Join our community
Receive the TR Together newsletters.
CPD Credits
1.5
Event Type
Recorded Event
Location
Zoom & Recording for 365 days
Standard
£45.00
Trainee/NHS
£38.25
Disruptions & Interruptions in Treatment
Clinical Impasse Series
With Salman Akhtar & Zack Eleftheriadou (Chair)
In this five-part series we explore why, with some clients, the therapy ‘gets stuck’.
A therapeutic impasse can lead to self-doubt among therapists, as well as concerns that the client may terminate the therapy prematurely. We aim to demonstrate that these challenging moments can offer great insights for both client and therapist, if they can be worked through.
More recently impasses, collisions, and collusions have been acknowledged as inherent and valuable aspects of clinical practice. This means that the experience of getting stuck or encountering a therapeutic impasse can actually help the therapist to understand more about the client's inner world and potentially shed light on how the histories of both the client and therapist are interacting unconsciously. Identifying, naming, and making sense of these clinical impasses can serve as a way forwards
Our speakers cover themes including the recognising unconscious dynamics between therapist and patient which maintain a stasis in the therapy, the impact of intergenerational transmissions on progress, the phenomenon of "othering" within the context of relational psychoanalysis and racialized enactments, and the delicate art of being affected by the therapeutic process without becoming overwhelmed by it.
The primary objective for this series is to support therapists' capacity to navigate and work through these challenging phases. By participating in this series, therapists can gain the confidence and skills necessary to effectively address moments when they and their clients find themselves in the challenging position of feeling "stuck."
Programme
Salman Akhtar - Disruptions & Interruptions in Treatment
This presentation will open by defining and distinguishing ' Interruptions' and 'Disruptions'. Devoting greater attention to the latter, the presentation shall highlight six psychodynamic triggers that set it into motion. This includes unconscious guilt, anxious retreat from higher level conflicts, envious and sadomasochistic attack on the therapist's calm and creativity, fear of separation from the therapist by improvement, shift in the patient's structural organization from a conflict-based to a deficit-based sector and failure of analyst's empathy and attunement. Therapeutic interventions directed at resolving each type of 'disruption' will be discussed and the various proposals made shall be anchored in psychoanalytic developmental theory and highlighted with the help of clinical vignettes.
Discussion with Zack Eleftheriadou
Zack will discuss the presentation with the speaker and draw out some themes for exploration inspiring the group discussion.
Q&A with participants
End
Salman Akhtar
Salman Akhtar, MD is Emeritus Professor of Psychiatry at Jefferson Medical College and a Training & Supervising Analyst at the Psychoanalytic Center of Philadelphia. He has over 450 publications to his credit including 108 books (41 of which are solo-authored). He has served on the editorial boards of all three major psychoanalytic journals (International Journal of Psychoanalysis, Journal of the American Psychoanalytic Association, and Psychoanalytic Quarterly). Dr. Akhtar has given Plenary Addresses at both the IPA and the APsA Meetings and has received the highly prestigious Sigourney Award for Distinguished Contributions to Psychoanalysis. He is a published poet in three languages and serves as Scholar-in -Residence at the Inter-Act Theatre Company in Philadelphia.
Zack Eleftheriadou
Dr Zack Eleftheriadou MSc MA, Dip NCFED, Dip Psychopathology, is a Chartered Counselling Psychologist, Chartered Scientist, Supervisor and a Fellow of the British Psychological Society (HCPC reg). She has trained as an adult, child and parent-infant psychotherapist (UKCP) and is a member of CPJA/UKCP as a psychoanalytic psychotherapist. She lectures and has published in the following areas: developmental issues, cross-cultural work; including the text ‘Psychotherapy and Culture’. She has been working as a psychotherapist and an infant observation tutor for 30 years. She is currently supervising infant observation students and infant observation tutors. She is a guest lecturer and a member of The Bowlby Centre and is a visiting external examiner for Doctoral projects across the UK. Zack runs the consultancy service ‘Noema’, providing psychotherapy and supervision. She feels passionate about early intervention and presents on the psychology of the baby for midwives and paediatric nurses.
- Psychotherapists
- Couple and Family Psychotherapists
- Psychoanalysts
- Psychologists
- Clinical Psychologists
- Psychiatrists
- GPs
- Counsellors
- Social workers
- Teachers/Educators
- Define interruptions and disruptions in psychotherapy and their impact.
- Identify psychodynamic triggers for disruptions that cause therapy disruptions and apply this knowledge to enhance therapeutic interventions.
Standard Registration: £45
Trainee, NHS staff and Third Sector: £38.25
Group Rates (for 4 or more): Contact makeritafaumui@trtogether.com for customised pricing.
Trainee discount: To qualify for this offer you need to be taking a course which provides core practitioner training in counselling or psychotherapy that is at least 1 year full time or two years part time and recognised by the BACP or UKCP. TR Together reserve the right to ask to see evidence of training being undertaken.
Alumni: If you are a TR Alumni (TRAPC member) please email anitabruz@tavistockrelationships.org for a discount code to add at checkout
Your CPD Certificate will be available to download from your TR Together account within 48 hours of purchase.