The 26th Annual Door County Summer Institute
Greetings!
Welcome to the Twenty-Sixth Annual Door County Summer Institute. We hope these sessions will provide worthwhile means to update and improve upon your clinical skills. We appreciate all the returning registrants!
The format of the Door County Summer Institute is conducive to learning. Our seminars will address gaps in clinical knowledge and skills. In addition to didactic presentations, our workshops incorporate clinical case presentations and discussions. All provide the opportunity to interact with the instructor, promoting an active learning experience. The multi-day format also permits the consolidation of learning. Finally, the location of Door County facilitates the restoration of the soul.
These advanced seminars are geared to mental health and health professionals. I hope you can join us. Bring your family with you!
Carlyle H. Chan, M.D.
Institute Director
Professor and Vice Chair for Professional Development and Educational Outreach
Department of Psychiatry and Behavioral Medicine
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 renewed focus on research. The Department ranks nationally in the top quintile of medical school psychiatry departments that receive NIH funding. The fully accredited adult and child residencies and fellowships are part of a diverse and growing academic department.
General Session Information
From July 23 to August 10, 2012, 9 separate sessions will comprise this year’s Summer Institute. There will be seven 5-day sessions and two 2-day sessions. The 5-day conferences are held from 9:00 am to 12:15 daily, and the 2-day conferences are held from 8:00 am to 12:15, leaving participants and their family members the afternoons free to explore the wonders of Door County. All seminars are held at the Landmark Resort in Egg Harbor, WI.
A continental breakfast will be served daily. Casual dress is the standard for all sessions.
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.
Door County Summer Institute Registration Form
Session I
July 23-27, 2012
Donald Meichenbaum, PhD
Ways to Integrate Spirituality and Psychotherapy
Donald Meichenbaum, PhD, is Distinguished Professor Emeritus, University of Waterloo, Ontario, Canada and Research Director of the Melissa Institute for Violence Prevention, Miami (see www.melissainstitute.org). He is one of the founders of Cognitive Behavior Therapy, and has been voted “one of the ten most influential psychotherapists of the 20th century.”
He has consulted with diverse groups where the issue of spirituality has been a central factor including Military Chaplains, Pastoral Counselors, Native and Latino Healers, staff at residential treatment centers where 12 Step AA programs are incorporated, and programs designed to bolster resilience in various psychiatric populations.
Symposium Description and Objectives
Americans are a very religious and faith-based community with over 80% reporting some form of religious affiliation and activities and 70% believing in some form of afterlife. This workshop will consider the psychotherapeutic implications of spirituality and demonstrate specific ways to implement evidence-based interventions to address the aftermath of traumatic and psychiatric disorders. Lessons learned from working with Native populations, Latino Healers, Chaplains, and staff who conduct 12 Step programs will be considered. A constructive narrative perspective will be used to explain the functional role of spirituality in the recovery process and as a means to bolster resilience.
Participants will:
(1) Critically evaluate ways to integrate spirituality and psychotherapy and avoid pitfalls
(2) Conduct assessment of the client's use of religion and spirituality and ways to formulate a case conceptualization model
(3) Identify the Core Tasks of Psychotherapy and the implications for spiritually-based interventions
(4) Implement evidence-based interventions to address specific presenting problems such as moral injuries, complicated grief, guilt, shame, depression, anger, and substance abuse
(5) Consider ways to address the impact of traumatic events using spirituality and ways to bolster resilience
(6) Consider the lessons learned from working with Native and Latino healers, chaplains, and pastoral counselors
(7) Develop resilience in persistent and complex PTSD
(8) Recognize evidence-based spiritual interventions
Monday Introduction; Evidence and functions of spirituality; Constructive narrative perspective of spirituality; Warnings about religious and spiritually-based interventions; Self-assessment
Tuesday Core tasks of psychotherapy: Implications for spiritually-based interventions; Formulation of a Case Conceptualization Model; Spiritual coping activities; Treatment alternatives; Biblical passages and related spiritual activities
Wednesday Trauma; Spirituality and recovery; Persistent and complex PTSD versus resilience: Role of a Healing Story; Interventions to address depression, anxiety, moral injuries, complicated grief, guilt, shame, anger; Ways to bolster resilience
Thursday Evidence-based spiritual interventions including mindfulness, acceptance, and forgiveness; Use of culturally-based interventions such as Latino healing procedures and Native healing ceremonial procedures
Friday Role of spirituality in the treatment of patients with substance abuse disorders; Comparison with SMART recovery; Addressing issues of comorbidity; Training chaplains and pastoral counselors; Self-assessment checklist re-administered
Session II
July 23-27, 2012
Fred Heide, PhD, and Lee Becker
Feeling Groovy: Behavioral Improvisation as a Means to Increase Subjective Vitality
Frederick J. Heide, PhD, is Associate Professor at the California School of Professional Psychology at Alliant International University in San Francisco, where he has won both the Master Teacher and Teacher of the Year Awards. He is recipient of the Outstanding Research Contribution Award from the Association for Advancement of Behavior Therapy. He also serves as associate editor of the APA journal PsycCRITIQUES. Dr. Heide is co-founder and first board president of American Folklore Theatre (AFT) where he has co-authored 20 stage musicals, among them are the sci-fi football musical “Packer Fans From Outer Space” and the long-running comic hit “Belgians in Heaven.”
