Jacksonville Psychotherapy Workshop Past Events

Planning Committee: Tim Albro, LCSW, Lori Beard, LMHC, Misha Bogomaz, Psy.D., Carrie Cragun-Atchison, Ph.D., Tracye Polson, Ph.D., LCSW, Rose Zayco, Psy.D.




Transforming Resistance:

Working with the Challenges of Defense and Anxiety

A full day psychotherapy workshop with Clinical Psychologist and

Senior Faculty of the Accelerated Experiential Dynamic Psychotherapy Institute  

Steven S. Shapiro, PhD

Sponsored by the

North Florida Association for Dynamic and Psychoanalytic Psychotherapy

And Co-Sponsored by the Florida Psychological Association  

(Licensed Psychologists, LMHCs, LCSWs, and LMFTs May Earn 6 CEUs)

Saturday, April 14, 2018, 9:00 AM – 4:30 PM

Location: Whiteway Corner Building, 2nd Floor Conference Room,

2720 Park Street, Jacksonville, FL 32205


Frustrated in your attempts to help challenging clients?

Interested in promoting deep & lasting change quickly?

  • Acquire techniques to transform resistance, restructure defenses and build an alliance even with the most resistant and over-regulated patients.
  • Learn reliable methods for regulating anxiety and building emotional capacity in clients who become so dysregulated that they have trouble utilizing the therapy process.
  • Understand how to move beyond symptom management into deep, transformational processes that release resources associated with health and resilience.
  • Learn an innovative, healing-oriented, attachment-based, body-focused, experiential approach that involves an active, focused and emotionally engaged therapeutic stance.
  • Learn to accelerate treatment using innovative techniques that help gain access to unconscious affective material, underlying intrapsychic conflicts and untapped resources.
  • Learn a system for rapidly conducting a psychodiagnostic assessment during the first session to determine your patient’s level of anxiety and affect tolerance, defensive operations and capacity for change.
  • Gain clarity and a comprehensive understanding that will guide your interventions, strengthen rapport and avoids treatment ruptures with all types of patients.
  • Recognize the benefits of integrating the latest research on affective neuroscience, attachment theory, trauma studies and experiential affect regulation strategies with your existing approach.
  • Acquire clear internal maps that simplify the complexity of information in sessions to guide understanding and clinical decision making.
  • Attain practical skills that are immediately applicable that you can integrate with your existing theoretical approach and personality to result in a style that is effective, efficient, authentic and rewarding to practice.

Ironically, most clients interfere with the very progress they seek through their own resistance or because their anxiety is so high that it interferes with effective use of the therapy process itself. Therapists offer the promise of help often based on the presumption that the client will arrive with sufficient openness or emotional capacity to face painful realities and progress smoothly toward achieving therapeutic goals. In order to help clients’ achieve their goals, therapists must fully understand how resistance and anxiety interfere with the therapeutic process. The result of failing to address these barriers immediately and directly ranges from limited progress to premature termination. This results in tragic consequences for the client, as well as frustration and a sense of failure for the therapist. Only by addressing resistance and anxiety directly can we move beyond simple symptom management to access emotional conflicts and unconscious material necessary to promote lasting character change. This is especially important when working with challenging patients who are highly resistant or excessively anxious.

Participants will gain a clear understanding of the nature and function of resistance, methods to clearly identify and restructure defenses, as well as effective ways to regulate anxiety; only then can clients uncover the healthy and previously inaccessible internal resources. Because these issues are universal in the practice of psychotherapy, the principles and skills demonstrated can be readily integrated with your existing orientation; consequently, this workshop is well-suited for therapists of all orientations and levels of experience. Using lecture and extensive video footage of actual therapy sessions to clearly demonstrate specific skill sets, participants will be introduced to methods for rapidly assessing and intervening with a wide range of patients and presenting problems.

