19-21.09 2025
Warsaw, Poland
13 Speakers
We are delighted to invite you to this special event, organized by the Polish ISTDP Association. The Healing Through Relationship Conference will bring together leading therapists and experts from all over Europe and the world in Warsaw – the heart of Europe. Three days of lectures, workshops and seminars will be an excellent opportunity to exchange experiences. Whether you are a clinician, researcher or psychotherapy student, this is a unique opportunity to immerse yourself in the latest developments in Experiential Dynamic Psychotherapies, including ISTDP.
Presentations by well-known clinicians from Greece, Italy, Sweden, Norway, Germany, the Netherlands, the USA, the UK and Poland.
Learn about new trends and studies in experimental therapies from leading experts in Europe and worldwide.
Get unique access to real, recorded video sessions of therapists at work.
Prof. Tomasz Wolańczyk, MD, PhD, is a neurologist, specialist in child and adolescent psychiatry, cognitive-behavioral psychotherapist, and epileptologist (certified by the Polish Epilepsy Society). He is the head of the Department of Developmental Psychiatry at the Medical University of Warsaw and the Clinical Department of Developmental Psychiatry at the University Clinical Centre of the Medical University of Warsaw (UCK WUM).
Prof. Wolańczyk initially focused his scientific interests on epilepsy and its connections with psychiatry, as well as the impact of chronic illness on mental health and functioning. His subsequent research areas include psychometrics, methodology, and classification in child psychiatry. Another research direction, linked to his psychometric work, involves epidemiological studies on the prevalence of selected mental disorders, as well as detailed issues related to the clinical presentation, etiology, and complications of conditions such as Attention-Deficit Hyperactivity Disorder (ADHD), Obsessive-Compulsive Disorder (OCD), tic disorders, and anorexia nervosa.
Prof. Wolańczyk is the author of several guides and textbooks.
Ferruccio Osimo, MD, Psychiatrist, lives in Milan, Italy. He is married with two daughters.
Ferruccio elected psychotherapy as his research, clinical, and teaching focus, becoming deeply interested in process and outcome studies with the aim of making psychotherapy as effective and as brief as possible.
He trained in dynamic psychotherapy at the Tavistock Clinic in London with Dr. David H. Malan, collaborating in research on the outcome of Brief Psychotherapy, that resulted in a book Malan & Osimo (1992).
Osimo’s room at the Tavistock was next door to Dr. John Bowlby, the founder of Attachment Theory. After returning in Italy, Ferruccio invited John to give a 2-day theoretical and clinical seminar in Milan. The verbatim transcript of the seminar, with a chapter on the convergence of AT and IE-DP/EDT became a book, Bowlby, (2013).
Subsequently, Ferruccio attended the 3-year ISTDP Core Training held by Dr. Habib Davanloo in Geneva, and took part in the Short-Term Psychotherapy Research Program, held by Dr. Leigh McCullough at Harvard Medical School, see McCullough, Osimo et al (2003).
Osimo came to realize the enormous potential of Davanloo’s ISTDP, and became determined to facilitate its further development and evolution. He wished to create a free scientific arena to help the therapists trained by Davanloo to come together, and be inclusive toward the new therapeutic models blossomed from it. Ferruccio thus consulted with seven colleagues: M. Alpert, P. Coughlin, D. Fosha, Allen Kalpin, J. J. Magnavita, and the late L. McCullough and I. Sklar. These eight former Davanloo students deliberated to found the IEDTA, International EDT Association.
Ferruccio Osimo served as IEDTA President (2001-07). The foundation Conference of IEDTA Core Factors for Effective Short-Term Dynamic Psychotherapy Proceedings (2001) was held in conjunction with Dipartimento di Salute Mentale, at Niguarda Hospital in Milano.
Dr. Osimo evolved ISTDP into his model of Intensive Experiential-Dynamic Psychotherapy, IE-DP, that lays a unique emphasis on explicitly exploring and taking care of the real human relationship between patient and therapist, in a way that enhances the healing power of technical intervention. IE-DP is described in the Comprehensive Handbook of Psychotherapy, various scientific papers and books, Osimo (2002), Osimo (2003), Osimo & Stein (2012), Bowlby (2013).
Dr. Osimo is the head of APDE, the Italian EDT Association, maintains a clinical and teaching activity, and has held numerous courses & videoseminars in North America, Brazil, Europe, and Israel. He served for many years as Adjunct Professor at Milan University School of Psychiatry, and teaches in various Psychotherapy Training Centres and Core Training Programs. He founded the Italian (2001), UK (2006) and Israeli (2012) IE-DP Core Training Program.