A 25-year veteran of improvisational acting, Lee Becker has performed in New York City as well as his home state of Wisconsin. He has been a member of several national championship Comedy Sportz teams as well as a champion team in Montreal's Just For Laughs Improv Tournament. Mr. Becker has also performed extensively with American Folklore Theatre, Door Shakespeare, Madison Rep, and Milwaukee Rep. He has taught improvisation technique at the California School of Professional Psychology, the Medical College of Wisconsin, and elsewhere.
Symposium Description and Objectives
Subjective vitality is defined as one’s conscious experience of aliveness and energy. It is correlated with life satisfaction, positive mood, self-actualization, internal motivation, exercise adherence, and other indices of well-being. Recent research at the Medical College of Wisconsin found that subjective vitality increased after a week’s experience with behavioral improvisation.
Drawing on their work with seminal theatrical figure Paul Sills, the co-leaders of this workshop will guide participants through simple improvisational exercises in a safe, supportive atmosphere. Participants will have the opportunity to investigate how these group methods, used in the training of famed comedians, can help develop energy and alertness. Following an initial overview of empirical literature, the bulk of the week will be devoted to exploring and discussing these highly entertaining exercises.
Participants will:
(1) Learn definitional issues in regard to subjective vitality (SV)
(2) Discover historical context of the construct
(3) Assess SV, e.g., Subjective Vitality Scale (SVS), Activation-Deactivation Adjective Checklist (AD ACL), etc.
(4) Make associations between SV and indices of well-being such as self-actualization, positive mood, and intrinsic motivation
(5) Recognize relationships between SV and indicators of psychopathology such as anxiety, depression, etc.
(6) Learn how SV has been used to study self-determination theory and personal autonomy
(7) Apply SV as a correlate of health-related behaviors including tobacco abstinence, lowered distress in nursing home residents, success at weight loss, exercise adherence, and resilience in natural disasters
(8) Practice basics of behavioral improvisation
Monday Introduction; Subjective Vitality: definitions and theory; Historical context; Research evidence linking subjective vitality to self-actualization, positive mood, intrinsic motivation, tobacco abstinence, success at weight loss, exercise adherence, social activism, resilience in the face of natural disaster, etc.; Principles of behavioral improvisation; Warm-up exercises
Tuesday Behavioral improvisation exercises I
Wednesday Behavioral improvisation exercises II
Thursday Behavioral improvisation exercises III
Friday Summary and conclusions; Wrap-up exercises
Session III
July 23-24, 2012
(Special 2-Day Session)
John Luo, MD, Carlyle Chan, MD, and Robert Kennedy, MS
Mobile Technologies and Clinical Practice
John Luo, MD, is Associate Professor of Psychiatry at UCLA Medical School and Associate Training Director. He teaches and writes extensively on using new technologies and was Editor-in-Chief of MD Net Guide.
Carlyle Chan, MD, is Professor of Psychiatry at the Medical College of Wisconsin and is a “recovering” residency training director.
Robert Kennedy, MS, is a Clinical Instructor in the MCW Psychiatry Department and Medical Program Director, CME Outfitters, LLC. He was former Assistant Chairman for Education and Academic Affairs of the Department of Psychiatry at Albert Einstein College of Medicine in New York City.
