LA Mind-Body Conference

Saturday, March 27th, 2010

8:30 - 9:15 am: Howard Schubiner, MD, Medicine's Blind Spot: How Modern Medicine Misunderstands Mind-Body Disorders Practitioner Howard Schubiner Dr. Schubiner will present recent research demonstrating that back pain, whiplash, fibromaylgia and other disorders are typically caused by psychophysiologic mechanisms. Educational Objectives: Participants will be able to list three ways that physicians commonly misdiagnose psychophysiological illnesses. Participants will be able to describe a neurological model for psychophysiological illnesses. Slides: PDF handout, Grayscale (recommended for printing) PDF handout, Color PowerPoint file (for greater detail) Other Links: Our Annotated Bibliography on Mindfulness and Expressive Writing Dr. Schubiner's TMS Questionnaire Howard Schubiner, MD Director, Mind Body Medicine Center, Providence Hospital, Southfield, MI Author, Unlearn Your Pain, 2010 About Howard Schubiner: Who's Who Page, TMS Practitioner Survey Response, TMS Wiki User Profile Page, Q & A with an Expert Answers

9:15 - 10:00 AM: Eric Sherman, PsyD, The Psychology of Mind-Body Disorders Practitioner Eric Sherman Highlighted in this presentation is the development of pain symptomatology from a psychodynamic perspective. Educational Objectives Participants will learn about affect tolerance and intolerance, and how they are involved in the development of psychophysiological pain. Participants will learn about the role of alexithymia in the development of psychophysiological pain. Eric Sherman, Psy.D. Clinical Psychologist and Psychoanalyst in NYC, Co-Author, Pathways to Pain Relief (in progress) About Eric Sherman: Who's Who Page, TMS Practitioner Survey Response, TMS Wiki Profile Page

10:20 - 11:05 AM: David Schechter, MD Clinical Evaluation of Patients with Mind-Body Disorders Practitioner David Schechter Dr. Schechter will describe the evaluation of a patient with a potential mind-body disorder. Physical, psychological, and personality factors that help determine the diagnosis will be discussed. Educational Objectives Participants will learn to recognize and gain further understanding of the physical signs associated with mind-body disorders. Participants will improve their ability to evaluate patients for mind-body disorders after assessing patient history and personality. Slides: PDF handout, Grayscale (recommended for printing) PDF handout, Color PowerPoint file (for greater detail) Other Links: Dr. Shechter's TMS Questionnaire For comparison, Dr. Schubiner's TMS Questionnaire David Schechter's Mindbody Workbook Seligman Medical Institute David Schechter, M.D. Clinical Associate Professor, USC School of Medicine Author, The MindBody Workbook, 1999 About David Schechter: Who's Who Page, TMS Practitioner Survey Response, TMS Wiki Profile Page, Q & A with an Expert

11:05 - 11:50 AM: Dave Clarke, MD Connecting Stress to Physical Symptoms Practitioner Dave Clarke This presentation will examine how to uncover the connections between a client's physical symptoms and their (usually unrecognized) psychosocial stresses including implications for therapy. Educational Objectives Participants will learn how physical symptoms can be linked to several types of psychosocial stresses. Participants will learn several concepts for achieving successful therapeutic outcomes in patients with mind-body disorders. David Clarke, M.D. Clinical Assistant Professor of Gastroenterology Emeritus, Oregon Health & Science University Author, They Can't Find Anything Wrong!, 2007 About David Clarke: Who's Who Page, TMS Practitioner Survey Response, TMS Wiki Profile Page, Forum Posts

11:50 - 1:20 PM LUNCH

1:20 - 2:20 PM KEYNOTE: Ernest Rossi, PhD, Science Goes Where You Imagine It A New psychotherapeutic protocol utilizing DNA Microarrays for evidence based mind-body medicine. Educational Objectives To list 3 psychosocial genomic responses to therapeutic hypnosis validated by recent research. To list 4 stages of the creative process that facilitate mind-body healing and problem solving. Ernest Rossi, Ph.D. Internationally Renowned Psychologist, Teacher, and Pioneer in the Psychobiology of Mind-Body Healing. Recipient of the Lifetime Achievement Award for Outstanding Contributions to the field of Psychotherapy from the American Association of Psychotherapy, 2003 Author, The Psychobiology of Mind-Body Healing: New Concepts of Therapeutic Hypnosis, 1993 Co-editor, The Collected Works of Milton H. Erickson, 2008-2010

