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Farmington Hills: 248 851-3380 |  Ann Arbor: 734 213-3399

Michigan Psychoanalytic Institute & Society

Understanding and Working with Addictions

MPI/ATAPP Joint Course
Thomas Kane, D.O.
Board Certified in Psychiatry and Addictive Medicine
Advanced Candidate in the Adult Psychoanalytic Program
Michigan Psychoanalytic Institute

Five Mondays / March 4, 11, April 8, 15, 22, 2013
8:15 – 9:45 p.m.
Fee: $175 7.5 CME and CE Credit Hours

Michigan Psychoanalytic Institute
32841 Middlebelt Road
Farmington Hills

Practice Gap/Need and Course Description: Analysts and therapists often see patients with substance abuse and other addictive behaviors. These five sessions will focus on substance abuse as a framework for understanding addictions and addictive behaviors from a psycho-dynamic perspective. Substance abuse disorders are heterogeneous, with a bio-psycho-social multifactorial etiology, making them difficult to understand and treat. Topics such as the self-medication hypothesis, self-regulation, alexithymia, object quality, attachment, self-psychology, relational perspectives, other developmental antecedents, and 12-Step program dynamics will be addressed. In addition to theoretical understanding, practical treatment implications of these perspectives will be explored.

COURSE OBJECTIVES:

Session 1: Introduction. By the end of the first session, participants will be able to describe individual genetic, psychosocial, and environmental factors in substance abuse disorders, and explain how they may heterogeneously interact.

Session 2: Theory. By the end of the second session, participants will be able to describe the self-medication and self-regulation hypotheses of substance abuse disorders as a special adaptation to cope with a range of psychological problems.

Session 3: Theory II/Treatment. By the end of the third session, participants will be able to describe the common underlying conflicts, ego and superego characteristics, and defenses used in substance abuse disorders.

Session 4: Theory III/Treatment II. By the end of the fourth session, participants will be able to describe the attachment and self-object conflicts in substance abuse disorders, and recognize the value of relational perspectives in their treatment.

Session 5: Treatment III. By the end of the fifth session, participants will be able to describe the relational/multiple self-state model of substance abuse disorders, and the dissociative and projective processes that may occur in the configuration of the transference-countertransference of the treatment relationship.