Psychiatry and Behavioral Medicine

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 The Department of Psychiatry's Door County Summer Institute

 

Our educational institute, filled with lively seminars and recreational opportunities, happens each summer in late July into early August. The conferences have a tradition of quality continuing education. 

Our seminars are directed toward psychiatrists, psychologists, physicians, social workers, nurses, and other mental health professionals and health care administrators. The Medical College of Wisconsin, in conjunction with the Department of Psychiatry and Behavioral Medicine, is pleased to 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 in 2007! More details will follow.

 

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.

 

If you have any questions related to upcoming events, please contact Brenda Albanese at albanese@mcw.edu or 414-456-7250.

 

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 nationally in the top quintile of medical school psychiatry departments that receive NIH funding. Interests range from empirical ethics 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. 

 

General Session Information

 

From July 23 to August 10, 2007, 9 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 8:00 a.m. to 12:15 p.m. Monday, July 23 and Tuesday, July 24th, 2007.

 

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

 

Links to Sessions:

Session I: Bioethics, Supervision, Cultural Issues, and Addiction, July 23-24, 2007 (2 Days)
Session II: ADHD In Children, Adolescents, and Adults: Nature, Diagnosis, and Management, July 23-27, 2007
Session III: Clinical Suicidology: Assessing and Treating the Patient at Risk for Suicide, July 23-27, 2007

Session IV: Learning Skills in Evidence-Based Medicine, July 30-August 3, 2007
Session V: Criminal Profiling, July 30-August 3, 2007

Session VI: Humor Restructuring and Psychotherapy, or People Who See a Shrink Should Have Their Heads Examined, July 30-August 3, 2007
Session VII: Brief Psychotherapy: The Great Instrument of Orientation, August 6-10, 2007
Session VIII: Update on Psychiatric Pharmaco and Somatic Therapies, August 6-10, 2007

Session IX: Neuropsychology Update, August 6-10, 2007 

 

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 Tuesday 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 23-24, 2007 (2 Days)

At the Landmark Resort

Special 2-Day Session:

Bioethics, Supervision, Cultural Issues, and Addiction

 

 

 

 

 

 
     

 

Arthur Derse, MD, JD, is Director of Medical and Legal Affairs and Associate Director of the Center for the Study of Bioethics at the Medical College of Wisconsin, where he is Professor of Bioethics and Emergency Medicine. He chairs the VA National Ethics Committee. He is a past president of the American Society for Bioethics and Humanities (ASBH) and is a member of the Milwaukee County Mental Health Ethics Committee.

 

Dr. Carroll is the Lead Psychologist and Program Manager for the Mental Health residential treatment programs at the VA Medical Center in Milwaukee. He is an MCW Assistant Clinical Professor. Dr. Carroll serves as clinical supervisor in pre- and post-doctoral psychology training programs, and he is Co-Chair of the Medical Center's Ethics Committee.

 

Paul Brodwin, PhD, is Associate Professor of Medical Anthropology at the University of Wisconsin, Milwaukee. He has conducted research on healthcare and culture in rural Haiti, among Haitian immigrants in France, and in community psychiatry agencies in North America. His current work focuses on mental health services for marginalized groups in urban Milwaukee.

 

George R. Jacobson, PhD, is an MCW Associate Professor. He was the Director of Research and Training at the former De Paul Rehabilitation Hospital. Dr. Jacobson holds the Certificate of Proficiency in Diagnosis and Treatment of Substance Use Disorders. He was the first recipient of the Annual Outstanding Researchers in Substance Abuse Award from the State of Wisconsin.

 

Brad Grunert, PhD, is an MCW Associate Professor in the Departments of Plastic and Reconstructive Surgery and Psychiatry and Behavioral Medicine at the Medical College of Wisconsin. He is an active researcher in the areas of traumatic hand injuries, factitious disorders, conversion disorders, and post-traumatic stress disorders.

 

Symposium Description and Objectives

This is a special 2 day 8 hour workshop developed to meet the continuing education needs of psychologists and other mental health professionals, providing 6 hours of ethics training and the choice of 2 hours of either addiction, cultural issues, or supervision.

Participants will: (1) comprehend core content material of each session and (2) apply the learning to clinical situations.

 

Monday 8 am-12:15 pm

Drs. Carroll and Derse will review major ethical issues in psychological practice. Focus will start with ethical principles, methods for resolution of ethical dilemmas and creating an ethical culture in a health care organization, and then will move to the special roles of the psychologist, professional limitations, and relationships with health care professionals.

