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Deepening Treatment (403)
Tuesday, October 24, 2017, 7:10 PM - 8:40 PM EDT
Category: Courses

Deepening Treatment:
Moving to Intensive Psychotherapy or Psychoanalysis (403)
Instructor: Heather Craige, LCSW

Most patients and therapists assume that meeting once weekly is the standard “dosage” for psychotherapy. However, for many people, including those who have painful symptoms, longstanding difficulties in relationships or work, disturbances in self-image or mood, a highly punitive conscience, self-defeating behavior patterns, rigid defenses, a history of relational trauma, difficulty with affect regulation, or borderline object relations, once weekly therapy may be ineffective.

Some people opt for increased frequency, not only because they are in pain, but because they desire deeper self-understanding as a pathway to a richer and more creative life. The decision to undertake a more intensive psychotherapy is often made after an initial crisis has been resolved in therapy. Because many patients are unaware of the benefits of intensive psychodynamic therapy, it is the therapist’s responsibility to raise the issue and make the recommendation.

Working at higher frequencies sets the stage for a different quality of experience in therapy. Rather than focusing on symptoms or “the events of the week,” frequent sessions allow time to explore the patient’s thoughts, feelings, dreams and relationships, and to identify conscious and unconscious factors contributing to painful symptoms. Increased frequency allows time to identify patterns of behavior, thought and feeling that lead to self-defeating behavior. Finally, greater frequency allows a more intensely experienced relationship to develop between patient and therapist, providing a rich laboratory for examining and healing painful relational patterns that were forged during the vulnerable years of early childhood. This kind of work may become playful and deeply fulfilling for both patient and therapist.

This course is for therapists who wish to understand how and when to recommend therapy at a frequency of two or more times per week, and when such a recommendation is contraindicated. Reality issues such as time, money and insurance will be addressed in a way that does not inhibit the therapist’s thinking about what is optimal for the patient. We will also consider when increasing frequency may be part of the solution for a treatment that is stagnant or locked in struggle.

We will use psychoanalytic concepts including transference, countertransference, defense, projective identification, and attachment to understand the resistances in both patient and therapist to engaging in intensive psychotherapy. Each participant will have the opportunity to develop skill in making recommendations for intensive psychotherapy or psychoanalysis by presenting a case during the evaluation phase or at impasse. Further, therapists may bring the case back into the group after having made recommendations so that we can grapple with resistances as they arise in both patient and therapist, using role-play and the group as consultants.

Class will be limited to 10 students and is intended for intermediate level clinicians.

Register Here

Where:    Chapel Hill
When:     October 24 - December 12, 2017   
Time:       7:10pm - 8:40pm

CME Credits: 12 / CE Credits: 4 / NBCC: 12 clock hours / All others: Letter of Attendance

Prerequisite: First priority will be given to matriculated students in the Adult and Adult/Child Psychoanalysis Program as this is a required upper level course for that program. Psychoanalytic Psychotherapy students who have completed the Core Curriculum may request permission from the instructor to take this class. If space permits, graduates of the psychoanalytic psychotherapy program, or equivalent, may register with permission of the instructor. 

Training Program Credit: Students who successfully complete this course can earn credit in the psychoanalysis training programs. If you have taken Deepening Treatment in the past, that class will also meet the program requirements.

About the InstructorHeather Craige, LCSW

Required Text: Deepening the Treatment  (2013) by Jane S. Hall, published by Jason Aronson.  Before the start of class please read the Introduction and Chapters 1 through 3.  If you click on the book title, you will be linked to the book's page at Amazon.com, where new and used copies are available. The book can also be obtained at other online bookstores and via interlibrary loan through your local public or university library. 

Course Syllabus: Click Here

Registration and Tuition Deadline deadline is October 10.  $25 Registration Fee is due at time of application.
Tuition: $315
$235 for students matriculated in the training programs 
$290 for graduate students and residents
Payment plans can be arranged with the Administrator
Matriculated students aren't charged a course registration fee.  Students who register for more than one course in a semester pay only one registration fee.  In special circumstances we may accept registrations after the registration deadline, but there will be an additional $20 late registration fee.
Course Cancellation Policy

Register Here

Course Learning Objectives: 
Class participants w
ill be able to
  •  An understanding of the clinical indications for intensive psychotherapy and psychoanalysis
  • Experience in presenting recommendations for intensive therapy during the evaluation phase and at impasse
  • An ability to anticipate and analyze patient resistances to engaging in intensive psychotherapy, using psychoanalytic concepts such as transference, countertransference, defense, projective identification, and attachment to understand these resistances.
  • An appreciation for the therapist’s resistances to deepening treatment.

CE & CME Information

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of American Psychoanalytic Association and Psychoanalytic Center of the Carolinas. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians.

The American Psychoanalytic Association designates this Live Activity for a maximum of 12 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters of this CME program have any relevant financial relationships to disclose.

The Psychoanalytic Center of the Carolinas is approved by the American Psychological Association to sponsor continuing education for psychologists. The Psychoanalytic Center of the Carolinas maintains responsibility for this program and its content.

The Psychoanalytic Center of the Carolinas has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6518. Programs that do not qualify for NBCC credit are clearly identified. The Psychoanalytic Center of the Carolinas is solely responsible for all aspects of the program.


Contact: lisalong@carolinapsychoanalytic.org