts the Default, Salience, and Executive Networks.
• Define the function of the Polyvagal system as it impacts traumatic arousal.
• Present a framework that demonstrates neurobiological evidence for the efficacy of psychodynamic treatment approaches.
• Explain how psychodynamic interpretation of resistance can be reframed as reflexive, protective responses that are biologically based.​

Afternoon — Psychodynamic Formulation: Part One 

• Describe the elements of a psychodynamic formulation.
• Integrate aspects of the Four Quadrant Model into the elements of a thorough psychodynamic formulation.
• Illustrate how psychodynamic formulation concepts can be used to assess the degree of client fragility as well as innate capacities and strengths.
• Integrate the three Character Solutions--Moving Toward, Away, Against within attachment theory models of human relationship.
• Explain the importance of “timing” of therapeutic interventions using the dynamic formulation assessment grid.
• List specific inquiry questions that target intrapsychic and relational aspects of a patient’s internalized beliefs and behaviors as a means of gaining greater clarity in the treatment of diverse populations.
• Demonstrate how loyalty contracts and the three Character Solutions can be integrated into the psychodynamic formulation write-up.

Residency 2:
​April 18-20, 2024
 
Day 1
Morning — Transference: Part One

• Explain how transference can be used as a powerful leverage for change in the repair of early attachment injuries.
• Identify three core types of transferential enactments and how they are themes or patterns that can be differentiated from one another. 
• Demonstrate how to invite transferential inquiry through the use of entry-points in language.
• Review the difference between positive transference and a strong therapeutic alliance.
• Demonstrate how to palpate and access feelings of shame through working through a relational transferential lens using a two-person, intersubjective approach.
• Expand the scope of understanding counter-transference using a two-person, intersubjective orientation.

Afternoon — Part Whole Analysis

• Explain the importance of part-whole analysis in initial assessments and on-going treatment.
• Discuss how the over-use of one therapeutic technique only addresses a “part” of the picture in terms of the unique needs of clients.
• Demonstrate how parts either connect or do not connect to other parts as a way of understanding splitting and the dissociative process.
• Explain how part-whole analysis can be used in the service of as therapeutic healing and integration. 

Day 2
Morning — Psychodynamic Formulation: Part Two: Learned Loyalty Contracts

• Demonstrate how to write up a case presentation using Macro-Micro analysis.
• Define the parameters and etiology of Learned Loyalty Contracts.
• Describe how early attachment failures contribute to dysfunctional Loyalty Contracts.
• List the quid pro quo components of historically based Loyalty Contracts.
• Identify the limitations of internalized Loyalty Contracts on adult growth and development.
• Illustrate how Loyalty Contracts can be understood on a systemic level as a means of culturally reinforcing messages that become internalized and replicated on an interpersonal and family systems level.

 
Afternoon -- Trauma and Recovery: Part Two

• Define trauma as it impacts the constructs of intersubjective, introspective, and exteroceptive experience of the individual. 
• Present the Adverse Childhood Experience Study and include the current research on racism as a category that influences outcomes.
• Review physiological impact of trauma.
• Differentiate single event PTSD, Borderline Personality Disorder, and Prolonged Trauma, referred to as Complex-PTSD.
• Present the importance of the emotion of shame as a resource and protection during traumatic events.
• Describe the foundations and fundamentals of trauma treatment, including working with parts or ego states, transference and counter transference issues, boundaries, etc. 
• Introduce Trauma treatment as a Three Phase Process. 

​Day 3 
Morning — Understanding Shame Splitting and Dissociation

• Describe how shame is a result of early attachment failures and how patterns of defensive over-compensations attempt to mask feelings of shame.
• Apply the continuum of dissociative process, giving examples of how to recognize dissociation within the treatment setting.
• Explain how patients with insecure attachment histories are more vulnerable to affect dysregulation and dissociative ruptures.
• Explain shame and shaming as a replication of "power-over" dynamics.