2:20 - 3:05 PM: Howard Schubiner, MD, Mindfulness as a Therapeutic Modality Practitioner Howard Schubiner Dr. Schubiner will review the research on mindful awareness and it's promotion of healthy brain activity patterns. He will lead the audience in a mindfulness exercise. Educational Objectives Participants will be able to list three ways that mindfulness practice affects brain function. Participants will be able to describe the essential elements of mindfulness meditation. Slides: PDF handout, Grayscale (recommended for printing) PDF handout, Color PowerPoint file (for greater detail) Other Links: Our Annotated Bibliography on Mindfulness and Expressive Writing Dr. Schubiner has a free guided meditation, entitled "Embracing Emotions," available for free on his website. (Click here and scroll down to listen to it.) Further information about cited studies: From Slide 2, "Can the brain cause pain?": Derbyshire SWG, Whalley MG, Stenger VA, Oakley DA. "Cerebral activation during hypnotically induced and imagined pain." Neuroimage. 2004, 23: 392– 401. [Abstract] [Cited By] [About SWG Derbyshire] From Slide 4, "Social exclusion activates ACC and pain pathways" Eisenberger NI,Lieberman MD, Williams KD. "Does rejection hurt? An MRI study of social exclusion." Science. 2003, 302: 290-292. [Abstract] [Cited By] [Full Text PDF] [About Naomi Eisenberger] [About Matthew Lieberman] [About Kip Williams] From Slide 5, "Social exclusion alters pain sensitivity" Eisenberger NI, Jarcho JM,Lieberman MD, Naliboff BD. "An experimental study of shared sensitivity to physical pain and social rejection." Pain, 2006, 126. [Abstract] [Full Text PDF] [About Naomi Eisenberger] [About Matthew Lieberman] [About Bruce Naliboff] From Slide 6, "Social exclusion leads to a preference for warm drinks/food" Zhong C, Leonardelli G. "Cold and Lonely: Does Social Exclusion Literally Feel Cold?" Psychological Science, 2008, 838-842. [Abstract] [Cited By] [Full Text PDF] [About Chen-Bo Zhong] [About Geoffrey Leonardelli] From Slide 7, "The Macbeth effect" Zhong C, Liljenquist K. "Washing Away Your Sins: Threatened Morality and Physical Cleansing." Science, 2006, 313: 1451-1452. [Abstract] [Cited By] [About Chen-Bo Zhong] [About Katie Liljenquist] From Slide 9, "Effects of emotional abuse on cortisol levels" Carpenter L, et al. "Effect of Childhood Emotional Abuse and Age on Cortisol Responsivity in Adulthood." Biological Psychiatry. 2009, 66(1): 69-75. [Abstract] [Cited By] [About Linda Carpenter] From Slide 10, "Childhood victimization" Goodwin RD, Hoven CW, Murison R, Hotopf M "Childhood abuse and the risk of gastrointestinal disorders and migraine during adulthood."American Journal of Public Health. 2003, 93: 1065-1067. [Abstract] [Cited By] [Full Text PDF] [Full Text HTML] [About Renee Goodwin] [About Christina Hoven] Sumanen M, et al. "Gender differences in sex life issues – A population-based study of migraine sufferers." BMC Family Practice. 2007, 9:19. [Abstract] [Full Text PDF] [Full Text] Latthe P, et al. "Factors predisposing women to chronic pelvic pain: systematic review." BMJ. 2006, 332(7544):749-755. [Abstract] [Cited By] [Full Text PDF] [Full Text] [About Pallavi Latthe] Meltzer-Brody S, et al. "Trauma and Posttraumatic Stress Disorder in Women With Chronic Pelvic Pain." Obstetrics & Gynecology. 2007, 109(4): 902-908. [Abstract] [Cited By] [Full Text] [About Meltzer-Brody] Mayer E, Naliboff BD, Chang L, Coutinho SV. "Stress and the Gastrointestinal Tract V. Stress and irritable bowel syndrome." Am J Physiol Gastrointest Liver Physiology. 