Treatment of Personality Disorder

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Lesson series
  • 6 Speakers
  • Level: Advanced
  • Study time: 36 hours
  • Video time: 36 hours
  • Exams: no
Course overview
36 Training Hours
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Speakers
Glen O. Gabbard
Otto Kernberg
Paul Links
Clara Mucci
Michaela Swales
Umberta Telfener
Lesson series

Treatment of Personality Disorder

WHAT'S INCLUDED

  • 6 Speakers
  • 36 Training Hours 
  • Live Zoom Webinars
  • You will be able to see the live broadcasts on Zoom and also the recordings for 6 months
  • Presenters slides available
  • Certificate of attendance

LANGUAGE

ENGLISH

SPANISH

ITALIAN
ONLINE TRAINING

TREATMENT OF PERSONALITY DISORDERS

SCHEDULE

Sat, Oct 2, 2021 h. 4PM – 8PM (Rome time)

Glen O. GABBARD

PSYCHODYNAMIC TREATMENT OF NARCISSISTIC AND OBSESSIVE-COMPULSIVE PERSONALITY DISORDERS

In this seminar two of the most complex Personality Disorders will be discussed.
I will begin with an updated overview of Narcissistic Personality Disorder. I will emphasise the pleomorphism of the narcissistic condition, as the disorder has many facets and can present itself in various ways depending on the characteristics and defences of the patient. 
Most of the seminar will be devoted to the diagnostic features and therapeutic approaches of this disorder. During the last part, I will discuss the diagnosis and treatment of obsessive-compulsive personality disorder. 
Sat, Oct 2, 2021 h. 4PM – 8PM (Rome time)

Patrick Jones - Course author
Glen O. Gabbard, M.D., is Professor and Director of the Baylor Psychiatry Clinic at the Baylor College of Medicine and Training and Supervising Analyst at the Houston-Galveston Psychoanalytic Institute in Houston, Texas. He was previously Director of the Menninger Hospital in Topeka, Kansas.Dr. Gabbard is the author or editor of more than fifteen books and currently is joint Editor-in-Chief and Editor for North America of the International Journal of Psychoanalysis. His numerous awards include the 2000 Mary Sigourney Award for outstanding contributions to psychoanalysis.

Sat, Oct 9, 2021 h. 3PM – 7PM (Rome time)

Otto KERNBERG

NARCISSISTIC PATHOLOGY: DIAGNOSIS AND TREATMENT

The definition of normal and pathological narcissism will be followed by the exploration of descriptive, structural and psychodynamic aspects of the narcissistic personality disorder and the clinical syndromes that evince this pathology. 
Differential diagnosis, prognosis and alternative approaches to treatment will be followed by the detailed analysis of Transference Focused Pychotherapy, specifically adapted. The typical transference developments, their therapeutic management and the respective countertransference complications will be examined, and clinical illustrations will be provided. 
Two major areas of narcissistic pathology will be highlighted: the pathology of love relations, and the prognostic and therapeutic challenges of antisocial behavior.
Sat, Oct 9, 2021 h. 3PM – 7PM (Rome time)

Patrick Jones - Course author
Otto Friedmann Kernberg is a psychoanalyst and professor of psychiatry at Weill Cornell Medical College. He is most widely known for his psychoanalytic theories on borderline personality organization and narcissistic pathology. In addition, his work has been central in integrating postwar ego psychology (which was primarily developed in the United States and the United Kingdom) with Kleinian and other object relations perspectives (which was developed primarily in the United Kingdom and South America). His integrative writings were central to the development of modern object relations, a theory of mind that is perhaps the theory most widely accepted among modern psychoanalysts.

Seminar I | Thu, Oct 28, 2021 h. 2PM – 6PM (Rome time) 
Seminar II | Fri, Oct 29, 2021 h. 2PM – 6PM (Rome time) 

Michaela SWALES

CONCEPTUALISING AND TREATING HIGH-RISK AND COMPLEXITY: WHAT DOES DBT HAVE TO OFFER?