Afternoon — Power and Privilege Part One 

• Explain how clients' presenting problems are often connected to social injustice and inequality, and how these societal messages have a substantial lifelong effect on the individual.
• Demonstrate how positions of privilege and oppression can be assessed using the relationally based Four Quadrant Model and the Healthy Self Model.
• Illustrate how the Cultural Marginalization Model interferes with equal access and the social dynamic of "othering."
• Demonstrate through case dialogue how micro-aggressions can occur in the dialogic exchange between a therapist and a client.
• Describe potential counter-transferential reactions to power and oppression dynamics that may become enacted in the therapeutic process.
• Examine how feelings of shame can be activated with the therapeutic dyad when exploring issues of privilege and socio-cultural marginalization.​

Residency 3: October 17-19, 2024

Day 1
Morning — Transference: Part Two

• Explain how ruptures of attunement on the part of the therapist can trigger memories of early attachment failures and negative transferential reactions.
• Apply recent research findings on rupture, and repair within the context of the therapeutic relationship.
• Explain how therapists can become more proficient at recognizing transferential cues through asking questions that invite dialogue into transferential inquiry.
• Explore how a therapist's negative counter-transferential reactions may represent and unexamined "power over" unconscious enactment.
• Demonstrate how the techniques of mirroring and the use of metaphor can create a bridge that brings unformulated experiences/enactments into symbolic representational form.
• Practice a range of reflective summary statements that will enable the therapist to reestablish a state of co-regulation, repair, and connection.

Afternoon — Termination

• Explain how a therapist can anticipate and address issues that are likely to lead to premature patient termination if left unaddressed during the course of therapy.
• Illustrate how the termination process can be discussed in the patient's initial treatment agreement.
• List the minimum criteria for considering what an adequate termination process would entail.
• Identify key elements that need to be taken into consideration in voluntary (patient) termination.
• Summarize the main components of implementing the termination phase of treatment.
• Describe how the termination process can assist in facilitating a consolidation of gains and treatment.

​ 
Day 2
Morning — Trauma and Recovery: Part Three

• Describe and elaborate on the Three Phase Model of trauma treatment and the goals of each phase.
• Evaluate interventions appropriate and useful during each phase of treatment including somatic, coping strategies and skills to regulate and manage intense emotional and physical triggers. 
• Emphasize psychodynamic interventions that enhance right brain to right brain attachment repair.
• Introduce strategies that rewire the brain and balance neural networks.
• Describe the three steps necessary for memory deconstruction and reconstruction and include techniques that produce effective results.
• Explain the importance of grief work as a necessary step in reclaiming an accurate and realistic sense of Self.
• Elaborate on the termination process and establish and recognize the newly created earned secure attachment, including the importance of consolidation of gains.

 
Afternoon — Power, Oppression and the Therapeutic Process: Part Two

• Explain how clients' presenting problems are often connected to social injustice and inequality, and how these societal messages have a substantial lifelong effect on the individual. 
• Demonstrate increased self-and-other-awareness of privileged and oppressed identities of the therapist and client.
• Demonstrate principles of socially just therapeutic practices focusing on the healthy aspects of the client's functioning and fostering of tools for personal and social change.
• Explain the four broad domains of cultural competence.
• Describe potential counter-transferential reactions to power and oppression dynamics that may become enacted in the therapeutic process.

 
Day 3
Morning — Grief and Loss Across the Life Span

• Examine the nature of grief with an eye to its bio-psycho-social-spiritual dimensions. 
• Identify losses that accompany healthy growth and development in contrast with losses experienced due to early attachment failures.
• Examine the very real losses associated with environmental, institutional, political, and societal uncertainty.
• Describe the toll that chronic, prolonged grief has on individual functioning and well-being.
• Define relational therapeutic dynamics that help facilitate the most meaningful end-of-life for the patient and survivors.
• Identify interventions to normalize and facilitate the grief process and return to a satisfying level of functioning.

Afternoon — Integrating Core Concepts

• Apply the concepts of Macro and Micro Case Conceptualization using the Four Quadrant Model and Healthy Self Model to your own case examples.
• Demonstrate how to work with the therapeutic relationship to increase feelings of safety and trust in the service of moving toward authentic self-expression.
• Explain how the techniques of mirroring and moment-to-moment tracking help reveal unconscious fears and longings that were the result of early attachment failures.
• Demonstrate through various clinical examples ways you can assist in coregulation of a client's affect in the service of integration and repair.
• Summarize a framework that demonstrates neurobiological evidence for the efficacy of psychodynamic treatment approaches.
• Describe the physiology of shame--primary and secondary shame (as defenses and as naturally occurring emotions.)
• Explain how psychodynamic interpretation of resistance can be reframed as reflexive, protective responses that are biologically based.
• ​Identify common blind spots and examples of micro-aggression within the context of privilege and marginalization.​​

​

Addiction from a Relational Psychodynamic Perspective

• Analyze various recovery modalities, including 12-step programs, harm reduction protocols and evolving non-12-step protocols.
• Demonstrate how early attachment failures link to the emergence of addictions.
• Explain neuroscientific and developmental conceptualizations as they contribute to the process of addiction recovery.
• Connect defensive compensations of the Four Quadrant Model to an understanding of addictions as a patient's attempt at self-regulation and shame management.
  

