Emnet for Summer Seminares er: Projective Methods and psychotherapy.

Lecturers and Presentations

Lily Rothschild Yakar, PhD., Department of psychology, University of Haifa, Israel

Prof. Rothschild Yakar is a Clinical Professor in the Department of Psychology at

Haifa University, Israel, a co-chair of the Israeli branch of SPA, and a senior

psychologist teaching and supervising psycho-dynamic oriented psychotherapy

and personality assessment. Prof. Rothschild Yakar authored several publications

in personality assessment, with particular attention to using personality assessment

measures in examining psycho-dynamic concepts.

Therapeutic change in personality dynamics: Coping, distress, relatedness and mentalizing

The presentation will focus on assessing therapeutic change along several constructs of

personality dynamics, using implicit (Rorschach and TAT) and explicit (self-reports) measures.

The discussion will follow theoretical conceptualization of personality dynamics, based on object

relations and mentalization theory, and the meaning of various assessment variables will be

elucidated based on these frameworks. The discussion will also address research data on the

issue of phases in the course of a disorder. The principles of the theory and research will be

demonstrated by two protocols of a female adolescent (late adolescence) with ED, one in the

beginning of treatment and the other at the end of hospitalization.

Barbara L Gamble, MS, LLP, Ann Arbor, MI, USA

Clinical Psychotherapist in private practice, Advanced Candidate in Child,

Adolescent, and Adult Psychoanalysis at the Michigan Psychoanalytic Institute.

Ms. Gamble has masters degrees in Educational Psychology and Clinical

Psychology, and her undergraduate degree is in Psychobiology. Ms. Gamble’s

training, interests, and practice emanate from a developmental perspective,

informed and inspired by raising her three young adult children.

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Use of Projective Measures in Assessing Children for Treatment Planning

At a time when many people eschew use of projective measures in psychological assessment, it is

especially important for us as a field to know the history of their use and utility, and to build on

and celebrate the unique contribution they offer in contemporary practice in understanding and

treating children. Projective measures will be discussed within a psychoanalytic/psychodynamic

assessment framework, bringing out the richness and depth of all assessment data when

considered experientially as well as normatively. The uniqueness of child assessment and

treatment will be fleshed out, with the necessity of a developmental framework, and aspects of

working with parents. Finally, the contribution of projective measures to developing a narrative

leading to treatment planning and mutative change, with several examples, will be discussed. All

of these ideas will be illustrated and brought to life with the case of a 10-year-old girl twin and

her family who suffered consequences from a traumatic birth which were then resolved.

Harald Janson, Ph.D, Oslo, Norway

Harald Janson, Ph.D., is a psychologist and a researcher. He holds a

position as a psychologist at an outpatient treatment unit for psychological

trauma at Uddevalla, Västra Götalandregionen, Sweden, and is also

employed as a researcher at the Norwegian Center for Child Behavioral

Development, Oslo, Norway, in addition to having a private practice. His

clinical work is mainly trauma-focused; he is a certified EMDR Consultant.

He has worked with the Rorschach (Comprehensive System and R-PAS)

since 1992.

How Rorschach findings can assist treatment planning for psychotherapy with respect to

structural dissociation of the personality

Adolescents and adults with a long-standing history of neglect, abuse, and exposure to adverse

life events may present with a complicated clinical picture with symptoms that could fit several

diagnostic categories, including borderline personality disorder, depression, complex trauma,

and dissociative disorders. The theory of structural dissociation of the self (van der Hart,

Nijenhuis, & Steele, 2006) attempts to explain fragmentation of the developing personality in

parts with varying degrees of co-consciousness, ranging from mild (e.g., single split-off

emotional states) to severe (e.g., dissociative identity disorder), following exposure to

overwhelming strain. The degree of structural dissociation of the personality has far-reaching

treatment implications; a prolonged phase-oriented treatment is indicated in the more severe

cases. This presentation identifies specific factors to consider in treatment planning with respect

to structural dissociation of the personality, along with general factors, with their possible

expressions on the Rorschach. The Rorschach assessment of a woman with severe traumatization

and long-standing problems is presented, and participants are invited to identify and reflect

about specific and general findings that may contribute to treatment planning.

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