Psychiatry and Behavioral Medicine

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Door County Summer Institute

Greetings!

Welcome to the twentieth annual Door County Summer Institute. Our conferences have a tradition of quality continuing education.

 

This year we are offering 11 sessions, two are special 2 day 6 hour sessions (3 hours per day) and one will be a 3 day 9 hour session (3 hours per day). Monday and Tuesday, July 24th & 25th we will feature the Savant Syndrome. Thursday and Friday, July 27th & 28th, will focus on Grant Writing. Monday through Wednesday, August 7th-9th we will present on Integrated Brief Therapy.

 

Our seminars are directed toward psychiatrists, psychologists, physicians, social workers, nurses, and other mental health, health professionals and health care administrators. The Medical College of Wisconsin, in conjunction with the Department of Psychiatry and Behavioral Medicine and the HOPE Initiative are pleased to again sponsor the Summer Institute.

 

Door County Wisconsin provides a scenic backdrop for maintaining and enhancing clinical skills and knowledge. Individuals and their families will find an abundance of recreational activities to augment their course work. Ask anyone who has been there.

 

Please join us!

 

Carlyle H. Chan, M.D.

Institute Director

 

Dr. Chan is Professor of Psychiatry and Vice Chair for Professional Development and Educational Outreach and directs Continuing Medical Education in the Department of Psychiatry and Behavioral Medicine at the Medical College of Wisconsin in Milwaukee, WI.

 

 

Links to Individual Events:

 

Session I, July 24-25, 2006, Savant Syndrome: Discover the Genius in Us All, Darold Treffert, M.D.

Session II, July 27-28, 2006, Grant Writing Workshop, Lynn Miner, Ph.D.

Session III, July 24-28, 2006, Cognitive Behavioral Therapy: An Advanced Training Experience, Donald Meichenbaum, Ph.D.

Session IV, July 24-28, 2006, How Many Therapists Does it Take to Change a Light Bulb? Humor, Spontaneity, and Psychotherapy, Frederick Heide, Ph.D. and Lee Becker

Session V, July 24-28, 2006, Somatic and Pharmacologic Treatment Review: Hot Topics, Harold Harsch, M.D. and Rob Risinger, M.D.

Session VI, July 31-August 4, 2006, Uncovering Dangerous Secrets and Hidden Mysteries: The Art of Clinical Interviewing, Shawn Shea, M.D.

Session VII, July 31-August 4, 2006, Healthcare Leadership, Accountability, Execution, and Managing Change, Mark Mone, Ph.D.

Session VIII, July 31-August 4, 2006, Update in Pediatric Psychopharmacology, Russell Scheffer, M.D. and Richard Barthel, M.D.

Session IX, August 7-11, 2006, Dialectic Behavior Therapy, Sarah Reynolds, Ph.D.

Session X, August 7-11, 2006, Psychotherapy of Trauma and PTSD: Cognitive Therapy vs. Psychodynamic Psychotherapy, Walter Todd Davison, M.D. and Mervin Smucker, Ph.D.

Session XI, August 7-9, 2006, Integrated Brief Therapy; Some Stories Are Better Than Others, Michael Hoyt, Ph.D.

 

MCW Psychiatry Department

 

The Medical College of Wisconsin is a private, independent medical school with a public mission of excellence in education, research, patient care, and community service. With more than 800 medical students, 700 residents and fellows, and 900 full-time faculty, MCW ranks in the top third of all U.S. medical schools for federal research funding.

 

The MCW Department of Psychiatry and Behavioral Medicine has a long history of clinical and teaching excellence, combined with a new focus on research. The Psychiatry Department (with over 4.8 million research dollars) ranks 23rd in the nation among medical school psychiatry departments that received NIH funding. Interests range from functional MRI research and AIDS prevention to a Center for Psychotherapies. With 34 residents in adult and child psychiatry, the fully accredited residency programs are part of a diverse and growing academic department under the leadership of its Chair, Laura Roberts, M.D.

 

The department is building a new health outreach, partnering and education initiative (HOPE) to increase awareness of neuro psychiatric illness, inspire authentic optimism, and connect people, groups, organizations and communities. More details on HOPE will appear in the coming months.

 

 

General Session Information

 

From July 24 to August 11, 2006, 11 separate sessions will comprise this year's Summer Institute. The conferences are held in the mornings, leaving participants and their family members the afternoons free to explore the wonders of Door County.

 

Session I will run from 9:00 a.m. to 12:15 p.m. on Monday, July 24th and Tuesday, July 25th, 2006.

 

Session II will run from 9:00 a.m. to 12:15 p.m. on Thursday, July 27th and Friday, July 28th, 2006

 

Sessions III-X will run from 9:00 a.m. to 12:15 p.m. Monday through Thursday and from 8:30 a.m. to 12:00 noon on Friday.

 

Session XI will run from 9:00 a.m. to 12:15 p.m. from Monday, August 7 through Wednesday, August 9, 2006

 

A continental breakfast will be served daily. A cherry pie social is planned for participants and their families. Casual dress is the standard for all sessions. All sessions will be at the Landmark Resort.

