Integrating Theory and Practice: Advanced Psychodynamic Techniques to Enhance Therapeutic Skill Sets



VIRTUAL SEMINAR | July 15 & 16, 2021, 1 - 4:15 p.m. ET
Instructor: Patricia Gianotti, Psy.D.

CEs: 6 CEs for social workers and psychologists are available for $10 fee 
Level: Intermediate

This seminar is designed to help clinicians identify how early childhood attachment experiences and/or failures are directly connected to the development of one’s beliefs, values, motivation and assumptions about the self in the world and self-in-relationship to others. Regardless of one’s your therapeutic orientation or your level of experience, conceptualizing how parts of the person connect or do not connect to form an integrated, cohered self is an acquired skill that deepens and improves over time.Participants will review techniques including moment-to-moment tracking, part-whole analysis and listening to the subtle nuance of language to help uncover hidden feelings that lie beneath the surface of the therapeutic exchange. Through tracking these process dynamics, participants will be shown how to stay aligned with the client’s experience in the present, thus creating a more secure therapeutic holding environment.  

The structure of this course will be a combination of lecture, group discussion, pre-recorded videotaped session vignettes as well as therapist-client process recordings. Through these examples, participants will be shown how minor disappointments can trigger feelings of shame, micro-dissociative ruptures and possible negative transferential responses on the part of our clients. We will discuss and practice how to catch and repair minor ruptures that occur throughout the treatment process, thus preserving and strengthening the therapeutic relationship.  

Target Audience: 

Social workers and other social service providers

Course Delivery Method, Format and Instructor Interaction :

Live interactive webinar with discussion. Login information will be emailed immediately after registration to the email address entered during registration.

System Requirements:

Attendees will need access to a computer with working camera and microphone. All courses are offered using Zoom conferencing software. 

Registration Fees and Deadlines:

Early registration by May 10, 2021: $125
Regular registration by July 14, 2021: $140

CEs: 6 CEs for social workers and psychologists are available for $10 fee 

Learning Objectives:

  1. Define the importance of slowing down the process as an assessment and intervention technique.
  2. Explain how misattunements on the part of the therapist can trigger memories of early attachment failures.  
  3. Demonstrate moment-to-moment tracking.
  4. List examples of the range of micro-dissociative episodes that may occur within treatment.


DAY ONE: 3 hours
  • 1 - 2:35 p.m. ET
    • Creating the Context - Therapeutic Change Through Focus in the Present Moment
    • Slowing the Process Down
    • How Do We Increase Therapeutic Connection by Staying in the Present Moment
    • How to Create a Safe Container
    • How to Attend to Process Dynamics
    • Presentation of Four Techniques
    • All Techniques Aimed at Right Brain to Right Brain Connection - Explain
    • Example and Summary Discussion
    • Technique Illustration – Entry Points
    • Three Video Examples of Entry Points
    • Group Role Play Practice – Working with Entry Points
  • 2:35 - 2:45 p.m. ET
    • BREAK 10 minutes
  • 2:45 - 4:15 p.m. ET
    • Technique Illustration – Moment to Moment Tracking
    • Case Example
    • Group Discussion
    • Video Case Illustrations
    • Small Break-Out Group Discussion
    • Review of Iceberg Moment to Moment Tracking
    • How to Use for Practice and Repair 
    • Technique of Forecasting
    • Examples of Forecasting
    • Group Discussion
  • READING ASSIGNMENT OVER EVENING BREAK - Process Recording to Illustrate Moment-to Moment Tracking and Entry Points
DAY TWO: 3 hours
  • 1 - 2:35 p.m. ET
    • Time for Questions from Day Before
    • Technique of Mirroring
    • Mirror Neurons
    • Example and Discussion of Mirroring
    • Review Case Material from Night Before – Small Break Out Groups
    • Debrief Case Discussion 
    • Attachment Theory and Attachment Injury as Related to Relational Enactments
    • Attachment Failures and Traumatic Dissociation
  • 2:35 - 2:45 PM ET
    • BREAK 10 minutes
  • 2:45 - 4:15 p.m. ET
    • How to Recognize Dissociative Process as it Unfolds in Treatment
    • Case Illustration
    • Fight, Flight, Freeze
    • Two Videos – Coming back into Window of Tolerance, and Explaining Freeze Response
    • Simulation Scenario
    • Techniques – Peter Levine 
    • Summary

About the Instructor:

Patricia Gianotti, Psy.D., is a psychologist and managing partner of Woodland Psychological Services, a private group practice in North Hampton, NH. Her areas of specialization center on attachment difficulties associated with trauma, shame and narcissistic injury. Gianotti is the co-author of Listening with Purpose: Entry Points into Shame and Narcissistic Vulnerability, Jason Aronson, 2012, and Uncovering the Resilient Core: A Workbook on the Treatment of Shame, Narcissistic Defenses, and Emerging Authenticity, Routledge 2017.  She has had the privilege of instructing CE Summer Courses at Smith College for the past six years.

Completion Requirements for Virtual Seminars

Virtual Seminars (referred to as live interactive webinars by ASWB) are live, synchronous, online courses held in Zoom meetings. To receive a CE certificate, you must attend the entirety of the virtual seminar. Partial credit will not be awarded to those who attend only a portion of the virtual seminar. For virtual seminars, participant attendance is tracked through Zoom, students are engaged throughout the online class utilizing their camera and/or microphone and participants must complete an evaluation. A link to the online evaluation will be emailed to participants within 24 hours of the conclusion of the course. It is attendee’s responsibility to contact their state licensing board/certification boards to determine eligibility to meet continuing education requirements.

How Will a CE Certificate Be Awarded?

Upon completing the evaluation for the virtual seminar, participants will be emailed their online certificate​ within 30 days of seminar completion​. ​Participants should save and/or print ​the certificate upon receipt for ​their records. Receiving the CE certificate is contingent on attendance and completion of the evaluation.

Continuing Education Credits and Approvals

Continuing Education (CE) credits offered vary by course. This course only offers the CE credits listed below.  It is the attendees' responsibility to contact their licensing board to determine eligibility to meet continuing education requirements.

Social Work
  • The Smith College School for Social Work, provider #1755, 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. The Smith College School for Social Work maintains responsibility for this course. ACE provider approval period: 11/19/2020-11/19-2021. Social workers completing this course receive 6 continuing education credits. 
  • The Smith College School for Social Work is accredited by the Council on Social Work Education and is therefore authorized to provide CEs as a postsecondary institution accredited by CSWE in many states. Courses offered through the School’s Program of Professional Education are awarded continuing education credits in accordance with Continuing Education Regulation 258, CMR, 31.00 in the Commonwealth of Massachusetts. 
  • Smith College School for Social Work is recognized by the New York State Education Department's State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0169.


  • Co-sponsored training events for psychology CE credit with Smith College School for Social Work. Amego Prepare​ is approved by the American Psychological Association to sponsor continuing education for psychologists. Amego Prepare maintains responsibility for this program and its content. Due to changes in continuing education requirements for NY licensed psychologists, APA CE Sponsor credits may not be accepted for re-licensure at this time. Please check the NY Psychology Board regulations for CE requirements currently in effect.

Further information on policies and CE accreditation can be found here.

Mary Curtin | Manager of Professional Education

Lilly Hall, 23 West Street, Northampton MA 01062 | 413.585.7970