The faculty has been teaching together for over two decades about using technologies for mental health professionals. They have conducted numerous workshops and seminars at national meetings, including the APA Annual Meetings, and have received high marks for their teaching. They co-authored the book Computers and Clinical Practice.
Symposium Description and Objectives
Technology has made rapid advancements in recent years with devices becoming smaller and more suitable to practice environments. This two-day workshop will focus on the iPhone and iPad and the multiple apps available to sustain, promote, and improve efficiency of clinical practice. We will demonstrate the utility of connecting to the Internet and utilizing cloud computing. We will also review the issues surrounding HIPAA compliance with these devices.
Participants are encouraged to bring their iOS devices to the sessions for hands-on demonstrations and practice. WiFi connections will be available. Individuals contemplating new purchases are welcome to contact the course instructors in advance with questions.
Participants will:
(1) Become familiar with the capabilities of their iOS devices
(2) Be able to download, install, and use new apps
(3) Appreciate the benefits and limitations of cloud computing
(4) Understand HIPAA, confidentiality, and privacy
Monday Hardware: Built-in capabilities and applications; Software: Apps that can aid clinical practice, Cloud computing
Tuesday Using the Internet; Electronic health records; HIPAA and related issues; Review
Session IV
July 26-27, 2012
(Special 2-Day Session)
Richard Barthel, MD
Appraising the Pediatric Psychopharmacology Literature: An Update on Core Issues
Richard Barthel, MD, is a Child Psychiatrist at the Medical College of Wisconsin. He is a primary teacher of Psychopharmacology for the Division of Child and Adolescent Psychiatry Training Program. His clinical practice is based at Children’s Hospital of Wisconsin, and he conducts telemedicine to the CHW Fox Valley Children’s Mental Health Center. His practice is mostly children with developmental disabilities and ‘autistic spectrum disorders’ as well as those with co-morbid and physical and mental health problems.
Symposium Description and Objectives
Using material developed from his ongoing class for Child Psychiatry fellows, Dr. Barthel will address the metabolism, excretion, interactions, and negative effects (MEINE) of commonly used pharmacological preparations for the treatment of core child mental health disorders. Topics covered will include the underlying pharmacokinetic/pharmacodynamic issues encountered with the use of stimulant preparations, atypical neuroleptics, and mood stabilizers. Challenging clinical cases will be the base for some discussions. Participants are encouraged to bring their own ‘problem’ cases for group discussion and shared problem solving.
Participants will:
(1) Discuss the competing pharmacodynamic explanations for the therapeutic effects of stimulants in the attention disorders
(2) Cite resources for assessing potential drug:drug interactions that affect co-pharmacy decision making in child mental health
(3) Appreciate the need for strong collaboration between a child’s ‘medical home’ clinician and psychopharmacologist
(4) Recognize some common pitfalls in the treatment of children with co-morbid neurological and mental health disorders
Thursday Safe treatment of the disruptive behavior disorders (including attention deficit disorders); Affective disorders; Lessons from the adult literature
Friday The challenge of co-morbid neurological disorders-seizures and tics; Sleep disorders; Assessment and treatment
Session V
July 30-August 3, 2012
Shawn Shea, MD
Creating Hope, Uncovering Suicide, and Spotting Psychosis and Personality Dysfunction: Advances in the Art of Clinical Interviewing
Shawn Shea, MD, a recipient of an Outstanding Course Award from the APA, is an internationally acclaimed innovator in the fields of suicide prevention, creating resiliency, and clinical interviewing. He is the author of six books and numerous articles. Both editions of Psychiatric Interviewing: The Art of Understanding were chosen for the Brandon/Hill List as one of the 16 most important books in the field of psychiatry. His text The Practical Art of Suicide Assessment is viewed as a classic in contemporary suicide prevention. Dr. Shea is the Director of the Training Institute for Suicide Assessment and Clinical Interviewing (www.suicideassessment.com).
Symposium Description and Objectives
The tight time constraints of contemporary clinical practice have placed a huge premium on creating initial interviews that are comprehensive and timely, yet simultaneously sensitive and hope producing. Using both didactics and compelling videos, this workshop demonstrates innovative interviewing techniques that not only address these new challenges but are also equally useful in ongoing therapy from college counseling centers and community mental health clinics to inpatient units, emergency rooms, and private practice. A diverse range of topics is covered from eliciting suicidal ideation and dangerous psychotic process to practical techniques for uncovering difficult material such as incest, domestic violence, and personality disorders.
