In addition to carrying out intensive individual psychotherapy, group consultation, family treatment, and therapeutic community work, the Fellows participate in case conferences and didactic seminars addressing psychopathology, clinical theory and technique, developmental research, psychosis, group and family process, and community psychology. Fellows also meet frequently as a group with the Medical Director to discuss clinical and systems issues. Lectures by internationally respected clinicians and theoreticians are held regularly. Fellows may also choose elective training in psychodynamic research and organizational consultation.
Individual Psychoanalytic Psychotherapy and Clinical Assessment
Fellows engage in intensive and often long-term, four-times-weekly psychotherapy with patients who have been labeled treatment-resistant. Fellows are assigned three psychotherapy patients, with an option for a fourth, and receive weekly clinical supervision with an experienced psychotherapist.
In multidisciplinary teams, Fellows learn to integrate their work with the perspectives of other disciplines as they help organize their patients’ treatment.
A central aspect of the training experience at Riggs, the clinical case conferences take place twice a week. These two-hour meetings offer space for the clinical staff to integrate assessments and develop a psychodynamic understanding of unconscious process, transference, countertransference, conflicts, and defenses. Further integration occurs in team and clinical staff meetings.
Group and Family Consultation
Family therapy is an important element of treatment at Riggs. Learning to consult to families, small groups, large groups and organizations are skills acquired by Fellows as they work as co-therapists with the patient’s social worker and become consultants to one or more groups in the therapeutic community.