Pre-Conference workshop 2 - Psychotherapy for Psychosis: Integrating Cognitive-behavioral and Psychodynamic Treatment
Date & Time
Tuesday, November 8, 2022, 9:00 AM - 3:00 PM
Michael Garrett

Michael Garrett, MD is a psychiatrist and psychoanalyst with 35 years experience in public psychiatry.  He is currently Professor Emeritus of Clinical Psychiatry at SUNY Downstate Medical Center in Brooklyn, New York and a faculty member of the Psychoanalytic Association of New York (PANY) affiliated with NYU Medical Center, NY, New York.  In this workshop he will review the psychological model of psychosis and the integration of cognitive-behavioral and psychodynamic treatment described in his recent book, Psychotherapy for Psychosis: Integrating Cognitive Behavioral and Psychodynamic Treatments.  (2019) Guilford Press/New York.  The workshop will dress the following topics:

•    The role of genes and adverse life experience (trauma) in the genesis of psychosis
•    Three dimensions of psychosis: altered perceptual experiences of the material world; altered subjective experiences of the self; delusional narratives expressive of life experiences
•    Clinical example: the man who believed a dog had xray vision that allowed the dog to see through his clothing
•    Primary and secondary process thinking (Sigmund Freud)
•    Paranoid/schizoid and depressive postions (Melanie Klein)
•    The relationship of fairy tales and the mental life of ordinary children to delusions
•    Disturbances of symbol formation and figurative language in psychosis
•    Clinical example: the man who intermittently believed his mother was Satan
•    An overview of cognitive-behavioral therapy for psychosis
Three basic paradyms underlying CBTp
    Stress/vulnerability model of psychosis
    Continuum between psychosis and ordinary mental life (‘normalizing’ psychotic symptoms)
    A-B-C cognitive frame: activating event leads to belief leads to emotional/behavioral consequences
•    Essential CBTp techniques
•    Integrating CBTp and psychodynamic treatment 
Clinical example: the woman who heard voices warning her that someone was about to die