The Silvan S. Tomkins
Institute's
1999 Colloquium.

The Experience
and Relief of Distress:
Overload, Grief, and
Suffering.


22-24 October 1999
Philadelphia, PA

 




The Experience and Relief of Distress:
Overload, Grief, and Suffering

22-24 October 1999
Philadelphia Museum of Art
Philadelphia, PA

The Silvan S. Tomkins Institute has been receiving widespread attention.

     It's been talked about in professional meetings, books,
     conference presentations, and on the Internet.
     
     The talk is about human emotion -- new ways of thinking about
     the importance of emotion in psychotherapy. Over the past few
     years the Institute has gained quite a following among
     colleagues looking for answers to questions usually ignored
     in discussions of clinical work.

An invitation to attend our annual October Colloquium in Philadelphia.
It's held in the beautiful Van Pelt Auditorium of the Philadelphia
Museum of Art.

     Each of our conferences has presented new approaches to
     psychotherapy.
     
     We've pioneered the study of shame and its relation to
     violence (1993); offered a new look at anger (1994); showed
     specific ways to help people manage their emotions (1995);
     revised the concepts that underlie both brief and long term
     therapy (1996); and refined the therapeutic approaches fast
     becoming known as the Philadelphia System (1998).

So much to do. So little time to do it in.

     This year we're talking about something that hovers around
     each one of us as well as those we treat -- the ignored family
     of emotions triggered when life is crammed with too much to
     do.
     
     We live in a climate of overload. We're often working at more
     than one job.
     
     We're proud of our pagers, cell phones, answering machines,
     computer skills, and round the clock e-mail availability.
     
     Yet we have fewer and fewer private spaces we can call our
     own. Or places where we can escape to reduce the sheer
     intensity of everyday living.
     
     When we appear to be "handling it well" we are said to be
     competent. And when we complain people say we are
     "depressed."
     
     This is the experience of stress, "constant anxiety," duress,
     hardship, and being "pushed to the limit."

Distress isn't anxiety.

     At our 1999 conference, you'll learn how and why to
     differentiate distress and anguish from anxiety, annoyance,
     and a host of other unpleasant reactions.
     
     Well known experiences at the upper end of the distress-
     anguish scale include loss, grief, and suffering of any kind.
     
     Psyche and soma blend here, so we won't overlook the immense
     number of remedies -- salves, bandages, things to sooth
     headaches, sore feet, sore muscles, and bellyaches, stuff for
     pangs, pinches, and pains of every description that offer
     some relief from relentless but relatively "trivial"
     discomfort.
     
     All steady-state discomfort is additive. You'll enjoy
     learning how much you and those you treat can benefit from
     the implementation of this logic. In the matter of overload
     and distress, there isn't any "them" and "us."

Oh, the things you'll discover.

     You'll come away from our meeting with new respect for the
     wide range of cultural phenomena related to distress.
     
     You'll find that all at once you see and treat a great many
     clinical complaints previously invisible and inaudible.
     
     We know you'll come from our October Colloquium with a bunch
     of new skills. And we'll be thrilled that we've given you
     more tools to fix the overload problem.

Who are these folks from the Tomkins Institute?

     In the 1970's, Philadelphia-based psychiatrist Donald L.
     Nathanson, MD, began to develop an innovative system of
     psychotherapy that focused attention on the specific emotions
     expressed by patients rather than the thoughts accompanying
     them. His interest in the ways wordless emotion seems to
     travel from one person to another led to the study of
     empathy, the work of Michael Franz Basch, and ultimately to
     the theories for emotion offered by Silvan S. Tomkins. Dr.
     Nathanson is best known for his popular Shame and Pride:
     Affect, Sex, and the Birth of the Self (1992) and his
     stewardship of the Shame and Affect Theory Forum of the
     Internet service Behavior OnLine (www.behavior.net). He's
     published over 100 articles/book chapters/books, and given
     hundreds of public presentations all over the world. As the
     leading advocate of the Tomkins affect and script theories,
     Nathanson brought these ideas into conformity with modern
     neurobiology and psychopharmacology, providing a broad base
     for the mode of psychotherapy now known as the Philadelphia
     System.
     
     It was in 1991, soon after the death of Professor Tomkins,
     that Dr. Nathanson formed the Silvan S. Tomkins Institute in
     order to encourage a wide spectrum of clinicians and scholars
     to learn about affect/script theory. Each member has been
     trained in the tradition and practice of some professional
     discipline, whether medicine, psychology, social work,
     nursing, education, art therapy, clergy, finance, or law. The
     Tomkins Institute does not yet offer formal training for
     therapists, although through an international network of
     study groups we do provide a core curriculum for those who so
     wish. Membership is open to all interested colleagues.

_______________________________________

Who May Attend?

     This conference is intended for:
     
     Mental health practitioners, including psychologists,
     psychiatrists, social workers, pastoral counselors, chemical
     dependency counselors, and marriage and family counselors.
     