About Door County

 

Door County, a three-hour drive north of Milwaukee, is an area of captivating scenic beauty. From its steep limestone bluffs to the spacious sand beaches, the 250-mile shoreline is both dramatic and serene. The rock formations are part of the Niagara escarpment that extends across the Great Lakes into Canada. Almost every kind of outdoor activity is available, as the area has four state parks and many local parks, beaches, hiking trails, and golf courses.

 

In addition to its natural beauty, Door County offers extensive cultural and musical attractions. The Peninsula Players Theatre is the nation's oldest summer stock theatre. The American Folklore Theatre provides professional musical theatre. You'll find classical, big band and jazz featuring some of the nation's most distinguished musicians, playing at the Peninsula Music Festival and the Birch Creek Music Center. Door County has one of the largest populations of artists and crafts people in the Midwest, and a host of shops, galleries, and boutiques adds color to every stroll through each village.

 

Whatever your enjoyment, bird watching, golf, tennis, boating, biking, sailing, fishing, horseback riding, hiking, or just basking in the sun, you will feel at home in Door County.

 

Cherry Pie Social

 

The cherry pie social will be held on designated evenings at:

The Cupola Cafe

7860 Hwy 42, Egg Harbor, WI 54209

 

6:30 p.m.-8:00 p.m.

 

Watch for the sign up sheets. Come join us in the fun and meet some of the participants from the other sessions being held during your week. Family members and friends are welcome.

 

 

 

 

 

 Session I

 

July 24-25, 2006 (2 days)

At the Landmark Resort

 

 

 

Darold Treffert, M.D.

 

Savant Syndrome: Discover the Genius in Us All

 

Darold Treffert, M.D. has been studying savants for over 40 years. He authored Extraordinary People: Understanding Savant Syndrome and was consultant to the movie Rain Man. He has published widely on savant syndrome including recent articles in Scientific American. He has assisted numerous television programs on savant syndrome in the U.S. and across the world. Dr. Treffert served as the director of the Winnebago Mental Health Institute.

 

Symposium Description and Objectives

 

Savant syndrome-astonishing islands of genius amongst a sea of varying disability-is an extraordinary condition. No model of brain function will be complete until it can fully incorporate this jarring juxtaposition of a-bility and dis-ability in the same person. Until we can explain the savant, we cannot fully explain ourselves.

 

Participants will: 1) meet some of these memorable persons via videotapes, 2) understand the nature of the condition; its manifestations and causes, 3) recognize the implications the savant syndrome holds for better understanding brain function, including memory, 4) be able to discuss the implications that this remarkable condition has regarding the hidden potential, perhaps, within us all, 5) learn strategies for successful intervention and education, including 'training the talent'.

 

 

 

Monday

Well-known savants/ Savant skills memory: How do they do it?/ The mind: beyond synapses and circuits/ The savant world: education and intervention.

 

Tuesday

Newly emerged "spontaneous" savant skills following CNS injury or disease/ Remembering things we never learned/ Savants, prodigy and genius/ Exploring and tapping our inner savant/ Current research and future directions.

 

 

Session II

 

July 27-28, 2006 (2days)

At the Landmark Resort

 

 

 

 

 

 

 

 

 

 

 

 

Lynn Miner, Ph.D.

 

Grant Writing Workshop

 

Lynn Miner, Ph.D. has trained over 10,000 successful grantseekers and fundraisers, helped nonprofit organizations raise multi-millions, and evaluated philanthropy programs. Dr. Miner is founder and CEO of Miner and Associates, Inc. With Dr. Miner's 22 years experience directing the Grants Office at Marquette University, funding increased 1850%. Dr. Miner co-authored Proposal Planning and Writing, an introductory text on successful grantseeking and Models of Proposal Planning and Writing, an advanced text on successful grantseeking (April, 2005). Dr. Miner is the editor of Grantseeker Tips, a bi-weekly electronic newsletter on successful grantseeking and fundraising.

 

Symposium Description and Objectives

 

This workshop is designed for those seeking the basics of successful grantseeking and will concentrate on the practical elements of planning and writing proposals. Planning includes identifying public and private funding sources and picking the sponsors with the greatest likelihood of funding projects. This requires a systematic approach. The writing portion of this workshop will examine these approaches, identify the key components of proposals, and offer examples of how to write them persuasively and in an attractive manner.

 

Participants will: 1) identify federal and private grants and uncover sponsor grant priorities, 2) develop new technical writing skills, 3) avoid common mistakes, 4) work smarter with computers, 5) learn persuasive writing.

 

Thursday

Identify who is funding what/ Learning what sponsors want/ Convincing a sponsor of your needs/ Implementing a "systems approach"/ Repackaging grant ideas/ Making pre-proposal contacts/ Asking for the "right" amount of money.

 

 

Friday

Letter proposals/ Writing government grants/ Budget construction/ Designing readable proposals/ Critiquing proposals/ Resubmitting rejected proposals. 

 

 

 

Session III

 

July 24-28, 2006

At the Landmark Resort

 

 

 

 

 

 

 

 

 

 

 

 

Donald Meichenbaum, PhD.

