Category Archives: Archive

2015 Bruce A. Gibbard Memorial Lecture

Bruce A. Gibbard, M.D. Memorial Lectureship Program
Sponsored by the University of Vermont College of Medicine Department of Psychiatry

Richard Chefetz, M.D.

“Relentless Shame: The Paradoxical Protective Use of Self-Eviscerating Power in the Wake of Interpersonal Trauma”

Friday, March 27, 2015

The Davis Auditorium
UVM Medical Education Center/University of Vermont Medical Center, Burlington

Morning Program:

10:15 – 10:30 A.M.    Vermont Psychiatric Association’s Presentation of the Bruce A. Gibbard, M.D. Award for Clinical Excellence

10:30 – 11:45 A.M.     Bruce A. Gibbard, M.D. Memorial Lecture
(Grand Rounds Workshop # 15-128-30)
Entering a Mind Filled with Relentless Shame: A Frame for Exploration and Engagement in Psychotherapy

12:00 – 1:00 P.M.       Lunch Reception—Davis Auditorium Lobby

Afternoon Program:

1:00 – 3:00 P.M.         Workshop* (Davis Auditorium)
Negativity and Negative Therapeutic Reaction: Negativity as Paradoxical Personal Power

*The Afternoon Workshop is open to Clinicians and Mental Health Professionals only.  Attendance and clinical affiliation will be taken at the door. 

Lecture and Workshop Descriptions:

Morning Lecture
We will explore how there is neither a more pervasive nor more toxic emotional experience than discovering a mind is wrapped in a caul of shame, as if from birth onward. The withering of human potential that shame provokes sometimes creates a paradoxical oasis of misery from which a suffering soul cannot seem to be coaxed. In this exploration, shame will become more visible through an understanding of its physiologic and somatic origins, relevant neurobiology, role in attachment, and context in the organization of a multiple self-state model of mind.

Afternoon Workshop
Using verbal case presentation, PowerPoint, and digital video of material from the long-term treatment of a woman subject to negative therapeutic reaction, we will explore the unique paradoxically life-preserving nature of a person becoming ensconced in negativity and negative therapeutic reaction. Particular attention is given to the dissociative processes active in her treatment.

The workshop uses an “in-the-trenches” approach both to convey clinical knowledge and to bring out the best in ourselves and our patients. The existence of the wish to change while staying the same is a normal human paradox, however it exerts an especially strong force in the treatment of severe disturbances in otherwise talented people. Armed with the knowledge and perspective in this presentation, participants will take home a greater understanding of what needs to be accomplished in these difficult treatments.


Lewis, H. B. (1987). The Role of Shame in Symptom Formation. Hillsdale, N.J.: Lawrence Earlbaum Associates, inc.
Nathanson, D. L. (1992). Shame and Pride: Affect, Sex, and the Birth of the Self. New York: W.W. Norton & Company.
Valenstein, A. F. (1973). On attachment to painful feelings and the negative therapeutic reaction. Psychoanalytic Study of the Child, 28: 365-392.
Wurmser, L. (2000). The Power of the Inner Judge: Psychodynamic Treatment of the Severe Neuroses. Northvale, NJ: Jason Aronson.
Wurmser, L., Jarass, H., Eds. (2013). Nothing Good is Allowed to Stand: An Integrative View of the Negative Therapeutic Reaction. Psychoanalytic Inquiry Book Series. New York: Routledge.

Learning Objectives:
At the conclusion of these presentations participants will be able to:

  1. Describe the difference between the words affect, feeling, and emotion, as well as the clinical utility of distinguishing between them.
  2. Explain the likely sources of negative therapeutic reaction in the treatment of a person with a complex dissociative disorder.
  3. Describe a clinical stance that will slowly erode the use of negativity and the negative therapeutic reaction.
  4. Explain the value of a self-state psychology in working with negativity and the negative therapeutic reaction.

About Our Speaker:

Richard Chefetz, M.D. is a psychiatrist in private practice in Washington, D.C. He was President of the International Society for the Study of Trauma and Dissociation (2002-3), Founder and Chair of their Dissociative Disorders Psychotherapy Training Program, and is a Distinguished Visiting Lecturer at the William Alanson White Institute of Psychiatry, Psychoanalysis, and Psychology. He is also a faculty member at the Washington School of Psychiatry, the Institute of Contemporary Psychotherapy & Psychoanalysis, and the Washington Center for Psychoanalysis. He is a Certified Consultant at the American Society of Clinical Hypnosis, and is trained in Level I and II EMDR. Dr. Chefetz was editor of Dissociative Disorders: An Expanding Window into the Psychobiology of Mind for the Psychiatric Clinics of North America (March, 2006), “Neuroscientific and Therapeutic Advances in Dissociative Disorders,” in Psychiatric Annals (August, 2005), and “Multimodal Treatment of Complex Dissociative Disorders,” in Psychoanalytic Inquiry (20:2, 2000), as well as numerous journal articles on psychoanalytic perspectives on trauma and dissociation. His recently published book with Norton (2015), in their Interpersonal Neurobiology series, is entitled Intensive Psychotherapy for Persistent Dissociative Processes: The Fear of Feeling Real.

Continuing Education Credits:

The morning lecture (Workshop # 15-128-30) is part of the UVM Department of Psychiatry Grand Rounds Series. Attendees will receive 1.25 AMA PRA Category 1 CreditsTM

The University of Vermont College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The University of Vermont designates this educational activity for a maximum of 1.25 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The Afternoon Workshop is not accredited for Category 1 CME Credits. Application has been made for CEU Credits for Psychologists, Social Workers, and Mental Health Counselors.