     Researchers in psychology, sociology, and cultural
     anthropology, who are interested in the study of emotion,
     interpersonal communication, or individual development.
     
     Other physicians interested in furthering their knowledge and
     skills in understanding interpersonal communication,
     distress, and psychopathology.
     
     Physician participants must have a background knowledge in
     psychiatry or neurology, if not actually psychiatrists or
     neurologists. Although it is not required that a physician
     participant be a psychiatrist or neurologist, it is required
     that they have a strong interest in understanding and
     treating problems with the human emotions as they impact
     their practice.
     
     Graduate students currently enrolled in a training program
     are welcome. Those without such training may write for
     special consideration.

     Participants should hold a graduate level degree in one of the
     mental health professions, or a graduate level research degree
     as described above.  Chemical dependency counselors may attend
     if they hold a Chemical Addictions Counselor (CAC) Certificate
     or equivalent.  Those who do not have such training may write
     for special permission to attend.

Expected Outcome?

     By the end of the Colloquium, those who participate in this
     program should be able to:
     
     1) Identify distress-anguish and differentiate clearly
     between this affect and anger, anxiety, or shame.
     
     2) Recognize the wide range of distress-based disorders seen
     in individuals, couples, families, and the workplace.
     
     3) Develop and utilize new methods of therapy based on the
     distress management scripts of the individual patient/client.
     
Accreditation

     Continuing Education certificates will be available for all
     who attend.
     
     The program (Saturday and Sunday) involves 12 hours of
     instruction, and the optional Friday evening lecture/seminar
     an additional 3 hours, all of which is eligible for
     continuing education credit as follows:
     
     Participants may register for the 3-hour Friday lecture
     alone, or for Saturday or Sunday alone, for 6 hours each.
     
     The Silvan S. Tomkins Institute is accredited by the
     Accreditation Council for Continuing Medical Education to
     sponsor continuing medical education for physicians. The
     Silvan S. Tomkins Institute designates this continuing
     medical education activity for up to 15 hours in Category 1
     of the Physicians Recognition Award of the American Medical
     Association.
     
     The Silvan S. Tomkins Institute is approved by the American
     Psychological Association to offer continuing education for
     psychologists. The Silvan S. Tomkins Institute maintains
     responsibility for the program.
     
     The Silvan S. Tomkins Institute is approved by the State
     Board of Social Work Examiners of Maryland as a Provisional
     Sponsor of Continuing education for Social Workers.
     Application will be made to have this program provide up to
     15 hours of Category 1 credit hours toward Maryland Social
     Work License Renewal.

     This program is approved by the Commonwealth of Pennsylvania
     State Board of Social Work Examiners.

     This meeting is PCACB approved.





Conference Schedule

Friday 22 October
Solis-Cohen Auditorium
Jefferson Medical College

Evening
 7:00 -   Introduction to the Affect/Script theory of Silvan S. Tomkins
10:00     Donald L. Nathanson, M.D. and Jonathan L. Grindlinger, M.D.

          Tomkins's theory of human emotion is complex. Many of us
          have worked with this material for years in order to
          increase the depth of our understanding. In this three
          hour introduction, Drs. Nathanson and Grindlinger
          present enough of the basics of the theory to get a
          beginner through this weekend's presentations. We hope
          you will follow up by joining an ongoing study group in
          your home area. We'll tell you more about the study
          group system at the conference.


Saturday 23 October
Van Pelt Auditorium
Philadelphia Museum of Art

Morning
 8:00 -   Registration and Continental Breakfast
 8:30     A delicious blend of the affects interest-excitement (as
          we anticipate the opening of the 1999 Colloquium The
          Experience and Relief of Distress) and enjoyment-joy (as
          hunger and the early morning symptoms of caffeine
          withdrawal are quenched), catered by the Philadelphia
          Museum of Art. Bagels, sweets, fruit, and beverages will
          be offered.

 8:30 -   Welcome
 8:40     Jonathan L. Grindlinger, M.D.
          Training Director, Silvan S. Tomkins Institute

 8:40 -   The Everyday World of Distress Anguish
10:00     Donald L. Nathanson, M.D.

          Just as curiosity (interest-excitement) is the dominant
          positive affect of infancy and early childhood, distress-
          anguish is its dominant negative affect. The hand that
          rocks the cradle does so to soothe and modulate
          distress; early development is characterized by
          techniques for the socialization of distress to which we
          have paid far too little attention. So much does the
          child's distress-anguish cause displeasure for parents
          that we handle it less as a spotlight with which to view
          its triggering stimulus than a problem to be hidden.

10:00 -   Break
10:15     A temporary respite from overload.

10:15 -   Distress in Psychopathology
11:45     Donald L. Nathanson, M.D.

          Directly in proportion to the degree to which an
          individual is coached to hide, disguise, or disavow
          distress will be the importance of its incorporation in
          scripts for psychopathology. Presented will be an
          overview of the role and function of backed-up distress-
          anguish in a wide range of clinical conditions. A
          Compass of (backed up) Distress is offered as a device
          through which to organize this material.
          