 

Cognitive Behavior Therapy: An Advanced Training Experience

 

Donald Meichenbaum, Ph.D. is a Distinguished Professor Emeritus at the University of Waterloo, Canada and Director of the Melissa Institute for Violence Prevention and Treatment of Victims, Miami, Florida. He is one of the founders of cognitive-behavior therapy and he has been voted by Northern American Clinicians to be "one of the ten most influential psychotherapists of the century"

Dr. Meichenbaum has published extensively including his landmark books: Cognitive Behavior Modification: An Integrative Approach; Stress Inoculation Training; Pain and Behavior Medicine; Facilitating Treatment Adherence; The Unconscious Reconsidered, and A Clinical Handbook for Treating PTSD. He is editor of the Plenum Press Series on Stress and Coping and was Honorary President of the Canadian Psychological Association.

 

Symposium Description and Objectives

 

This comprehensive and in depth symposium will provide advanced training in cognitive-behavioral and related interventions for adults. This symposium will also offer a life-span perspective on clinical problems our patients present and a Case Conceptualization Model on assessment and treatment decision-making that will frame the interventions. Twelve core tasks of psychotherapy that characterize "expert" therapists will be discussed, demonstrated on videotape case presentations and practiced by participants. Specific focus will be on the initial phase of treatment and will include discussion of and ways to enhance and maintain a therapeutic alliance; assessment of dangerousness to self and others, accompanying practical interventions such as skills-building and generalization procedures, and ways to tailor specific interventions to the needs of victimized populations. How these interventions can be altered in developmentally sensitive manner will be examined.

 

Participants will be able to: 1) utilize a Case Conceptualization Model that informs assessment and treatment decision-making, 2) implement the core tasks of psychotherapy that characterize both "expert" therapists and empirically-based interventions, 3) address more effectively critical issues such as ways of developing nonadherence and client resistance. Videotaped case studies, group practice activities and detailed handouts will be used to demonstrate the varied interventions.

 

Monday

The nature of expertise/ Focus on what works in psychotherapy/ Core tasks of psychotherapy/ What expert therapists do/ Case conceptualization model: assessment and treatment decision making,/ Nurturing a therapeutic alliance/ Engagement procedures using client feedback to improve treatment.

 

Tuesday

Psychoeducation interventions/ Barriers analysis/ Nurturing hope/ Collaborative goal-setting/ Adherence counseling/ Assessment strategies from a life-span perspective, fostering resilience and strengths.

 

Wednesday

Assessment of dangerousness toward self and others/ Interventions for family violence for victims and perpetrators/ Integrative treatment for patients with comorbid disorders/ Relapse prevention procedures.

 

Thursday

How to conduct cognitive restructuring procedures/ Behavioral activation interventions/ Stress inoculation training/ Problem-solving training/ Acceptance and mindfulness training.

 

Friday

New developments in the treatment of PTSD/ How to treat emotional dysregulation, dissociation/ hyperarousal, flashbacks/ How to do "memory work"-imagery-based procedures, direct therapy exposure and cognitive therapy procedures/ Finding meaning/ Role of spirituality/ Self-care for therapists: treating vicarious traumatization.

 

 

 

Session IV

 

July 24-28, 2006

At the Landmark Resort

 

Lee Becker 

 

 

Fred Heide, Ph.D. 

 

                                                                                

How Many Therapists Does It Take to Change a Light Bulb?: Humor, Spontaneity, and Psychotherapy

 

Frederick Heide, Ph.D. is Associate Professor at the California School of Professional Psychology, America's largest graduate professional psychology program. There he has received both the Master Teacher and Teacher of the Year awards. He is Past President of the Association for Behavioral and Cognitive Therapy and has published in the Journal of Consulting and Clinical Psychology, Psychophysiology, Psychology Today and elsewhere. He has presented internationally on postmodernism, psychotherapy integration and cutting-edge themes in the sciences. Dr. Heide is co-founder and first board president of American Folklore Theatre, where he has performed for over a quarter century. Among the many pieces he has written for the stage is the long-running hit comedy Belgians in Heaven. He has studied and created two shows in collaboration with Paul Sills, Tony Award winning founder of Chicago's Second City.

 

Lee Becker has performed professional improvisational comedy in New York City for almost a decade before returning to his home state of Wisconsin. He has been a member of several national championship teams in Comedy League of America's annual competition. Mr. Becker has also performed extensively with American Folklore Theatre and Door Shakespeare. He has taught improvisation technique at the California School of Professional Psychology, the Medical College of Wisconsin, and elsewhere. Along with Dr. Heide, he is co-author of the sci-fi football musical Packer Fans From Outer Space.

 

 

Symposium Description and Objectives

 

Humor has had a place in psychotherapy since Freud reportedly told jokes to patients. Recent research shows that humor is a strong predictor of satisfaction in doctor-patient relationships and can be highly efficacious when used appropriately in therapy. This workshop will provide an overview of research on psychotherapeutic humor and discuss circumstances where it can be helpful and harmful. Principles of humor will be examined, including exaggeration, minimization, reversal and wordplay.

Consistent with Franzini's argument that "the success of therapeutic humor relies heavily on spontaneity", a substantial portion of the workshop will be devoted to giving participants the opportunity to explore improvisational methods pioneered at Chicago's Second City Theatre to stimulate introspection and examine counter transference issues. A warm, safe, supportive environment will be fostered. Talent and prior experience being funny is not required.

