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Breger primarily deals with the connections between therapist and patient. This is a professional memoir of the life of the psychotherapist dealing with trials as a.
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His eyes are watery, and I wonder whether he's been crying. I know a little bit about him already. His doctor, a colleague of mine who's just seen him for an emergency appointment for chest pains--which have turned out to be anxiety-related--referred Rick to me late Friday afternoon.

The doctor left a message on my office phone when she made the referral: "Rick's a good man, but very stressed and worried. He has a lot of family complications that he'll tell you about. If he keeps going the way he is, he'll probably lose his job as well as his health. I ask Rick to tell me more about what happened on Friday.

Louis Breger - Psychotherapy: Lives Intersecting

Coming back from lunch late, he'd gotten a frantic phone call from his wife, who struggles to manage complications from her diabetes. Also, Rick's mother, who suffers from dementia and lives in his home, had hit his wife, in a fit of confusion and agitation. In the midst of this conversation, Rick's secretary, Anne, had walked into his office to ask about a report that was a week overdue.

Distracted and overwrought, Rick snapped, yelling at Anne to get out of his office and adding a string of invectives about her intrusiveness. Out of sympathy for his family situation, Anne had been covering for Rick's tardiness and work errors for months, but now, he was yelling at her. Shocked and offended, she went to his supervisor to complain. We settle into a familiar therapeutic rhythm: he talks; I listen, nod, and make a comment. Then Rick nodsclearly reassuredand talks more. His narrative shifts away from the office to the stressors in his life: his mother, his wife, his fatigue.

He continues to open up as I let the story unfold. Our conversation develops a relaxed back-and-forth rhythm. But after 15 minutes of this comfortable flow, I start feeling antsy and begin to attend to an inner voice that I've come to hear in my sessions more and more. Instead of a calm observer of the situation, it's a sharp, bossy presence in my head. Get him to focus and start to create a plan. Increasingly, I notice it when I'm with a client like Rick, who needs to fix a critical problem.

I sit up straighter in my chair and politely, but firmly, interrupt Rick. Are you serious about finding a way to fix the mess you made on Friday so that you can keep your job? Rick's eyes widen and he looks surprised. I know I'm not transitioning as gracefully as I might, but the coach's voice is urging me to take action now. I wait for his response, which will let me know whether this was a wise move. He begins to object, but then pauses, sighs, and looks right at me.

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I got off track. I've been in therapy before and I know there's a lot in my life that isn't working for me. But my number-one concern is that I keep my job. Everything and everyone in my family depends on me keeping my job. Today, in the time we have left, we can create a plan to help you calm down and become more productive at work. Rick nods his head vigorously.


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I need to hold my temper and get my reports in every day. I haven't been productive in a long time. Rick is following my lead and letting me focus the session. For the next 30 minutes, we brainstorm a series of action steps: make appropriate apologies to Anne and his boss, shift his workflow to ensure that his weekly reports are complete before he leaves on Friday, and manage his time more efficiently. At the end of the session, Rick says, "I'm amazed that I can take so many practical steps to improve things right away. This sure is a different kind of therapy than I'm used to.

My education as a social worker was primarily psychodynamic, but like many therapists, I've explored a variety of methods: Gestalt therapy; self-psychology; emotive, cognitive, and behavioral approaches; couples therapy; and others. But in , after a decade in practice, I signed up for yet one more multiyear training programthat changed my career. Having spent some years running a business before I'd begun therapy training, I was intrigued by the idea of diversifying my work with business coaching, something I'd never heard of at the time. I found a coaching school, CoachU, and signed up for a two-year program of classes.

How Talk Therapy Works

All the classes were taught by phone via the new technology of bridge lines. Since updates about classes and other information were handled online, I was required to get a computer and connect via e-mail. Just by signing up, I started becoming more tech-savvy than I ever would have become otherwise. The difference started with the way the coaches in my classes talked.

In my therapy trainingprimarily psychoanalytic and psychodynamic in my social-work programtherapists used what I came to regard as a peculiar "therapy-speak. By examining the diversity of male experiences, Dr. Rabinowitz frames the type of therapeutic alliance that encourages men to reflect and communicate their emotional depth.