 

Tuesday 8 am-10:00 am

 

Drs. Carroll and Derse will cover additional boundary issues and duty to warn/protect cases such as Tarasoff. The final 2-hour supervision with Dr. Carroll will include ethical dilemmas in supervision and case discussion format.

 

10:15 am-12:15 pm Choice of One Session

 

The addiction/AODA session (2 hours) with Dr. Jacobson will address issues of diagnosis and treatment of the major chemical dependencies including licit, illicit, and prescribed medications. Motivational interviewing, harm-reduction, relapse prevention, stages-of-change, and other current clinical interests will be addressed. Didactics will be brief, interactive audience participation will be encouraged, and case discussions will be promoted.

The seminar on Cultural Norms and Mental Health Services lead by Dr. Brodwin will teach the cultural formulation of psychiatric distress and apply it to several in-depth case studies of Native American and Asian immigrant patients, among others. Participants will learn how to balance patients' cultural expectations with Western diagnostic categories and how to communicate Western views about treatment in culturally appropriate ways.

 

The Supervision Seminar lead by Dr. Grunert will examine several models of supervision. These will include a co-therapy model, case notes, audiotaping, and videotaping. The strengths and weaknesses of each will be reviewed. Various topics related to self-disclosure in supervision, developing a treatment plan in supervision, and implementing a treatment plan in supervision will be discussed. 

 

 

Session II

July 23-27, 2007

At the Landmark Resort 

ADHD In Children, Adolescents, and Adults: Nature, Diagnosis, and Management

 

 

Russell Barkley, PhD, is a Research Professor of Psychiatry at the State University of New York Upstate Medical School in Syracuse, NY and Clinical Professor of Psychiatry at the Medical University of South Carolina. He is a Diplomat in three specialties, Clinical Psychology (ABPP), Clinical Child and Adolescent Psychology, and Clinical Neuropsychology (ABCN, ABPP). Dr. Barkley is a clinical scientist, educator, and practitioner who has authored, co-authored, or co-edited 20 books and clinical manuals and published more than 200 scientific articles and book chapters related to the nature, assessment, and treatment of ADHD and related disorders. He has received several awards from the American Psychological Association for his contributions to research in ADHD, to clinical practice, and for the dissemination of science. He resides in Charleston, SC.

 

Symposium Description and Objectives

ADHD is one of the most common childhood behavioral disorders, affecting up to 5 to 7 percent of the school-age population and accounting for the largest proportion of children referred to mental health programs in this country. Clinicians are becoming increasingly aware that ADHD in childhood does not disappear over development and that many individuals with the disorder in childhood will continue to manifest the disorder into adulthood. The disorder will persist into adolescence in up to 80 percent of the childhood cases, and into adulthood in 50-65 percent of these cases. Approximately 5% of adults will have the disorder. It is imperative that mental health, medical, and educational professionals have as much up-to-date knowledge of this disorder and its treatment as possible.

 

This 5-day presentation will provide detailed, current information on the nature of ADHD in children, teens, and adults. Current information on life course risks, comorbid disorders, and etiologies of the disorder will be presented.  A comprehensive theory of ADHD as a disorder of self-regulation and executive functioning will be discussed that provides a much more enriching, thorough, and dignifying view of the disorder than does the current clinical conceptualization of ADHD as an attention deficit. This view also has a number of important implications for the treatment of ADHD. Dr. Barkley will discuss these exciting implications and the most effective treatment strategies for ADHD across the lifespan.

At the end of this seminar, participants will:

(1) Recognize the primary characteristics of ADHD as it presents in both children, adolescents, and adults that will dispel many clinical myths about the disorder.

(2) Appreciate the life course risks, comorbid disorders, and etiologies of ADHD.

(3) Utilize a comprehensive theoretical framework from which to understand ADHD as a developmental disorder of self-regulation, providing tremendous insight into the nature of the disorder and treatment planning.

(4) Discuss diagnostic criteria and necessary adjustments for certain ages and special populations.

(5) Practice methods for the assessment of ADHD.

(6) Familiarize themselves with management methods for ADHD children and teens in the home.

(7) Know how to provide classroom and college accommodations for ADHD as well as adults with ADHD.

(8) Articulate the most useful medications for ADHD.