11:45 -   Q & A
12:00

12:00 -   Buffet Lunch (Included)
 1:15     Philadelphia Museum of Art Catering Services

Afternoon
 1:15 -   Sighs Matter: Working with Backed-up Distress in Psychotherapy
 2:30     Wesley G. Novak, Ph.D.

          Suffering continues to be a disavowed, private, and
          ubiquitous experience. As psychotherapists, most of us
          enter our careers unwittingly prepared with a preferred
          language and method through which to "talk" with our
          patients about their emotional pain. Yet this process of
          "meaningful connection" with our patients may be
          encumbered by our own well-earned backed-up distress.
          The presentation will build on Tomkins's overlooked
          theories for the socialization of distress and discuss
          some of its various clinical manifestations as modeled
          in the newly evolved "compass of distress." Clinical
          vignettes from the presenter's own work will be offered
          as one way to look more deeply at the inevitable and
          often veiled losses embedded within the "plot" of our
          patients' lives.

 2:30 -   Break
 2:45
 2:45 -   Workshops (Choose One)
 3:35
          A. Intimate Connections in Good Times and Bad
          Vernon C. Kelly, Jr., M.D.

          Dr. Kelly will discuss what happens within a
          relationship when the ratio of positive to negative
          affect is biased toward the negative. Beginning with a
          concept of intimacy based on affect and script, he will
          guide participants from the theoretical underpinnings of
          intimate connections toward an understanding of clinical
          approaches to their enhancement and repair.
          
          B. The Spotlight Technique
          Jeanette Wright, ATR
          
          The Spotlight Technique builds on Nathanson's metaphor
          of the affect system as a bank of spotlights. This
          technique assists clients toward visual and verbal
          exploration of their relation to each affect. The
          Spotlight Technique is an easily learned, effective
          teaching tool through which clients may be helped to
          develop a map and a personal frame of reference for the
          understanding and management of emotion. During this
          session, participants will be shown slides of drawings
          made by clients, and will learn how to use this
          technique themselves. As with all uses of the drawn
          image in psychotherapy, no drawing skills are necessary.
     
          C. The Pharmacology of Anguish: Toward an Understanding
          of the Neurobiology of Distress
          Robert E. Most, M.D.
          
          A wide variety of pharmacologic agents, some prescribed
          and some illicit, can be shown to increase or decrease
          the experience of distress. An examination of drug
          mechanisms reveals that distress must involve many
          neurotransmitters that work over complex neurological
          pathways. Although the spatial resolution provided by
          brain imaging techniques may lead us to (over)emphasize
          certain "regions of interest" (some of which will be
          reviewed), temporal contour is even more critical within
          Affect Theory. Psychopathology must result whenever the
          individual's normal range of stimulus variation is
          overwhelmed by constant external "stress," or by mis-
          cued internal feedback loops. Medication may help reset
          the range of stimulus density, and even encourage normal
          brain mechanisms to repair damaged firmware.
     
 3:45 -   Therapy Informed by The Music of Distress
 5:00     Jonathan L. Grindlinger, M.D.

          Music is a language though which sequences, cadences,
          and frequencies are expressed and therefore experienced
          by the listener. Since anything that varies the density
          and gradient of stimulation (stimulus contour) must
          trigger innate affect, music quite naturally may be used
          to escape distress, excuse the expression of distress,
          and even increase the experience of distress. Many of
          the currently available computer programs that assist
          musical composition utilize rules that govern the
          complexity of musical performance, rules that bear
          striking resemblance to those for affect and script that
          govern the complexity of human experience.

Evening
 7:00 -   The Silvan S. Tomkins Institute Annual Membership Meeting
10:00     and Dinner (additional charge)
          The Union League,
          Meade Room
          140 South Broad Street
          
          Open to all Members of the Silvan S. Tomkins Institute,
          including those who are joining at the time of this
          Colloquium. Further information about this subscription
          dinner will be included in your registration packet.


Sunday 24 October
Van Pelt Auditorium
Philadelphia Museum of Art

Morning
 8:00 -   Continental Breakfast
 8:25

 8:25 -   Welcome
 8:30     Jonathan L. Grindlinger, MD

 8:30 -   Faith, Suffering, and Psychotherapy for a New Millennium
 9:45     Susan Leigh Deppe, MD, FAPA

          This session will focus on the management of distress-
          anguish in a variety of faiths and contexts. The major
          religions provide scripts that enable their followers to
          endure loss and pain with dignity or to transform it
          into another form of experience. The role of
          celebratory, commitment, hope, and other scripts will be
          explored. What happens to a society that believes the
          end of the world or the Kingdom of God is near? How does
          the believer find joy in suffering, and use it for
          growth? How can such scripts be understood and used in
          psychotherapy?