Participants will:
(1) Apply the principles of “matrix treatment planning” to instill hope and resiliency in the initial interview and during ongoing therapy
(2) Use specific interviewing techniques for uncovering dangerous psychotic processes and hidden anxiety symptoms quickly while uncovering personality dysfunction
(3) Utilize the theories of object relations and the psychology of the self to engage difficult clients quickly while uncovering personality disorders
(4) Use six unique and behaviorally specific interviewing techniques for uncovering sensitive and taboo topics
(5) Understand and utilize the Chronological Assessment of Suicide Events (CASE Approach)
(6) Create better permanent records and risk documentation by understanding how attorneys use the medical record to attack or defend in malpractice suits
(7) Understand and use the principles of facilic supervision to more effectively structure your own interviews and to train others to do so
(8) Understand and transform common and uncommon traps and roadblocks encountered in the initial interview
Monday Matrix treatment planning; Damaging and healing matrix effects; The red herring principle; Applying object relations theory to engaging difficult clients, uncovering serious personality pathology, and choosing appropriate interventions
Tuesday Interviewing techniques for spotting hidden and atypical presentations of OCD, PTSD, and panic disorder (videos); Schneiderian psychotic symptoms; Uncovering dangerous psychotic processes; Command hallucinations, alien control, psychotic self-mutilation (video)
Wednesday Interviewing techniques for enhancing validity when uncovering taboo material (videos): Normalization, shame attenuation, the behavioral incident, gentle assumption, denial of the specific, the catch-all question, symptom amplification; Using the CASE Approach (video)
Thursday Creating conversation from chaos in the initial interview; Spontaneous, natural, referred, implied, and phantom gates; Facilic supervision schematics; In-depth review of the first half of an initial intake (video)
Friday In-depth review of the second half of an initial intake (video); Strategic DSM-IV-TR differential diagnosis; Effective time management; Advances in engagement techniques; Rapidly fashioning a clinically useful medical record of the first interview; Creating suicide risk documents to keep you “out of court”
Session VI
July 30-August 3, 2012
Grace Thrall, MD
Learning and Teaching Evidence-Based Medicine
Grace Thrall, MD, is Director of Residency Education and Assistant Professor of Psychiatry in the Duke University Department of Psychiatry and Behavioral Sciences. She has won teaching awards at Duke, the University of Connecticut, and New Jersey Medical School. Passionate about Evidence-Based Medicine (EBM) and the power of small group learning, Dr. Thrall has taught at McMaster’s annual Evidence-Based Clinical Practice workshop and co-leads the annual Duke Evidence-Based Medicine Workshop. She helps educators develop and practice teaching strategies and techniques that break complex ideas down into simple steps for their learners.
Symposium Description and Objectives
This workshop is an intensive, interactive hands-on group learning experience designed to extend the knowledge and skills of educators and clinicians in teaching roles in medical schools, residency programs, or clinical practice who wish to improve their skills as practitioners and teachers of evidence-based care. Using a combination of instructor-led exercises and participant-led “mini talks”, we’ll practice all phases of the EBM cycle: Asking clinical questions about actual patient problems, acquiring the best evidence via Medline search, appraising a scientific article, and applying the findings to the patient. Participants will practice teaching one another EBM concepts in short “chalk talks” on topics such as “calculating a number-needed-to-treat”, “finding an article about harm”, “detecting bias in a systematic review”, or “odds ratios and risk ratios.”
Participants will receive helpful feedback from the group on their teaching skills and take home an extensive digital collection of teaching tools and curricula. Participants should bring a copy of the Users’ Guides to the Medical Literature: A Manual for Evidence-Based Clinical Practice, 2nd ed. by Guyatt and Rennie, a laptop computer, a flash drive for downloading materials, and a calculator for doing very simple math.