 

At the end of this conference participants will: 1) become cognizant of the scientific literature regarding the therapeutic use of humor, 2) rehearse improvisational exercises to facilitate self reflection, 3) appreciate non verbal forms of expressions.

 

Monday

Overview/ Contemporary research on humor and psychotherapy/ Warm-up exercises.

 

Tuesday

Relationship of expressiveness and humor/ Exploring paralinguistics, kinesics, emotional encoding.

 

Wednesday

Principles of humor/ Helpful vs. harmful humor/ Jokes and humorous stories/ Improvisational skills I.

 

Thursday

Improvisational skills II.

Friday

Improvisational skills III/ Clinical issues.

 

 

 

Session V

 

July 24-28, 2006

At the Landmark Resort

 

Harold Harsch, M.D. 

                                                                         

Somatic and Pharmacologic Treatment Review: Hot Topics

 

Harold Harsch, M.D. is an Associate Professor of Psychiatry at the Medical College of Wisconsin with a joint appointment in the Department of Medicine. Dr. Harsch is the Medical Director for Geriatric Psychiatry at Froedtert Memorial Lutheran Hospital and is teaching faculty for the MCW Inpatient Services at Rogers Memorial Hospital. Dr. Harsch has been involved in over 75 clinical trials of new drug development. He currently teaches Advanced Psychopharmacology to psychiatric residents at MCW and is a sought after lecturer. He has given over 150 invited lectures during his tenure at the Medical College. Dr. Harsch's current research interest continues to involve the testing of new psychoactive compounds. Dr. Harsch is board certified in adult psychiatry, geriatric psychiatry and psychosomatic medicine.

 

Robert Risinger, M.D. is an Assistant Professor of Psychiatry at the Medical College of Wisconsin and Director of the Addiction Neuroimaging Lab as part of the Functional Imaging Research Center. As a clinician-scientist he has performed numerous clinical trials typically of Phase I and 2 novel experimental therapeutics. He received his neuropsychiatric training at Emory University and fellowships at the National Institutes of Mental Health and National Institute of General Medical Science. He currently teaches Advanced Psychopharmacology to psychiatry residents at MCW and has given numerous invited lectures. His current work involves using neuroimaging to test novel anti-craving compounds for addiction and direct brain stimulation techniques to alleviate severe neuropsychiatric disorders.

 

Symposium Description and Objectives

 

This five day workshop will provide a review and update of various topics in psychopharmacology and psychiatric treatment. The use of psychopharmacologic agents in depression, addictions, and treatment refractory disorders will be the major emphasis. The use of brain stimulation and brain imaging as well as pharmacogenenomics will also be discussed. Future directions of drug development and biological interventions for neuropsychiatric disorders will be explored.

 

This workshop will be structured with daily didactic presentations followed by case discussions. Participants will also be able to bring their challenging clinical experiences for discussion during the workshop.

 

Participants will: 1) review efficacy and safety of various psychopharmacologic agents and VNS therapy, 2) be able to discuss strategies for dealing with treatment resistance and frequent side effects that are seen in drug treatment, 3) learn how to rationally use psychopharmacology in clinically challenging patient groups.

 

Monday

Drs. Harsch & Risinger              

Introduction and expectations/ Review of antidepressants/ Depression and medical illness/ Antidepressants - the future.

 

Tuesday

Dr. Risinger    

Treatment resistant depression/ Vagus nerve stimulation and deep brain stimulation in psychiatry.

 

Wednesday

Dr. Harsch

Psychopharmacology in the older adult/ Dementia and cognitive enhancers/ Dementia and behavioral disturbances.

 

Thursday

Drs. Harsch & Risinger

Mood stabilizers-what are they and how do you use them?/ Drug treatments for addiction-an oxymoran?/ Brain imaging in addiction.

 

Friday

Drs. Harsch and Risinger

Antipsychotics - their use in the new FDA black box environment/ Sleep aids and their proliferation/ Herbal and nutritional therapies/ Review of the course and future drug development.

 

 

Session VI

 

July 31-August 4, 2006

At the Landmark Resort

 

 

 

 

 

 

 

 

 

 

 

 

Shawn Shea, M.D. 

 

Uncovering Dangerous Secrets & Hidden Mysteries: The Art of Clinical Interviewing

 

Shawn Shea, M.D. is an internationally acclaimed workshop leader and innovator in the field of clinical interviewing and suicide prevention as well as the author of the best-selling book of philosophy Happiness Is, recently honored as a Brodart Library Gem. Popular for his provocative and fast-paced workshops, which are laced with a wicked sense of humor, Dr. Shea received an Outstanding Course Award from the American Psychiatric Association for his annual meeting presentations. His   1999 Cape Cod course received the highest evaluation of the thirty courses presented over the summer.

Dr. Shea is also the author of the two popular texts Psychiatric Interviewing: the Art of Understanding, 2nd edition and The Practical Art of Suicide Assessment. The American Medical Library Association selected the former text for the Brandon/Hill List as one of the 16 most important books in the field of psychiatry. In 2005, the French translation of Psychiatric Interviewing was chosen for the "Prix Psyche" as the most important new psychiatric book in the French language.

