On Demand Wednesday Lecture Series: From Resistance to Attachment: Psychodynamic Therapy with a Septuagenarian

This presentation was originally reviewed on May 20, 2020, and broadcast live online on May 20, 2020, from 12:00 PM - 1:00 PM ET. 

The views and opinions expressed by this presenter in this lecture are their own, and do not represent the views of Sheppard Pratt.

Sigmund Freud wrote, "Near or about the fifties, the elasticity of the mental processes, on which the treatment depends, is as a rule lacking. Old people are no longer educable…the mass of material to be dealt with would prolong the course of treatment indefinitely.”  In this talk I will present the case of a patient who I’ve been working with in weekly psychotherapy for nearly two years.  This presentation will challenge Freud’s statement and illustrate that it is possible, even as a novice therapist, to work with a septuagenarian in a dynamic way.  I will highlight some key moments in the treatment when interpreting the resistance and working in the transference allowed the patient to move from a place of extreme resistance to one of progressing attachment and intimacy.  I will illustrate that, despite the mass of material to cover when working with a septuagenarian who has never been in treatment before, change can occur during a finite treatment period.

Target Audience

This activity is intended for physicians, nurses, psychologists, social workers, counselors and other mental health professionals.

Learning Objectives

1. Name defense mechanisms used by the highly resistant elderly patient to unconsciously evade emotional discomfort.

2. Recognize that, despite historic psychoanalytic beliefs, it is possible to do psychodynamic therapy with patients over 50 years old.

3. Identify different ways that geriatric patients could demonstrate their evolving attachment to the therapist.

Course summary
Available credit: 
  • 1.00 ACEP NBCC clock hours
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Category II credits for Social Workers
  • 1.00 Psychologists
  • 1.00 MNA Contact Hours for Nurses
  • 1.00 Participation
Course opens: 
11/11/2021
Course expires: 
11/09/2023
Fee:
$0.00

Sheppard Pratt is dedicated to improving quality of life through mental health, special education, and addiction services for children, adolescents, adults and older adults.  Our patient-centered treatment approach, combined with our legacy of clinical excellence, sets us apart from other health systems on both a local and national level.  We have been ranked among the nation’s top psychiatric hospitals for 24 consecutive years by U. S. News &  World Report.  Founded in 1853 by philanthropist Moses Sheppard, Sheppard Pratt Health System still abides by its Quaker traditions and values.

Sheppard Pratt regularly hosts renowned speakers from across the country at our headquarters in Towson. We provide educational opportunities on subjects including psychiatric disorders, issues of behavioral health, systems-based change, mental and somatic co-morbidities, psychiatric effects on health and health outcomes, advances in neurobiology, and clinical developments in concepts underlying drug treatment of psychiatric disorders. We are accredited by the Accreditation Council of Continuing Medical Education, the Maryland Nurses’ Association, the Maryland Board of Psychology, the Maryland Board of Social Work, and the National Board of Certified Counselors.

Sheppard Pratt’s Professional Education Program is pleased to provide Wednesdays at Sheppard Pratt free of charge as a public service to the mental health community.  Your tax-deductible donations will help maintain the outstanding quality of this service. 

Please send your contributions to:

Sheppard Pratt Professional Education Program
Wednesdays Lecture Fund
6501 North Charles Street, Baltimore, Maryland 21204

Professional Education Program: 410.938.4593
Conference Center at Sheppard Pratt: 410.938.3900

There is no commercial support for this activity.

About this speaker:

Emily Haas, MD is from Wausau, Wisconsin.  She completed her bachelor’s degrees in psychology and French at the University of Wisconsin.  She attended medical school at the University of Wisconsin School of Medicine and Public Health.  She currently is a fourth-year resident at the University of Maryland/Sheppard Pratt Psychiatry Residency.  During her residency, she served as the Sheppard Pratt Chief Resident from July 2019-December 2019.  She is the recipient of the Clarence G. Schulz award for Best Psychotherapy Paper.  After completing residency, she will work as an attending physician on the Trauma Disorders Unit at Sheppard Pratt.

