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How Therapy Enhances Psychopharmacology

Frank Anderson On The Process That Gets A Client’s Body On Board

NP0038: Who’s Afraid of Couples Therapy?

Welcome to our “Who’s Afraid of Couples Therapy?” This exciting series, back by popular demand, is based on our November/December 2011 issue on this topic and will explore the challenges of couples work. What are the most effective strategies in working with couples? How can therapists structure therapy—particularly in the early sessions—so that couples leave with a sense of hope, rather than frustration? Can working with individuals who have serious issues in their relationships actually be detrimental to them? Find out the answers to these questions and much more. In this first session with expert couples therapists Ellyn Bader and Peter Pearson, the creators of the Developmental Model of Couples Therapy, you’ll find out why clinicians often avoid working with couples and how you can better prepare yourself for couples therapy work. How can therapists most effectively work with emotion in the consulting room—particularly when it comes to couples therapy? Learn with internationally known couples therapist Hedy Schleifer how to help create a nourishing connection between partners, define a role as therapist-as-guide, and much more. Schleifer, who’s pioneered the training of Imago Relationship therapists internationally, will go into how to use this theory in practice and how to best work with emotions. What happens when partners in couples therapy have two different agendas in mind? Hear from expert William Doherty on this little spoken about topic. Learn how Discernment Counseling, an approach that helps couples clarify their feelings about the next step in their relationship, can help both clients and therapists. Is it possible to rebuild trust and intimacy in a couple’s relationship after a partner has had an affair? How can therapists help? Hear from Esther Perel, author of the international bestseller Mating in Captivity: Unlocking Erotic Intelligence, on how to help couples after an infidelity and the role that cultural perspectives have in this emotional situation. Explore this classic dynamic of couples therapy—an angry woman and a withdrawn man—that’s often confusing for therapists, with couples therapist Jette Simon. Learn more about what’s behind the feelings of anger and the behavior of withdrawing, and how clinicians can more effectively work with shame and fear of disconnection. Hear an unconventional perspective on couples therapy from David Schnarch, who believes that the best way to help couples is to challenge partners to change their individual behaviors and attitudes. Schnarch’s direct, upfront approach to helping clients will illustrate a different viewpoint on effective couples therapy. Join Marty Klein, a marriage and family therapist and certified sex therapist, us for a candid discussion about the assumptions that both clients and therapists often share that can get in the way of improving couples’ sexual relationships. Discover with Kathryn Rheem how to respond effectively when clients express strong feelings in session. Based on Emotionally Focused Therapy, you’ll explore attunement and how to use your own emotions to help clients move beyond attachment injuries. After the session, please let us know what you think. If you ever have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.

Whole Psychiatry: Alternatives to Conventional Psychopharmacology with Robert Hedaya

Meds: Myths and Realities: NP0035 – Session 4

Is psychopharmacology is a 'go-to' in your practice? Join Robert Hedaya as he discusses how to treat the bodily systems that underlay many mental health issues while avoiding medication. After the session, please let us know what you think. If you ever have any technical questions or issues, please feel free to email support@psychotherapynetworker.org.

Treating the Mixed-Agenda Couple

Bill Doherty On An Approach For Unaligned Relationships

Tough Customers: Is It Them or Us?

Tough CustomersBy Rich Simon As therapists, many of us practice in two different worlds. In the first, we see polite, well-behaved, articulate clients with solid values. They engage fully in therapy, talk cogently about their problems, listen attentively to our responses, make reasonably good-faith efforts to follow our suggestions, and sooner or later get better. No wonder we genuinely like these people!
Journey to Rwanda - Page 2


Saturday

We're in Kigali, the capital of Rwanda, in central Africa. All of our luggage has been lost en route from London, so we set out with our driver-translator, Peter, to buy necessities.

Kigali, a bustling city of more than 600,000, has a mix of dirt and paved roads, tall buildings, modern hotels, and small, tin-roofed houses, all jammed together among numerous hills. As we drive through the streets, Peter points out places where large-scale massacres occurred. He gives us tips about what not to do while we're here: don't photograph anything military, don't ask about anyone's ethnic identity, don't talk politics, don't ask too many questions. At dinner later, after requesting a table in a quiet, out-of-the-way corner of the restaurant, he goes into more detail in a hushed voice. He's a Tutsi and bears the scars of his own experience from the genocide.

Back in my room, I feel less safe than I did upon arrival, despite, or maybe because of, the armed guard employed by the guesthouse. As I write and read in my room, the blare of a violent television show playing in the reception area cuts through the night. I notice some fear at being here. Even though the genocide happened 14 years ago, in some ways it feels quite present.

Monday

We're going to the prison on Wednesday and hope eventually to develop a program that trains selected prisoners to provide TRM to other prisoners. This trip is a first step, an opportunity to begin developing relationships at the prison, and to learn about the needs of the prisoners, called genocidaires, who perpetrated or are accused of perpetrating the genocide.

There's a strong emphasis in Rwanda on a truth-and-reconciliation process, somewhat similar to the model in South Africa after apartheid. I've been told, however, that many prisoners are unable or unwilling to take responsibility for their acts, and therefore can't participate fully in efforts to reunify the country. I suspect that many of the genocidaires, as a result of what they did and saw, must be in a physiological state of immobilization, or in SE parlance, a "freeze." Without some way of coming out of the frozen emotional state, their healing and rehabilitation will be difficult.

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