 

Dr. Shea directs the Training Institute for Suicide Assessment and Clinical Interviewing (www.suicideassessment.com) a training and consultation service providing workshops, consultations and quality assurance design in mental health assessments. He is also an Adjunct Assistant Professor of Psychiatry at the Dartmouth School of Medicine in Hanover, New Hampshire and in private practice.

 

Symposium Description and Objective

 

Dr. Shea will present innovative strategies, including the widely praised "facilic" supervision system, for performing a biopsychosocial assessment and DSM-IV differential diagnosis in sixty minutes. Participants will observe and discuss a videotaped initial interview of a client presenting with a complex history complicated by disturbing suicidal ideation. They will review the clinical write up from this interview, exploring key forensic tips for keeping oneself out of the courtroom. Participants will become cognizant of methods for uncovering problematic and hidden personality dysfunction. The concept of object relations will be applied to the initial assessment followed by the daunting task of making an accurate Axis II diagnosis in the first sixty minutes.

Through Dr. Shea's demonstrations, participants will observe how to uncover specific dangerous secrets. Five practical validity techniques will be described: the behavioral incident, shame attenuation, gentle assumption, symptom amplification, and denial of the specific. These techniques can help uncover drug abuse, antisocial behavior, and incest, as well as help with the prediction of violence at home or school. These validated techniques can be woven into a unique strategy for eliciting suicidal ideation: the highly acclaimed Chronological Assessment of Suicide Events (the CASE Approach).

 

Participants will become familiar with practical and creative principles for coping with some frustrating resistances including: client anger and hostility, awkward questions involving the clinician's personal life, religious beliefs or credentials. Finally, participants will appreciate the fascinating and useful applications of philosophy in the realms of clinical interviewing and treatment planning.

 

Monday

Sensitive structuring: tasks, obstacles, strategies and solutions/ Introduction to facilic supervision. 

 

Tuesday

Effective time management/ Avoiding common errors/ Strategic DSM-IV differential diagnosis/ Written documentation tips and "how to avoid malpractice suits".

 

Wednesday

Apply object relations theory to the following interview tasks: engaging the client, uncovering serious personality pathology, and choosing appropriate interventions/ Useful strategies for sensitive Axis II diagnosis.

 

Thursday

Validity techniques, behavior incident, shame attenuation, gentle assumption, symptom amplification, and denial of the specific: the CASE approach.

 

Friday

Transforming anger and resistance/ Handling intrusive personal inquiries/ A clinically useful definition of happiness, the human matrix model and its role in interviewing and treatment planning.

 

 

Session VII

 

July 31-August 4, 2006

At the Landmark Resort 

 

 

Mark Mone, Ph.D.

 

Healthcare Leadership: Accountability, Execution, and Managing Change

 

Mark Mone, Ph.D. is Associate Dean, Executive Programs, and Professor of Management in the School of Business Administration at the University of Wisconsin-Milwaukee. He teaches leadership, performance management, team building and international management topics in the business school, and works with leaders in corporate, healthcare and non-profit settings. Dr. Mone also consults with a variety of organizations and serves as an expert witness in employment cases. He has received teaching awards at UW-Milwaukee and Washington State University, and was recently awarded the School of Business Advisory Board's Annual Research Award. He serves on multiple editorial boards and has published over 35 scholarly articles and book chapters on management topics.

 

Symposium Description and Objectives

 

This symposium focuses on some of the most significant, frequently encountered issues facing managers, administrators, and consultants in a variety of organizations. How can we better manage change, increase accountability and execution and strengthen our leadership? In a dynamic society and work place, with many diverse ages, cultural backgrounds, challenging technologies and other demands, how can we better understand employees and create environments that motivate and encourage development and learning organizations? In short, how can we learn, implement, effectively teach new leadership tools and get results?

 

An ongoing organizational challenge has been locating and retaining talented employees in an era of cost and productivity pressures. In addition, work force and cultural diversity add complexity, technologies are changing rapidly, and "old" management styles are not as effective as they once were. These dynamics represent formidable challenges for organizational leaders, managers, and administrators, defy quick fixes, and jeopardize organizational sustainability.

 

At the end of this course participants will: 1) recognize individual leadership styles, 2)    develop managerial skills through case discussion, and 3) appreciate the impact of diversity.

 

Monday

Assessing and developing leadership styles and skills.

 

Tuesday

Increasing accountability and execution.

 

Wednesday

Developing delegation skills and capabilities while managing expectations.

 

Thursday

Managing effectively the challenges in cultural and workforce diversity.

 

Friday

Leading change and driving initiatives to successful completion.

 

 

 

Session VIII

 

July 31-August 4, 2006

At the Landmark Resort

 

Russell Scheffer, M.D.
Richard Barthel, M.D. 