Josette ten Have-de Labije, Ph.D., psychotherapist, clinical psychologist. She studied at the universities of Groeningen and Amsterdam (Netherlands Institute for Brain Research). She began her career in 1972 at the Department of Neuro- and Psychophysiology in Brussels, worked in the Netherlands as coordinator of the Behavioral Therapy Department and as a member of the diagnostic staff at a public outpatient center. She has completed training in cognitive-behavioral therapy, couples therapy, individual and group psychodynamic therapy.
As supervisor and trainer for the Dutch Association for Cognitive and Behavior Therapy and supervisor and trainer for the Netherlands Foundation for Short- Term Dynamic Psychotherapy, she has provided supervision for advanced therapy courses at Utrecht and Amsterdam Universities and for many post-doctoral studies in the Netherlands. She trained and supervised with Prof. H. Davanloo. She is one of the founding members of the Dutch Association for Short-term Dynamic Psychotherapy (VKDP), coordinator of the training program of the Netherlands Foundation of ISTDP and a board member of the Dutch Association for Behavior Therapy (VGt). She has organized many international conferences on behavioral therapy, cancer treatment and the ISTDP approach. She conducts specialized trainings, workshops and supervisions around the world. She was a board member of the International Experiential Dynamic Psychotherapy Association (IEDTA) until January 2013 and currently serves on the IEDTA advisory board. Editor-in-Chief of Ad Hoc Bulletin of STDP: Practice and Theory. From 2010 to 2016, she was the content manager and co-leader of three editions of Core Training in Poland.
Stephen Buller has had a lead role in the development and delivery of psychotherapy in the UK for more than forty-five years. Working for most of that time in the NHS, Steve was Service Lead and Senior Specialist in psychotherapy services across the county of Derbyshire, UK. He is now Director and Lead Consultant at Cathexis Psychotherapy, a social enterprise for the delivery of evidence-based practice, education and training in evidence-based psychotherapy. Additionally, Dr Buller is Chair and Senior Consultant for the Psychotherapy Foundation, an organisation working to promote, support and develop the use of safe and effective treatments in evidence-based psychotherapy. Steve has extensive training and experience across a range of psychotherapeutic models, working with individuals, families, and groups in a variety of settings. His work is predominantly based in psychoanalytic and psychodynamic models, and for most of his career he has had a significant commitment to development, training, supervision, and research in STPP largely influenced by ISTDP.
Kees L. M. Cornelissen, SocD is a certified psychotherapist with a private practice and co-founder of an open psychotherapeutic facility in the Netherlands. For many years he co-lead the Dutch ISTDP association (VKDP) as a board member, and together with Josette ten Have-de Labije he is still involved in running training programs in the Netherlands and in other European countries. He holds a degree in sociology from the University of Amsterdam.
During his career, he has completed training in group analysis, client-centered therapy, and transactional analysis, and has become a teacher and supervisor in several psychotherapeutic modalities. In 2005, he developed and founded the only existing inpatient group therapy program based on ISTDP, followed by several day treatment programs. He gained knowledge, theory and practice of ISTDP under H. Davanloo in Canada and then trained in ISTDP in the Netherlands with Josette ten Have-de Labije.
He is currently an IEDTA-certified ISTDP teacher and supervisor and a member of the editorial board of the Ad Hoc newsletter, as well as co-leading several international ISTDP basic training groups in Norway, England, Poland and the Netherlands. He speaks at national and international conferences, has written several articles on specific topics in the application of the ISTDP technique and a book on R-ISTDP (2007).
He works at Viersprong, a national personality disorders treatment center and is head of the department of psychodynamic psychotherapy, including ISTDP in South Holland, currently developing a knowledge center in the area of ISTDP in the Netherlands. He has also published several scientific articles on the impact and follow-up of ISTDP treatment.
Dr Susan Hajkowski has over thirty years’ experience working in psychiatry and psychotherapy in the National Health Service (NHS) in the UK. Susan currently works in NHS secondary mental health services in Derbyshire as Lead Psychotherapist for Medical Education and in independent practice with Cathexis Psychotherapy. Susan’s lead psychotherapy roles have combined and integrated specialist clinical practice, teaching, training, training programme directorship and research. Susan’s specialist practice includes the development of accelerated and effective treatments for complex and severe patient populations. Susan completed a Ph.D. by research in Intensive Short-Term Dynamic Psychotherapy (ISTDP) at the University of Leicester and she has held Associate Lectureships at the Universities of Leicester and Derby. Susan is an IEDTA certified Teacher and Supervisor, and lead trainer for IEDTA certified core-training programmes. Susan is former President of the Society for Psychotherapy Research (SPR) UK Chapter, and for a decade, served on the Board of Directors for the International Experiential Dynamic Therapy Association (IEDTA).