 

Monday: The Nature of ADHD/ Diagnosis and Adjustments to Criteria/ Assessment of ADHD/Subtyping of the Disorder

 

Tuesday: Comorbid Disorders/ Developmental Course /Impairments/Adult Outcomes/Etiologies

 

Wednesday: A Theory of ADHD: Executive Functions and Self-Control /Implications for the Clinical Management of ADHD

 

Thursday: Counseling Patients/ Overview of Unproven / Disproven Remedies / Overview of Effective Treatments/Medication Management of ADHD/Basic Principles Underlying Management/Training Parents in Child Behavior Management Skills

 

Friday: Family Counseling for ADHD in Teens and Adults/Classroom Management Strategies/Tips for Assisting ADHD Teens in School/Treatments for Adults with ADHD 

 

 

Session III

July 23-27, 2007

At the Landmark Resort 

Clinical Suicidology: Assessing and Treating the Patient at Risk for Suicide

 

 

Lanny Berman, Ph.D., ABPP, has been Executive Director of the American Association of Suicidology (AAS) in Washington, DC, since 1995. Prior to this, he was director of the National Center for the Study and Prevention of Suicide at the Washington School of Psychiatry and a tenured Professor of Psychology at American University. He is the recipient of both the Shneidman and the Dublin Awards for outstanding contributions in research in Suicidology and to the field of suicide prevention. He is the author/editor of 6 books, most recently: Adolescent Suicide: Assessment and Intervention (2006), Washington, DC: American Psychological Association, and more than 100 peer-reviewed articles in Suicidology. He is internationally renowned as a clinical teacher and forensic expert in Suicidology.

 

Symposium Description and Objectives

The duty to care for potentially suicidal patients begins when they first walk into a clinician's office. No new patient can be effectively pre-screened for suicidality and all patients have the potential to become suicidal during the course of treatment. The standard of care requires clinicians to be reasonable and prudent in gathering essential data from the patient, formulating a judgment of level of risk, building a treatment plan that is designed to reduce that risk, and effectively monitoring the implementation of that treatment plan. This workshop will train participants toward the skills of this most anxiety-provoking of clinical encounters, with frequent use of case illustrations and applications.

Participants will:

(1) Understand suicide, suicidal behaviors, and the potential for iatrogenesis.

(2) Learn to collect data for risk assessment.

(3) Practice risk formulation and treatment planning.

(4) Utilize treatment implementation and case management.

(5) Recognize the standard of care and risk management.

 

Monday

Beginning with an interactive case discussion, we will explore participants' conceptual understandings, beliefs, and attitudes toward working with patients at risk for suicide and examine how to take these informed approaches to assess and manage risk. Theoretical orientations and professional experience also will be discussed as a context to understanding the clinical paradigm established with patients at risk and common emotional reactions provoked by these patients. Clinical skill-sets needed to effectively assess and treat these patients will be described.

 

Tuesday

A competently accomplished assessment of suicide risk entails having a grasp on research-based perpetuating, predisposing, and precipitating risk factors; and principles and techniques for gathering this data, especially from patients who might not be forthcoming in giving it. Today's session will focus on guidelines for the when and how of risk assessment and tools to elicit needed information.

 

Wednesday

Formulating a judgment of level of risk and translating that judgment into treatment planning, e.g. the need for and judged value of hospitalization, has long been an art and largely based on intuition. Models for formulating risk, based on logic and empirical data, are now available and will be the focus of today's session. These will be presented conceptually and illustrated with a number of case examples with opportunities to derive consensus or understand alternative perspectives. Cases from participants' own practices will also be considered for second opinions.

 

Thursday

Principles and methods of crisis management relative to long-term care, the relative value of No Suicide Contracts versus Commitment to Treatment statements, and Policies and Procedures for the patient at risk for suicide will be discussed. We will return to the issue of counter-transference and explore methods to better deal with patient generated provoking behaviors. Treatment strategies, particularly those abstracted from evaluated treatment approaches (RCTs), will be described and practiced.

 

Friday 

Framed by an understanding of negligence as described by tort law, today we will explore the standard of care and have opportunities to serve as expert witnesses for both the plaintiff and the defense in several actual cases where breaches to standards of care have been alleged. Strategies to minimize risk of being successfully sued (an occupational hazard) in the event of a patient's death will be described, particularly with reference to appropriate and patient-centered contemporaneous case documentation guidelines. 