                                                                     

 

Update in Pediatric Psychopharmacology

 

Russell Scheffer, M.D. is the Director of Child and Adolescent Psychiatry at the Medical College of Wisconsin and Children's Hospital of Wisconsin. He is the Chucker Aring Professor of Child Psychiatry and listed in Best Physicians in America. An expert psychopharmacologist and diagnostician, he oversees statewide efforts to improve the care of youth with psychiatric problems. He conducts research spanning basic science, neuroimaging, phenomenology, pharmacogenetics, psychopharmacology, and health services research.

 

Richard Barthel, M.D. is an Assistant Professor in the Medical College of Wisconsin Department of Psychiatry and Behavioral Medicine and Department of Pediatrics. Based at Children's Hospital of Wisconsin, he is co-director of the Pediatric Psychopharmacology Clinic. His clinical interests are in the "autistic spectrum" disorders, Tourette's disorder, ethics in child mental health care, and the co-morbidity of physical illness and mental health issues.

 

Symposium Description and Objectives   

                         

Drs. Scheffer and Barthel will incorporate important aspects of clinical phenomenology into interactive discussions regarding evidence-based treatments for children and adolescents with psychiatric illness. They will discuss neuroscience data, evolving information on clinical trials, and expert opinion. An emphasis is placed on the Socratic process, which will be encouraged in a variety of ways, including case discussions. Participants are encouraged to bring their own cases for presentation and discussion.

Topics to be covered include: ADHD, Anxiety Disorders, Bipolar Disorder, Schizophrenia, Major Depression, and the Pervasive Developmental Disorders. Drug-drug interactions, pharmaco-genetics, and treatment of psychiatric disorders/conditions that occur in co-morbidly medically ill children will be addressed.

At the end of the course, participants will: 1) be better able to identify psychiatric illnesses and important co-morbidities, 2) be cognizant of the published and ongoing large-scale clinical trials evidence regarding treatment of psychiatric disorders in children and adolescents, 3) articulate the best practices regarding treatment of youth with serious mental illnesses, 4) understand the evolving evidence regarding the treatment of co-morbid conditions in youth with psychiatric illness.

 

Monday

Drs. Barthel & Scheffer

Evaluation of children and adolescents for pharmacotherapy-structural, legal and ethical issues/ Assessment/Treatment of the disruptive behavior disorders and ADHD.

 

 

Tuesday

Dr. Scheffer

Affective disorders in children & adolescents I: depression and bipolar disorder/ Evaluation and treatment of psychotic disorders/Schizophrenia.

 

Wednesday

Dr. Barthel

Affective disorders in children & adolescents-II: anxiety disorders-including OCD/ The pervasive developmental disorders.

 

Thursday

Drs. Barthel & Scheffer

Aggression/Self-injurious behavior as a target symptom/ Tourettes and tics-pros and cons of treatment/ the future... Is it now?... Pharmaco-genomics and individualized pharmacotherapy.

 

Friday

Drs. Barthel & Scheffer

Medical co-morbidities -impact on treatment/ Medications in the "Pipeline".

 

 

 

Session IX

 

August 7-11, 2006

At the Landmark Resort

Sarah Reynolds, PhD. 

 

 

Dialectic Behavior Therapy

 

Sarah Reynolds, Ph.D. is Assistant Professor of Psychiatry at the University of Pittsburgh, Western Psychiatric Institute and Clinic. She trained in Dialectical Behavior Therapy (DBT) while completing a 3-year postdoctoral fellowship at the University of Washington under the mentorship of Professor Marsha Linehan, PhD, the developer of DBT. Dr. Reynolds has provided DBT training and consultation around the country. She has published and presented both research and theoretical papers on the topics of DBT, personality disorder, and suicidality.

 

Symposium Description and Objectives

 

Dialectical Behavioral therapy (DBT), developed by Marsha Linehan, PhD, ABPP, at the University of Washington, is a comprehensive cognitive-behavioral treatment for borderline personality disorder (BPD). This treatment was developed especially for individuals with chronic patterns of suicidal or other severe, out-of-control behaviors. The model underlying DBT posits that such behaviors are functionally linked to emotion dysregulation. 

 

The treatment itself blends standard cognitive behavioral strategies with acceptance-based approaches derived from Eastern mindfulness traditions. Research has shown DBT to effectively reduce suicidal behavior, substance abuse, dropout from treatment, psychiatric hospitalization, anger, and interpersonal difficulties. DBT has since been adapted to treat a variety of other clinical problems in a variety of settings including substance abuse in the context of BPD, eating disorders, depressed elderly, suicidal adolescents, forensic populations, general inpatient settings, and residential facilities.

 

This workshop will review introductory concepts in DBT, but will build off this information so participants can learn intermediate-level material. As such, the content and pace of the symposium will be geared toward those with some prior knowledge of basic DBT concepts, either through self-study or formal instruction (e.g., participation in the 2005 DBT symposium at Door Co). To accommodate varying levels of DBT experience, however, a brief set of introductory reading materials will be mailed to each participant prior to the symposium. Review of this background material before starting the workshop is essential, so that the majority of time can be spent learning more advanced concepts.

 

Participants will be able to: 1) describe the theory of structure of DBT, 2) demonstrate a basic understanding of how to structure a DBT individual therapy session and how to conduct effective initial sessions with DBT client, 3) advance their skills in behavioral assessment, 4) demonstrate a basic knowledge of DBT strategies for assessment and management of suicide crises, 5) demonstrate basic understating of strategies to   recognize and treat in-session dysfunctional behavior, 6) demonstrate a basic knowledge of how DBT can help to minimize clinician burnout.