​​
 Psychodynamics of Psychopharmacology

• Explain the basic differences in the neuropharmacological, psychological, affective, and behavioral actions between the major classes of psychiatric medications.
• Demonstrate an understanding of the different drive pathways in the mammalian brain and how these relate to psychiatric medication.
• Review the key psychodynamic concepts relevant to pharmacotherapy.
• Identify how a patient may manifest pharmacological treatment resistance to medications and from medications.
• Explain how the therapeutic alliance can be utilized to address ambivalence and resistance in the use of medication.

Integrating Spiritual Beliefs and Practices into the Treatment Dialogue

• List ways of incorporating spiritual practices as an adjunction to traditional clinical care.
• Describe various types of evidence-based spiritual practices that have been shown to be effective in reducing depression and anxiety.
• Apply ethical considerations around maintaining boundaries, clinical competence and respect for cultural differences.
• Demonstrate various methods of introducing spiritual techniques into the therapeutic dialogue.
  

​
Title: Ethics: Suicide Assessment and Management

• Demonstrate an ability to screen for self-harm behavior and suicide risk.
• Recognize a systemic perspective of suicide that highlights the role of family members, friends, and treatment providers.
• Understand and define the therapist’s scope of practice for working with suicidal patients.
• Know where to refer individuals beyond their scope of practice. 

 
Sexualities in the Clinical Setting

• Demonstrate psychological approaches to the treatment of issues around sexuality: sexual dysfunction, gender identity and sexual choice.
• Explain the nature/nurture question of development, as well as social, and clinical attitudes as they impact treatment.
• Discuss the importance of maintaining appropriate boundaries, confidentiality, and promotion of client safety around sexual concerns and sexual identity exploration.​

COHORT 2022-2023
Residency 1:
October 23-25, 2022
Day 1
Morning — Curriculum Overview: Applying Three Treatment Models to the Assessment of Health, Injury and Cultural Marginalization

• Describe the importance of using a systemic Macro-Micro approach to psychological assessment and treatment intervention
• Explain how attachment theory acts as a theoretical bridge in understanding how early injuries create the formation of defensively based character structures.
• Compare/contrast the three models used in assessment – Four Quadrant Model, Healthy Self-Model, and Cultural Inequity Model.
• Explain how Shame acts a fulcrum connecting Parts to the Whole (Four Quadrants).
• Illustrate how societal structures of privilege and marginalization reinforce defensive over-compensations and the internalization of shame.

 
Afternoon — Culture and Context

• Identify therapists’ blind spots and implicit biases as they impact the therapeutic relationship.
• Describe how the Four Quadrant Model and the Cultural Inequity Model impact one’s sense of self with regard to privilege and marginalization.
• Describe various cultural biases that impact theoretical orientations and the treatment process.
• Define micro-aggression as it pertains to unconscious bias and sense of safety within the therapeutic relationship.
• Identify the main tenets and practices of cultural humility.

 
Day 2
Morning — Attachment Theory and Its Clinical Implications

• Assess the neuropsychological foundations of attachment communication and self-regulation.
• Integrate the three Character Solutions – Moving Toward, Away, Against within attachment theory models of human relationship.
• Explain how implicit and explicit memory systems are based on interactions of experience that affect neurological development.
• Describe how attachment failures are a factor in the internalization of shame.

Afternoon — Foundational Therapeutic Techniques -- Operationalizing Process Dynamics

• Explain the importance of slowing down the therapist/client exchange in an effort to increase “right-brain-to-right-brain” communication.
• Demonstrate how listening for triggers in a patient’s language can be used as an “Entry Point” to amplify what is consciously known as well as hidden from view.
• Illustrate how “Moment-to-Moment Tracking” is a means of slowing down the therapist/client interaction in the service of bringing unformulated material into symbolic representation.
• Demonstrate how the technique of “Forecasting” can be used as a suggestion, thus giving permission to bring unconscious or taboo material to the surface.
• Demonstrate how the techniques of “Mirroring, Naming, and Reflecting” can be used to help clients feel more deeply seen and understood. 