Suicidal and self-harm behaviours are increasingly frequent; repetition and use of multiple methods of harm is a common issue for staff to address in both adult and child & adolescent mental health contexts. 
Dialectical Behaviour Therapy (DBT) was the first cognitive-behavioural treatment to demonstrate efficacy in the treatment of personality disorders. Initially developed as a treatment for repetitive suicidal and self-harm behaviours in adult women with a diagnosis of Borderline Personality disorder (BPD) (Linehan, 1993), DBT is considered the best tested of the treatments for BPD (Stoffers et al, 2013) and has been adapted for use with a range of client groups (Swales, 2019). 
Studies in routine clinical practice (Swales, et al, 2016; Flynn et al, 2018) indicate that these outcomes are also deliverable outside of clinical trials. This workshop will highlight aspects of DBT that may relate to its effectiveness in cases of high-risk and complexity and consider what these aspects of the treatment may tell us about working with clients in these circumstances. The workshop will use a range of didactic and experiential methods including role-play with audience members and use of DVD material.

Patrick Jones - Course author
Michaela Swales PhD is a Consultant Clinical Psychologist and Professor in Clinical Psychology on the North Wales Clinical Psychology Programme, Bangor University.

She trained in Dialectical Behaviour Therapy in Seattle in 1994 / 95 with Marsha Linehan and for twenty years ran a clinical programme for suicidal young people in an inpatient service. Professor Swales is the Director of the British Isles Training Team, an International Affiliate of the Linehan Institute. She has trained more than a thousand professionals in DBT, seeding over 400 programmes, in both the UK and further afield.

She co-authored, Dialectical Behaviour Therapy: Distinctive Features (2009; 2017) and Changing Behavior in DBT: Problem-Solving in Action (2015). She is the Editor of the Oxford Handbook of DBT (2019). Her primary research interest is the effective implementation of evidence-based psychological therapies in routine clinical practice. Professor Swales was a member of the Working Group on Classification of Personality Disorders, reporting to the World Health Organisation (WHO) International Advisory Group for the Revision of ICD-10 Mental and Behavioural Disorders. 

Sat, Nov 6, 2021 h. 9AM – 1PM (Rome time)

Clara MUCCI

HOW TO DIAGNOSE SEVERE PERSONALITY DISORDER

In this seminar, Clara Mucci will illustrate how to make a multidimensional and psycho-dynamic diagnosis of severe personality disorders (borderline, narcissistic), through the assessment of trauma levels and the presence of insecure and/or disorganised attachment with dissociative states between body and mind, using a practical grid she devised on the basis of various clinical cases.
The integrated method of treatment presented is based on the restoration of affective regulation modes that should repair dysregulated states and destructive behaviours (overeating and bulimia, alcohol and body attachments from self-harm to suicidality).  
All levels of affective participation of the therapist, physical, emotional, mental, will be used in the practices of enactment and embodied witnessing, which aim to integrate through the dynamics of conscious and unconscious communication between body, mind and brain of one and the otherthe various traumatic experiences remained buried, deleted, dissociated or walled off in alexithymia, often of intergenerational origin. The therapist will lead us through clinical cases to the exemplification of how to proceed in the therapy of these challenging but also interesting patients.

Patrick Jones - Course author
Clara Mucci is Full Professor of Clinical Psychology at the University of Bergamo, where she was for years Full Professor of English Literature and Shakespearean Theatre.

She is a psychoanalytically oriented psychotherapist and lecturer at the SIPP in Milan (Italian Society of Psychoanalytic Psychotherapy), teaching analyst and supervisor for the Italian Society of Psychoanalysis and Psychotherapy Sandor Ferenczi, he holds a PhD in Literature and Psychoanalysis from Emory University (Atlanta), and carried out (after a second degree in clinical psychology and specialisation at the SIPP in Milan) an internship at the Institute for Personality Disorders in New York directed by Otto Kernberg.

She is certified to carry out (for research and clinical purposes) the Adult Attachment Interview (under the direction of Mary Main and Erik Hesse, Berkeley University, California) and to assess the RF (Reflective functioning, a measure to evaluate the ability to mentalize), certification obtained with Howard Steele (New School for Social Research, New York).

