Training Program -Program Introduction-

1. Depression & Helplessness: Tactics & Techniques

Trainer:Ralph Mora, Ph.D., MSS, CAIA (Reynolds Army Community Hospital)

This workshop encompasses the topic of depression and in particular, helplessness. Initially, an overview of depression is presented leading to the concept of helplessness. Treatment is noted to require adherence to the individual patient’s stage of readiness for change. These are then outlined and used as a method of deciding on specific therapeutic tactics and techniques meant to allow the patient to become ready for change. These tactics and techniques borrow greatly from behavioral and cognitive behavioral paradigms but are also explained with regard to how these complement psychodynamic aims and objectives. The overall goal is to present to the participant a number of useful tactics and techniques meant to address what is otherwise seen as resistance from patients. These are also meant to provide a more holistic way of dealing with patients that is more collaborative and didactic than is generally used. Finally, an integrated behavioral health program will be presented as a way of addressing medical patients with psychological problems that are usually never seen in mental health centers.


2. Out-Patient Psychodynamic Group Psychotherapy:Liberation from PTSD and Dynamics of Depression”

Trainers: Kazunori Hashimoto, Ph.D. (International Christian University)
              Kayoko Hige, M.A. (Institute of Psychoanalytic Systems Psychotherapy)

Psychodynamic psychotherapy is essential for liberating from the major PTSD and “depression” after the Great East Japan Earthquake, which IADP has been facing. We can also find complex/accumulated PTSD or depression in the inner core of the adolescent difficult patients, our major clients, who often show acting out including a suicide attempt or self-destructive behavior. This workshop will aim to 1) learn the basic theory of accurate assessment (triage/theragnosis) by visualizing less-visible dynamics of PTSD and depression, 2) train basic techniques and practical images of dynamic group psychotherapy to promote healing. For anyone from beginner who encounters the dynamics approach for the first time to professional clinical practitioner, let’s take the first step from Kumamoto to the world of dynamic group psychotherapy which can liberate people from their burden and make them cheerful.


3.‘Hello Darkness, My Old Friend”-Working with Adolescent Depression

Trainer: Seth Aronson, Psy.D., CGP, FAGPA (William Alanson White Institute)

Depression in adolescents has been described by authors, and poets in ways that are evocative and capture the plight of the adolescent in the throes of despair. Shakespeare’s Hamlet, Salinger’s Holden Caulfield and later Sylvia Plath’s The Bell Jar all offer examples of depressed youth. In the psychoanalytic literature, Freud, Abraham and later Spitz, Bowlby and Anthony contributed to our understanding of diagnosis and treatment. The cognitive therapies, notably those developed by Aaron Beck and his followers, are also invaluable in helping to develop treatment strategies. In this workshop, we will explore the prevalence of depression in adolescence, and what distinguishes ‘normative’ depression in this age group from psychopathology. Participants will learn about diagnosis. We will also explore various therapeutic responses through the use of individual, group and family therapies.


4. Introductory of Constructed Response Method for Interpersonal Responders

Trainer:Yukio No (Institute of Psychoanalytic Systems Psychotherapy)

In psychiatry, psychiatric nursing, psychotherapy and social work with psychodynamic view point, dialog or response in person to person contact or in the interaction can become therapeutic or helpful intervention. How do we create lively conversation or meaningful response? Response-Constructing training reviews and discusses the process of your response to the client by stopping the time and facing the verbatim of the client in a moment of the case. This introductory program is intended for interpersonal aid professionals including doctors, nurses, clinical psychologists, and social workers. Let’s enjoy training and make this program fruitful.

* We plan to hand in the basic textbook beforehand.


5. Technique of Pre-Therapy:SMG and SET

SMG: Toshinori Hanai, M.A. (Institute of Psychoanalytic Systems Psychotherapy )
          Maya Hashimoto, M.A. (Institute of Psychoanalytic Systems Psychotherapy )
SET: Yuki Nakamura, Ph.D. (Institute of Psychoanalytic Systems Psychotherapy )
        Kai Ogimoto, Ph.D. (Sagami Women’s University)

Pre-Therapy is a prescription for those who cannot come to consult or has no motivation for consulting even though they need help, to accommodate their readiness for psychotherapy. We have met many people who withdrew and refused help after the Great East Japan Earthquake of 2011 and developed this technique. Pre-therapy relieves the power resisting self-nurturing and self-training or helplessness by energizing psychological function and securing their inner security. This training program will introduce two types of group therapy: Story Making Group (SMG), and Socio-Energetic Training (SET). Participants will experience these two types of technique and learn the necessity, clinical meaning, and the basic technique of these two techniques.

6. Intervening technique of Psychodynamic Psychiatric Nursing –Psychodynamic Nurse Interview to Promote Self Care –

Trainers: Masako Iwakiri, RN, MSN, APRN-CNS (Okayama, Jikei Hospital)
              Seitaro Teraoka, RN, MSN, APRN-CNS, Ph.D. (Tokyo Medical University)
              Shiori Usami, Ph.D. (Professor, Kumamoto University Graduate School)

Orem/Underwood self-care model in psychiatric nursing is universally used in Japan following the model of Hildegard Peplau who developed interpersonal relations in nursing. This self-care model use psychodynamic theory to understand patients as well as Diathesis-stress coping model but this is not fully understood yet. In addition though psychodynamic nursing interview is the key for the change of patients in the development of nursing for improving self-care through Orem/Underwood self-care model, the technique of interview still depends on each nurse’s own way of thinking. In this program, we will deepen our understanding of Orem/Underwood self-care model through lecture, case seminar and role play in three theme: Psychodynamic theory and Orem/Underwood self-care model; intervention technique in psychodynamic nursing interview for promoting self-care; and intervention technique for nurses to improve cohesiveness and function among the group of patients, their families, and nurses.


7. Dynamics and Intervention for Organizational Development

Trainer: Hidefumi Kotani, Ph.D., CGP (Institute of Psychoanalytic Systems Psychotherapy)

The theory and practice of the 0rganizational Development has been developed very much by the theory of psychoanalysis and Group Psychoanalysis in addition to behavior science. It also developed the executive coaching. My approach is reconstructed and integrated from Psychodynamic Psychotherapy and Group Psychoanalysis with the General Systems Theory. This program is focused on the organization of medical and helping professional institutions to make the psychotherapeutic wok effective. Psychodynamic psychotherapy especially for difficult patients with negative therapeutic reaction (NTR) often shake the institution where it is carried out or the whole environment of the institution could shake the psychotherapy work and bring quite destructive affect. Psychotherapists working in any kinds of organization need to do liaison work to protect their psychotherapy boundary in order to make it safe. Effective psychotherapy needs good enough psychological minded environment of the organization. You, psychodynamic psychotherapist, help curing patients in your psychotherapy work, and at the same time developing the organization good enough environment. We will learn basic theory of interactive dynamics of individual and organization, and method of analysis with intervention which gives it productive and creative way of use. Each participant should prepare for description of his/her own impasse in a given organization in which you are conducting therapy work or involving in any way.