​Day 3
Morning — Trauma and Recovery: Part One 

• Define trauma according to DSM-5 and ICD 11. Differentiate PTSD, Complex Trauma and Borderline Personality Disorder.
• Recognize what chemical impact trauma can have on brain chemistry including neurotransmitters etc.
• Explain the Triune Brain Theory and how it helps understand the impact of trauma on emotional regulation, and Top-Down and Bottom-Up processing.
• ​Understand how trauma impacts the Default, Salience, and Executive Networks.
• Define the function of the Polyvagal system as it impacts traumatic arousal.
• Explain how psychodynamic interpretation of resistance can be reframed as reflexive, protective responses that are biologically based.​

Afternoon — Psychodynamic Formulation: Part One 

• Integrate aspects of the Four Quadrant Model into the elements of a thorough psychodynamic formulation.
• Illustrate how psychodynamic formulation concepts can be used to assess the degree of client fragility as well as innate capacities and strengths.
• Explain the importance of “timing” of therapeutic interventions using the dynamic formulation assessment grid.
• List specific inquiry questions that target intrapsychic and relational aspects of a patient’s internalized beliefs and behaviors as a means of gaining greater clarity in the treatment of diverse populations.
• Demonstrate how loyalty contracts and the three character solutions can be integrated into the psychodynamic formulation write-up.

Residency 2: April 20-22, 2023
Day 1
Morning — Transference: Part One

• Explain how transference can be used as a powerful leverage for change in the repair of early attachment injuries.
• Identify three core defensively based themes that manifest in transferential enactments.
• Demonstrate how to invite transferential inquiry through the use of entry-points in language.
• Differentiate the difference between positive transference and a healthy therapeutic alliance.
• Demonstrate how to access and repair feelings of shame through attending to micro-dissociative ruptures in the present moment.
• Expand the scope of understanding counter-transference using a two-person, intersubjective orientation.

Afternoon — Part Whole Analysis

• Explain the importance of part-whole analysis in initial assessments and on-going treatment.
• Discuss how the over-use of one therapeutic technique only addresses a “part” of the picture in terms of the unique needs of clients.
• Demonstrate how parts either connect or do not connect to other parts as a way of understanding splitting and the dissociative process.
• Explain how whole-part analysis can be used in the service of as therapeutic healing and integration. 

Day 2
Morning — Psychodynamic Formulation: Part Two

• Demonstrate how to write up a case presentation using Macro-Micro analysis.
• Define the parameters and etiology of Learned Loyalty Contracts.
• Describe how early attachment failures contribute to dysfunctional Loyalty Contracts.
• List the quid pro quo components of historically based Loyalty Contracts.
• Identify the limitations of internalized Loyalty Contracts on adult growth and development.

 
Afternoon -- Trauma and Recovery: Part Two

• Define the function of the Polyvagal system as it impacts traumatic arousal.
• Describe an overview of the evolution of trauma-treatment, from Bowlby’s Attachment Theory to Schore’s neurobiologically-based Regulation Theory.
• Critique the ACE Study as an assessment tool in the treatment of trauma.
• Discuss the research findings of Epigenetic Theory on the generational impact of trauma.

​Day 3 
Morning — Understanding Shame, Splitting and the Dissociative Spectrum

• Describe how shame is a result of early attachment failures and how patterns of defensive over-compensations attempt to mask feelings of shame.
• Apply the continuum of dissociative process, giving examples of how to recognize dissociation within the treatment setting.
• Explain how patients with insecure attachment histories are more vulnerable to affect dysregulation and dissociative ruptures.
• Define the difference between micro and macro dissociative episodes.

Afternoon — Power, Oppression and the Therapeutic Process: Part One 

• Explain how clients' presenting problems are often connected to social injustice and inequality, and how these societal messages have a substantial lifelong effect on the individual.
• Demonstrate how positions of privilege and oppression can be assessed using the relationally based Four Quadrant Model.
• Describe how micro-aggressions can occur in the dialogic exchange between a therapist and a client.