Joanna Duchniewicz, psychiatrist, psychologist, psychotherapist, coach, trainer and lecturer. A graduate of the Medical Academy (Faculty of Medicine) and the University of Gdańsk (Faculty of Social Sciences: Psychology). Certified EAP psychotherapist, certified IEDTA teacher and supervisor. She conducts psychotherapy in the psychodynamic and integrative conventions. She has been working with the ISTDP approach since 2008. She has been a certified ISTDP IEDTA teacher since 2017 and a certified ISTDP IEDTA supervisor since 2018 (https://iedta.net/info/teacher-supervisor-directory/).
In the years 1999-2018, she was associated with the Psychoeducation Laboratory in Warsaw as a student of the Psychotherapy College and as a member of the psychotherapeutic team. She completed Individual and Group Psychotherapy Studies and Couple and Family Psychotherapy Studies – a comprehensive psychotherapeutic training certified by the Scientific Section of Psychotherapy and the Family Therapy Section of the Polish Psychiatric Association and by the Polish Psychological Association.
In the years 1999-2003, she co-founded and ran the first Day Therapeutic Psychiatry Ward for Children and Adolescents in Gdańsk. She gained her professional experience by working, among others, at the Prof. Tadeusz Bilikiewicz Regional Psychiatric Hospital in Gdańsk (in the departments of adult psychiatry, child and adolescent psychiatry, neuroses and psychosomatic disorders, addictions, and neurology). In the years 2014-2024, she worked at the Developmental Age Psychiatry Clinic (UCKWUM) in Warsaw.
In the ISTDP field, she completed a 2-year Pre Core training, a 3-year Core Training, a teaching course and a supervision training (IEDTA certificate), a long-term advanced Core Training Advanced training and numerous additional trainings in Poland and abroad that meet the training criteria of the IEDTA (International Experiential Dynamic Therapy Association). He is currently supervised by Dr. Josette ten Have-de Labije.
The Pre-Core and Core Training were led by outstanding international supervisors, most of whom were former students of Dr. Davanloo: Dr. Josette ten Have-de Labije, Dr. Robert J. Neborsky, Dr. Allan Abbas, Kees Cornelissen, Jon Frederickson, Dr. Patricia Coughlin, Ferrucio Ossimo.
She has participated in numerous advanced supervision groups with, among others, Jon Frederickson (2011-2013) and Dr. Josette ten Have-de Labije (since 2013 – ongoing), and in numerous training seminars with Dr. Allan Abbas (2020 – ongoing).
Since 2016, he has been assisting Dr. Josette ten Have-de Labije during Core Trainings, co-leading and leading ISTDP IEDTA Core Trainings. Editor of the following manuals: 'Intensive Short-Term Dynamic Psychotherapy for Practitioners’ (Josette ten Have-de Labije, Robert J. Neborsky) and 'Reaching Through Resistance. Advanced Psychotherapy Techniques’ (Allan Abbass).
She conducts seminars, workshops and training courses in the field of ISTDP.
Since 1998, she has been working in the business sector as a trainer and coach. She is a certified MBTI® and EQ-i® trainer and is responsible for certifying MBTI® and EQ-i® trainers in Poland (www.forid.pl).
Thomas Hesslow is a clinical psychologist and ISTDP therapist. He’s one of the founders of the Swedish ISTDP Institute and Malmö Center for ISTDP. He provides ISTDP therapy, supervision and training in Malmö in southern Sweden. He has trained with Jon Frederickson, Allan Abbass, Peter Lilliengren, Ange Cooper, Jonathan Entis and others. He teaches at Lund and Linneaus Universities, and regularly offers ISTDP core training. He’s the editor-in-chief of the Journal of Contemporary ISTDP.