Participants will:
(1) Demonstrate increased knowledge of core EBM concepts related to question formulation
(2) Discuss study design
(3) Practice information searching
(4) Critically appraise the medical literature
(5) Interpret statistical results
(6) Receive constructive feedback on their EBM teaching
(7) Identify at least three new teaching strategies to use with other learners
(8) Become familiar with FRISBE
Monday What is evidence?; What makes some evidence better: A refresher in study design and the evidence pyramid; Using the EBM cycle to find and apply evidence to the care of a patient with delirium; Constructing an answerable clinical question; Formulate a search strategy and use PubMed effectively; Teaching exercises on information searching
Tuesday Ways to teach critical appraisal of an article about therapy: Evaluating the validity of a randomized controlled trial using a worksheet template and “FRISBE”; Using the debate format for critical appraisal in groups; Participants’ mini-talks with feedback
Wednesday Understanding the results of a therapy article: Absolute risk reduction, relative risk, and number-needed-to-treat; Understanding values and confidence intervals; Ways to teach misleading claims in clinical trials; Participants’ mini-talks with feedback
Thursday Critical appraisal of an article about harm: Evaluating the validity of a case-control study; Understanding the results-odds ratios; Ways to teach other common presentations of results: Effect size, survival curves, and Forest plots; Participants’ mini-talks with feedback
Friday Learner’s choice day! Sample topics: Ways to teach observed associations in an article about prognosis to evaluate the likelihood of a cause-effect relationship, how to locate pre-appraised EBM re-sources in mental health, distinguishing efficacy vs. effectiveness trials, likelihood ratios, ideas for designing EBM curricula
Session VII
July 30-August 3, 2012
W. Todd Davison, MD
Mindfulness Based CBT
Dr. W. Todd Davison is a Clinical Professor of Psychiatry, Behavioral Science, and Family Practice at the Medical College of Wisconsin. He is the Director of the WI Psychoanalytic Institute and has a keen interest in the interface between psychotherapy and spirituality. Dr. Davison has written widely on psychoanalytic theory and technique, and his two books, Trust the Force and Life After Psychotherapy, focus on using mindfulness to keep a therapeutic process working in one’s life. He leads a study group on psychotherapy process which has met for thirty years. He is a Fellow of The American College of Psychoanalysts and a member of The American College of Psychiatrists.
Symposium Description and Objectives
A remarkable use of mindfulness meditation and thought are combined to form a cognitive and behavioral therapy that facilitates a shift in emotional locus of control from the outside world to the interior peace established through mindfulness. The focused thoughts challenge the assumptions underlying the fight-flight response. The behavior of mindfulness meditation provides a sure-fire way to establish a peaceful interior life. The methods have been used separately for millennia to combat avoidance, projection, blame, turning aggression on the self, identification with the aggressor, and other forms of self-defeating behaviors. Put together they help us build a healing attitude for us as therapists and for those we teach. This course will teach basic principles of using Mindfulness in CBT. The student should be able to run a successful Mindfulness Based CBT in group and individual psychotherapy.
Participants will:
(1) Learn five forms of mindfulness meditation: Samatha, Vipassana, Forgiveness, Tonglin, Heart Centered
(2) Apply the core healing principles of “Peace of mind is a choice I make” and “Things are not the way I see them now”
(3) Understand the concept that emotions are based on either love or fear
(4) Utilize the process of forgiveness
(5) Appreciate the role of the inner guide
(6) Discuss the use of journaling in the process of mindfulness based therapy
(7) Practice mindfulness meditation daily
(8) Discuss the implications of lessons and read the course manual regarding this lesson
Monday Practice Mindfulness meditation and conclude with the most powerful of all lessons: Peace of Mind is a choice I make; Discuss the use of journaling in the process of mindfulness based therapy
Tuesday Practice Mindfulness meditation and bring in examples of how we used lesson number one (and five) the day before; Practice lesson number two: Things are not the way I see them now; Discuss the implications of that lesson and read the course manual together regarding this lesson
Wednesday Practice Mindfulness meditation and bring in examples of how we used lesson number two (and five) the day before; Study lesson number three: Emotions are based on either fear or love; Read the manual in class and discuss the applications of the lesson
Thursday Practice Mindfulness meditation; Discuss ways we implemented lesson number three (and five); Study lesson number four: Forgiveness paves the road to peace of mind; Read the descriptions in the manual and actually practice forgiveness on someone who has offended us
Friday Practice Mindfulness meditation; Discuss ways we have implemented lesson four (and five); Wrap up group with discussion of ways to keep mindfulness going; Read lessons from the manual which we have not practiced and discuss how to practice them after the sessions are over
Session VIII
August 6-10, 2012
John Greist, MD, James Jefferson, MD, and David Katzelnick, MD
Update on Pharmacotherapeutic Advances in the Treatment of Mood and Anxiety Disorders
John H. Greist, MD, and James W. Jefferson, MD, are Distinguished Senior Scientists at the Madison Institute of Medicine and Clinical Professors of Psychiatry at the University of Wisconsin School of Medicine and Public Health. They also co-direct the Lithium, Bipolar Disorder Treatment, and Obsessive-Compulsive Information Centers and are, respectively, CEO and President of Healthcare Technology Systems, Inc. David J. Katzelnick, MD, is Chair of the Division of Integrated Behavioral Health and Associate Professor at the Mayo Clinic.