 

 

Monday

Review of the biosocial model of BPD and basic treatment structure/ Individual therapy as part of comprehensive DBT/ Conducting first individual therapy sessions.

 

Tuesday

Structuring your individual sessions/ Effective assessment strategies/ Overview of DBT change strategies.

 

Wednesday

Overview of DBT acceptance strategies/ Dialectics: How to get "Unstuck".

 

Thursday

Conducting a DBT phone call/ Recognizing and targeting in-session dysfunctional behavior.

 

Friday

Strategies to minimize provider burnout/ Summary and review: What can you take away from the symposium?

 

 

Session X

 

August 7-11, 2006

At the Landmark Resort

 

 

 

 

 

 

 

 

  

W. Todd Davison, M.D.  

 

 

                                                            

Mervin Smucker, PhD.

 

Psychotherapy of Trauma and PTSD: Cognitive Therapy vs. Psychodynamic Psychotherapy

 

Walter Todd Davison, M.D. is Training and Supervising Psychoanalyst in the Wisconsin Psychoanalytic Institute, Clinical Professor of Psychiatry and Family Practice at the Medical College of Wisconsin, and Professorial Lecturer at Georgetown University School of Medicine. Dr. Davison received the MCW Golden Apple award for resident teaching and the Edith Sabshin Award for teaching from the American Psychoanalytic Association. Milwaukee Magazine named him one of the top psychotherapists in Milwaukee in each of its last five polls. He is the author of books Trust the Force and Life after Psychotherapy.

 

Mervin R. Smucker, Ph.D. is Associate Clinical Professor at the Medical College of Wisconsin and Director of the Cognitive Therapy Institute of Milwaukee. Dr. Smucker previously trained and worked with Dr. Aaron T. Beck at the University of Pennsylvania Medical School. Internationally recognized for his creative and innovative applications of imagery in cognitive therapy,    Dr. Smucker has conducted workshops and seminars throughout the world. He was voted as one of Milwaukee's best psychologists by Milwaukee Magazine. He has authored many scholarly articles and three books on trauma, including a treatment manual: Imagery Rescripting and Reprocessing Therapy (IRRT): A Treatment Manual for Adult Survivors of Childhood Sexual Abuse Experiencing PTSD. Dr. Smucker is currently developing a new treatment algorithm model designed as a clinician's guide for treating all types of trauma.

 

Symposium Description and Objectives 

 

This workshop presents the essentials of good psychotherapy along with the most recent innovations pertaining to the treatment of trauma and PTSD from cognitive, psychodynamic, and Rogerian perspectives. The presenters will discuss specific clinical interventions at critical junctures during the trauma-focused therapy session and compare and contrast them from cognitive and psychodynamic perspectives.

 

Participants will 1) learn the critical components of successful emotional processing of traumatic events, 2) recognize how critical elements of different approaches can be combined in the skillful application of exposure, cognitive restructuring, imagery rescripting, and schema modification within the context of "providing a safe holding environment" and "listening through a psychodynamic window", 3) appreciate the perils, pitfalls, and potential therapeutic opportunities of transference and countertransference. Specific case examples (including video demonstrations) will be presented and critiqued. Audience participation will be encouraged throughout.

 

 

Monday

Introduction to trauma and PTSD/ Psycho-dynamic vs. cognitive perspectives.

 

Tuesday

Psychodynamic case examples/ Cognitive critique.

 

Wednesday

An integrative cognitive/imagery rescripting model/ Video demonstration/ A psychodynamic critique. 

 

Thursday

Advanced clinical applications/ Video demonstration.

 

Friday

Clinical examples from participants/ Review of cognitive and psychodynamic clinical guidelines.

 

 

Session XI

 

August 7-9, 2006 (3 days)

At the Landmark Resort

 
Michael Hoyt, Ph.D. 

 

Integrated Brief Therapy: Some Stories Are Better Than Others

 

Michael Hoyt, Ph.D. is senior staff psychologist at the Kaiser Permanente Medical Center in San Rafael, CA. He is the author of Some Stories are Better Than Others, The Present is a Gift, Interviews With Brief Therapy Experts; and Brief Therapy and Managed Care; as well as the editor of several volumes .

An internationally respected lecturer, multitheoretical thinker, and expert clinician, Dr. Hoyt has been honored as a Woodrow Wilson Fellow, as a Distinguished Continuing Education speaker by both the American Psychological Association and the International Association of Marriage and FamilyTherapists, and as a Contributor of Note by the Milton H. Erickson Foundation. Clinicians interested in time-sensitive therapy will find this workshop to be a stimulating and valuable experience.

 

Symposium Description and Objectives

 

How we look influences what we see, and what we see influences what we do, 'round and around. Some stories are better than others, some ways of looking and thinking and acting are more invigorating and rewarding than others. People often come to therapy when their ways of looking aren't getting them what they want. They come, in essence, looking for a new story, a new perception, a new way of understanding- which can lead to new behaviors and new outcomes.