Przemysław Duchniewicz, doctor specializing in adult psychiatry, ISTDP psychotherapist, IEDTA-certified ISTDP teacher and supervisor, MBA, master and team coach, trainer and lecturer. Since 2022, member of the IEDTA certification and education committee, co-founder and president of the first Polish ISTDP-PL Association (2016). He works at the Institute of Psychiatry and Neurology in Warsaw, previously at the Department of Psychiatry at Wolski Hospital. He has 13 years of corporate experience, including health management in 18 countries in Central Europe. The health program he co-created has been awarded twice as the best out of 174 similar programs. He has participated in numerous therapeutic training courses (600 hours), including a one-year course in cognitive-behavioral therapy and a number of specialized training courses. He has more than 5,000 hours of clinical practice in psychiatric wards. He has been working with the ISTDP approach since 2013 and has conducted over 15,000 ISTDP sessions. In the area of ISTDP, he completed the CORE ISTDP training in 2015, led by Josette ten Have-de Labije and Kees Cornelissen – a program certified by the International Experiential Dynamic Therapy Association (IEDTA), teacher training and supervision training (IEDTA certificate), many years of advanced Core Training Advanced and numerous additional training courses in Poland and abroad that meet the training criteria of the IEDTA (International Experiential Dynamic Therapy Association). He supervises his work under Dr. Josette ten Have-de Labije and Dr. John Rathauser. He has participated in advanced supervision groups and numerous seminars and masterclass training courses with Dr. Josette ten Have-de Labije, Dr. Allan Abbas, Kees Cornelissen, Dr. Robert Neborsky, and others. Allan Abbas, Kees Cornelissen, Dr. Robert Neborsky, and Dr. Josette ten Have-de Labije since 2017 during Core Trainings, and has over 1000 hours of experience in assisting and co-conducting ISTDP CORE training. Since 2022, he has been co-leading and leading ISTDP IEDTA Core Trainings. Editor of the textbooks: 'Intensive Short-Term Dynamic Psychotherapy for Practitioners’ (Josette ten Have-de Labije, Robert J. Neborsky) and 'Reaching Through Resistance. Advanced Psychotherapy Techniques’. (Allan Abbass). He conducts individual and group supervision, has developed and conducted over 33 four-month preCORE training courses, numerous seminars, workshops and training courses in the ISTDP area in Poland, the USA, Australia and Dubai. He co-organized over 15 seminars and conferences, inviting lecturers and ISTDP IEDTA supervisors from all over the world to Poland. He is currently the head of the Polish ISTDP Association.
Doktor nauk medycznych, psycholog kliniczny, psychoterapeuta poznawczo-behawioralny. Adiunkt w Klinice Psychiatrii Wieku Rozwojowego Warszawskiego Uniwersytetu Medycznego. Specjalizuje się w terapii dzieci i młodzieży oraz prowadzi liczne szkolenia i publikacje naukowe.
Łukasz Konowałek is a psychologist and psychotherapist. He completed Laboratorium Psychoedukacji and Core Training at the ISTDP Center and is currently undergoing Advanced Core Training. He holds a PhD in medical and health sciences. He currently works at the Department of Developmental Psychiatry at the Medical University of Warsaw (WUM).
His research interests include attachment theory, neurodevelopmental disorders, and studies on the effectiveness of psychotherapy. He particularly focuses on understanding the impact of early emotional bonds on the psychological development of children and the effectiveness of various therapeutic methods in treating neurodevelopmental disorders such as autism and ADHD. He strives to integrate evidence-based approaches into psychotherapeutic practice, investigating which techniques and interventions yield the best results in patient treatment.
John Hans Rathauser, Ph.D., is a licensed psychologist with over 40 years of clinical experience. Following completion of his doctorate in clinical psychology at the California School of Professional Psychology – Los Angeles, his postdoctoral experiences began with a five-year period of training at the Postgraduate Center for Mental Health in New York. In 1994, John Rathauserentered training with Habib Davanloo, M.D. in Montreal, Canada, spending eight years in Dr. Davanloo’s Core Training Group. From 2002-2016, he continued attending annual weeklong metapsychology conferences held by Dr. Davanloo in Montreal, Canada. John Rathauser’s private practice in Kendall Park, N.J., is largely devoted to the practice of Davanloo’s Intensive Short-Term Dynamic Psychotherapy (IS-TDP), as well as providing training to mental health practitioners, which is additionally offered in various training programs in ISTDP. He has given numerous presentations on IS-TDP nationally and internationally and is a supervisor for the International Experiential Dynamic Therapy Association (IEDTA). It is anticipated that his forthcoming book (Fundamentals of Intensive Short-Term Dynamic Psychotherapy, Volume 1), written with his two co-authors, Mikkel Reher-Langberg and Jonathan Entis, will be published in 2025. You can contact him at johnrathauser@comcast.net or johnrathauser@gmail.com.
Dr. Konstantinos Monas is a psychiatrist and psychotherapist from Greece who has worked at the Greek NHS for many years reaching the degree of Director.