Residency 3: October 19-21, 2023
Day 1
Morning — The Psychodynamics of Psychopharmacology

• Explain the basic differences in the neuropharmacological, psychological, affective, and behavioral actions between the major classes of psychiatric medications.
• Demonstrate an understanding of the different drive pathways in the mammalian brain and how these relate to psychiatric medication.
• Review the key psychodynamic concepts relevant to pharmacotherapy.
• Identify how a patient may manifest pharmacological treatment resistance to medications and from medications.
• Explain how the therapeutic alliance can be utilized to address ambivalence and resistance in the use of medication.

Afternoon — Loss, Grief and Growth through the Life Span Acceptance

• Identify the inevitable losses that result from therapeutic gains, personal growth and development.
• Explain the importance of processing and resolving these losses in the service of gaining vitality.
• Describe strategies for honoring and facilitating movement through sadness, sense of loss and grief that emerge through the therapeutic process.

 
Day 2
Morning — Transference: Part Two

• Explain how ruptures of attunement on the part of the therapist can trigger memories of early attachment failures and negative transferential reactions.
• Demonstrate reflective techniques that bring into conscious awareness transferential dynamics that are occurring between the client and therapist.
• Practice a range of verbal techniques that will enable the therapist to reestablish a state of co-regulation, repair, and connection.
• Demonstrate how the technique of Mirroring and the use of Metaphor can create a bridge that brings unformulated experiences/enactments into symbolic form.

 
Afternoon — Power, Oppression and the Therapeutic Process: Part Two

• Review how clients' presenting problems are often connected to social injustice and inequality, and how oppression can be assessed using the relationally based Four Quadrant Model.
• Integrate the Cultural Inequality Model into the assessment of the degree of internalized shame on the self and self in relationship.
• Review how micro-aggressions can occur in the dialogic exchange between a therapist and a client.
• Describe potential counter-transferential reactions to power and oppression dynamics that may become enacted in the therapeutic process.

 
Day 3
All Day — Faculty Forum: Integrating Core Concepts of Year-Long Program

• Apply the theoretical learning objectives captured in the Four Quadrant Model and Healthy Self Model to your own case examples.
• Integrate practice techniques learned throughout the year and apply techniques to current client scenarios.
• Explain how shame inhibits authentic adult growth and development throughout the lifespan.
• Demonstrate how to work with the therapeutic relationship to increase feelings of safety and trust in the service of moving toward authentic self-expression.
• Review psychodynamic formulation model using a macro-micro lens.
• Practice formulating a client’s early “loyalty contract” using your own case examples.
• Demonstrate through various clinical examples ways you can “speak to the splits” in the service of integration and repair.
• Identify common blind spots and examples of micro-aggression within the context of privilege and marginalization.

Residency One: November 4-6, 2022
The Importance of Character Structure: Introducing the Four Quadrant Model
· Describe how the Four Quadrant Model can be used to integrate cognitive, dynamic, and systemic approaches to treatment.
· Identify aspects of character organization through a method of “part-whole analysis” that draws upon the Four Quadrant Model.
· Explain how shame is pivotal in understanding the defensive over-compensations of individuals suffering from traumatic breaches of safety and trust.
· Differentiate between hidden shame and consciously acknowledged shame as applied to feelings of self-worth and defensive over-compensations.
· Recognize the difference between authentic self-expression and compulsively driven grandiosity.

Evolutionary Advances in Attachment Theory and Its Clinical Implications
· Explain attachment theory and describe healthy and pathological attachment styles.
​· Identify normative attachment processes.
· Identify principles of affect-based self-regulation.
· Identify how the family system as a whole affects the resilience or fragility of the attachment.
· Demonstrate the impact of trauma on neurobiological functioning
· Assess the neuropsychological foundations of attachment, communication, and self-regulation.

The Neurobiology of Trauma and the Impact on Relational Attachment, Physical Health, & Affect Regulation
· Explain attachment theory and describe healthy and pathological attachment styles.
· Demonstrate the impact of trauma on neurobiological functioning.
· Utilize the ACE Study as an assessment tool in the treatment of trauma.
· Assess the neuropsychological foundations of attachment, communication, and self-regulation.

Introducing Four Techniques to Improve Listening and Clinical Intervention Skills
· Describe the importance of “slowing down the process” as a therapeutic intervention technique.
· Explain the technique of Moment-to-Moment tracking.
· Explain how the technique of “Forecasting” can plant seeds for future discussion of material that is kept hidden from view.
· Describe how the technique of mirroring helps facilitate right- brain-to-right-brain communication.

