Developmental Process and the Enigma of Change
in Psychodynamic Therapy


Friday and Saturday, March 7-8, 1997, swisshotel, Boston, Massachusetts


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Course Description

This conference addresses what causes change in psychotherapy. From thestudies of parent-infant interactions and psychotherapy with adults andchildren, the Change Process Study Group of Boston has developed a theoryof change that emphasizes the crucial importance of "reordering theintersubjective environment." The interactive process that brings aboutsuch a reordering will be elaborated from the perspective of both normaldevelopment and psychotherapeutic change The steps involved in this processwill be described in detail. Examples from infant development andpsychotherapy will be provided.

A number of internationally renowned psychoanalysts, who have writtenextensively on the theory of psychotherapeutic change, will offer their ownformulations, as well as discuss the theory of change presented by theChange Process Study Group of Boston that focuses on reordering theintersubjective environment. The intent throughout will be to provide aforum for the exchange of ideas that will lead to a more comprehensiveunderstanding of what facilitates change in psychotherapy.

The educational objective and emphasis of this conference will be theintegration of theory and clinical practice. Case material from infantdevelopment and psychotherapy will demonstrate how the concept ofreordering the intersubjective environment within an interactive dyadtranslates into actual practice.


Friday, March 7

8:00-8:30 amRegistration

Moderator  Jeremy P. Nahum, M.D.
8:30-8:45Welcome and Opening RemarksMartha Stark, M.D.
8:45-9:30Relevant Videotape Vignettes from Infant ObservationalResearchEdward Z.Tronick, Ph.D.
9:30-10:15Developmental Process and the Reordering of theIntersubjective Environment in TreatmentDaniel N. Stern, M.D.
10:15-10:45Coffee Break
10:45-11:30Response to Drs. Tronick and SternRobert Michels, M.D., and
Arnold Modell, M.D.
11:30-12:15 pmPanelFaculty and Participants

Moderator  Alexandra M. Harrison, M.D.
1:45-2:30Change Moments in PsychotherapyEthel Spector Person, M.D.
2:30-3:15Facilitating Change in PsychotherapyDarlene Bregman Ehrenberg, Ph.D.
3:15-3:45Coffee Break
3:45-4:30Response to Drs. Person and EhrenbergKarlen Lyons-Ruth, Ph.D. and Joseph D. Lichtenberg, M.D.
4:30-5:15PanelFaculty and Participants
5:15 pmAdjourn


Saturday, March 8


Moderator  Alexander C.Morgan, M.D.
9:00-9:45 amThe Anatomy of Change in Psychodynamic PsychotherapyGerald Stechler, Ph.D.
9:45-10:30Principles of Dynamic Systems and the Process ofTherapeutic ChangeRobert D. Stolorow, Ph.D.
10:30-11:00Coffee Break
11:00-11:45Response to Drs. Stechler andStolorowDaniel N. Stern, M.D. and Stephen Mitchell,Ph.D.
11:45-12:30 pmPanelFaculty andParticipants
12:30-2:00Lunch Break

Moderator  Daniel N. Stern, M.D.
2:00-3:30Case Presentations from Adult Treatment: How the Theory Informs the Treatment and Promotes ChangeAlexandra M. Harrison, M.D., Alexander C. Morgan, M.D. and Jeremy P. Nahum, M.D.
3:30-3:50Coffee Break
3:50-4:30Discussion of Case PresentationsLouisW. Sander, M.D. and Joseph D.Lichtenberg, M.D.
4:30-5:15PanelFacultyand Participants
5:15 pmAdjourn



Last update January 9, 1997
Published January 9, 1997

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