He has worked at the Psychiatric Hospital of Thessaloniki Rehabilitation units, mostly with patients experiencing psychotic and mood disorders. For the last 13 years he has worked at the Community Mental Health Center of the Central District of the city of Thessaloniki, being its director, for six years, seeing patients from both the spectra of psychoneurotic and fragility disorders. For the last 14 years, his psychotherapeutic approach has been exclusively confined to Davanloo’s Intensive Short-Term Dynamic Psychotherapy.
In 2012 he has worked for 6 months as a trainee of Intensive Short-Term Dynamic Psychotherapy at the Center for Emotions and Health at Dalhousie University in Halifax, Canada, under the supervision of the eminent professor of psychiatry, ISTDP psychotherapist, researcher and trainer, Dr Allan Abbass, who himself was a prominent student of Dr Habib Davanloo, the creator of ISTDP. He also has attended many Allan Abbass immersions on ISTDP.
From 2013 to 2020, he has been teaching the ISTDP method to psychiatric residents of CMHC of the CD and to other NHS mental health professionals, through lectures and presentation of actual sessions of his own patients, as well as through supervision. Since 2016 he also teaches the ISTDP method to mental health professionals through a private program, in collaboration with the Medical and Psychotherapeutic Center of Thessaloniki. Since 2015 he has been the president of the Hellenic Association of Intensive Short-Term Dynamic Psychotherapy.
Since 2017 he has been a certified therapist of Davanloo’s Intensive Short-Term Dynamic Psychotherapy, as well as a certified trainer and supervisor for this modality, by the International Experiential Dynamic Therapy Association.
In 2004 he was awarded the title of Doctor of Medicine by the School of Medicine of Aristotle University of Thessaloniki, following the completion of a thesis on the psychological impact of infertility on infertile couples.
He retired in December 2020 and today works at his private office.
A psychologist, specialist in child and adolescent psychotherapy, certified cognitive-behavioral psychotherapist of the Polish Society for Cognitive and Behavioral Therapy, and certified supervisor-trainer of the Polish Society for Cognitive and Behavioral Therapy .
He completed doctoral studies at the Department of Developmental Psychiatry at the Medical University of Warsaw. He is an assistant professor at the Department of Developmental Psychiatry, Medical University of Warsaw, an academic teacher, and a senior assistant at the Psychiatric Outpatient Clinic of the Independent Public Children’s Clinical Hospital, University Clinical Centre (UCK WUM).
He is the author and co-author of numerous publications in the fields of psychology, psychotherapy, and child and adolescent psychiatry.
Allan E. Larsen is a clinical psychologist in private practice in Copenhagen, Denmark. He is a board-certified specialist and supervisor in psychotherapy, specializing in ISTDP. He graduated from the University of Bergen in 1999 and has been working at psychiatric hospitals, other treatment facilities, and research projects as a clinician, supervisor, and administrator. He has over 20 years of training and supervision in ISTDP, mainly with Patricia Coughlin, Ph.D., Allan Abbass, MD, Jon Frederickson, MSW, and John Rathauser, Ph.D., and has been teaching and supervising in Denmark, Norway, and Sweden for the past 20 years.
Intensive Experiential-Dynamic Psychotherapy (IE-DP). A Teen-ager in Troubled Waters
Learn more9:30 – 11:00The Past Affects the Present (Part 1):
The Complex Evolution of ISTDP and Psychoanalysis.
The Past Affects the Present (Part 2):
The Past is the Present… the Ego as the Focus of Treatment.
ISTDP and Object Relations Theory – Better understanding of our patients with the ORT
Learn More15:50 – 16:30The role of the initial interview and the central dynamic sequence “Road Map to the Unconscious” in the ISTDP process.