Learn to accelerate treatment using innovative techniques that implore clients to abandon chronic maladaptive coping patterns that were once necessary but have long outlived their usefulness and are now causing untoward suffering. By adopting an active, selectively focused, experiential and emotionally engaged stance, while relying on systematic clinical maps, therapists will learn the skills necessary to promote healthier functioning. While the primary goal of this workshop is to learn methods to accelerate the healing process for clients, the secondary goal is to help clinicians integrate new skills into their existing orientation to result in a style that is more effective, efficient, rewarding to practice, authentic and entirely compatible with your personal and professional history.


8:30 am Registration

Bagels and coffee

1:15pm Keeping motivation high & inhibition low: understanding high anxiety/ dysregulation
9:00 am Introduction to experiential dynamic therapy 1:30 pm Working with the challenges of high anxiety to access healthy resources
9:15 am Overview of clinical map; moment to moment tracking 2:00 pm Video demonstration & discussion: working with high anxiety, Part 1
9:45 am Removing barriers safely: understanding resistance & high defense/ over-regulation 2:45 pm Break
10:15 am Working effectively with high defense/ defense restructuring to access healthy resources 3:00 pm Video demonstration & discussion: working with high anxiety, Part 2
10:45 am Break 4:00 pm Q & A; Final discussion; completion of evaluation forms
11:00 am Video demonstration & discussion: working with high defense 4:30 pm End
12:15 pm Lunch  


Steven S.  Shapiro, Ph.D. is a clinical psychologist with a full-time private practice in suburban Philadelphia who has over twenty-five years of clinical and teaching experience.  He has been practicing various forms of Experiential Dynamic Therapy (EDT), such as Short-Term Dynamic Psychotherapy (STDP) and Accelerated Experiential Dynamic Psychotherapy (AEDP), since the mid-1990’s. Dr. Shapiro is a Senior Faculty and Founding Member of the AEDP Institute in New York City.  Areas of specialization include the treatment of high resistance, severe anxiety, trauma, severe and persistent disorders, psychiatric emergencies; adolescents and their families and high conflict relationships. In addition to clinical work, Dr. Shapiro provides lectures, training groups and individual consultation to therapists of all orientations and levels of experience. His trainings are often commended for being engaging, innovative and highly effective in translating complex clinical theory into clear, precise, and practical techniques which are easily understandable and immediately applicable in clinical settings.



Walking in Your Patient’s Shoes:

A Day with Lycia Alexander-Guerra, MD

A full day psychotherapy workshop with contemporary relational psychoanalyst

Lycia Alexander-Guerra, MD

Sponsored by the North Florida Association for Dynamic and Psychoanalytic Psychotherapy

And Co-Sponsored by the Florida Psychological Association

(Licensed Psychologists, LMHCs, LCSWs, and LMFTs May Earn 6 CEUs)

Saturday March 25, 2017, 9:00 AM – 4:30 PM

Location: Whiteway Corner Building, 2nd Floor Conference Room, 2720 Park Street, Jacksonville, FL 32205 

Morning Paper Summary: Winnicott was one of the major theorists in the psychodynamic approach. The morning paper will discuss his perspective on treating clients with affect dysregulation. Winnicott thought the infant relationship with the primary caretaker can impact affect dysregulation later on in life. Patient difficulties will be conceptualized from Winnicott’s perspective and the resulting treatment will be discussed. Particular attention will be paid to Winnicott’s concepts and ways to utilize them in treatment.

Objectives : Attendees will learn:
 (1) To define the concepts of Winnicottian survival and play; (2) To identify and describe the importance of the analyst’s survival in the therapeutic situation; and 
(3) To list three counter-transferential responses of the analyst under barrage of patient attack.

Afternoon Paper Summary: Shame is about the self and emerges in an intersubjective context. Unlike guilt, which is about doing, shame is about being. Disappointed longings, humiliation, trauma, misrecognition and misattunement all can engender shame. Because shame emerges in relationship and is healed within a relationship of secure attachment, it is important that shame enter the clinical conversation and be recognized and welcomed in by the therapist.

