4/14/2022 Grand Rounds

Speaker:

Candice Silveira, PsyD. Registered Psych Assistant, Urban Psych, San Diego, CA

This presentation will provide an overview of psychodynamic implications for collaborative care with families, systems, and historically oppressed groups. A brief history of psychoanalytic/dynamic treatments will be provided to support an understanding of how and when to ground in theory while providing care. As many conflicts within family and traumatized systems reflect needs for trust and safety, object relations will be a primary focus. The implications of developmental trauma often include difficulties with preverbal and non-verbal experiences. As such, providers will be encouraged to understand and apply the principle that, “people always show us what they need, even if its unsaid” to support systems according to their values/needs. This principle holds true when building rapport, connecting with caregivers, engaging with care teams, in talk therapy, and play therapy. Providers will be encouraged to trust children and caregivers ” tp show us where they need to go” with non-directive psychodynamic approaches to therapeutic and trauma-informed care.

Learning Objectives:

1. Discuss the benefit of psychodynamic/analytic approach to care, particularly with traumatized and historically oppressed youth/families.

2. Describe treater’s role as a helper/provider and how one’s own positionality can impact effectiveness of care.

3. Discuss compassionate perspectives for “tests” of trust and safety.