 

 

Session IV

July 30-August 3, 2007

At the Landmark Resort 

Learning Skills in Evidence-Based Medicine

 

 

Grace Thrall, MD, is Director of Residency Education in the Duke University Department of Psychiatry & Behavioral Sciences and Assistant Clinical Professor of Psychiatry at Duke University School of Medicine. She has won teaching awards at Duke, the University of Connecticut, and New Jersey Medical School. Passionate about Evidence-Based Medicine and the power of small group learning, Dr. Thrall has taught at McMaster's annual Evidence-Based Clinical Practice workshop and the annual Duke Evidence-Based Medicine (EBM) Workshop. She uses a method of teaching that makes learning critical appraisal skills both manageable and fun to the novice by breaking complex ideas down into simple steps.

 

Symposium Description and Objectives

This session is an intensive, interactive group learning experience designed to develop the knowledge and skills required to practice evidence-based psychiatric care for those who are relatively new to Evidence-Based Medicine and may not have a research background or recent familiarity with statistics or epidemiology. 

Using psychiatric case material, participants will practice all phases of the EBM cycle as a group by asking clinical questions, acquiring the best evidence via Medline search, appraising a scientific article, applying their findings to the patient, and assessing their performance in the process. Participants will practice teaching one another basic EBM concepts, such as Number-Needed-to-Treat, as a way to reinforce their new learning. 

No prior experience or skills in evidence-based clinical practice are required for this session. For reference, participants should bring a copy of the book, "Users' Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice" by Gordon H. Guyatt and Drummond Rennie (about $49 by AMA Press, 2001) and an inexpensive calculator. A laptop computer with WiFi may augment the first day's session but is not required.

Participants will:

(1) Identify the four components of a well-formed clinical question.

(2) Know where to find pre-appraised evidence and high quality systematic reviews.

(3) Demonstrate basic information searching skills in Medline.

(4) Use the six "FRISBE" criteria to perform a rapid critical appraisal of a therapy article. Calculate some common measures of effect from an article's results and state these in plain English.

(5) State the "bottom line" summary or verbal study synopsis of the best evidence.

(6) Understand principles of applying your conclusions to the patient.

(7) Complete a self-assessment of your EBM skills and set goals for the Fall.

 

Monday 

How Do I Find the Information I Need for My Patient?/Asking Well-Formulated Clinical Questions/Searching for Pre-Appraised Information/Searching for Original Studies Using Medline.

 

Tuesday

Is this Article a Good Study?/Critically Appraising the Validity of a Study about Therapy.

 

Wednesday

How Important are the Results?/Critically Appraising the Results of a Study about Therapy/Understanding Odds Ratios, NNT's, and Survival Curves.

 

Thursday

How Precise are the Results?/Critically Appraising the Results of a Study about Therapy: Confidence Intervals / Understanding Effect Size for Continuous Outcomes.

 

Friday

Can I Apply My Conclusions to the Patient?/Constructing a Verbal Study Synopsis/Applying Critical Appraisal Conclusions to the Patient/Assessing Your EBM Learning Needs and Setting Goals.

 

 

Session V

July 30-August 3, 2007

At the Landmark Resort 

Criminal Profiling

 

 

Neil Purtell retired from the Federal Bureau of Investigation (FBI) as a Supervisory Special Agent after serving nearly 30 years. At the time of his retirement, he was a supervisor in the Critical Incident Response Group (CIRG), which handles critical incidents for the Federal Government.

 

His duties with the CIRG included managing the FBI response to the kidnapping of American citizens throughout the world. In addition to the operational deployment during kidnapping matters, he also provided Crisis Management and Negotiation training to government authorities in South America, Asia, the Middle East, and Europe.

 

While at CIRG, Mr. Purtell was liaison with the Department of State, Office of Counter-Terrorism, and helped organize the U.S. response to terrorist actions. In this role, Mr. Purtell traveled extensively throughout the world and deployed with the U.S. military and other government agencies on terrorist issues. This traveling involved the organization and planning exercises involving all the investigation and consequence management professionals.

 

Prior to his assignment with CIRG, he served for 20 years at the Madison, WI Resident Agency investigating criminal matters. In 1981, he was one of the first FBI agents trained as a criminal profiler. In 1994, he was named the FBI Police Trainer of the Year. Since his retirement, Mr. Purtell has managed an investigation consulting agency, Madison Research Associates, providing training, investigations, and consulting to Government Joint Terrorism Taskforces and the private sector and is a consultant to the History Channel on International Kidnapping and Terrorism. 