Learn more13:30 – 15:00A Week with David H. Malan, MD: Highlights of Dr. Malan’s Wisdom and Insight, after working 50 Years with Dynamic Psychotherapy and Research
Learn More15:20 – 16:50Betrayal of the body, love, emotional neglect, a woman and a man
Learn More9:10 - 10:40The Lyric of Guilt: The woman that could not escape from her Superego
Learn More11:00 – 12:30From oppression to freedom, from abandonment to farewell
More Info Soon13:30 – 15:00Working in a therapeutic relationship with patients with lower-level functioning - intellectual disability, autism spectrum
Learn More15:20 – 16:00Quantitative analysis of therapy session recordings: achievements, challenges and new perspectives
Learn More16:00 – 16:40The 40 year old woman was referred to me by her husband., whom I had seen a couple of times before
In ISTDP ( as in other psychotherapy schools) it is important that patient and therapist have the same view on the patient´s problems and the same definition of its constituting elements/aspects. During the initial interview it became clear that the patient saw her problem as “confusing herself” and she was not so much aware of nature and extent of her intimacy problems with herself and other persons. Her array of syntonic front and cellar door defenses of projecting aspects of her loving and controlling mother, of projective identification with the controlling behavior of her mother, speaking in general, looking away, pleasing, defiance, playing tough, changing the topic, passivity and helplessness could be understood in the realm of her congenital heart defect (a leaking valve) her congenital hip dysplasia and several surgeries
The patient had hip surgery when 5 and 7 years old. After each surgery she had been in a wheelchair for a couple of months and thereafter- for some weeks – she had needed crutches when walking. She had 2 heart surgeries when 25 and 27 years old and prior to the birth of her son she had 2 still- births.
We will witness parts of the therapy process with the woman and with the couple.
Josette ten Have – de Labije
A young man, in his early 30’s, requested help after having seen two therapists for a total of seven years of psychotherapy. The diagnosis rendered by both therapists was “depersonalization disorder,” which is viewed as a mental disorder often characterized by persistent or recurrent feelings of detachment from oneself, one’s body, or one’s surroundings. Paraphrasing the patient: He experiences a “fuzziness in my peripheral vision,” coupled with limited visual clarity. It is like seeing everything through a lens. He goes through his life feeling like he is watching himself from above, from outside his body. His ability to feel emotionally connected with people is impaired, “not knowing how to talk.” He used to be able to speak and think simultaneously but now is like “a deer in the headlights” when looking at someone. Along with this he struggles to find his thoughts when engaged in eye contact, experiencing tingling in his hands and forearms and a fogginess in his thoughts. These symptoms fluctuate in severity from moment to moment, but they are omnipresent.
He at one point acknowledged withholding his belief – from both therapists – that the treatments were not helping, clarifying that conscious censorship and withholding of information would become obstacles at risk for sabotaging this third course of treatment. This is consistent with a high propensity for compliance and defiance that damage his capacity for reflecting on internal feelings in an honest way, with himself as well as others. From an ISTDP perspective, the features of cognitive-perceptual disruption place him in the fragile character range and indicate the necessity of moment to moment monitoring of anxiety levels while simultaneously working with syntonic defenses which in total create high levels of resistance.
A forty-five-minute audio visual vignette from the tenth session of the treatment process will be shown in this presentation. Time permitting, some of the later work in this currently ongoing treatment process will be offered. This presentation will feature examples of breakthroughs to painful feelings as well as a buildup of complex feelings and resultant unlocking of the unconscious in the Transference.
John Hans Rathauser
IE-DP is based on the implementation of 9 Therapeutic Ingredients (TI). The seminar will introduce the TI operational concept, aiming to match effectiveness and flexibility. The 9 TI are implemented according to each clinical situation, and to each Therapist’s personality and culture. This makes IE-DP suitable to treat a wide range of patients, presenting with diverse personality structure, symptoms, and motivational level. The healing power of the real human connection between therapist and patient is at the heart of IE-DP. Addressing the Real Relationship is indeed one of the 9 Therapeutic Ingredients.
A Teen-ager in Troubled Waters
The case presentation will focus on the handling of markedly dysregulated emotions. Treatment segments will demonstrate how to tune in to the fast-changing, magmatic functioning of a gifted, acutely-stressed teen-ager, with multiple background traumata, low motivation to live, pervasive anxiety, anorexia and vomiting.
This lecture will explore the integration of Intensive Short-Term Dynamic Psychotherapy (ISTDP) with Object Relations Theory (ORT), with a special focus on the Melanie Klein theory, to enhance our understanding of patients. It will discuss how Klein’s concepts, such as the paranoid-schizoid and depressive positions, as well as her insights into early object relations and the role of unconscious phantasies, can deepen our therapeutic approach within the ISTDP framework. By combining these theories, therapists can gain a more comprehensive understanding of unconscious processes, internalized object dynamics, and relational patterns, leading to improved treatment effectiveness and patient outcomes.
The presentation will focus on analyzing how the use of pharmacotherapy affects the dynamics of the therapeutic relationship. Both the benefits of combining pharmacological therapy with psychotherapy and the potential challenges, such as changes in patient engagement or the impact of medications on emotional and cognitive processes, will be discussed. Special attention will be given to the phenomenon of misattributing treatment effects—both overestimating the role of pharmacotherapy at the expense of psychotherapy and vice versa. The presentation will be based on current research and clinical experiences, which will help better understand how to effectively integrate pharmacotherapy with other forms of therapeutic interventions.
