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Mourning, Loss, and Grief

April 22, 2024 @ 6:30 pm - 7:45 pm, Wyman Classroom

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IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters for this educational activity have relevant financial relationship(s)* to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
* Financial relationships are relevant if the educational content an individual can control is related to the business lines or products of the ineligible company.

2-Year Certificate Program (2YCP)
2023-24, 4th Term — Mondays, 6:30-7:45pm
Christopher J. Keats, MD
Nancy Goldov, PsyD, LP, BC-DMT

View Whole Syllabus

April 22, 2024 — “Too Early, Too Late?”: Endings in Psychotherapy – An Attachment Perspective

[13 pages]

“Poised between past and future, every ending encompasses both hope and regret, accomplishment and disappointment, loss and gain. The inherent ambivalence of endings tests our capacity as therapists to tolerate ambiguity, to encompass both optimism and sadness in the face of loss, and to hold onto a realistic appraisal of our strengths and shortcomings. In theory therapy will come to a natural end when the problems troubling the patient have been partially or wholly resolved. In practice these ideal conditions are not always met: endings ‘happen’, sometimes unexpectedly, abruptly, or occasionally not at all as the treatment seems to drag on indefinitely.”

“The paper starts by a brief foray into endings in literature in the hope that this may animate the discussion and provide relevant examples. It then moves to discuss, as one must, Freud’s views on termination; thirdly, some empirical findings relevant to termination are surveyed; finally, an attachment-based model of ending is presented, depending on the transference/ countertransference pattern between patient and therapist.”

Jeremy Holmes was trained at Cambridge University and University College London. He practices as a Consultant Psychotherapist in North Devon. He also holds the post of Visiting Professor at University College London (UCL) and was Senior Clinical Research Fellow at Peninsula Medical School until 2003.

Holmes, J. (1997) “Too Early, Too Late?”: Endings in Psychotherapy – An Attachment Perspective. British Journal of Psychotherapy, 14:159-171


April 22, 2024
6:30 pm - 7:45 pm
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(206) 328-5315
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4020 E Madison St, #230
Seattle, WA 98112
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(206) 328-5315
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