Disclosure Statements:

Sheppard Pratt holds the standard that its continuing medical education programs should be free of commercial bias and conflict of interest. In accord with Sheppard Pratt's Disclosure Policy, as well as standards of the Accreditation Council for Continuing Medical Education (ACCME) and the American Medical Association (AMA), all planners, reviewers, speakers and persons in control of content have been asked to disclose any relationship he /she (or a partner or spouse) has with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months. All planners, reviewers and speakers have also been asked to disclose any payments accepted for this lecture from any entity besides Sheppard Pratt Health System, and if there will be discussion of any products, services or off-label uses of product(s) during this presentation.

Emily Haas, MD reports having no financial interest, arrangement or affiliation with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months. She will not discuss any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, or off-label uses in this presentation.

Event Planners/Reviewers Disclosures: The following event planners and/or reviewers are reported as having no financial interest, arrangement or affiliation with any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients, during the past 12 months: Todd Peters, M.D., Briana Riemer, M.D., Sunil Khushalani, M.D., Faith Dickerson, Ph.D., Carrie Etheridge, LCSW-C, Tom Flis, LCPC, Laura Webb, RN-BC, MSN, Stacey Garnett, RN, MSN, Paul Daugherty, RN, MBA, Heather Billings, RN, and Jennifer Tornabene.

 

Physician Statement: Sheppard Pratt is accredited by The Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.  Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity.  Sheppard Pratt designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credit(s)™.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Nurse Statement: Sheppard Pratt is an approved provider of continuing nursing education by Maryland Nurses Association. The Maryland Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity provides 1.0 contact hours for nurses.

Psychologist Statement: Sheppard Pratt is authorized by the State Board of Examiners of Psychologists as a sponsor of continuing education. Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity.  Sheppard Pratt designates this educational activity for a maximum of 1.0 contact hours for Psychologists.

Social Worker Statement: Sheppard Pratt is authorized by the Board of Social Work Examiners of Maryland to offer continuing education for Social Workers.  Sheppard Pratt takes responsibility for the content, quality, and scientific integrity of this CME activity. This activity is approved for 1.0 contact hours in Category II credits for Social Workers.

Counselor Statement:  Sheppard Pratt has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 5098.  Programs that do not qualify for NBCC credit are clearly identified.  Sheppard Pratt is solely responsible for all aspects of the program.  This activity is available for 1.0 NBCC clock hours.

Available Credit

  • 1.00 ACEP NBCC clock hours
  • 1.00 AMA PRA Category 1 Credit™
  • 1.00 Category II credits for Social Workers
  • 1.00 Psychologists
  • 1.00 MNA Contact Hours for Nurses
  • 1.00 Participation

Price

Fee:
$0.00
Please login or register to take this course.

ON DEMAND WEBINAR: FOR BEST RESULTS WATCH USING GOOGLE CHROME

Wednesday Lecture Series: "From Resistance to Attachment: Psychodynamic Therapy with a Septuagenarian."

Emily Haas, MD

University of Maryland/Sheppard Pratt Resident
Sheppard Pratt
Baltimore, Maryland

Originally reviewed May 20, 2020.
Originally broadcast live May 20, 2020, from 12:00 noon - 1:00 pm ET
Enduring Activity Credit Expiration Date: Thursday, November 9, 2023

Activity Time: One hour recorded webinar lecture with a 15-minute evaluation process. Total Time: 1:15

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On the OVERVIEW or REGISTER/TAKE COURSE tab, select the GREEN RECTANGLE, TAKE COURSE to begin.
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The PowerPoint handout will be available for download.
After downloading the handout, select NEXT to begin and watch the one hour video. 
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After the video follow the prompts to complete the posttest, evaluation and attestation of credit. 
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