By attending the presentation, you will learn how a precisely conducted preliminary interview in the ISTDP trend enables quick identification of deep, unprocessed emotions of the patient and thus initiates a process of permanent change in the patient. The presentation is based on the concept of the central dynamic sequence – a methodical, structured approach in which the therapeutic relationship serves as a compass for exploring the patient’s unconscious conflicts. During the 4.5-hour interview, divided into three 90-minute sessions, the therapist uses the “Roadmap to the Unconscious” by Dr. Josette ten Have-de Labije, which allows them to reach the broken longings and the main, fundamental source of the patient’s suffering by the shortest possible and safest route.
The presented case, entitled “The woman who had to erase her mother from her heart in order to survive”, shows how systematic work on the patient’s axial problem, i.e. the inseparable 'healthy and unhealthy’ guilt – expressed, among other things, in the words: “My mortal sin was to cross my mother out of my heart, I had to do it to survive – I had no other choice” – allows for a deep restructuring of the patient’s way of functioning and unblocking access to her many complex emotions and restoring contact with people who are still important to her. By constantly analyzing the level of anxiety minute by minute, mobilizing key feelings (anger, sadness, grief), and carefully observing and challenging defense mechanisms, the therapist not only identified the central conflict, but also initiated a process of healing change in the patient. The effects of this change will be presented in the recordings of subsequent sessions after the initial interview.
The presentation refers to the concept of “Singularity in ISTDP” (described in the author’s published article), which describes how seemingly small but persistent changes in the situation of a good diagnosis and therapeutic focus can lead to significant therapeutic effects. In the spirit of deliberate practice based on the PDSA cycle (Plan–Do–Study–Act) and with the help of a second-by-second video analysis of the therapist-patient interaction, the presentation shows how the integration of precise ISTDP intervention techniques with authentic human contact (therapist-patient) enables effective work with painful, deeply buried traumas.
The presentation, combined with the video analysis of a case study, allows you to broaden your therapeutic skills, regardless of the field in which you work. It is also an excellent opportunity to understand how Dr. Josette’s Roadmap to the Unconscious, applied from the beginning of the initial interview, becomes the key to the patient’s deep transformation.
Dr. Malan was a central figure in the development and dissemination of Short-Term Dynamic Psychotherapy (STDP). His contribution to the field includes the well-known “Two Triangles”, which are an integral part of all STDPs. He also wrote several books, articles, and book chapters, and collaborated with other leading figures in the field of STDP, such as Dr. Habib Davanloo, and Dr. Patricia Coughlin. Dr. Malan had a long career at the Tavistock Clinic, and was a close collaborator of Dr. Habib Davanloo, at the time when Dr. Davanloo was refining and publishing much of his seminal work on the ISTDP model.
In 2001, the presenter spent spring and early summer visiting Harvard Medical School’s research project “Short-Term Psychotherapy for Personality Disorders”. The director, Dr. Leigh McCullough, herself a prominent figure in the STDP community at the time, invited Dr. Malan to visit her research program. And so, in the last week of June 2001, Dr. Malan spent a week in Boston, where he was interviewed from early morning to late in the evening by the presenter, and a fellow Norwegian psychologist, about his experiences with Dr. Davanloo, dynamic psychotherapy, and psychotherapy research. The interviews were taped and contains a wealth of knowledge and insight from Dr. Malan’s long career, and involvement in the development and research on short-term dynamic psychotherapy.
The presentation will focus on the specifics of building and maintaining the therapeutic relationship with lower functioning patients, including those with severe autism spectrum disorder and significant intellectual disabilities. The challenges arising from limited verbal communication, difficulties in recognizing and regulating emotions, and the need to tailor working methods to the individual capabilities of the patient will be discussed.
Special attention will also be given to the role of parents in the therapeutic process—both in the context of building a therapeutic relationship with them and supporting them in modifying their interactions with the child. Strategies for enhancing a sense of security, consistently building trust, and adapting interventions to the unique needs of both the patient and their caregivers will be presented. The lecture will be based on the latest research and clinical experiences, offering practical guidelines for therapists working in this field.
Effective use of the therapeutic alliance is key to successful therapy across different kinds of therapy. In this presentation, I will argue that one of the distinctive features of ISTDP is how the therapist manages the therapeutic alliance by narrowing down the therapeutic task again and again throughout the treatment. ISTDP therapists need to strive for absolute clarity about different emotional and defensive responses, in order to keep the therapeutic alliance firmly directed towards emotional experiencing and resistance relinquishing. What is more, the patient must also share this understanding of the task at hand and bring full willingness to join with the therapist to accomplish it. In the presentation, maintaining a narrow therapeutic task is illustrated by videos of treatment processes.