Dissociated shame in the therapist makes this more difficult. The therapist may inadvertently engender shame with an attitude of disbelief, judgment, or unwelcoming. A clinical case where shame plays a role will be presented.

Objectives : Upon completion of the program, the participant will learn: (1) To identify and list three origins of shame, in general; 
(2) To describe how the therapy situation, in particular, engenders shame; and (
3) To identify three ways to mitigate shame through the clinical experience.


9:00am   Registration, bagels, and announcements

9:30am-10:30am   Paper: Survival and Play: How WInnicott informs my clinical work

10:30am-10:45am   Discussion

10:45am-11:00am   Break

11:00am-12:15pm   Clinical Supervision (Attendee presents case)

12:15pm -1:15pm Lunch

1:15pm-2:15pm  Paper: Shame in the Clinical Situation

2:15pm-2:45pm   Discussion

2:45pm-3:00pm  Break

3:00pm – 4:15pm Clinical Supervision (Attendee presents case)

4:15pm -4:30pm Fill out evaluations


Lycia Alexander-Guerra, M.D. is the current Secretary and Past President of the Tampa Bay Psychoanalytic Society and current President of the Tampa Bay Institute for Psychoanalytic Studies. She graduated from Boston University School of Medicine in 1983. She completed her psychiatric residency at the University of Florida and University of South Florida. She was Chief Resident in psychiatry at the University of South Florida in 1986. Dr. Alexander-Guerra completed psychoanalytic training at the New York Psychoanalytic Institute in1995. Dr. Alexander-Guerra currently works in private practice in Tampa, FL.




Personal Agency in Development, Intergenerational Trauma, and Psychotherapy 

A full day workshop


Jonathan H. Slavin, Ph.D., ABPP and Miki Rahmani, M.A. 

Sponsored by

North Florida Association for Dynamic and Psychoanalytic Psychotherapy

With Co-Sponsorship by the Florida Psychological Association

April 2, 2016, 8:30 AM – 4:30 PM

Location: Wekiva Springs Center – Gymnasium – 3947 Salisbury Road, Jacksonville, FL 32216

The Workshop:

It has been well-established in developmental research that the experience of a sense of personal agency is essential to the maintenance of reasonable self-esteem, a feeling of vitality in one’s activities, and to maintaining stable, meaningful relationships and work. It is also well known that the development of a sense of personal agency can be disrupted and even suffocated in disturbed familial relationships and as a result of trauma and abuse, including the intergenerational transmission of trauma. In these instances it is the task of psychotherapy and the therapeutic relationship to help the patient revive and rebuild a sense of personal agency in order to overcome symptoms and find a meaningful and productive life.

In this full day workshop we will examine the issue of human agency in all its aspects: how agency is developed in the moment to moment interactions between infants and parents and other intimate caretakers; the structuring and elaborations of agency in later development; the impact of trauma and abuse in stifling agency; and the way the frozen pathways to agency may be unlocked in psychotherapy. The workshop will include a detailed discussion of what must occur in the therapeutic relationship to heal these devastating blows to the growth of the self and the challenge to therapists in negotiating their own and their patients’ agency in treatment.

The workshop will include in vivo demonstrations and case material from recorded sessions.

 The case:

“I’ve always felt that a crisis was necessary to shake off a dead, shallow, wasteful, debilitating relationship with my parents,” Kurt wrote, in introducing himself to his soon-to-be therapist. And he was having a crisis. Thirty-one years old, the ruins of so many failed relationships strewn about him, his life and ambitions adrift, Kurt was drowning in an existential morass.

Kurt had no idea what ailed him, nor how to rescue himself. He had no childhood trauma. He knew that. Perhaps the most outstanding memory of childhood was after he went into the basement workshop and tried to make some things. Dad came down to see what was happening. The next day there was a padlock on the door. There was no explanation. It was never removed.