Their major clinical and research interests are mood and anxiety disorders, psychopharmacology, cognitive behavior therapy, and the application of computer based technology in clinical and research settings. They have authored and co-authored numerous articles in professional journals, chapters in books, patient education booklets, and books in their areas of expertise.
Symposium Description and Objectives
This symposium will provide clinicians with a comprehensive overview and update on both conventional and novel treatment approaches to depressive and bipolar disorders, social anxiety, panic disorder, obsessive-compulsive disorder, and post-traumatic stress disorder. Additional foci will be on suicidality, chronic pain, herbal psychopharmacology, computer therapies, and applying assessment based care to clinical practice. The symposium will integrate case discussions and the informal exchange of information between faculty and participants.
Participants will:
(1) Use recent advances in pharmacotherapy to improve practice outcomes
(2) Learn evidence-based approaches to overcoming treatment resistance
(3) Identify ways to integrate herbal and non-pharmacological treatments into comprehensive treatment programs
(4) Understand the role that computer therapies for mood and anxiety disorders can play in practice
(5) Consider risk factors for suicide and interview assessment of risk
(6) Integrate measurement-based care into clinical practice
(7) Review pharmacological treatment approaches to depressive, bipolar, and anxiety panic disorders
(8) Better understand OCD and PTSD
Monday Dr. Jefferson: Depressive disorders: Overview, neurobiology, pharmacologic profiles, comparative efficacies, side effects and their management, drug interactions, evaluating and overcoming treatment resistance
Tuesday Dr. Katzelnick: The pharmacologic management of social anxiety disorder and panic disorder; Pros and cons of benzodiazepines; Non-pharmacologic treatment alternatives; Adjunctive therapies
Wednesday Dr. Greist: Comprehensive approaches to managing obsessive-compulsive disorder and PTSD; Factors affecting suicidality and its assessment
Thursday Dr. Jefferson: Bipolar disorder: Overview, exploration of the bipolar spectrum concept, controversies regarding under- and over-diagnosis, issues of co-morbidity, managing mania and acute bipolar depression, maintenance considerations, mood stabilizer pharmacology, side effects, and drug interactions
Friday Drs. Jefferson, Greist, and Katzelnick: Obtaining a realistic view of herbal psychopharmacology; Integrating measurement-based care into clinical practice; Adopting computer therapies that complement, extend, and improve practices and patient outcomes
Session IX
August 6-10, 2012
Bill Eddy, JD, LCSW, CFLS
Working With High-Conflict Clients
William A. “Bill” Eddy is an attorney, therapist, and mediator, and the President of the High Conflict Institute based in San Diego, California. Mr. Eddy provides training to professionals on the subject of high-conflict personalities, providing seminars to attorneys, mediators, collaborative law professionals, judges, ombudspersons, mental health professionals, hospital and college administrators, law enforcement, and others.
Bill is a Certified Family Law Specialist in California, where he has represented clients in family court and provided divorce mediation services for the past 19 years. Prior to that, he provided psychotherapy for 12 years to children, adults, couples, and families in psychiatric hospitals and outpatient clinics as a Licensed Clinical Social Worker. He obtained his law degree in 1992 from the University of San Diego, a Master of Social Work degree in 1981 from San Diego State University, and a Bachelors degree in Psychology in 1970 from Case Western Reserve University.