Many effective therapies involve brief lengths of treatment. A structure will be presented for organizing the tasks and skills involved in the different phases of therapy. Numerous case examples, many on videotape, will illustrate brief therapy techniques applicable in both initial sessions and in the course of longer treatments.

 

Participants will recognize: 1) productive therapist attitudes, 2) develop methods for finding a focus, 3) appreciate ways of facilitating clients' strengths in the service of re-storying, 4) learn effective interventions for common presenting complaints. They will gain skills associated with different phases of treatment, including recognizing why and how to say when-ways to end therapy successfully.

 

 

Monday

Introduction; narrative constructivism and restorying/ Key characteristics of brief therapy/ The structure of brief therapy: tasks and skills associated with different phases (pre-, early, middle, late, follow-through)/ The importance of the first session/ Active ingredients and potential pitfalls, Single-session therapy: When the first session may be the last/ Guidelines and video.

 

Tuesday

Practical re-storying: shifting (reframing /utilization) to the possible/ Video cases and discussion/ Exercise: Asking the right questions at the right time.

 

Wednesday

Solution-focused therapy in a case of marital conflict-video and discussion/ Exercise: learning from our internalized clients/ Termination: How and why to say when/ Seeing yourself as a more effective (brief) therapist.

 

 

 

Tuition and Refunds

The tuition fee is $560.00 for one full week and $500.00 for each additional full week. The tuition for sessions I & II is $225.00 and session XI is 340.00. Tuition for full-time graduate students and resident physicians is $495.00 per week with a letter from the director of the training program.

 

The first symposium tuition fee will be reduced to $500.00 if postmarked by May 1, 2006. Groups of 3 or more may deduct an additional $20.00 from each registration if all registrations are submitted at the same time with payment.

 

Refunds, minus $50.00 administration fee, may be obtained if requested in writing and postmarked no later than 15 days prior to the beginning of each session. There will be no refunds thereafter.

Enrollment is limited.

 

Accommodations

Door County offers a wide variety of accommodations including wilderness campgrounds, inns, cottages, motels and condominium hotels and resorts.

 

Lodging in July and August are in great demand; it is absolutely crucial that you make reservations early. A block of suites has been set aside for conference participants at the headquarters resort, the Landmark Resort. These suites will be held until June 10, 2006 or until they are filled, which ever occurs first. After that the rooms are on a space available basis.

 

From its site on the bluff, the Landmark offers outstanding views of the waters of Green Bay. 294 units are comprised of 1, 2, and 3 bedroom condominium suites. Facilities include: restaurant and lounge, 11 meeting and function rooms, indoor and outdoor pools, 5 tennis courts, and fitness and game rooms. The Landmark Resort is Door County's largest and best full service facility. All rooms at the Landmark are non-smoking.

 

The Landmark
7643 Hillside Road
Egg Harbor, Wisconsin 54209
(920) 868-3205, FAX (920) 868-2569
Reservations (800) 273-7877

E-mail: stay@thelandmarkresort.com

http//www.thelandmarkresort.com

 

 

Please be sure to indicate that you are attending the Summer Institute.

 

Information on other places to stay can be obtained by contacting the Door County Chamber of Commerce P.O. Box 346A, Sturgeon Bay, WI 54234 (1 800 52-RELAX)

 

When available, private accommodations may be secured through Jim Spolarich at Century 21 Door Properties at (920) 868-2002, and with JR Vacation Rentals at (888) 481-1935.

 

Accreditation

The Medical College of Wisconsin is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

 

Designation of Credit

The Medical College of Wisconsin designates each session of this educational activity for a maximum of 15 AMA PRA Category 1 Credit(s)tm . Physicians should only claim credit commensurate with the extent of their participation in the activity.

 

The Medical College of Wisconsin designates each session for up to 15 contact hours of continuing education for allied health professionals.

 

The Medical College of Wisconsin is approved by the American Psychological Association to offer CE credits for psychologists. MCW maintains responsibility for the program and its content.

 

The Medical College of Wisconsin is approved by the Illinois Department of Professional Regulation to offer 15 continuing education credits for social workers in Illinois. Sponsor license number is 159-000664.

 

Application has been made for pre approval of EACC Professional Development Hours (PDHs).

 

This activity has been reviewed and is acceptable for up to

66.00 Prescribed credits by the American Academy of Family Physicians.

 

Contact hours have been applied for through the Wisconsin Nurses Association Continuing Education Approval Program Committee.

 

Three and two day sessions offer a maximum of 9 and 6 credits/contact hours respectively.

 

Special Needs

Participants needing special accommodations please contact our office at (414) 456-7250 at least two weeks in advance of any session.

 

Miscellaneous

Consistent with ACCME policy, faculty for all MCW continuing education programs are required to disclose to their audience all relevant financial relationships with commercial organizations.

 

For More Information Contact

Carlyle H. Chan, M.D.
MCW - Psychiatry Department
8701 Watertown Plank Road, Milwaukee, WI, 53226
Phone: 414 456-7250   FAX: 414 456-6299 

www.mcw.edu/psych/dcsi

 

 

 

webmaster@mcw.edu
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Page Updated 03/13/2008