 9:45 -   Images of Overload and Relief: The Function of Creativity
11:00     in the Transformation of Emotion
          Jeanette Wright, ATR
       
          A new term called the drawn image is entering the
          language of psychotherapy. This term refers to images
          created by clients, representations that transform
          biology and biography into visual form. These drawn
          images are viewed as both creative and transformative
          because affective investment in the symbolic
          representation of experience generates the power through
          which one may understand the experience at greater
          depth. When individuals literally see what they think
          and how they feel, something new happens: the file on
          emotional biography is accessed and linked with personal
          history and the unseen is seen. This presentation begins
          with visual vignettes (slides) of client drawings in
          response to the proverb, "Don't cry over spilled milk"
          and ends with an in-depth discussion, including video
          clips, of a client with bipolar affective illness in
          treatment for six years. These clips show the
          transformation of both backed- up affect that has become
          encrypted as ideoaffective complexes and also anti-toxic
          scripts into experiences of relief as well as new
          limitation-remediation scripts.

11:00 -   Break
11-15

11:15 -   Workshops (Choose one)
12:15
          A. Panel Discussion: Ways That Affect Theory Can Induce
          and Reduce Distress: The Study Group Solution
          The Richmond Study Group: Verda Little, PhD, Study Group
          Coordinator, with Beverly Buston, PhD, Theresa Buczek,
          PhD, Nancy MacConnachie, PhD, and Edith Ott, PhD

          After four humbling years of study, the Richmond, VA
          group is ready to share its findings on how to make use
          of Affect Theory even if you don't fully understand it.
          We hope to involve you in our process, which has
          included Distress and Shame triggered by reading the
          work of Silvan S. Tomkins, the most brilliant and dense
          writing any of us has ever encountered. Excitement is
          triggered by the thought that we have understood a
          concept, followed by the return of Shame at the
          realization that we must reread that sentence yet again,
          followed by Joy at the realization that other Study
          Group members continue to struggle along with us.
          Nevertheless, through this process our own scripts have
          been altered and our patients thus allowed to benefit
          from our endeavors.

          B. Experiential Workshop on Drumming
          Bruce Murray, MSW, LSW

          The study of rhythm can expand one's skills in behavioral
          observation and increase the accuracy of responsive
          mirroring in clinical interventions. This presentation
          will provide the enjoyable experience of drumming, intense
          discussion about the affective power of rhythm and tone,
          and suggestions as to how any increase in rhythm awareness
          may improve human interaction. Presented will also be
          work on the influence of the physical and neurological
          processes of sound and hearing on personal development;
          the influence on emotion of sound and music will be
          shown by use of the Affect Pattern Chart. The
          miniaturization and maximization of affect will be
          discussed as scripted and biological tendencies, and as
          target activities in clinical work. Finally, a bridge
          will be made between musical and non-musical uses of
          rhythm in the context of psychotherapy. Clinical
          techniques using rhythm, meter, and tone will be
          demonstrated.

12:15 -   Buffet Lunch (Included)
 1:15     Meet the Speakers
          
Afternoon
 1:15 -   Tragedy and Comedy: The Two Faces of Suffering
 2:30     Melvyn A. Hill, Ph.D.

          "A comedy is a tragedy that turns around at the end of
          the third act." That is how Northrop Frye, the eminent
          literary theorist, once defined the relation between
          these two classic forms of drama that take us to the
          edge of suffering. Frye's definition helps clarify the
          learning curve in psychotherapy, since therapy often
          involves an apparent increase in suffering before
          clients can turn their life around. This intensification
          of distress marks the experience of those negative
          affects bound in self-defeating scripts. This is the
          experience that empowers clients to examine and
          reorganize their motivation and behavior; it follows the
          pattern in comedy precisely. I will discuss tragedy and
          comedy from Frye's point of view, and show the value of
          his concept for script theory and for the understanding
          of the process of psychotherapy. Finally, I will show
          how script theory helps us understand what it means to
          approach the edge of suffering.

 2:30 -   Break
 2:45

 2:45 -   The Third Michael Franz Basch Memorial Award Lecture
 4:00
          The Michael Franz Basch Memorial Award is presented each
          year to a scholar or clinician whose work has furthered
          our understanding of the link between affective
          development and psychotherapy.  It honors Dr. Basch, the
          psychoanalyst who first introduced the work of Silvan
          Tomkins to the mainstream of our field, and whose 
          contributions to the world of psychotherapy remain as
          vivid today as when they first appeared.  The award 
          consists of a framed certificate, an honorarium, and the
          opportunity to present a lecture at a Tomkins Annual
          Colloquium.  In the past, the Michael Franz Basch 
          Memorial Award has been presented to Leigh McCullough-
          Vaillant, Ph.D. and to Donald Mosher, Ph. D.

          This year, Dr. Donald Nathanson, Founder and Executive
          Director of the Silvan S. Tomkins Institute, will present
          the Third Michael Franz Basch Memorial Award to the
          Reverend David McShane, who worked closely with Silvan
          Tomkins for more than 20 years.