Culture and Context
· Explore the importance and relevance of “context” in the therapeutic relationship
· Increase self-awareness of the therapist regarding his/her own identities and how that may impact/influence the therapeutic relationship.
· Identify and explain the Multicultural Orientation Model and Cultural Humility.
· Identify ways microaggressions and biases impact clients, their context, and psychotherapy treatment.
· Increase ability to attend to cultural opportunities and engage clients around salient cultural dimensions of identity.

Psychodynamic Formulation
· Discuss purposes for a psychodynamic formulation.
· Explain how Loyalty Contracts are learned attachment patterns that become enacted through Quadrant Three.
· Understand the components and structure of the psychodynamic formulation.
· Demonstrate how to compose a brief psychodynamic formulation.

Residency Two: April 7-9, 2022
Trauma and Recovery – Part One: Theory and Treatment of Traumatic Disorders
· Describe the history and perspective of trauma in developmental psychology.
· List the systemic factors that increase vulnerability to trauma.
· Explain Post-Traumatic Stress Disorder as a spectrum disorder of conditions of stress rather than a single disorder.
· Describe and discuss the stages of trauma treatment, including safety and stabilization, trauma processing, and consolidation of gains.
· Analyze and compare trauma treatment methods, such as CBT, EMDR, DBT, IFS, and yoga and meditation.
· Discuss vicarious trauma and assess methods of self-care.

Power, Oppression, and the Therapeutic Process:
· Explain how clients' presenting problems are often connected to social injustice and inequality, and how these societal messages have a substantial lifelong effect on the individual.
· Demonstrate how positions of privilege and oppression can be assessed using the relationally based Four Quadrant Model.
· Describe how micro-aggressions can occur in the dialogic exchange between a therapist and a client.

Understanding Transference from a Relational Perspective
· Describe how the Four Quadrant Model can be used to uncover often hidden transferential dynamics.
· Practice tracking techniques to help palpate negative transference reactions.
· Apply tools such as moment-to-moment tracking and forecasting in the service of anticipating transferential material.
· Develop increased sensitivity to the patient’s language through utilizing techniques that direct the therapist to the interpersonal present.
· List how some of the early signs of healing and growth can be strengthened through mirroring and reflective techniques.
· Recite how breakthroughs in treatment can be integrated into the psyche through consolidation of gains.
· Explain the “push-pull” response between familiar transferential defense patterns and the emergence of the authentic self

Program Title: Part Whole Analysis
· Explain the importance of part-whole analysis in initial assessments and on-going treatment.
· Discuss how the over-use of one therapeutic technique is only working with a “part” of the picture in terms of the unique needs of clients.
· Demonstrate how parts either connect or do not connect to other parts as a way of understanding vertical splitting as well as therapeutic healing and integration.

Understanding Shame, Splitting, and the Dissociative Spectrum
· Conceptualize dissociative process through a range of healthy & pathological functioning.
· Explain how patients with insecure attachment histories are more vulnerable to affect dysregulation and dissociative ruptures.
· Define the difference between micro & macro dissociative episodes.
· Demonstrate a solid integration of the understanding of dissociative defenses as they connect to improving assessment skills and treatment planning.

Psychodynamic Formulation Part Two: Learned Loyalty Contracts
· Define the parameters and definition of Learned Loyalty Contracts.
· Describe how early attachment failures contribute to dysfunctional Loyalty Contracts.
· List the quid pro quo components of a historically based Loyalty Contract.
· Identify the limitations of internalized loyalty contracts on adult growth & development.


Residency Three: October 27-29, 2022

Trauma and Recovery – Part Two: Theory and Treatment of Traumatic Disorders
· Define the function of the Polyvagal system as it impacts traumatic arousal.
· Describe an overview of the evolution of trauma-treatment, from Bowlby’s Attachment Theory to Schore’s neurobiologically-based Regulation Theory.
· Critique the ACE Study as an assessment tool in the treatment of trauma.
· Discuss the research findings of Epigenetic Theory on the generational impact of trauma.

Grief and Loss
· Define relational therapeutic dynamics that help facilitate the most meaningful end-of-life for the patient and survivors.
· Examine the nature of grief with an eye to its bio-psycho-social-spiritual dimensions.
· Identify interventions to normalize and facilitate the grief process and return to a satisfying level of functioning.