Symposium Description and Objectives
High conflict personalities appear to be increasing in society, which presents opportunities and risks for mental health professionals. This seminar will focus on advanced skills for dealing with the difficult behaviors of high-conflict clients, as individuals and when involved in family problems such as separation and divorce. High-conflict clients tend to have a predictable pattern of pre-occupation with blaming others, difficulty accepting and healing loss, uncontrollable negative emotions, personal attacks, working against their own self-interests, triggering conflicts among professionals, and seeming disinterested in ending their disputes. Those who understand these personalities and methods for working with them will be able to assist colleagues and clients who are also dealing with high conflict people.
Participants will:
(1) Identify the interpersonal conflict dynamics of five personality disorders
(2) Recognize attachment issues and parenting behavior of those with personality disorders
(3) Apply recent brain research to reducing high-conflict behavior
(4) Manage the Negative Advocates common in high-conflict disputes
(5) Provide positive structure for clients to learn skills rather than blaming others
(6) Guide parents in teaching conflict resolution skills to their children
(7) Collaborate with legal and workplace professionals in managing high-conflict clients
(8) Recognize and manage ethical risks in working with high-conflict personalities
Monday Understanding High Conflict Personalities; Focus on five “high-conflict” personality disorders: borderline, narcissistic, histrionic, antisocial, and paranoid; Common cognitive distortions; Recent brain research; Case examples
Tuesday Managing High Conflict Clients; Methods; Connecting with empathy, structuring involvement, responding to misinformation, and educating about consequences; Managing “negative advocates”
Wednesday Teaching client self-manage-ment skills; Setting goals, motivating behavior change, setting deadlines, and committing to learning skills; Flexible thinking, managed emotions, moderate behaviors, and checking yourself for using these skills; Increasing client responsibility and working with resistance
Thursday Guiding Clients in Teaching their Children Self-Management Skills; Flexible thinking, managed emotions, moderate behaviors, and checking yourself for using these skills; Guiding clients to make family decisions: communication methods, making and responding to proposals
Friday Ethics and Risk Management; Target of Blame; Boundaries, expectations, and roles; Basic ethical principles and standards (confidentiality, duties to warn, abuse reporting, etc.) to avoid lawsuits and board complaints; Existing and new roles with high conflict clients, including as evaluators, coaches, and workplace consultants
Tuition and Refunds
The tuition fee is $605.00 for one full week and $560.00 for each additional full week. Tuition for full-time graduate students and resident physicians is $510.00 per week with a letter from the program training director.
The first symposium tuition fee will be reduced to $555.00 if postmarked by May 18, 2012. Groups of 3 or more may deduct an additional $55.00 from each registration if all registrations are submitted at the same time with payment. Two-day sessions are $280 before May 18 and $325 after May 18, 2012.
Refunds, minus $50.00 administrative 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.
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 10, 2012 or until they are filled, whichever 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 with 294 units 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. Ask about their new lower rates starting at $119 per night.
The Landmark Resort
7643 Hillside Road
Egg Harbor, Wisconsin 54209
(920) 868-3205, Fax (920) 868-2569
Reservations (800) 273-7877
stay@thelandmarkresort.com
http//:www.thelandmarkresort.com
Please be sure to indicate that you are attending the Summer Institute.
When available, private accommodations may be secured through Jim Spolarich at Coldwell Banker (920) 868-2002, or with JR Vacation Rentals (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 week-long session of this live activity for a maximum of 15 AMA PRA Category 1 Creditstm and each two-day session for a maximum of 8 AMA PRA Category 1 Creditstm. Physicians should claim only the credit commensurate with the extent of their participation in the activity. MCW designates each week-long session for up to 15 contact hours and each two-day session for up to 8 hours of participation for 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. This activity contains content or processes that may be potentially stressful.
The Medical College of Wisconsin is registered with the Illinois Department of Professional Regulation as a Continuing Education Sponsor for social workers (license number 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) 955-7250 at least two weeks in advance of any session.
Disclosure
Consistent with ACCME policy, faculty for all MCW continuing education programs is required to disclose to its 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.
Medical College of Wisconsin
Department of Psychiatry and Behavioral Medicine
8701 Watertown Plank Road
Milwaukee, WI 53226
414 955-7250
Fax: 414 955-6299
summerinstitute@mcw.edu