The lecture will focus on quantitative analysis of therapy session recordings, highlighting both the achievements made so far and the new perspectives emerging in this field. The methods of data collection from session recordings, analytical tools, and challenges related to the objective measurement and interpretation of both patient and therapist behaviors will be discussed. Examples of previous research will be presented, demonstrating how they have provided valuable insights into therapy dynamics, as well as innovative approaches that may contribute to further development of quantitative analysis in psychotherapy. The lecture will also include a discussion on the potential of this method for evaluating therapy effectiveness and creating more precise tools for supervision and psychotherapist training.
The Lyric of Guilt
The woman that could not escape from her Superego
Many patients we treat report that they often encounter difficulties regarding the loyalty towards their parents. They experience guilt. This guilt is a learned response when they were young and when they still are loyal to the parents who raised them. We call this unhealthy guilt, guilt that needs to be treated. This guilt often proves to be a stumbling block, a hurdle that is difficult to take in Therapy. That this hurdle is so difficult to take is not only a consequence of active destructive input from the Superego. It also represents the protective value that loyalty provides for the patient; it is a personal shelter that the patient developed in order to survive betrayal abuse and neglect. In the case illustration I will present a patient that was trapped in her own intellectual power. With this power she continuously proves that she is guilty as charged by every other human being that she encounters. Her superego denies her closeness, intimacy, joy, value. In the video-presentation the dynamics of this cruel process will be highlighted, and the attempts to help her liberate herself from the trap she has built for her life. The patient has been treated for several years with CBT, EMDR, and with day-treatment ISTDP in ISTDP-House in the Netherlands. Her preliminary complaints are depression, panic attacks, a chronic state of anxiety, intense fear to fail, avoidant behaviour, anhedonia.
ISTDP evolved from and within psychoanalysis. ISTDP’s success is firmly rooted in this psychoanalytic tradition. Here we see that the past properly affects the present. Psychoanalysis is founded in a principle that an individual’s life in the present is built over their experiences in the past. So, we see that ISTDP, and an individual in ISTDP treatment, are both reliant on their histories. Those who cannot remember past mistakes are condemned to repeat them. Freud recognised his earlier mistakes in pursuing a focus on id and emotion. From these mistakes Freud began a development of ego focused therapy within what became known as ego psychology. This development recognises that an individual’s difficulties are a product of an impoverished weak, often fragmented ego which cannot perform its role effectively. This presentation will be supported by clinical video demonstrating development of increased ego function and capacity towards greater ego integration and strength, and a healthier, more effective ego.
Unconscious mechanisms arriving in repetition compulsion destine a person to repeat their past experiences, and this repetition derives from their own ego and psychic structure. ‘Unlocking the Unconscious’ is considered the end goal of the Central Dynamic Sequence (CDS) based on the central idea that this provides a direct route and unique access to unconscious material and mental processing, and that it is in this phase that permanent change in ego restructuring occurs. Phenomenological observations indicative of a phase of unlocking include signs of derepressed material, affect laden experiences, the emergence of memories and spontaneous insight and linking. Psychoanalytic theory and ego psychology suggests a structure and dynamic to the ‘unconscious’ encapsulated in a ‘tripartite’ structural apparatus of ‘id’, ‘ego’ and ‘super-ego’. In this presentation phenomenological indictors will be tracked and analysed in relation to these theoretical structural components, and how these indictors may be signs of structural re-organisation of ‘ego’, and intrapsychic change and integration. An ambition in permanent ego restructuring is to free a person from their destiny to repeat – where the past no longer needs to be the present.
We are grateful for the honorary patronage of the Rector of the Medical University of Warsaw.
Honorary Patron
Substantive and Organizational Partner
Main Organizer
Please send any cancellations by email to konferencja@istdp.org.pl
(with the subject line “Cancellation of EDT Conference”).
In case of cancellation:
You can transfer your participation to another person at any time without being charged a fee.
The conference is an event for therapists at all levels of experience who want to deepen their knowledge of ISTDP and other experiential dynamic therapies.
We encourage you to participate. Gain new inspiration and practical tools by taking part in dynamic video presentations and workshops.
If you have any questions or would like to register, please contact us. We look forward to seeing you in Warsaw!
konferencja@istdp.org.pl