Transference Two
· Explain how ruptures of attunement on the part of the therapist can trigger memories of early attachment failures and negative transferential reactions.
· Explain how therapists can become more proficient at recognizing transferential cues through asking questions that open dialogue into transferential inquiry.
· Recite a range of interventions that will enable the therapist to reestablish a state of co-regulation, repair, and connection.
· Demonstrate how the technique of Mirroring and the use of Metaphor can create a bridge that brings unformulated experiences/enactments into symbolic form.

Power, Oppression, and the Therapeutic Process: Part Two
· Demonstrate increased self-and-other-awareness of privileged and oppressed identities of the therapist and client.
· Demonstrate principles of socially just therapeutic practices focusing on the healthy aspects of the client’s functioning and fostering of tools for personal and social change.
· Explain the four broad domains of cultural competence.
· Describe potential counter-transferential reactions to power and oppression dynamics that may become enacted in the therapeutic process.

Faculty Forum: Integrating Core Concepts of Year-Long Program
· Review psychodynamic formulation model using a macro-micro lens that is captured in the Four Quadrant Model and Health Self Model
· Explain how attachment injuries produce internalized felling of shame and demonstrate how shame is a driving factor that inhibits authentic adult growth and development through the lifespan.
· Demonstrate how to work with the therapeutic relationship to increase feelings of safety and trust through the therapeutic techniques of mirroring and moment-to-moment tracking as a means of revealing unconscious fears and longings that were the result of attachment failures in early childhood.
· Demonstrate through various clinical examples way you can repair micro-dissociative ruptures in a service of integration and repair. 
· Identify common blind spots and examples of mircro-aggression within the context of privilege and marginalization. 


Webinars

Four Quadrant Model Conceptual Review: Contrasting Healthy Self Model with Four Quadrant Model
· Recite the key components of the Healthy Self Model of Adult Development.
· Define the difference between adaptive and defensively-based coping strategies using the two models provided.
· Describe how to use the Four Quadrant Model in conjunction with the Healthy Self Model to assess the degree of patient fragility as well as signs of therapeutic progress.
· Demonstrate how identifying variables from the Healthy Self Model can be used as an educative tool with patients.

Ethics and the Concept of the Frame
· Demonstrate knowledge of the particular dimensions of “The Frame” which provide a safe structure for psychotherapy.
· Explain the parameters of confidentiality and limits of confidentiality.
· Analyze how effective boundary management promotes effective therapy.
· Describe the differential considerations involved in therapy with children, couples, family, and group therapy.

Addiction from a Relational Psychodynamic Perspective
· Demonstrate knowledge of the phenomenology of addiction and be able to identify nuances of difference among the six major addictions of alcohol, drugs, gambling, compulsive overeating, sex, and the latest, technology.
· Identify, define and assess addictive processes that fall outside the framework of the above six.
· Integrate relational theory and neuroscientific discoveries into an integrated approach to addictions.
· Identify various “recovery” modalities, to include twelve-step programs, harm reduction protocols, and ever-evolving non-twelve-step protocols

Ethics: Suicide Risk Prevention
· Demonstrate an ability to screen for self-harm behavior and suicide risk.
· Recognize a systemic perspective of suicide that highlights the role of family members, friends, and treatment providers.
· Understand and define the therapist’s scope of practice for working with suicidal patients.
· Know where to refer individuals beyond their scope of practice.

Integrating Spiritual Beliefs & Practices into the Treatment Dialogue
· Demonstrate a working definition of spirituality informed by recent advances in neuroscience. Describe evidence-based implications for healing through mindfulness meditation and prayer.
· Apply tools such as mindfulness techniques that aid in symptom reduction and prevention of relapse.
·  Identify the dilemmas and potential risks caused by the introduction of spirituality into a holistic understanding of treatment.

Sexualities in the Clinical Setting
· Describe sex, gender, and object choice in a patient’s life.
· Explain clinical benefits of including sex and sexuality in the clinical setting.
· Describe and discuss the boundaries necessary for including sexual issues in the treatment.
· Explain the cultural and systemic influences that affect the coming out process

Get in Touch With Us

For more information about the Advanced Psychotherapy program at Loyola University Chicago, please contact us today.

The Institute for Advanced Psychotherapy at Loyola University Chicago
1032 W. Sheridan Rd. | ​Chicago, IL 60660
312.915.7034 | ktippett@luc-iap.com