 

Symposium Description and Objectives

Criminal profiling is the use of behavioral psychology by criminal investigators to identify personality traits of offenders as evidenced by their behavior and decision making at a crime scene. These tools are then used to identify suspects with the identified behavioral traits from the field of suspects and to target them for additional investigation. This presentation will discuss the history and development of Criminal Profiling and its evolution as a tool by law enforcement. Case studies of actual crimes will be discussed as well as its use in other fields of investigation. These include: cults, terrorism, school violence, extortion and sexual assault.

Graphic illustrations and discussions will be presented in this class.

 

Participants will:

 

(1) Become cognizant of the history of profiling.

 

(2) Understand the application of the technique.

 

(3) Appreciate the limitations of profiling.

 

Monday

The look at the history of the development of profiling theory. Early attempts by the FBI to develop a working model for American law enforcement.

  

Tuesday

Examination of the personality types as understood by early FBI research. A study of the Disorganized Offender. The role of a fantasy life in male offenders. Case studies.

 

Wednesday

The Organized Offender. Case studies.

 

Thursday

The Milwaukee killer Dahmer. Insight from the prison. Case study.

 

Friday

Profiling, its limitations and uses in sexual assault, cult, and other investigations. Case studies. Where do we go from here? 

 

 

Session VI

July 30-August 3, 2007

At the Landmark Resort 

Humor Restructuring and Psychotherapy, or People Who See a Shrink Should Have Their Heads Examined

 

 

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

A growing chorus of theorists argue that humor can be very useful in psychotherapy. However, much of the literature on this topic consists of anecdotes and caveats rather than specific advice on how to apply humor clinically.   Drawing on cognitive-behavioral and constructivist theories, this seminar offers a simple model for the psychotherapeutic application of humor: humor restructuring.   In contrast to orthodox cognitive-behavioral technique, which challenges maladaptive ideas through evidence, humor restructuring encourages clients to recognize these ideas' inherent absurdity.   The model proposes that a variety of classical humor methods can be used to modify clients' maladaptive beliefs, once these beliefs have been effectively externalized via empathic dialog. 

Consistent with Franzini's argument that "the success of therapeutic humor relies heavily on spontaneity", a substantial part of this workshop will be devoted to exploring improvisational methods pioneered at Chicago's Second City. Participants will learn about major humor techniques (e.g., exaggeration, irony) and apply them to common maladaptive ideas.

Participants will:

(1) Comprehend the theory and model for applying humor to therapy.

(2) Review the empirical evidence.

(3) Rehearse techniques in exercises and clinical role playing.

 

Monday

Overview of the model/ Pros and cons of therapeutic humor/ Empirical evidence/ Warm-up exercises

 

Tuesday

Humor theory/ Literary trope theory and psychotherapy/ Theatre games to promote spontaneity

 

Wednesday

Exaggeration and irony/ Application to maladaptive ideas

 

Thursday

Character transformation and parody/ Application to maladaptive ideas

 

Friday

Practice in externalizing and restructuring maladaptive ideas in a clinical context

 

 

Session VII

August 6-10, 2007 At the Landmark Resort 

Brief Psychotherapy:

The Great Instrument of Orientation

 

 

James Gustafson, MD is Professor of Psychiatry at the University of Wisconsin and Chief of the Brief Psychotherapy Clinic. He is the author of nine published books on psychotherapy, the most recent being Very Brief Psychotherapy (Routledge, 2005). His website   (http://psychiatry.wisc.edu/gustafson) will allow you to click on to chapters and essays from the entire range of his work. The title of his workshop is taken from the title of his tenth book in progress.

 

Symposium Description and Objectives

There is a beautiful convergence of current neuroscience of the brain as an instrument of orientation, the dream as the night version of the same kind of thinking, and the inner language of English as the same comparison between the motion from within and its positioning from without. We will explore this convergence for its practical import in brief psychotherapy on three cases presented on DVD each day.

Participants will:

(1) Recognize the important role of this convergence.

(2) Appreciate orientation as an instrument.

(3) Practice the use of this instrument.

