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Uncovering Dangerous Secrets: Suicide, Violence, Psychosis, and Difficult Personality Disorders

Saturday, September 09, 2017

This workshop provides front-line clinicians with the state of the art skills necessary to tackle some of the most difficult clinical situations facing experienced clinicians during the initial assessment.

In the morning sessions, Dr. Shea begins with a focus on specific interviewing methods for uncovering problematic personality dysfunction in a sensitive fashion. New life is given to the concept of object relations and self psychology as innovative methods for engaging clients with Borderline and Narcissistic Personality Disorder.

Next, Dr. Shea looks at the puzzling world of psychosis. He demonstrates a variety of specific interviewing techniques to help clinicians ferret out the earliest signs of impending psychosis or relapse, while providing a better understanding of the exquisite pain created by psychotic process. In addition, he provides immediately practical interviewing techniques for spotting dangerous psychotic process including suicide, homicide, and self-mutilation.

In the afternoon the focus shifts to direct methods of uncovering dangerous secrets. A large portion of the time is devoted to understanding seven practical validity techniques: normalization, shame attenuation, the behavioral incident, gentle assumption, denial of the specific, the catch-all question, and symptom amplification. Dr. Shea demonstrates how these techniques provide powerful gateways for uncovering physical abuse, drug abuse, antisocial behavior, and incest.

The final portion of the day is devoted to a demonstration of how these validity techniques can be woven into a specific strategy for eliciting suicidal ideation – the Chronological Assessment of Suicide Events (the CASE Approach). The highly acclaimed CASE Approach has been described by David Jobes Ph.D., a former President of the American Association of Suicidology, as follows: “The CASE Approach moves the clinician almost imperceptibly into the secret internal workings of the mind and soul of the patient tormented by suicidal ideation. I believe that the CASE Approach is a remarkable conceptual and clinical contribution to the field of suicidology. It should be taught to any front-line clinician. It has the power to meaningfully save lives.” All techniques will be clearly demonstrated through the use of videotape examples from actual client interviews.

Learning Objectives:

  1. Be able to apply object relations theory to the following critical interview tasks engaging the client, uncovering serious personality pathology, and determining possible treatment modalities.
  2. Be able to utilize interviewing techniques for spotting delusional mood, delusional perception, the life-cycle of a psychosis, and dangerous psychotic processes including command hallucinations, alien control, and hyper-religiosity.
  3. Recognize and be able to utilize the following seven techniques for increasing validity: normalization, shame attenuation, the behavioral incident, gentle assumption, denial of the specific, the catch-all question, and symptom amplification.
  4. Be able to utilize flexible strategies for weaving the above seven validity techniques into effective methods of uncovering sensitive material, such as antisocial behavior and violent ideation, while maintaining a powerful engagement.
  5. Apply the CASE Approach to uncover hidden suicidal ideation, actions, and intent.

Read more about Dr. Shea here.

6 CEs

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