Enhancing Psychodynamic Emotional Regulation: A Day of Clinical Video with Master ISTDP Therapists

February 29, 2020, 10:00 AM - 5:00 PM

Systematic psychoanalytic psychotherapy (ISTDP) allows practitioners to use emotional and attachment links to unlock a very wide range of psychopathology. High quality outcome studies have demonstrated the effectiveness of intensive face-to-face treatment in Personality Disorders, Anxiety Disorders, Mood Disorders including Bipolar Disorder and Treatment-Resistant Depression, Medically Unexplained and Somatoform Disorders, Eating Disorders, and Substance Use Disorders. Across all psychopathology, specific techniques of pressure and anxiety management allow clinicians to mindfully assess patients and bring them to the point of maximal readiness for change.

By viewing video of actual clinical cases, participants in this program observe and consider key skills of attunement to develop and maintain a flexible focus of intervention.

We use extensive clinical video examples of several patients (who have given explicit permission for portions of their treatment to be shown for teaching purposes). Since the techniques of ISTDP diverge from standard analytic technique, we will spend some time exploring theory and technique. An extensive handout will be provided to pre-registrants.

For this particular course, Drs. Brod and Kay will focus on management of patients who use unconscious self-harming mental mechanisms—including somatization and chronic medically unexplained symptoms—to protect a mind vulnerable to disruption by floods of anxiety.

The format will mix didactic and experiential group learning. We will consider how therapeutic pressure affects various unconscious systems of resistance. We will also examine moments of clinical choice and aspects of play, intuition, and restraint in the therapeutic encounter.

If any members choose to bring clinical video to illustrate difficult moments in their work, within time constraints we will review those moments as a springboard to generative discussion.

Learning Objectives
As a result of attending this course, participants should be able to:
  • Apply several forms of pressure and use patient’s level of anxiety to determine threshold of tolerable pressure
  • List the three primary discharge pathways of unconscious anxiety
  • Examine the unconscious guilty need for punishment and self-sabotage in patients/clients and help them free themselves from the resultant symptoms
  • Explain resistance to emotional closeness and its relationship to primal attachment
  • Identify and deactivate the omnipotent transference; identify “fragility of ego structure” and apply techniques to build (ego) structure
  • Avoid entanglement with/by patients’ resistances
  • Direct therapeutic attention to intrapsychic instead of interpersonal conflict
  • Assess which unconscious system is presenting at the forefront of the clinical moment

Note: This course is for licensed clinicians only since it contains confidential video clinical material; unlicensed clinicians (including interns) need advance permission from the instructor. To request permission, please email .


Thomas Brod, MD, Distinguished Life Fellow of the American Psychiatric Association, is an Associate Clinical Professor of Psychiatry at the UCLA Geffen School of Medicine. He is a senior faculty member at NCP and the co-coordinator of the Film and Mind Series. He is also on the faculty of the ISTDP Institute (Washington, D.C.).

Robin L. Kay, PhD, is an Assistant Clinical Professor of Psychiatry at the UCLA Geffen School of Medicine. She is a founding senior faculty member of California Society for ISTDP. In addition to receiving accolades for her distinguished teaching, she trains clinicians and presents her clinical work internationally. For more information, go to www.DrRobinKay.com

$120 pre-registration, $135 at the door, $60 student rate


Target Audience: This course is restricted to licensed clinicians only.


IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters of ths CME/CE program have any relevant financial relationships to disclose. 

PHYSICIANS: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American Psychoanalytic Association and the New Center for Psychoanalysis. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians. 

The American Psychoanalytic Association designates this Live Activity for the maximum of 6 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.  

PSYCHOLOGISTS: The New Center for Psychoanalysis is approved by the American Psychological Association to sponsor continuing education for psychologists. New Center for Psychoanalysis maintains responsibility for this program and its content. Full attendance is required for psychologists to receive credit; partial credit may not be awarded based on APA guidelines. For the psychologists’ records, certificates of attendance are provided at the completion of the course.  

SOCIAL WORKERS, MARRIAGE and FAMILY THERAPISTS (LCSW, LMFT, ASW, IMF, LEP, LPCC, PCCI): The New Center for Psychoanalysis is a continuing education provider that has been approved by the American Psychological Association, a California Board of Behavioral Sciences recognized approval agency. 

REGISTERED NURSES: The New Center for Psychoanalysis is an accredited provider approved by the California Board of Registered Nursing (Provider #CEP1112). Registered Nurses may claim only the actual number of hours spent in the educational activity for credit.