His male-friendly interpersonal approach engages men non-defensively, while still respecting their defenses and boundaries. Whether in individual, couples, or group therapy, he validates the male experience, while challenging the assumptions that keep men stuck in repetitive and unfulfilling patterns. Rabinowitz will demonstrate how his male friendly approach engages, energizes, and encourages men to expand their behavioral repertoires and pursue passion in their lives. Download Lifestyle Intake Form docx. This presentation will feature a live counseling session demonstrating counseling with an older male client.

The demonstration will highlight male friendly engagement and exploration of issues around aging and being an older man. Since this will be an actual client and therapy session, the content and issues to be discussed will be known as the presentation unfolds. The subsequent discussion of the session will examine how masculinity was conceptualized and developmental issues present.

Back to topic list. Download Healing the Shame presentation handout ppt. The military values camaraderie, loyalty, discipline, cohesion, courage, and strength. In addition, for a number of service-members who are now veterans, the military experience also included military sexual trauma MST.

However, when a male active-duty service-member is sexually assaulted, he is soon faced with a cacophony of emotional and behavioral challenges, some of which directly contradict the values taught to men in the military. Most male veterans raped or sexually attacked while serving in the military struggle with post-traumatic stress disorder PTSD and become isolated individuals with added dimensions of shame and rejection.

Psychotherapy: Lives Intersecting by Louis Breger

This presentation will discuss the prevalence rates, etiology, emotional issues, and treatment strategies in facilitating recovery for male veterans from military sexual trauma. Comparisons between female and male issues of sexual assault; civilian and military sexual assault; and special issues for male survivors will also be discussed. Case examples will be provided to better illustrate the use of integrative psychotherapy as a preferred method of treatment befitting a wide variety of issues presented in psychotherapy by MST survivors.

Working as a female psychotherapist with male clients struggling with MST histories will also be discussed. Download From Bars to Grindr to Fatherhood presentation handout ppt. As times have changed, so have the individual experiences with a developing sexuality.


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    • However, what still needs to be considered is the intersection between sexuality and masculinity and the impact that this has on gay men. Even though times are changing and stigma has been reduced, homophobia continues to influence the level of shame an individual experiences. Integrating religion and spirituality into clinical work with men requires thoughtful consideration of client, counselor, ethical, and treatment factors.

    To help practitioners gain competence in this area, this presentation will highlight the following areas: Research detailing how religion and spirituality may be a new pathway towards improved health outcomes for men; decision-making models that help to decide when to integrate spirituality into clinical work, including assessment strategies, ethical standards, and counselor self-reflection and awareness; and a description and discussion of case examples that included religious and spiritual interventions with male clients.

    Men are socialized to tell stories and use humor to communicate their experiences. In this presentation, a seasoned storyteller and humorist helps us to understand how to help clients laugh and tell stories in different and healthier ways. Kawahara, Ph. Often these relate to the complex intersection of gender, culture, class, and sexual orientation, and can manifest in a variety of transference and countertransference issues. A panel of experienced women therapists will talk about how they have navigated interpersonal gendered dynamics with their male clients, including issues of romantic transference, anger and hostility, power struggles, and working with feelings.

    Download Engaging Men in the Process of Psychotherapy presentation handout pdf. Men are coming into psychotherapy at a higher rate than ten years ago. A video tape produced by APA of a real time counseling session with a male client and the presenter will be shown and discussed. Shepard, PhD. The workshop will feature a live demonstration of male-sensitive couples counseling, with the presenters taking turns as the therapists for the purpose of introducing participants to the treatment tasks listed above.

    Additionally, they will discuss the differences in the process when a male vs. There is much concern about the psychological health of male military veterans returning from deployment. This experiential presentation will describe the Veterans Transition Program VTP , which is a group-based residential program where soldiers help soldiers transition from military to civilian life. The objectives of the VTP are to enable soldiers to "drop the baggage" of operational stress injuries and to provide 'tools' to be successful and productive in civilian life.