adult grief & loss *living & dying with cancer* dr jeffrey streimer at-p core psychotherapy...

25
ADULT GRIEF & LOSS ADULT GRIEF & LOSS *Living & dying with cancer* *Living & dying with cancer* DR JEFFREY STREIMER DR JEFFREY STREIMER AT-P CORE AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

Upload: gavyn-florey

Post on 01-Apr-2015

218 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

ADULT GRIEF & LOSSADULT GRIEF & LOSS*Living & dying with cancer**Living & dying with cancer*

DR JEFFREY STREIMERDR JEFFREY STREIMER

AT-P COREAT-P CORE

PSYCHOTHERAPY PROGRAMPSYCHOTHERAPY PROGRAM

Page 2: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

Loss-Living & dying Loss-Living & dying

• 6.30: Introduction• 6.30-7.30: 3 vignettes -Recognition of

Affects and therapists’ feelings• 7.30-7.40: 1 vignette-Trial interventions A• Break 20mins• 8.00-8.20: 1vignette-Trial interventions B• 8.20-9.00: 3 vignettes-Therapeutic

difficulties

Page 3: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

Lotte Lotte

• View vignette 3minutes

• (8:00-10:18)

Page 4: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

LotteLotte

• What would you do as a therapist when a patient says such things?

• Any initial comments on the therapist’s approach?

-further chances for discussion later

Page 5: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

EbbeEbbe

• View this 6 minute vignette

• Take note of the sequence & progress of the therapy dialogue

Page 6: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

EbbeEbbe

• View video vignette

• (13:59- 20:16)

Page 7: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

EbbeEbbe

• What allowed progress?

• Are you surprised?

• Would you do it this way?

Page 8: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

NielsNiels

• Watch this and note your reactions

• View video vignette

• (20:21-22:44)

Page 9: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

NielsNiels

• What are the feelings and main issues here?

• Comment on these issues

• What are your counter-transferences?

Page 10: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

TRAIL INTERVENTIONSTRAIL INTERVENTIONS

• Please NOTE THE FOLLOWING WITH ELSBETH AND EBBE:

• WHAT AFFECTS DO YOU SEE ?

• WHAT EMOTIONS DO YOU FEEL?

• WHAT WOULD YOU DO ?

Page 11: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

ElsbethElsbeth

• This segment only lasts 1 minute

• Elsbeth’s illness is progressing

• View video vignette

• (22:50-24:26)

Page 12: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

ElsbethElsbeth

• What are your immediate feelings ?

• What might the most appropriate professional reaction be ?

– Next slide

Page 13: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

ElsbethElsbeth

• Any comments on the therapist’s intervention ?

Page 14: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

PSYCHOTHERAPY & LOSSPSYCHOTHERAPY & LOSS

7:40-8:00pm- 20 minute break

Page 15: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

EbbeEbbe

• View first part of video vignette

• (24:32-25:44)

Page 16: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

EbbeEbbe

• What do you want to do now?

• What is this response of the patient’s ?

• How would you tackle this professionally?

Page 17: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

EbbeEbbe

• Continue video vignette

• ( 25:45-30:30)

Page 18: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

EbbeEbbe

• Any comments on the therapeutic progress and outcome ?

Page 19: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

THERAPEUTIC THERAPEUTIC DIFFICULTIESDIFFICULTIES

• The three vignettes which follow present questionable

interventions which are open to discussion and offer opportunities for alternatives

Page 20: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

EbbeEbbe

• View video vignette

• ( 1:08:35-1:09:32)

Page 21: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

EbbeEbbe

• What do you notice about Ebbe?

• What does the therapist do?

• Does it work?• What would you do ?

Page 22: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

HendrikHendrik

• View video vignette

• (1:09:37-1:10:51)

Page 23: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

HendrikHendrik

• What do you notice about Hendrik?

• What does the therapist do?

• Does it work?• What would you do ?

Page 24: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

Elsbeth-Elsbeth-

• View video vignette

• (1:10:56-1:14:57 )

Page 25: ADULT GRIEF & LOSS *Living & dying with cancer* DR JEFFREY STREIMER AT-P CORE PSYCHOTHERAPY PROGRAM PSYCHOTHERAPY PROGRAM

ElsbethElsbeth

• What do you notice about Elsbeth?

• What does the therapist do?

• Does it work?

• How would you do it differently?