Thanks for visiting my professional home page. If this is your first time here, you may be looking for my curriculum vitae.

I recently had the great pleasure of attending the 2009 Society for Clinical and Experimental Hypnosis conference in Reno, Nevada. My primary purpose in attending was to serve on the faculty for the Introductory Workshop in Clinical Hypnosis. I had spent the previous weeks helping workshop co-chair Dr. Edward Frischholz in preparing an updated curriculum for the workshop. Dr. Frischholz’ vision for the new training model is to enhance the workshop’s focus on empirically validated methods of assessment, treatment, and training.

Dabney Ewin presents on the treatment of warts, hives, herpes, and asthma

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As of Wednesday evening my psychotherapy practicum is complete!

I spent the year externing on the Valeo Intensive Outpatient Unit at Chicago Lakeshore Hospital. Lakeshore is a freestanding psychiatric hospital, and the IOP unit is located a couple blocks away in a separate building. Many of the patients I saw there were transitioning from inpatient care, some were going back and forth between inpatient and outpatient, and some were admitted solely for intensive outpatient treatment.

Valeo is a specialty program that serves gay, lesbian, bisexual, and transgender (GLBT) individuals, and patients come from a wide range of socio-economic, cultural, and personal backgrounds. Nearly all patients were dually diagnosed mentally ill substance abusers (MISA), with a few patients being treated solely for mental illness and others presenting with primary addictions.

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My doctoral psychotherapy practicum on the Valeo Intensive Outpatient Unit at Chicago Lakeshore Hospital focused on the treatment of mentally ill substance abusers within the gay, lesbian, bisexual, and transgender (GLBT) community. Valeo is one of three GLBT-focused treatment programs in the Chicago area, along with Howard Brown and The Center on Halsted.

These three sites collaborate to provide their externs with weekly didactic sessions on issues specific to individuals within the GLBT community. So, over the past year I gained a very broad base of knowledge about the clinical issues and approaches recognized within this field, while simultaneously working with gay, lesbian, bisexual, and transgendered clients. This provided an integrative experience that definitely improved my understanding of the interactions between social and psychological factors for minority groups.

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At this point in my clinical training, I have spent nearly a year on what is called the psychodiagnostic practicum. What that means is that my main job for the last year, as a psychodiagnostic extern at the Diamond Headache Clinic inpatient unit, has been to figure out what psychological factors are playing a role in our patients’ headache pain.

This is a tricky thing to do, for a number of reasons:

• It’s tricky to figure out what’s going on with anybody, psychologically. People are pretty complicated; when things go wrong, they rarely go wrong for just one reason. Typically any psychological problem will have some genetic components, some environmental components, some relational components, and some intrapsychic components. You don’t really get the luxury of pointing to one thing in someone’s past and saying you’ve found the answer.
• These people tend to be especially complicated. There’s some research to suggest that chronic pain patients are more likely to meet criteria for personality disorders than other types of patients. In my experiences, I’ve found that even those who don’t meet criteria for those diagnoses usually have pretty deep-seated ways of interacting with the world that unintentionally serve to maintain their pain status.
• Headache patients, in particular, are usually pretty resistant to psychological asssessment. This is mostly because they have gotten used to being told that the very real pain that they experience on a daily basis is “all in their head.” Usually they hear this from physicians who are simply frustrated that none of their tests come back positive and nothing they do seems to change anything. The same goes for any other type of chronic pain patient, and probably many people with IBS as well. » Read the rest of this entry «