2001, 280: 519-524. [Abstract] [Cited By] [Full Text PDF] [Full Text] [About Emeran Mayer] [About Bruce Naliboff] [About Lin Chang] From Slide 11, "Pain with high vs. low "cost" placebo" Waber RL, Shiv B, Carmon Z, Ariely D. "Commercial features of placebo and therapeutic efficacy." Journal of the American Medical Association. 2008, 299: 1016-7. [Abstract] [Cited By] [Full Text] [Full Text PDF] From Slide 12, "Painful consequences of anger suppression" Quartana PJ, Burns JW. "Painful consequences of anger suppression." Emotion. 2007, 7: 400-414. [Abstract] [Cited By] [About John Burns] From Slide 13, "Emotional function of the DLPFC Hooley JM, Gruber SA, Scott LA, Hiller JB, Yurgelun-Todd DA. "Activation in dorsolateral prefrontal cortex in response to maternal criticism and praise in recovered depressed and healthy control participants." Biological Psychiatry. 2005, 57: 809-812. [Abstract] [Cited By] [About Jill Hooley] From Slide 14, "Is LBP contagious?" Raspe, Heiner, Hueppe, Angelika, and Neuhauser, Hannelore. "'Back pain, a communicable disease?"' International Journal of Epidemiology, 2008, 37: 69–74. [Abstract] [Cited By] [Full Text] [Full Text PDF] From Slide 18, "Neural effects of mindfulness" Farb N, et al. "Attending to the present: mindfulness meditation reveals distinct neural modes of self-reference." SCAN. 2007, 2: 313–322. [Abstract] [Cited By] [Full Text PDF] [Full Text] From Slide 20, "Cortical thickness increased with mindfulness" Lazar S, et al. "Meditation experience is associated with increased cortical thickness." Neuro Report. 2005, 16(17): 1893-1897. [Abstract] [Cited By] [Full Text] [Full Text PDF] [About Sara Lazar] From Slide 22, "Mindfulness attentuates emotional interference with tasks" Ortner C, Kilner SJ, Zelazo PD. "Mindfulness meditation and reduced emotional interference on a cognitive task." Motivation and Emotion. 2007, 31(4): 271-283. [Abstract] [Cited By] [Full Text PDF] From Slide 23, "Mindfulness decreased pain and associated symptoms in Fibromyalgia at 3 year F/U" Grossman P, Tiefenthaler-Gilmer U, Raysz A, Kesper U. "Mindfulness training as an intervention for fibromyalgia: evidence of postintervention and 3-year follow-up benefits in well-being." Psychotherapy and Psychosomatics. 2007, 76: 226-233. [Abstract] [Cited By] From Slide 24, "EEG measure of contentment" Davidson, Richard; Kabat-Zinn, Jon, et al. "Alterations in Brain and Immune Function Produced by Mindfulness Meditation." Psychosomatic Medicine. 2003, 65:564-570. [Abstract] [Cited By] [Full Text] [Full Text PDF] [About Richard Davidson] [About Jon Kabat-Zinn] From Slide 37, "Larger gray matter volumes in mediators" Lunders E, Toga AW, et al. "The underlying anatomical correlates of long-term meditation: Larger hippocampal and frontal volumes of gray matter." Neuroimage. 2009, 45(3): 672-678. [Abstract] [Cited By] [About Eileen Lunders] [About Arthur Toga] From Slide 38, "Neural effects of mindfulness" Farb N, et al. "Attending to the present: mindfulness meditation reveals distinct neural modes of self-reference." SCAN. 2007, 2: 313–322. [Abstract] [Cited By] [Full Text PDF] [Full Text] Howard Schubiner, M.D. Director, Mind Body Medicine Center, Providence Hospital, Southfield, MI Author, Unlearn Your Pain, 2010 About Howard Schubiner: Who's Who Page, TMS Practitioner Survey Response, TMS Wiki User Profile Page, Q & A with an Expert Answers