          Distress: Bad News from a Friend
          Reverend David McShane

          Reverend McShane will place religious symbols and
          symbolic activities in the context of affect/script
          theory, especially in relation to inevitable distress
          and its amelioration through pastoral counseling and
          worship events. He will discuss some forms of memory
          that may not be accessible through verbalization, and
          describe other means for therapeutic rescripting.

 4:00 -   Where do we go from here?
 4:15     Donald L. Nathanson, M.D.

(End of Colloquium)


Companion Program

     On Saturday 23 October, a guided tour of Philadelphia's
     cultural sites will be offered for the traveling companions
     of Conference Participants.
     
     Program Director Sharon Kelly has pointed out that
     Philadelphia was founded as a locus of true religious
     freedom, and that much of the character of the city evolved
     from the decision of William Penn to instrument that intent.
     She will take you through some of the houses of worship that
     exemplified this unique attitude, many of which were part of
     colonial Philadelphia and set the tone for the city's future
     culture. No trip through Philadelphia culture should ignore
     its famous Italian market, and the group will lunch at a
     favorite restaurant before touring the cheese, spice, and
     other shops for which it is famous.

     On Sunday, the Philadelphia Museum of Art will offer a private
     tour.

     Culture is more than just museums and buildings, so we
     suggest you bring good walking shoes, a camera, and the
     ability to be charmed by sights both beautiful and novel.
     Although there will be no charge for the tour itself, some of
     the venues do require admission fees.
     
     We suggest that you check this space from time to time for
     more information.
     
     
Silvan S. Tomkins Institute Annual Membership Meeting and Dinner

     Saturday 22 October 1999
     7:00 - 7:45 Cocktail Hour
     7:45 - 10 PM Dinner
     
     The Union League,
     Meade Room
     140 South Broad Street
     
     Open to all Members of the Silvan S. Tomkins Institute,
     including those who join at the time of this Colloquium.
     Marred only by the transaction of a small amount of
     organizational business, the evening will afford an excellent
     opportunity to talk at length with friends old and new.


On Site Bookstore

     The Joseph Fox Bookshop of Philadelphia will offer for sale
     the major works of Silvan Tomkins, as well as books both
     written and recommended by Colloquium faculty. Shipping will
     also be available for those who both prefer not to carry
     their purchases and can delay gratification sufficiently.


Conference Tapes

     All sessions of the 1999 Colloquium will be taped. A boxed
     set of tapes will be offered for advance sale at the
     Colloquium, or can be ordered now through the Silvan S.
     Tomkins Institute.
     
     Tapes of all previous Conferences are still available. Sets
     can be purchased at the Colloquium, or can be ordered at any
     time from the Institute, by calling 800-317-1669, by email at
     julief@tomkins.org, by writing to the Institute at 255 South
     17th Street, Suite 2403, Philadelphia, PA 19103-6224, or via
     the website at http://www.behavior.net/orgs/ssti/tapes.html.


Conference Faculty

     Beverley G. Buston, PhD is licensed as a Clinical
     Psychologist in practice with The Westwood Group in Richmond,
     VA. In addition to providing psychotherapy to adults and
     couples, she consults within a variety of systems, including
     teaching Behavioral Science to Family Practice Residents as
     an Assistant Clinical professor with the Department of Family
     Medicine of the Medical College of Virginia at the Virginia
     Commonwealth University, and working with church systems and
     churches in the Virginia area. Affect Theory has become an
     integral part of all that she does.
     
     Teresa A. Buczek, PhD is a Licensed Clinical Psychologist
     with The Westwood Group in Richmond, VA. She works with
     individual, couples, and families, having been trained both
     at the Philadelphia Guidance Center and the Palo Alto
     Veterans Hospital. In the last four years she has begun to
     apply Affect and Script Theory to the families, couples, and
     individuals in her clinical practice.
     
     Susan Leigh Deppe, MD, FAPA, is a Clinical Assistant
     Professor of Psychiatry at the University of Vermont and a
     frequent lecturer on Affect/Script Theory. In her private
     practice in Burlington, she specializes in the psychotherapy
     and psychopharmacology of mood and anxiety disorders, affect
     and script theory, and spirituality. Long involved in patient
     advocacy, legislation, and public affairs, she has taught
     community groups, clergy, and health professionals locally
     and nationally since 1992. A Fellow of the American
     Psychiatric Association, she was for four years the director
     of a highly successful CME course on religion for its annual
     meetings.
     
     Jonathan L. Grindlinger, MD is Training Director of the SSTI.
     He taught in the Williamsport Hospital and Medical Center
     Family Practice Residency Program from 1988 until 1994, for
     which in 1993 he was cited as "Teacher of the Year." Jon has
     taught affect/script theory with Dr. Nathanson at the Cape
     Cod Institute and also as Visiting Professor at the
     Williamsport Hospital and Medical Center Family Practice
     Residency Program. His Lewisburg, PA, private practice
     focuses on the psychotherapy of individuals and couples. A
     musician by avocation, he cannot remember a time when he did
     not own and operate some form of recording studio.
     
