Friday, 19 April

Solis-Cohen Auditorium, Alumni Hall, Jefferson Medical College 7:00 - 10:00 PM Basic psychology of affect and script The foundations of the Philadelphia System Jonathan L. Grindlinger, MD; Donald L. Nathanson, MD; Brett Schur, PhD

Saturday, 20 April

Solis-Cohen Auditorium 8:30 - 8:45 Welcome Brett Schur, PhD 8:45 - 10:00 Jonathan L. Grindlinger, MD Overcoming Impasse: Expanding the Potential for Change Tomkins stated that personality formation involves patterns formed by the degree and style of modulation learned for each of the nine innate affects. Sometimes psychotherapy fails because the therapeutic process itself does not encourage enough affect to cultivate the development of new scripts. Therapy can become both more complex and more satisfying for both partners if such systems can be destabilized. 10:00 - 10:15 Break 10:15 - 10:20 Donald L. Nathanson, MD Presentation of the Fifth Michael Franz Basch Memorial Award 10:20 - 11:45 The Michael Franz Basch Award Lecture Richard P. Kluft, MD Four Consultations: From Quagmires to Collaborations Recognition of a hopeless predicament can lead to an entirely new therapeutic relationship capable of producing significant beneficial change. Each of us can act as consultant to our peers in order to shift the therapeutic process in this direction. 11:45 - 12:45 Lunch 12:45 - 2:00 Panel Discussion: When the impasse is between the helpers - Developing a new language Robert E. Desmond, MD; Brett Schur, PhD; Clifford Taylor, MD; Alan R. Wofsey, MD The language of affect and script can facilitate communication between psychotherapist and prescriber. In order to maximize the efficacy and efficiency of the healing partnership, it is essential that we learn how to talk with each other rather than assume that each will see the case from the same perspective. 2:00 - 3:15 Jeanette Wright, MS When Words Themselves Become the Impasse Sometimes words conceal emotions or prove inadequate to express them. What if we therapists could break a verbal impasse by inviting the client to mold in clay or draw on paper what is going on inside? This presentation will include visual vignettes showing how easy it is to harness ordinary creativity and resolve therapeutic impasse. 3:15 - 3:30 Break 3:30 - 5:00 Vernon C. Kelly, Jr., MD and Wesley G. Novak, PhD Impasses in Couples Treatment: Attempts at love and emotional connection often result in stagnation. Couples therapy offers a unique opportunity to identify these hidden roadblocks and foster the development of more emotionally connected interactions. The speakers will offer a detailed map for emotional connection, a classification of couple impasses, and intervention strategies based on the psychology of affect and script. 7:00 DINNER and ANNUAL MEMBERSHIP MEETING OF THE SILVAN S. TOMKINS INSTITUTE