Seminar I | Fri, Nov 12, 2021 h. 2PM – 6PM (Rome time) 
Seminar II | Fri, Nov 19, 2021 h. 2PM – 6PM (Rome time)

Paul LINKS

GOOD PSYCHIATRIC MANAGEMENT FOR BORDERLINE PERSONALITY DISORDER (BPD) AND NARCISSISTIC PERSONALITY DISORDER (NPD)

Good Psychiatric Management of patients with BPD is a generalist outpatient intervention for that can be effectively delivered by independent community mental health professionals. GPM consists of psychotherapy management using dynamically informed psychotherapy, based on Gunderson’s formulation on interpersonal hypersensitivity; case management, particularly focusing on the risk of suicide and symptom-targeted medication management. The evidence for GPM is primarily derived from a large randomized controlled trial showing that the clinical efficacy of GPM equaled that of Dialectical Behavior Therapy (DBT) (Main et al., 2009, 2012). Although GPM can be integrated with DBT some patients find GPM is more flexible, more attentive to patient’s goals, open to pharmacotherapy and split treatments and does not require an initial agreement to stop all self-harm.  
Although there is limited research on NPD, the consequences of pathological narcissism for clinical practice are very significant. For example, Ronningstan and Links have argued that narcissism has a unique association to the risk of suicide over and above the existence of comorbid depression. Recently, Good Psychiatric Management (GPM) that was developed for patients with BPD has been modified for patients with NPD. GPM for patients with NPD involves many of the same elements as the original GPM: diagnostic disclosure, psychoeducation, focus on life outside of treatment, progressing towards goals, psychodynamic and behavioral interventions, multimodal care and managing safety. Attention to managing risk of suicide in patients with pathological narcissism will be reviewed.
The application of GPM to patients with BPD and NPD will be illustrated through case vignettes involving audience participation and discussion of various clinical decision points.

Patrick Jones - Course author
Paul Links is Professor with the Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton ON, Canada. From 2012 until 2016, Dr. Links served as the Professor and Chair, Department of Psychiatry, Schulich School of Medicine & Dentistry, The University of Western Ontario, Chief of Psychiatry, London Health Sciences Centre and St. Joseph’s Health Care, London, Ontario.  Prior to coming to Western University, Dr. Links was holder of the Arthur Sommer Rotenberg Chair in Suicide Studies, University of Toronto for three terms. 

This Chair was the first in North America dedicated to suicide research.  Dr. Links was the former President for the Canadian Association for Suicide Prevention (CASP) and former President of the Association for Research on Personality Disorders. Dr. Links served as the Editor of the Journal of Personality Disorders from 2009-2011. 

He was previously on the Editorial Board of Canadian Journal of Psychiatry.  He has published over 160 articles in scientific journals and four books. As an investigator he has received research grants from many agencies including Health and Welfare Canada, the Ontario Ministry of Health, the Ontario Mental Health Foundation, Canadian Institutes of Health Research and the Workplace Safety and Insurance Board of Ontario. 

In October 2009, Dr. Links was awarded the CASP Research Award for outstanding contributions to the field of suicide research in Canada.  In May 2013, Dr. Links received the Borderline Personality Disorder Resource Center at New York-Presbyterian Hospital Award for Distinguished Achievement in the Field of Severe Personality Disorders.  

Seminar I | Fri, Jan 21, 2022 h. 9AM – 1PM (Rome time) 
Seminar II | Sat, Jan 22, 2021 h. 9AM – 1PM (Rome time)

Umberta TELFENER

THERAPY WITH NARCISSISTS

In psychotherapy, narcissistic clients are difficult clients whether met individually or in couples. They have to feel secure and interested, they cannot be challenged at first and stimuli have to be calibrated to keep them engaged.In the seminar we will start with clinical cases to talk about therapy with grandiose narcissists and with delusional narcissists, answer questions from the participants and - if there is a request - supervise some critical situations.

Patrick Jones - Course author
Clinical psychologist with a degree in Philosophy and in Psychology, she is an adjunct professor at the PhD Course in Health Psychology of the University La Sapienza of Roma. She has worked in a Public Health Center for ten years, is in private practice since 1980 and supervises the work of professionals and groups both in private and public settings. Teacher of the Milan Family Therapy School (Boscolo & Cecchin), has edited many books and articles.

WHAT'S INCLUDED

  • 6 Speakers
  • 36 Training Hours 
  • Live Zoom Webinars
  • You will be able to see the live broadcasts on Zoom and also the recordings for 6 months
  • Presenters slides available
  • Certificate of attendance

LANGUAGE

ENGLISH

SPANISH

ITALIAN

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