 

Monday

The first power of the instrument is the access to the interior world which is generally lost in our behavioral medicine. Freud and Jung opened it up beautifully in their nightly departure from the train station of dreams, but we also need to find the departure in the present moment or the present ten minutes. We do not have as much time as the traditional analysis using free association five hours a week. Our subject will be how to get there in a single detail, a fractal, a similar pattern or rhythm in the larger daily scale of space and time.

 

Tuesday

The second power of the instrument is to read the motion of the interior thrust into the exterior field. This subject was almost totally ignored by psychoanalysts until Sullivan, with his concept of selective inattention and its resultant amazement at the mismatch between the interior fantasy and the exterior reality. Sullivan did not pursue the difficulties of the external reality, which is the speeded up group rhythm into which we must all fit our own slower individual rhythms.

 

Wednesday

The third power of the instrument is access to what Winnicott called transitional space. This is attained by keeping the interior pulse equal in strength to the exterior pulse or equipoise. This brings balance in the body. It can open up access to a single detail that is luminous on every scale of space and time. It can affect not only the individual life of a particular patient, but also humanity. It yields tremendous depth, called the hiatus, out of which all renewal, or rebirth, or redemption flows.

 

Thursday

Access to the transitional space, and equipoise, and hiatus, quite thrilling as it is, has to be protected by an acute sense of the scale in which it is to be counted on -- our fourth power of the instrument. In general, a fundamental change in the patient's exchange with the world has to begin in the smallest scale of space. It can be shielded there from the world, until it is ready for larger scales of space.

 

Friday

Access to transitional space also has to be protected by an acute sense of the scale of time in which it is to be counted on -- our fifth power of the instrument. In general, the smallest scale of time is the place that a new exchange with the world can be begun without jeopardy.

Participants will be able to wield these five powers in the crucial and precise details of their own cases.

 

 

Session VIII

August 6-10, 2007

At the Landmark Resort 

Update on Psychiatric Pharmaco and Somatic Therapies

 

 

Philip Janicak, M.D. is a Professor of Psychiatry and the Medical Director of the Psychiatric Clinical Research Center at Rush University in Chicago. He is also a Distinguished Fellow in the American Psychiatric Association. He completed his medical training and psychiatric residency at Loyola University of Chicago in 1976. In 1978 he became a research psychiatrist at the Illinois State Psychiatric Institute. He was the Associate Program Director for the NIH General Clinical Research Center at the University of Illinois Medical Center from 1998–2004.

 

Dr. Janicak's primary research interests are the assessment and treatment of mood and psychotic disorders. He has conducted several clinical trials, including: repetitive transcranial magnetic stimulation for major depression; risperidone, aripiprazole, and paliperidone for acute mania; and bifepronox for schizophrenia. He has been an NIMH grant awardee. He has authored or co-authored over 250 publications in the psychiatric literature and is first author of Principles and Practice of Psychopharma-cotherapy, now in its fourth edition.

 

Dr. Janicak is the editor of the "International Drug Therapy Newsletter" and was named Psychiatrist of the Year by NAMI Illinois for 2003. He enjoys speaking on topics related to his clinical research and has participated as a principal lecturer in over 500 courses, seminars, symposia, and professional presentations.

 

Symposium Description and Objectives

The goal of this course is to review recent clinical trial results and use this information to develop optimal treatment strategies for the major psychiatric disorders.

Participants will: 1) recognize the significant number of patients who are insufficiently responsive to initial therapeutic interventions; 2) review biological treatments, including: the first and second generation antipsychotics, antidepressants, mood stabilizing agents, the anxiolytic/sedative hypnotics, and device-based therapies; 3) learn to develop treatment strategies based on the results of randomized-controlled, pragmatic, and naturalistic trials as tempered by the realities of clinical practice; and 4) review clinically relevant issues related to drug therapy, such as: pharmacokinetics, pharmacodynamics, and drug interactions.

