The Need for Safety in Clinical Supervision

In preparation for my recent workshop at the Adelphi Conference on Clinical Supervision, I decided to focus most of the short session on my research (Pepper, 2014). This decision was based partly on the fact that I didn’t know beforehand the level of experience of workshop...
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No Love & No Mercy-The Perils of Conjoint Therapy Pt.4 The Denouement

As I write this, it has been several weeks since I last saw Robert. I doubt that I’ll hear from him again. If he does call, I’ll ask him if he has an objection to my speaking with his psychiatrist, but even if he wants to continue with group I fear that the prognosis is not good....
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No Love No Mercy Pt. 3 Group Therapy Hangs in the Balance

I was immediately distrustful of the timing of these two calls.  It had to be more than coincidence. But what was it? Had Robert’s psychiatrist pressured him to quit? Had Robert placed himself in the middle– playing the good object/ bad object game? Did he want the two of...
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Group Might Have Helped

I  applaud David  J. Hellerstein for the bravery he shows in his article, “The Dowdy Patient” (NY Times Sunday Review, June 14th). Dr. Hellerstein honestly laments that he couldn’t help a woman patient that wanted to have a romantic relationship; but who refused...
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No Love and No Mercy: The Perils of Conjoint Therapy Pt.2 When the Group Member is Caught in the Middle

At our individual session, I asked Robert: “How can I help you today?” He told me that he was very depressed and that the treatment wasn’t working. When I asked him why he thought so, he said that except for the time he comes for therapy or when he volunteers at...
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There Is No Safety Anywhere

It never ceases to amaze me how bright, psychologically-minded clinicians miss the obvious when it comes to examining  their own work. There seems to be a blind spot in regard to self-awareness. Here is a case in point. Recently, I attended a conference on supervision in...
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No Love and No Mercy–The Perils of Conjoint Treatment Pt.1-When the Clinicians Don’t Respect Each Other’s Work

In the new film, LOVE & MERCY, one theme is the  relationship between Brian Wilson, of the Beach Boys, and his abusive, controlling ‘psycho’-therapist. What does this have to do with the title of this blog about conjoint treatment- you ask?  I have been playing a...
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Group Therapy for Celebrities-Pt.2

My first choice of group member for my celebrity group would be the celebrity du jour, Caitlyn Jenner. Have you noticed that her transgender persona is a supermodel (with a cosmetics line on the way–no less) and not a plain but accomplished woman like Janet Reno, Linda Hunt...
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Group Therapy For Celebrities –My Impossible Dream Pt.1

I would love to run a therapy group for celebrities. Call me grandiose, if you like, I’m okay with that; but in my professional daydreams, I have selected famous people from the headlines for my celebrity treatment group. In my biased opinion, one of the major drawbacks of...
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The Narcissism of the Narcissistic Narcissist

Basta! Stop it! I’ve had enough. I actually heard a colleague say something like this in an interview about his new book. The subject of the book? You ask– Yep.You guessed it-NARCISSISM. After listening for what seemed like hours to his use of some variation of the...
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To Have Someone Is To Lose Someone

The loss  of a parent, at any age, is agony . The loss of a parent for a child is a catastrophe.  Recently, a young woman patient in her twenties sought treatment for  depression after the breakup of her first  long term romance.  During out initial session, she told me that she...
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