Pennsylvania Society for Clinical Social Work
Clinical Book Discussion Program
Attachment, Trauma and Resistances: A Clinical Approach
Book Title: Suffering and Sacrifice in the Clinical Encounter
Authors: Charles Ashbach, Karen Fraley, Paul Koehler and James Poulton
Clinical Title: Attachment, Trauma and Resistances: A Clinical Approach
Presenters: Karen Fraley, Paul Koehler
Date: Saturday, February 27th, 2021
Time: 10:00am-1:00pm | 3 CEUs
Place: Zoom Online Meeting: Link will be sent after registration.
About the Book: This book describes and delineates the technical problems intrinsic to clinical work with highly defended patients, especially those who have suffered trauma early in their lives that interfered with their feeling sufficiently held and contained by their primary objects of attachment. Suffering and Sacrifice in the Clinical Encounter offers a new paradigm for understanding the impasses and failures in the psychotherapy process for patients entrenched in self-blaming and masochistic patterns of behavior. Based on object relation theory, and including anthropological and mythological perspectives, multiple clinical examples are presented to illustrate successful therapeutic techniques. Each chapter includes the results of clinical observation, the examination of appropriate theory, and the especially powerful function of the “reversible perspective” where the patient seeks to change roles with the therapist. This book suggests potentially useful paradigms for understanding, engaging and containing the highly resistant patient. The presenters will cite clinical examples of the technique and explain how it can prevent negative therapeutic reactions.
Clinical Objectives: By reading this book and participating in the discussion, participants will
- Identify the distinction between suffering and sacrifice in clinical work.
- Analyze the significance and role of mourning in suffering, and describe how it is a necessary component of overcoming psychic pain.
- Define “resistance” and examine its manifestations in the clinical encounter.
- Describe the concept of “muscular containment” of the resistant patient.
- Identify examples of resistance that communicates emotional pain thought to be intolerable.
About the Presenters:
Karen Fraley, LCSW, BCD, is in private practice in Exton, Pennsylvania. She is a fellow of the Pennsylvania Society for Clinical Social Work and a member of the national faculty of the International Psychotherapy Institute (IPI). She currently co-chairs the IPI's Clinical Consultants in Psychotherapy Program and serves on the Steering Committee for the IPI's Psychoanalytic Psychotherapy Program. She is a founding member of the Philadelphia Psychotherapy Study Center and teaches seminars in object relations theory and practice. She contributed to the book Tuning the Therapeutic Instrument: Affective Learning of Psychotherapy edited by Jill and David Scharff and has published an article about Bion's model of the mind.
A native of Pittsburgh, Paul Koehler received his bachelor of arts from Gettysburg College and his Master of Social Work from the University of Pennsylvania. He subsequently completed certificate training programs at the Institute for Psychoanalytic Psychotherapies, in Philadelphia, and the Washington School of Psychiatry, in Washington, DC. Paul has been a faculty member of the International Psychotherapy Institute since 2002 and is past chair of its core training program. Paul's interests include literature and mythology, writing, music, lutherie, health and fitness, and the Pittsburgh Steelers. Paul is in private practice in Doylestown, PA.
This PSCSW Event is open to PSCSW members only.
Participants who attend this program must be present for its entirety in order to get continuing education credits.
Cost: No charge for PSCSW Members to attend. There is a $10 fee for anyone wishing a CE certificate.
There is a $5 non-refundable administrative fee for any cancellation up to 48 hours prior to this program. No refund will be issued if less than 48 hours’ notice is given for this program.
Continuing Education Credits:
FOR PENNSYLVANIA SOCIAL WORKERS, MARRIAGE AND FAMILY THERAPISTS, AND PROFESSIONAL COUNSELORS: This program is approved for credits for professional workshops sponsored by the Pennsylvania Society for Clinical Social Work, a state affiliate of the Clinical Social Work Association listed in Section 47.36 of Title 49, Chapter 47 of the PA Code, State Board of Social Work Examiners. This program is also approved for 3 credits for professional workshops for marriage & family therapists (Section 48.36) and professional counselors (Section 49.36).
FOR NEW JERSEY SOCIAL WORKERS: This program is approved for 3 clinical credits. Attendance at programs or courses given at state and national social work association conferences, where the criteria for membership is an academic degree in social work, are a valid source of continuing education credit (N.J.A.C. 13:44G-6.4(c)4).
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- February 27, 2021
10:00 am - 1:00 pm