 

Monday

Introduction to psychopharmacotherapy/ Diagnosis and drug therapy of psychotic disorders/review CATIE-Schizophrenia, CUTLASS, and CAFE trial results and their clinical relevance

 

Tuesday

Diagnosis and drug therapy of depressive disorders/Review STAR*D and TADS trial results and their clinical relevance

 

Wednesday

Device-based therapies in the management of mood disorders/Review the role of electroconvulsive therapy (ECT), vagus nerve stimulation (VNS), transcranial magnetic stimulation (TMS), and deep brain stimulation (DBS)

 

Thursday

Diagnosis and drug therapy of bipolar disorder/Review STEP-BD trial results and its clinical relevance/Diagnosis and drug therapy of dementia, including implications of CATIE-Alzheimer's trial results

 

Friday

Diagnosis and drug therapy of anxiety-related and sleep disorders/Review problems regarding patient adherence to treatment as well as strategies to improve compliance/Summary and conclusion 

 

 

Session IX

August 6-10, 2007

At the Landmark Resort

Neuropsychology Update

 

 

Robert F. Newby , PhD, ABPP/CN, is Associate Professor of Neurology and a child neuropsychologist at the Medical College of Wisconsin. He specializes in the evaluation and treatment of children with neurological and learning disorders.

 

Thomas Hammeke, PhD, ABPP-Cn, is Professor of Neurology and Co-Director of the Neuropsychology Division at the Medical College of Wisconsin. He is board certified in Clinical Neuropsychology and specializes in the clinical evaluation of adult neurological patients. His primary research interests are in functional magnetic resonance imaging in clinical populations including epilepsy and closed-head injury.

 

Sara Swanson, PhD, is a Clinical Neuropsychologist and Associate Professor of Neurology at the Medical College of Wisconsin. She specializes in intracarotid sodium amytal testing and the clinical evaluation of adults with neurobehavioral disorders with an emphasis on epilepsy surgery candidates and head trauma. Her research involves investigation of bilateral language predictors of cognitive outcome after anterior temporal lobectomy using functional MRI for localizing language and memory.

 

Jennifer Koop, PhD, is Assistant Professor of Neurology at the Medical College of Wisconsin. She specializes in the evaluation and treatment of infants and preschool children with neurological, behavioral, and developmental disorders, with a particular focus on preschool and early childhood years. Her current research investigates the effects of early neurological injury on the development of neuropsychological functions, especially attention.

 

David Sabsevitz, PhD, is Assistant Professor of Neurology at the Medical College of Wisconsin. He specializes in the clinical evaluation of adult neurological patients, in particular, brain tumor and epilepsy patients. His primary research interests are in the use of functional MRI in the presurgical workup of epilepsy patients and examining the effects of brain tumor treatment on cognition.

 

Symposium Description and Objectives 

The faculty members will draw upon their extensive clinical and research experience to provide a highly stimulating and instructive course. Participants will learn the range of cognitive, perceptual, behavioral, and affective disturbances seen in several common neurobehavioral disorders. The faculty will provide intensive instruction and case presentation to illustrate these disorders. Participants will review recommended diagnostic criteria, see illustrations of their application, and learn treatment strategies related to these areas.

 

Monday

Sara Swanson, PhD

Neuropsychology of Epilepsy

 

Tuesday

Robert Newby, PhD

Neuropsychology of Learning Disabilities

 

Wednesday

David Sabsevitz, PhD

Neuropsychology of Neuro-oncology

 

Thursday

Jennifer Koop, PhD

Neuropsychology of Typical and Atypical Preschool Development

 

Friday

Thomas Hammeke, PhD

Neuropsychology of Traumatic Brain Injury 

 

Tuition and Refunds

The tuition fee is $575.00 for one full week and $525.00 for each additional full week. The tuition for session I is $275.00. Tuition for full-time graduate students and resident physicians is $450.00 per week with a letter from the director of the training program.

 

The first symposium tuition fee will be reduced to $525.00 if postmarked by May 15, 2007. 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 is 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 8, 2007 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 Resort

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 full session of this educational activity for a maximum of 15 AMA PRA Category 1 Credits tm . Physicians should only claim credit commensurate with the extent of their participation in the activity.

 

The Medical College of Wisconsin designates each full 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 sponsor continuing education for psychologists. MCW maintains responsibility for this program and its content.

 

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

 

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

 

Application for CME credit has been filed with the American Academy of Family Physicians. Determination of credit is pending.

 

Special Needs

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

 

Disclosure

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. MCW has a mechanism in place to identify and resolve any conflicts of interest in advance of the DCSI.

 

 

 

For More Information Contact

Carlyle H. Chan, M.D.

MCW - Psychiatry Department

8701 Watertown Plank Road, Milwaukee, WI, 53226

414 456-7250 FAX: 414 456-6299

albanese@mcw.edu    
 

Previous Door County Institutes:

2006
2005
 

 

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