     Melvyn A. Hill, PhD grew up in Cape Town, South Africa, and
     came to the University of Chicago where he completed a PhD in
     social and political theory under Hannah Arendt. He then
     served as head of the Division of Social Sciences at York
     University in Toronto, and completed a PhD in Clinical
     Psychology. Since the early 80's he has conducted a private
     practice in Manhattan, and enjoys working with the wide range
     of people in ones and twos from all over that curious island.
     He has served on the Executive Committee of the Tomkins
     Institute, led the committee that revised the first year
     Study Group syllabus, and leads the new committee revising
     the second year Study Group syllabus.

     Vernon C. Kelly, Jr., MD, was the first Training Director of
     the Silvan S. Tomkins Institute, in which capacity he built
     an international network of Study Groups and developed
     continuing education sponsorship relationships with the
     American Psychological Association, the Accreditation Council
     for Continuing Medical Education, and a number of other
     organizations. He is currently a member of the Silvan S.
     Tomkins Institute's Executive Committee, an Attending
     Psychiatrist at Pennsylvania Hospital, and a Fellow of the
     College of Physicians of Philadelphia. Well known for his
     clinical work with couples and as therapist/supervisor for
     many psychotherapists, Dr. Kelly has written extensively
     about the use of affect/script theory in couples work and
     taught extensively with Dr. Nathanson. A full exposition of
     his contributions to these fields appears in his chapter
     "Affect and Intimacy" in Knowing Feeling: Affect, Script and
     Psychotherapy.

     Verda L. Little, PhD, is a licensed Clinical Psychologist in
     practice with The Westwood Group in Richmond, VA. She also is
     an Assistant Clinical Professor in the Department of
     Psychiatry at the Medical College of Virginia of Virginia
     Commonwealth University. After attending her first Tomkins
     Institute Colloquim in 1994, Dr. Little organized the
     Richmond Affect Theory Study Group and serves as Group
     Coordinator.
     
     Nancy MacConnachie, PhD is a Licensed Clinical Psychologist
     in private practice with The Westwood Group in Richmond, VA.
     Her areas of interest include child and family therapy, and
     the accompanying areas of specialization (child sexual abuse,
     alcoholism, juvenile justice, attachment issues, etc.) She
     also works with Family Practice Residents in the Behavioral
     Medicine curriculum at the Medical College of Virginia. A
     husband and three children maintain for her a high density
     experience of affect as well as excellent opportunities to
     reflect on theory. Reverend David McShane has officiated at
     over four hundred funerals during more than forty years in
     the Presbyterian ministry, experience he characterizes as a
     wagon load of distress. Over the last twenty years of his
     ministry his close friendship with Silvan Tomkins and deep
     respect for affect theory made a profound difference in
     Dave's life both professionally and personally. Reverend
     McShane has taught at McCormick Theological Seminary and at
     Western Michigan University in the College of Health and
     Human Services. He is now semi-retired, living winters in
     Florida where he preaches weekly in a mobile home park and
     summers on a lake in Michigan where he reads, thinks, loafs,
     and plays scrabble and tournament level paddleball. Dave and
     his wife Beth, a psychiatric social worker, have four
     children and six grandchildren.
     
     Robert E. Most, MD, is research coordinator for the Tomkins
     Institute, and serves on the Research Committee of the
     Gundersen Lutheran Medical Foundation in La Crosse,
     Wisconsin, where he also practices psychiatry. Well known
     locally for his work on "Anxiety Disorders," and the
     supervision of psychotherapists, Bob presented on the topic
     of shame, trauma, and EMDR at the 1998 SSTI symposium.

     Bruce Pitcairn Murray, MSW, LSW is a psychotherapist in
     private practice, and an outpatient lead clinician for
     Advantage Behavioral Systems, in Center City Philadelphia.
     Since receiving a clinical BS in Mental Health Technology
     from Hahnemann University in 1977, he has held a variety of
     direct service positions, including 6 years in a busy
     hospital Psychiatric Emergency Service. In 1993, he received
     an MSW from Rutgers, and has now accumulated experience at
     every level of mental health care, working with clients from
     school age through the end of life. In more than three years
     of study with SSTI, his clinical growth in affective
     knowledge has consistently improved the focus of treatment
     goals. Bruce believes that awareness of the biological nature
     of innate affect refines one's strategies for diagnosis and
     intervention in every aspect of the emotional problems
     presented by clients.

