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Psychotherapy clients at high risk of acting on self-destructive impulses often present unique challenges and evoke strong emotional reactions in their therapists. The inherent difficulty typically experienced by these clients in establishing and maintaining trusting relationships necessitates specialized attention to the therapeutic alliance in order to maintain a collaborative process. The purpose of this presentation is to discuss some key practical and clinical aspects of working effectively with this clinical population, with emphasis on treatment frame and therapist stance, empathic understanding of self-destructive feelings and their meaning in the therapeutic dyad, and thoughtful attention to countertransference reactions. Consultation and team approaches will also be discussed as ways to help protect against burnout and enactments.

Educational Objectives

Participants will be able to:
(1) Recognize the need for special attention to developing a therapeutic alliance and treatment frame with self-destructive clients
(2) Consider ways to understand self-destructive behavior, including its potential meaning in the therapeutic relationship

(3) Understand the value of attending to countertransference with self-destructive clients

Lindsey Hogan, PhD is a staff psychologist at The Menninger Clinic on The Compass Program for Young Adults and an Assistant Professor in the Department of Psychiatry & Behavioral Sciences at Baylor College of Medicine. She earned her doctorate in Clinical Psychology from the University of North Texas and her bachelor''s degree in Psychology and English Literature from Baylor University. Dr. Hogan completed her predoctoral internship at State University of New York-Upstate Medical University in Syracuse, New York, and completed a postdoctoral fellowship at Menninger on the Hope Program for Adults. Her clinical and research interests include collaborative/therapeutic personality assessment, psychotherapy process and outcome, psychodynamic and integrative approaches to psychotherapy, and attachment trauma.

Participants will be able to:

David H. Baron, MD, received his B.A. in Psychology and M.D. degrees from Case Western Reserve University in Cleveland.  He went on to complete his psychiatry residency at Tufts/New England Medical Center in Boston.  Dr. Baron is a Clinical Assistant Professor at  Rosalind Franklin University/The Chicago Medical School. His clinical and administrative experience and practice over the past 30 years has been within a bio-psychosocial understanding of psychiatric illness, and he has developed expertise in meaningfully integrating divergent psychotherapeutic and neurobiological approaches to help people suffering from a wide variety of psychiatric disorders.  Since joining Yellowbrick in 2012, Dr. Baron has been devoted to the assessment and treatment of emerging adults and adolescents. In 2017, he assumed the additional role of Medical Director within which he is responsible for oversight of all treatment within Yellowbrick.

Michael Losoff, PhD, earned his Masters in earned his Masters in Human Development from Pennsylvania State University and a PhD in Psychology from the University of Texas at Austin. He was trained at the National Institute of Mental health where he was a Fellow in Adolescence. Dr. Losoff brings a deep understanding of adolescent and young adult development and to utilizing this understanding within a multifaceted model based on developmental neurobiology. He has an appreciation of and expertise with in-depth, analytically informed psychotherapy and was the Founding Director and Coordinator of Clinical Services for The Center for Depth Psychotherapy at the C.G. Jung Center of Chicago.

bwood@yellowbrickprogram.com