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EP90 Supervision Panel 04 - Judd Marmor, MD, PhD; Donald Meichenbaum, PhD; Paul Watzlawick, PhD

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Topic Areas:
Supervision Panels |  Supervision |  Psychotherapy |  Brief Therapy |  Case Discussions |  Family Therapy |  Obsessive Compulsive Disorder (OCD) |  Systems Theory
Categories:
Evolution of Psychotherapy |  Evolution of Psychotherapy 1990 |  Pioneers in Couples and Family Therapy
Faculty:
Judd Marmor |  Donald Meichenbaum, PhD |  Paul Watzlawick, PhD
Duration:
55 Minutes
Format:
Audio Only
Original Program Date:
Dec 15, 1990
License:
Never Expires.
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Tags: Supervision Psychotherapy Paradox Task Assignment Therapist Analysis Utilization Parental Dynamics Case Conceptualization Clinical Supervision Resistance Symptom Function Analytic Approach Anxiety Depression

Description

Description:

Educational Objectives:

  1. To compare and contrast clinical and philosophical perspectives of experts.

*Sessions may be edited for content and to preserve confidentiality*

Outline:

Supervision Panel Introduction and Initial Question

  • Panel introduced by Bill O'Hanlon with Donald Meichenbaum, Judd Marmor, and Paul Watzlawick

  • Aim: explore specific cases, case types, new ideas, or alternative case conceptualizations

  • Format: panelists respond to participant questions or presented cases

  • First question from a physician with analytic training on how to take a history with a new patient

Systemic Approach vs. Analytic Approach

  • Systemic view emphasizes present functioning and environmental context over detailed history

  • Marmor, though analytic, supports working in the here-and-now but values background context

  • Cognitive-behavioral perspective integrates assessment and treatment, encourages involving significant others early

  • Marmor warns against overly associative (“animistic”) interviews and endorses guided structure

Case Discussion: Obsessive Compulsive Disorder in a 10-Year-Old Girl

  • Case: 10-year-old with OCD on Prozac, treated with family systems approach

  • Background: father is bipolar and accidentally killed his brother

  • Marmor recommends exploring symptom function and broader family dynamics

  • CBT approach involves family, assesses child’s functioning across settings, and targets specific behaviors

Family Dynamics and Medication Adherence

  • Issue: families of Clozaril patients become highly functional, increasing pressure on clients

  • Emphasis on viewing the client within their relational context

  • CBT suggestion: psychoeducation for family and patient about schizophrenia and relapse risks

  • Frustration shared over sustaining client motivation under family expectations

Therapy for a 62-Year-Old Man with Anxiety and Depression

  • Case: older man with anxiety, cardiac history, and partial antidepressant response

  • Resistant to therapy; wife is pushing for change

  • CBT strategy: focus on the couple’s interaction, use paradoxical intention to shift dynamics

  • Explore how wife’s efforts might be reinforcing the patient’s withdrawal

Paradoxical Intervention and Ethical Considerations

  • Suggestion: have wife stop pushing as a strategic paradox

  • Ethical concerns raised about possible deception or lack of transparency

  • Marmor stresses the therapist’s ethical duty to be honest with clients

  • Systemic counterpoint: tact and strategic diplomacy are not deceit—they support learning and change

Final Thoughts and Conclusion

  • Summary: contrast between systemic and CBT approaches in assessment and intervention

  • Comment: secrecy isn’t necessary for effective family therapy if strategies are tactful

  • Panelists agree on value of tact, honesty, and strategic framing in therapy

  • Closing reminder of trust, openness, and flexibility as essential therapeutic foundations

Credits

Faculty

Judd Marmor's Profile

Judd Marmor Related Seminars and Products

Judd Marmor, MD, was an American psychiatrist known for his role in removing homosexuality from the American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders. Judd was an adjunct Professor of Psychiatry at the University of California in LA, was Franz Alexander Professor of Psychiatry at the University of Southern California School of Medicine. he has practices medicine for more than 50 years, having graduated from Columbia University College of Physicians and Surgeons in 1933. He is past president of the American Psychiatric Association, American Academy of Psychoanalysis, and The Group for the Advancement of Psychoanalysis, and The Group for the Advancement of Psychiatry. He is recipient of the Bowis Award for Outstanding Achievements in Leadership in the Field of Psychiatry from the American College of Psychiatrists and the Founders Award from the American Psychiatric Association. Dr. Marmor served on the editorial board of 14 journals.He authored five books and co-authored one. He has written or co-written more than 300 scientific papers. Much of his writing has been on psychoanalysis and human sexuality.

Donald Meichenbaum, PhD's Profile

Donald Meichenbaum, PhD Related Seminars and Products

Donald Meichenbaum, Ph.D in Clinical Psychology is currently Research Director of Melissa Institute for Violence Prevention, Miami (melissainstitute.org). He is one of the founders of cognitive behavior therapy. He was voted one of the most influential psychotherapists of the 20th century. Latest books include "Roadmap to Resilience" (www.roadmaptoresilience.com) and "Evolution of Cognitive Behavior Therapy: A Personal and Professional Journey."

Paul Watzlawick, PhD's Profile

Paul Watzlawick, PhD Related Seminars and Products

Paul Watzlawick, received his Ph.D. from the University of Venice in 1949. He has an Analyst's Diploma from the C.G. Jung Institute for Analytic Psychology in Zurich. Watzlawick has practiced psychotherapy for more than 30 years. He was research associate and principal investigator at the Mental Research Institute. He was Clinical Professor at the Department of Psychiatry and Behavioral Sciences, Stanford University Medical Center. Watzlawick is a noted family therapist; he is recipient of the Distinguished Achievement Award from the American Family Therapy Association. Also, he is author, co-author or editor of eight books on the topics of interactional psychotherapy, human communication and constructivist philosophy.

He formulated five axioms. They are:

  1. It is not possible to not communicate. Every behavior is some kind of non-verbal communication.
  2. Every communication has a content. In addition, there is 'metainformation', which says how the communicator wants to be understood.
  3. All partners involved in a communication process also interpret their own behaviour during communication.
  4. Human communication involves both verbal and non-verbal communication. In addition to the spoken words, there are is also a non-spoken part (gestures, behavior, intonation..) which is part of the communication.
  5. Communication between humans is either symmetric or complementary. This is based on whether the relationship of those communicating is based on differences or parity.

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