Sunday, 21 April

Solis-Cohen Auditorium 8:30 - 9:45 Donald L. Nathanson, MD: Asking for Help, Helping Who Ask A few new categories for the occasional impossible case. When and why do we need help with our difficult cases, where do we look for assistance, with whom do we discuss our cases, and what do we want from a consultant? At each level of therapeutic complexity we can identify a personal strategy that allows us to practice at our best. 9:45 - 10:00 Break A Brief Note About Master Classes and Workshops: Same deal as at Colloquium 2000 with a few different speakers. We've convinced some of our best and best known experts to work in an open, friendly format on your own clinical questions. An attempt will be made for each participant to present part of a case, but the success of these small classes will be directly proportional to the care with which you choose your material. Master classes are about personal interaction, a chance to interact with people you respect and who love to teach. In a Workshop, the leader(s) will provide new information about their own work. You'll make choices on a card sent with the registration materials, and the actual assignments will be made known at the meeting. 10:00 - 11:00 Master Classes (MC) and Workshops (W): First Course Jonathan L. Grindlinger, MD Tomkins-Talk Unplugged (W) Vigorous discussion of Affect Theory on our Listserv has intensified this year, with pronounced emphasis on clarification of Tomkins's actual meaning and attempts to validate it through currently available scientific technique. Today we build on the highly successful workshop presented at Colloquium 2000 and encourage members to discuss issues face to face in a friendly setting. Joseph Izzo, MSW Franchising the Disenfranchised (W) The language of affect cuts across all classes, races, nationalities, and genders. Nevertheless, the scripts adopted by those who are powerless in a society tend to ensure failure to improve their lives. When we teach people how to express their affects in ways that can be understood and accepted by others, true change is fostered. Ralph Jaffe, MSW, PsyD "You have reached the top of a 100ft flagpole. One more step!" (MC) Zen masters have long used this koan to bring their disciples to the brink of impasse as a challenge to reach a new level of enlightenment. Similarly, a therapeutic impasse often precedes a major treatment breakthrough. This involves the willingness of client and therapist to leap into the unknown, to move beyond habitual patterns of thinking, feeling, and behaving. It takes great skill to figure out whether your client is ready for the perfect leap or needs an entirely new flagpole. Vernon C. Kelly, Jr., MD Couples Therapy Techniques In The Philadelphia System (MC) Dr. Kelly's original contribution of a couples therapy based on the psychology of affect and script is an integral part of what has become known as The Philadelphia System. In an interactive class, he will share insights from 30 years of practice. Marsha Schwartz Klein, MEd Addiction-Based Impasse (MC) Addictive behavior is initiated in order to manage unbearable affect, and especially within psychotherapy comes to act as a barrier to useful and necessary expression of affect. Perhaps unique to this cohort are the ways the therapist must instruct the client how to identify whatever remnants of innate affect can be detected through the veil of addiction, and to facilitate normal expression of that affect. Donald L. Nathanson, MD From Insult to Injury ® : A Plan to End School Violence (W) The SSTI's program to teach working clergy of all faiths about our work on the relation between explosive violence and perceived humiliation is well into the second of four planned phases. We'll discuss our work so far and talk about plans for near term research. 11:00 - 12:00 Master Classes and Workshops: Second Course Brian F. Lynch, MD From Insult to Injury® : A Plan to End School Violence (W) The SSTI's program to teach working clergy of all faiths about our work on the relation between explosive violence aIatrogenic Impasse: The Bane of Contemporary Health Care (W) The medical model, based as it is on signs and symptoms that can be validated or explained in the laboratory, tends to ignore and marginalize information made salient by affect. Substantial improvement in health care delivery might be realized were affect psychology integrated into all health care delivery systems. Donald L. Nathanson, MD Talking About Our Cases (MC) An opportunity to discuss specific cases from your own practice and learn more about the unique approaches offered by The Philadelphia System. Wesley G. Novak, PhD and Lee Anderson, PhD Living with Loss - Making Time for Tears (W) After a significant loss, one's dreams, images, and defining purpose are often obscured by disguised expressions of distress affect. The therapeutic process becomes "unstuck" when therapist and patient are able to locate the buried pool of images/scenes brought to awareness through the open expression of the patient's "tears." We'll present intervention strategies from a specific psychology of loss and a template for the dynamics and manifestations of distress. Workshop participants are encouraged to bring their own experiences in working/living with loss. Alan R. Wofsey, MD; Robert E. Desmond, MD; Clifford Taylor, MD Working With a Psychopharmacologist (MC) To the extent that the clinician understands psychopharmacology as support for the normal plasticity of the affect system, it is essential that therapists who practice widely ranging methods learn optimal modes of communication. This workshop will be successful to the extent that attendees bring their own clinical material for discussion. Jeanette Wright, MS Entering the Image (MC) Long celebrated at the Tomkins Institute for the ease with which she teaches the use of visual media as modes for expression of what has been hidden by otherwise unapproachable scripts, Jeanette Wright will offer fellow clinicians an opportunity to consult with her about their most difficult cases. The ticket for admission to this Master Class will be a drawing or other piece of client work. 12:00 - 1:30 Lunch and More From Insult to Injury® : A Plan to End Youth Violence A report by Dr. Nathanson about continuing SSTI activities on this complex project. Wrap-up of Clinical Conference. Fill out and hand in Continuing Education Questionnaire. End of Meeting.

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