     Donald L. Nathanson, MD, is Executive Director of the Silvan
     S. Tomkins Institute and Clinical Professor of Psychiatry at
     Jefferson Medical College, although he spends more than a
     third of his time writing and lecturing internationally. Dr.
     Nathanson is concerned with the nature and function of
     emotion, and is known as the leading proponent of the
     affect/script theory of Silvan Tomkins. His integration of
     the data of neuroscience, psychology, psychopharmacology, and
     psychoanalysis into a comprehensive system capable of
     explaining the full range of human experience has lead to
     what is now known as The Philadelphia System, a form of
     psychotherapy that respects all previous systems and methods.
     Dr. Nathanson has published more than 100 articles and books
     on emotion, empathy, and psychotherapy and has given hundreds
     of presentations all over the world. Best known of his
     writings are the 1987 edited book The Many Faces of Shame;
     the popular 1992 book Shame and Pride: Affect, Sex, and the
     Birth of the Self; and the 1996 edited book on the clinical
     application of these theories, Knowing Feeling: Affect,
     Script, and Psychotherapy. As lead columnist for the World
     Wide Web service Behavior OnLine, his Shame and Affect Theory
     Forum has drawn international respect. At present he is
     deeply involved in the development of programs to reduce the
     toxicity of adolescent life that has led to the recent
     increase in school violence.

     Wesley G. Novak, PhD, served as the first Chief Psychologist
     of the SSTI and remains an active member of the SSTI
     Executive and Continuing Education Committees. He currently
     works in full-time independent practice as a Psychologist in
     Wilmington, Delaware. It is his life-long interest in the
     psychology of distress that has led to this 1999 SSTI
     Colloquim.
     
     Edith Shepherd Ott, PhD, is a Licensed Clinical Psychologist
     in private practice in Richmond, VA, where she works with a
     wide range of people and problems. She was trained as a
     Clinical Child Psychologist a long time ago and uses her
     understanding of developmental issues to work with kids and
     grown-up kids. Edith has worked in hospital, correctional,
     and academic settings. She finds that her patients, her
     garden, and her grandchildren are the source of a rich
     understanding of life and of her curiosity to learn more.
     Edith is a student of Affect/Script Theory and enjoys the
     learning that she experiences every time she meets with her
     study group in Richmond.

     Jeanette Wright, ATR, is the developer of Image Oriented
     Psychotherapy, which she practices in Des Moines, Iowa, and
     has written extensively on the use of drawn images as a clue
     to affective process. She is the founder of Pegasus: A
     Private Practice, L.C., for which she serves as a
     psychotherapist, educator, and consultant.


Accomodations

     Blocks of rooms have been reserved at the following hotels.
     For information or reservations, please contact the hotel
     directly. For your convenience, we have provided a link to
     each hotel's website.
     
     Embassy Suite Center City     ($155 single/$169 double)
     1776 Benjamin Franklin Parkway (at Logan Square)
     215-561-1776
     
     Korman Suites                 ($125 studio/$155 double)
     2001 Hamilton Street
      215-569-7000
     
     
     Wyndham Franklin Plaza Hotel  ($129 single/$129 double)
     17th and Race Streets
      215-448-2000

Getting There

     By air to Philadelphia International Airport: There are taxis
     and van services available at the airport to take you to your
     hotel, or you can take the SEPTA High Speed Commuter Rail
     link between the Center City hotels and the airport. No
     advance reservation required. Follow signs at the airport.
     
     By train: Amtrak serves Philadelphia through the 30th Street
     Station, which is a short walk from the Philadelphia Museum
     of Art, a bit further to the hotels. Taxis are available.
     
     By car: Philadelphia is served by Interstate Highways 76 and
     95. Check with your hotel for specific driving directions.
     Directions below will get you to the Ben Franklin Parkway,
     central to the museum and 3 hotels.
     
     From the south: Take I-95 North to I-676, then I-676 to the
     22nd Street exit for the Museum and all hotels. Go right on
     22nd Street and left on Ben Franklin Parkway. The Museum is
     at the top of the Parkway. Bear right toward Kelly Drive, and
     watch for a left turn for Museum parking, which is behind the
     building.
     
     From the west: Take I-76 (the Pennsylvania Turnpike) to
     Philadelphia. Stay on I-76 when it splits from the Turnpike.
     To get to the Museum, take the Spring Garden Exit and turn
     left at the top of the exit ramp. This takes you into the Art
     Museum Circle. To get to the Museum, follow the circle
     halfway around and bear right toward Kelly Drive, and watch
     for a left turn for Museum parking, which is behind the
     building. Alternatively, keep right at the Art Museum Circle
     onto Ben Franklin Parkway for hotels.
     
     From New York and New England: Follow signs from the New
     Jersey Turnpike for the Ben Franklin Bridge. From the Bridge,
     follow signs to I-676. Take I-676 to the 22nd Street exit for
     the Museum and all hotels. Turn right on 22nd Street and left
     onto Ben Franklin Parkway. The Museum is at the top of the
     Parkway. Bear right toward Kelly Drive, and watch for a left
     turn for Museum parking, which is behind the building.