Such was Kurt’s experience of his father. The way in to a relationship was locked, and it devoured his soul. Kurt longed to feel, “two men together, engaging the world.” But it was two men apart.

Kurt’s treatment will be presented through audio excerpts from recorded sessions, used with permission. During the course of this 18 month treatment the frozen father-son relationship transformed in the unexpected and dramatic recognition of the father’s trauma and its effects upon his son.


After participating in this program, participants should be able to:

  1. List ways that clinicians can identify difficulties with personal agency in their patients’ presenting symptoms.
  2. Describe the ways in which the capacity for a sense of agency may be undermined by developmentally based relational difficulties and in trauma and abuse.
  3. List signs that indicate that unacknowledged trauma may be deeply affecting the lives, work, and relational functioning of patients.
  4. Describe ways in which disruptions and impasses in treatment may be opportunities for the rebuilding of a sense of agency.
  5. Identify the specific mechanisms by which trauma is constructed and transmitted intergenerationally and how these may be addressed in treatment.
  6. Identify the ways in which issues of agency manifest themselves in the treatment process and in clinical supervision.


8:30- 9:00 AM Registration and Discussion of Interest in Forming a Local Association

9:00-9:30 AM Introduction of workshop leaders, participants, and the aims of the workshop

9:30-12:30 PM
a. Videos and discussion:

  1. Mama, why are you crying?
  2. Jamming
  3. The concept of agency; Agency in human experience – examples from treatment and every day life
  4. Case presentation with recorded material and discussion – The Resurrection of Agency from the Ashes of War

12:30-1:30 PM Lunch with presenters (Lunch provided courtesy of Wekiva Springs Center)

1:30-4:30 PM
a. Live Supervision-In vivo supervision and discussion with group – Demonstration of an actual,  unrehearsed supervision session and discussion
b. Agency as a critical concept in pathology and treatment


Jonathan H. Slavin, Ph.D., ABPP, is Clinical Instructor in Psychology, Department of Psychiatry, Harvard Medical School; Adjunct Clinical Professor, Postdoctoral Program in Psychotherapy & Psychoanalysis, New York University; Founding Director, Tufts University Counseling Center (1970–2006); Former President of the Division of Psychoanalysis (39), American Psychological Association; and Founding President, Massachusetts Institute for Psychoanalysis. Dr. Slavin’s published work has focused on fundamental experiential elements in the therapy relationship including love, sexuality, desire, truthfulness, and personal agency, and their role in the repair of the mind.

Miki Rahmani, M.A., is Chief Psychologist, South Jerusalem Mental Health Center, and Faculty emrita, School of Education, Hebrew University, Jerusalem, Israel. In more than 35 years of clinical teaching and consulting she has taught annual courses, seminars, and workshops on the supervisory relationship, the supervisory process in clinical work and in education, and on the treatment process.

Jonathan Slavin and Miki Rahmani have taught seminars and workshops on Relational Perspectives in Psychotherapy, Sexuality in Development and Treatment, and on Clinical Supervision in the United States, Israel, Russia, Romania, Armenia, Turkey, China, and Italy.

JHS and Miki


Benjamin, J. (1995, first pub. 1990). Recognition and destruction: An outline of intersubjectivity, pp. 27-48. In: Like Subjects, Love Objects: Essays on Recognition and Sexual Difference. Yale: New Haven.

Slavin, J. and Pollock, L. (1997). The poisoning of desire: The destruction of agency and the recovery of psychic integrity in sexual abuse. Contemporary Psychoanalysis, 33,573-593.

Slavin, J. (2014). “If someone is there” On finding and having one’s own mind. Psychoan. Perspect.  11: 23–34.

Slavin, J. & Rahmani, M. (2015). Legitimate guiding forces of one’s behavior in the world. Psychoan. Dial., 25:325-334.