A Return to Davanloo: Effective Management of Resistance in ISTDP, April 20-21st

We at the Malmö Center for ISTDP, together with the Swedish and Danish societies for ISTDP, are thrilled to host this 2-day workshop during spring 2023, focusing on managing resistance in ISTDP.

Jonathan Entis

In the era of evidence-based medicine, despite great efforts, the health care system fails to help many depressed and anxious patients. A recurring research finding is that about two thirds of patients in psychiatric care and one third of patients in primary care get no relief from treatment, even when being offered the gold standard treatment alternatives currently available. From the perspective of Intensive Short-term Dynamic Psychotherapy (ISTDP), much of this nonresponse is caused by multiple unaddressed ways of avoiding and/or resisting emotional closeness in the therapy situation.

ISTDP was developed during the late 1970s and 1980s by Habib Davanloo in Montreal, Canada. Davanloo developed a number of novel strategies aimed at reaching the most highly defended patients, the ones who at the time were considered impossible to treat. Spending a lot of time watching his own recordings of therapy sessions, he tested and refined specific strategies of helping his patients see, understand and let go of highly entrenched defensive strategies, especially when those were linked to the patient’s identity (eg. highly syntonic).

With a growing evidence-base to support Davanloo’s findings, ISTDP has been successfully established in northern Europe in the last decade. More than 600 therapists have gone through the three-year ISTDP core training in the nordic countries alone in this brief period of time. Dr. Entis strives to revive certain parts of Davanloo’s teachings that are not emphasized in the branch of ISTDP currently taught in the nordic countries. He represents a slightly different flavour of ISTDP, with a similar but different way of approaching the resistance which includes a bigger emphasis on tactical defenses. Here you can read an interview with Jonathan that we did last year.

We think this will be two great days of learning for both newcomers to ISTDP as well as the advanced ISTDP clinician. On Day One, Jonathan will present didactic presentations with audiovisual presentations of actual therapy sessions with patients across a range of psychodiagnosis. On Day Two, live supervision will be offered to attendees who wish to have their work supervised in front of the group.

Here’s what Jonathan wants to say about the workshop:

In developing ISTDP, Davanloo created a revolutionary system for gaining access into the unconscious and resolving psychological suffering. He advocated for a therapeutic focus on turning patients against their own avoidance mechanisms, or resistance, and towards an embrace of emotional honesty.

Dr. Davanloo’s system, although highly effective, is incredibly difficult to master. No aspect of the model is more arduous to learn than the effective management of resistance, which rests on the therapist’s ability to maintain a positive alliance while relentlessly addressing the patient’s defenses.

In my view, some current iterations of ISTDP underemphasize this work on resistance, which might lead to the student of ISTDP putting premature pressure on the patient to experience feelings that are not within conscious reach. This can cause iatrogenic anger, misalliance, and all too often, impasse. In this 2-day workshop, I will showcase how to work exhaustively with resistance while maintaining a strong alliance.

I will highlight many of the technical elements necessary to help patients overcome their resistance, including confronting the tactical organization of the resistance, determination of syntonicity levels and how to adapt the approach accordingly, and the use of head-on collisions—the most challenging of all interventions to integrate.

Bio

Jonathan Entis, Ph.D., is a licensed psychologist in private practice in Cambridge, Massachusetts. He is licensed in both Massachusetts and New York. He is on the faculty of Harvard Medical School, where for the past four years he has taught and supervised in ISTDP. He is an IEDTA-certified teacher in ISTDP and has presented both nationally and internationally. He co-leads an annual seminar on working with syntonic defenses in Davanloo’s ISTDP with John Rathauser, PhD. Jonathan leads four international monthly online training groups in Davanloo’s ISTDP, and will co-lead an advanced Core Training in Amsterdam with John Rathauser beginning in early 2023. He is also a co-author with John Rathauser and Mikkel Reher-Langberg on the upcoming book, Fundamentals of Davanloo’s Intensive Short-Term Dynamic Psychotherapy, Volume I. You can contact him at drjonathanentis@gmail.com.

Attendance

The workshop is open to licensed healthcare professionals and therapists in good standing, as well as students within these fields.

The supervision hours are offered on a first come, first served basis. If you’re interested, make sure to buy a ticket as soon as possible and specify in the form that you’re interested in receiving supervision.

Date and time

April 20: presentation day

April 21: supervision day

Times are roughly 9.00-17.00. At the end of the first day, there will drinks served at the Malmö Center for ISTDP.

LOCATION

The event will take place in central Malmö in southern Sweden. You can get to Malmö conveniently by flying to Copenhagen Airport, and then taking a 15 minute train from there. The venue will be confirmed at a later point.

Please note that online attendance is not possible for this event.

Malmö | Röda Korsets Ungdomsförbund
Malmö

Tickets

Early bird full ticket for both days (applicable before February 2023, $350)
Full ticket for both days ($400)
Day 1 only ticket ($200)
Day 2 only ticket ($200)

Members of the Swedish and Danish societies of ISTDP get a discount:
Early bird full ticket for both days (applicable before February 2023, $300)
Full ticket for both days ($350)
Day 1 only ticket ($175)
Day 2 only ticket ($175)

Registration

Please use this form to register: form. After filling out the form, we will contact you with information about how to proceed with the payment.

More info

At the end of the first day, there will be a reception with drinks.

This event is co-hosted by the Malmö Center for ISTDP, the Swedish Society for ISTDP and the Danish Society for ISTDP.

If you have questions, please email thomas.hesslow@gmail.com