Accessibility

     All facilities in use during the Colloquium are accessible to
     wheelchairs, as are all three hotels. Please let us know in
     advance if you require special assistance. Audio
     amplification is available for most of the programs, but
     advance notice is necessary.
     
     Please let us know if we can assist you in any way. In
     advance of the Colloquium, please let us know of any special
     needs by contacting the Colloquium Administrator or the
     Colloquium Chairpersons at the addresses or phone numbers
     below. During the Colloquium, the Colloquium Administrator
     will be available outside the Auditorium for any concerns or
     assistance.


For more information

     Here's how you can get more information about The Silvan S.
     Tomkins Institute's 1999 Colloquium, the Experience and
     Relief of Distress: Overload, Grief, and Suffering:
     
     Send email to Julie Franklin, the SSTI and Colloquium
     Administrator, for information about registration,
     directions, or hotel accommodations: julief@tomkins.org
     
     Call the Colloquium Administrator for information about
     registration, directions, or hotel accommodations: 800-317-
     1669
     
     Send email to the Colloquium Chairpersons
     (bschur@tomkins.org) for information about the program or
     faculty.
     
     Call the Colloquium Chairpersons at 610-259-7150 for
     information about the program or faculty.
     
     Check the Silvan S. Tomkins Institute home page
     (www.behavior.net/orgs/ssti/) where you will find more
     information about our Institute. You can also learn more
     about the Tomkins Institute by checking into the Shame and
     Affect Theory Forum at Behavior OnLine (www.behavior.net) for
     our ongoing discussion of many of these topics.


Registration
                       Early     Regular               Single
                     Registrat  Registrat    Friday    Day Fee
                     ion Prior  ion After   Evening    Saturday
                         to      9/15/99    Seminar    or Sunday
                      9/15/99
                        
          Individual    $300       $350       $50        $175
                   
                SSTI
             Members    $250       $300       $35        $150

          Therapists
         in Training    $250       $300       $35        $150

           Groups of
          5 or more*    $250       $300       $35        $150

           Full-time
            graduate    $175       $175       $35        $125
          students**


     There will be an additional $15 fee for on-site registration.
     In order to qualify for the membership rate you must have
     joined the Tomkins Institute before the meeting or at the
     time you send in your application. Fee includes refreshments,
     Saturday and Sunday lunches, and handouts.
     
     * Fee is per person. Applications must be made in one
     envelope; photocopy application if necessary. You may
     register by fax only if you are paying by credit card.
     Transmit the form to 1-800-531-1916 with full credit card
     information. If you are unable to attend you may send a
     substitute, who must so notify the folks at the registration
     desk.

     ** Students in degree-granting programs, residents,
     psychoanalytic candidates please enclose letter defining
     student status.

     Refunds: Requests for refunds must be made in writing And
     accompanied by a copy of your confirmation letter. Full
     refund, less a $50 administrative service charge, will be
     made for requests postmarked before October 1, 1999. No
     refunds will be given to requests made after that date,
     although fully-paid registrants who are unable to attend will
     be sent the tape album and handouts. There will be a $20
     charge for returned checks.



Application form

Name__________________________________________Position/degree___________

Street Address__________________________________________________________

City, State, Zip________________________________________________________

Phone: (_______)________________________________________________________
     
FAX:   (_______)___________________  E-Mail: ___________________________

Audiotapes of SSTI Annual Meetings are available in boxed sets of
12 cassettes: $190 for non-members, $160 for SSTI Members
(shipping & handling included).

___I can't attend this year. Please send audio cassettes of the
1999 conference.

___I missed the 1993 meeting "Toward a New Psychotherapy." Please
send the album.

___I missed the 1994 meeting "The Experience and Expression of
Anger." Please send the album.

___I missed the 1995 meeting "Affect, Script and Psychotherapy."
Please send the album.

___I missed the 1996 meeting "The When, When Not, and How of Brief
Psychotherapy." Please send the album.

___I missed the 1998 meeting "The Philadelphia System: Affect and
Script in Psychotherapy." Please send the album.

I would like to join the Institute and get discounts for Institute
activities.  Membership fee: $45_________

Days Attending: (Please circle)  Friday-Saturday-Sunday,
  Saturday-Sunday, Friday Only, Saturday Only, Sunday Only

Workshops you plan to attend:

    Please Note: We will attempt to seat all registrants in the
    workshop of their choice. Please list your first and second
    choices for each morning and afternoon seminar by placing the
    numbers "1" or "2" next to your selection.

Saturday Afternoon   _____ Most _____ Kelly _____ Wright

Sunday Morning       _____ Little _____ Murray

Total:
  Conference __________________
  Tapes________________________
  Membership___________________
  Grand Total__________________

Check enclosed_________      Please Charge my MasterCard/Visa___________   

Card Number_________________________________  Expiration Date___________

Signature_______________________________________________________________

Send payment and completed application to:

     Tomkins Institute Conference
     255 South 17th Street  Suite 2403
     Philadelphia, PA 19103-6224
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