3:25 - 4:10 PM: Alan Gordon, LCSW Cognitive-Behavioral Approaches in the Treatment of Mind-Body Disorders This presentation focuses on the cognitive-behavioral aspects to treating mind-body disorders, with emphasis on overcoming fear, increasing empowerment, and breaking the pain cycle. Educational Objectives Participants will gain knowledge of mental patterns that serve to perpetuate psychogenic pain. Participants will learn several cognitive-behavioral techniques to help break the pain cycle. Slides: PDF handout, Grayscale (recommended for printing) PDF handout, Color PowerPoint file (for greater detail) Other Links: About Alan Gordon Profile Page Article by Alan Gordon entitled "Miracles of Mindbody Medicine." Alan Gordon, L.C.S.W.: Psychotherapist, Private Practice in Santa Monica, CA

4:10 - 5:00 PM: Panel Discussion A panel of physicians, therapists, and patients will discuss various perspectives in the treatment of mind-body disorders. Educational Objectives To offer participants an opportunity to deepen their understanding of mind body disorders from a variety of perspectives. To discuss the application of the ideas from the previous presentations in a clinical context.

Sunday, March 28, 2010

8:30 - 10:05 AM: Frances Sommer Anderson, PhD, Experiencing the Pain Matrix® Practitioner Frances Sommer Anderson The complex, subjective experience of physical pain will be explored using silent experiential processes, followed by audience participation that will illustrate implications for treatment. Educational Objectives To demonstrate, through a silent experiential process, how memories of physical pain influence the way we experience painful sensations later in life. To illustrate, using a clinical vignette, how disavowed emotions associated with childhood experiences contributed to the development of a chronic pain syndrome and how integration of the emotions led to symptom relief. Other Links: Discussion about this presentation Frances Sommer Anderson, Ph.D. Internationally Renowned Mind-Body Psychologist Editor, Bodies in Treatment, 2007 Co-Author, Pathways to Pain Relief (in progress) About Frances Sommer Anderson: About Frances Sommer Anderson, TMS Wiki Profile Page

10:30 - 12:00 PM: Eric Sherman, PsyD, A Psychodynamic Model for Resolving Physical Pain, Based on the Work of Dr. John Sarno Practitioner Eric Sherman This talk will present an overview of treatment approaches to patients with psychophysiological conditions, including pain. The discussion will utilize many clinical vignettes to bridge the gap between theory and practice. Educational Objectives Participants will learn how to recognize and utilize incongruities in affect to facilitate treatment. Participants will learn how to monitor affect in the treatment of psychophysiological pain. Eric Sherman, Psy.D. Clinical Psychologist and Psychoanalyst in NYC, Co-Author, Pathways to Pain Relief (in progress) About Eric Sherman: Who's Who Page, TMS Practitioner Survey Response, TMS Wiki Profile Page

12:00 - 1:30 PM LUNCH

1:30 - 3:20 PM: Frances Sommer Anderson, PhD, A Treatment Approach Illustrated in "Ellen's Story: Psychic Elaboration of Musculoskeletal Pain" Practitioner Frances Sommer Anderson The critical role of emotions in the development and resolution of psychologically induced pain will be elaborated, focusing on theory, technique, and physician-therapist collaboration. Educational Objectives To illustrate how the therapist helps the patient recognize, tolerate, and regulate disavowed, overwhelming emotions associated with pain and other physical symptoms. To demonstrate the necessity of therapist-physician collaboration. Other Links: "Ellen's Story" can also be found on Chapter 12 in the book Relational Perspectives of the Body, which can be purchases at Amazon.com. Frances Sommer Anderson, Ph.D. Internationally Renowned Mind-Body Psychologist Editor, Bodies in Treatment, 2007 Co-Author,Pathways to Pain Relief (in progress) About Frances Sommer Anderson: About Frances Sommer Anderson, TMS Wiki Profile Page

3:45 - 4:15 PM: Howard Schubiner, MD, Therapeutic Writing Techniques Practitioner Howard Schubiner Data on the positive effects of expressive writing will be reviewed and several specific techniques will be demonstrated. Educational Objectives Participants will be able to list the effects of therapeutic writing. Participants will be able to describe several therapeutic journaling techniques Slides: PDF handout, Grayscale (recommended for printing) PDF handout, Color PowerPoint file (for greater detail) Other Links: Our Annotated Bibliography on Mindfulness and Expressive Writing Howard Schubiner, MD Director, Mind Body Medicine Center, Providence Hospital, Southfield, MI Author, Unlearn Your Pain, 2010 About Howard Schubiner: Who's Who Page, TMS Practitioner Survey Response, TMS Wiki User Profile Page, Q & A with an Expert Answers

4:15 - 5:00 PM: Doug Lynch, Media and Public Education: Challenges and Opportunities for Emerging Therapies This presentation will examine the media's enthusiasm and skepticism with respect to reporting on new or breakthrough therapies, and how clinicians can engage with local media. Educational Objectives Participants will be able to describe how the media approaches medical news. Participants will be able to list three tactics for generating media attention. Other Links: About Doug Lynch Doug Lynch Director, Market Development at Boston Scientific, 2004-2009

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