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Alliance-Based Intervention for Suicide - Eric M. Plakun, MD, DLFAPA, FACPsych (Recorded)
In the last 25 years suicide has increased by 30% in the US, while a growing crisis in mental health is recognized in the post-pandemic world. Broadening training of clinicians to treat suicidal patients is an appropriate response. Although several manualized behavioral and psychodynamic therapies have been found to be efficacious in treatment of suicidal and self-destructive borderline patients, few clinicians achieve proficiency in even one of these. This workshop presents nine practical principles helpful in establishing and maintaining a therapeutic alliance in the psychodynamic psychotherapy of self-destructive borderline patients. The approach focuses on the therapeutic alliance, viewing suicide as an interpersonal event with meaning in the therapeutic relationship, and engages the patient’s negative transference as underlying suicidal and some self-destructive behavior. The principles are: (1) differentiate therapy from consultation, (2) differentiate lethal from non-lethal self-destructive behavior, (3) include the patient’s responsibility to stay alive as part of the therapeutic alliance, (4) contain and metabolize the countertransference, (5) engage affect, (6) non-punitively interpret the patient’s aggression in considering ending the therapy through suicide, (7) hold the patient responsible for preservation of the therapy, (8) search for the perceived injury from the therapist that may have precipitated the self-destructive behavior, and (9) provide an opportunity for repair. These principles are noted to be congruent with shared elements identified by an expert consensus panel review of behavioral and psychodynamic therapies for suicidal patients with borderline personality disorder. Case material will be used to illustrate the principles and create a space for highly interactive discussion. Workshop participants will also be encouraged to offer case examples from their own practices. The result will be a highly interactive opportunity to discuss and learn about this challenging and important clinical problem.
Target Audience
_________ Introductory ___x____ Intermediate ________ Advanced
Learning Objectives
- Utilize principles of an Alliance-Based Intervention for Suicide as part of psychodynamic therapy with those patients diagnosed with borderline personality disorder (BPD) who engage in self-destructive behaviors.
- Identify the symptom of suicide in patients diagnosed with BPD as an event with interpersonal meaning and as an aspect of negative transference.
- List shared elements derived by an expert consensus panel study of behavioral and dynamic psychotherapies with patients diagnosed with BPD and who engage in self-destructive behaviors.
- Demonstrate skills associated with improved outcomes when working with suicidal patients who exhibit self-destructive behaviors.
As the medical director/CEO of Riggs, which is a non-profit, Eric Plakun, MD, reports to a dedicated Board of Trustees. He is responsible for all areas of the institution from the provision of patient care to the operational mechanics and strategic planning. He has a particular interest in mental health advocacy, full implementation of the mental health parity law, access-to-care issues, and reducing health disparities.
Dr. Plakun was the director of admissions for 35 years and has dedicated nearly his entire professional career to Riggs (more than 40 years) and its unique way of looking at and treating mental disorders. Other roles have included treatment team leader, psychotherapy supervisor, and co-principal investigator of a prospective, longitudinal study of treatment outcome.
Dr. Plakun has long been active in the American Psychiatric Association as a voice advancing the importance of psychotherapy as part of the identity and skills of psychiatrists, and as a member of the Assembly Executive Committee and Board of Trustees. He served as Plaintiffs’ expert on adult mental disorders in the landmark Wit v. United Behavioral Health federal class-action. The strong plaintiffs’ verdict was hailed as a “game-changer” in the implementation of the mental health parity law by Former Congressman Patrick Kennedy.
Austen Riggs Center Inc. confirms that Eric M. Plakun, MD, nor anyone involved in the planning of the CME event, has disclosed a potential conflict of interest.
The views and opinions expressed in this presentation are those of the presenter(s) and do not necessarily represent the official policy or position of the Austen Riggs Center.
General CME/CE Information
Accommodations - The Austen Riggs Center follows all state and federal laws and regulations, including the Americans with Disabilities Act of 1990 (ADA). In accordance with the ADA, the Austen Riggs Center is committed to accessibility. If you need accommodations for your online course, please contact info@austenriggs.net.
Accreditation
(Physicians, Psychologists, Social Work and Nursing)
The Austen Riggs Center designates this online education webinar for a maximum of (see specific event) AMA PRA Category1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Austen Riggs Center Inc. is accredited by the Massachusetts Medical Society to provide continuing medical education for physicians.
The Austen Riggs Center’s policy on disclosure, in keeping with requirements of the Massachusetts Medical Society, requires continuing education planners and speakers to disclose any relevant financial interest or other relationship with commercial entities that could pose a potential conflict of interest in the presentation of this educational activity. The Austen Riggs Center Continuing Medical Education Committee has established policies for identifying and resolving all conflicts of interest prior to this educational activity. The Austen Riggs Center accepts no commercial support of any kind to support our CME/CE activity.
The Austen Riggs Center Inc. also designates this online education webinar for (see specific event) continuing education credit(s) (CE) for psychology.
Austen Riggs Center, Inc. is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0115.
The Austen Riggs Center Inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. The Austen Riggs Center maintains responsibility for the program and its content. For additional information about this program, please call the Erikson Institute Education Coordinator, at 413.931.5230.
The Austen Riggs Center Inc., #1344, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Austen Riggs Center maintains responsibility for this course. ACE provider Approval Period: 02/02/2020-2/2/2023. Social workers completing this online education webinar will receive (see specific event) continuing education credits.
For a listing of jurisdictions that accept ACE, please visit www.aswb.org/ace/ace-jurisdiction-map/.
Attention NY and NJ Social Workers
The Austen Riggs Center Inc. is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. As of January 2021, ACE is accepted in 48 jurisdictions. This does not include the states of New York and New Jersey. Check your state licensing board for further information. For a listing of jurisdictions that accept ACE, please visit www.aswb.org/ace/ace-jurisdiction-map/ or check with your state guild and licensing entities.
Available Credit
- 1.00 AMA PRA Category 1 Credit™
ACCME - As a Jointly Accredited Organization, The Austen Riggs Center, Inc. designates this learning activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 APA
As a Jointly Accredited Organization, The Austen Riggs Center, Inc. designates this learning activity for 1.00 continuing education credit(s) (CE) for psychology. Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs.
Austen Riggs Center, Inc. is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0115.
- 1.00 ASWB-ACE
As a Jointly Accredited Organization, The Austen Riggs Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organization, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Austen Riggs Center maintains responsibility for this. Social workers completing this Enduring course will receive 1.00 continuing education credit(s).
- 1.00 Contact Hours/ ParticipationA certificate of attendance for all Learners.
Requirements for course completion include: registering for the event, attending the entire session,
Required Hardware/software
The Austen Riggs Center Continuing Medical Education and Online Courses system is offered to users who are able to access these courses with systems and devices meeting the following requirements:
- Internet Explorer 11 or 10
- Latest Versions of Safari, Firefox, and Chrome
- Apple iPhone and iPad devices running iOS 7 or iOS 8
- Android 4.4.x-capable devices
- No pop-up blockers or browser extensions that interfere with multimedia rendering of content installed or enabled.