Registration and Program Fees—WE WELCOME ALL DONATIONS!

The annual Gibbard Lectureship Program is provided at no charge to participants, thanks to donations made to the Bruce A. Gibbard M.D. Lectureship in Psychiatry Fund at the University of Vermont, College of Medicine. Donations to support future programs are needed and very much appreciated. To make a donation and to learn more about the Gibbard Lectureship Fund contact:

Directions to Davis Auditorium:

From the University of Vermont Medical Center Parking Garage Level 2 (orange), enter the Ambulatory Care Center (ACC). Once inside, follow the signs to the Medical Education Center. At the snack kiosk, turn left through the double glass doors. Davis Auditorium is on the right.

Directions to University of Vermont Medical Center Parking Garage:

Map available online at: Click on Locations, click on The University of Vermont Medical Center, Main Campus, 111 Colchester Avenue, Burlington, and a map will appear.

Or, from Google Maps, type in “FAHC Garage”, click on “garage, near FAHC, Burlington, VT”, and follow directions from your location.

Questions? Contact: Debra at or

Jean Pieniadz, Ph.D., Bruce A. Gibbard Lectureship Committee Chair, or Committee Members: James Jacobson, M.D., Judith Lewis, M.D., Debra Lopez, M.D., and Gerri Oppedisano, Ph.D.

New Public Access Policy for the AHRQ

CaptureThe Agency for Healthcare Research and Quality (AHRQ) has announced a policy for public access to research papers and data. This will require accepted article manuscripts from funded authors to be deposited to PubMed Central (PMC) within a year of publication.

According to the AHRQ website, “This policy will be effective for research funded in February 2015. AHRQ will solicit contract proposals and fund a commercial repository by October 2015. Beginning October 2015, AHRQ will require all researchers to submit data in digital format to the commercial repository.”

For more information, head over to The Scholarly Kitchen or The Agency for Research and Quality website

Dana Medical Library Spring Semester Hours

The hours for the Spring 2015 semester will be as follows:
Monday – Thursday 7:30 am – 12 midnight
Friday – 7:30 am – 9 pm
Saturday 9 am – 9 pm
Sunday 9 am – 12 midnight

Presidents Day: Monday, February 16, 2015
Memorial Day: Monday, May 25, 2015

See the Hours page for an interactive calendar with complete information on the Library’s hours of operation. Contact us at 656-2200 with any questions.

The Natural Standard Changes Name to Natural Medicines


The Natural Standard database which offers trustworthy information on complementary and alternative therapies, diets, exercise and nutrition has recently changed their name to Natural Medicines and upgraded their database features.

Natural Medicines was founded by healthcare providers and researchers to provide evidence-based information about complementary and alternative therapies. Grades are used to reflect the level of available scientific data for or against the use of each therapy for a specific medical condition. Users can search by treatment, condition, or herb/supplement. Natural Medicines provides a Foods, Herbs and Supplements database that includes interactions. It also offers interactions and depletion checkers.

Head over to Natural Medicines to find out more.


UpToDate Medical Calculators Provide Easy Access to Numerical Data

UpToDate continues to provide easy access to numerical data through the use of 140 interactive medical calculators allowing users to obtain numerical data through commonly used formulas as well as estimate the severity of a condition.

When in UpToDate, you can explore by clicking on the “calculators” tab and then browse the subjects offered.


For example, the calculator below converts temperature units.Capture2


Collective Discussion through Journal Clubs

121-activelearningPubMed Commons, the pilot commenting system for authors in PubMed announces a new feature: Journal Clubs. By allowing participants (researchers, physicians, and trainees) to share views on methods, interpret results, and discuss how publications fit into their own research, PubMed Commons Journal Clubs encourage global engagement on scholarly literature through face to face meetings and on social media platforms.


University of Vermont Professor Gary Ward (Department of Microbiology and Molecular Genetics) is a member of an external group providing feedback for PubMed Commons. He believes these journal clubs have the ability to offer more to the scientific community.

Journal club accounts are open to those discussing research literature in graduate, post graduate, and continuing professional education, and applicants need to be supported by members who participate in group discussions. The journal club, according to the PubMed Commons Team, “can represent a major intellectual investment – and a long-standing form of post-publication evaluation.” For more information on PubMed Journals, please head over to the PubMed Commons Blog.

Dana Librarian Wins Prestigious Medical Library Association Award

Fran new

Dana Medical Library at the University of Vermont is pleased to announce that Frances Delwiche, MLS , is the winner of this year’s Daniel T. Richards Prize for her publication entitled “Mapping the Literature of Radiation Therapy” in the Journal of the Medical Library Association, April 2013. The award is given annually by Medical Library Association’s Collection Development Section to a distinguished publication in health sciences collection development.

Delwiche’s article “Mapping the Literature of Radiation Therapy” characterizes the literature in the field of radiation therapy through citation analysis. The article provides knowledge that informs collection development activities in support of radiation therapy. Fran joined the faculty at Dana Medical Library in 1999, and currently serves as reference and instruction librarian, with special focus on the bio-medical sciences and allied health professions. She also contributes to collection development efforts at Dana. Fran will be accepting her award at the Medical Library Association’s Annual Meeting in Austin, TX in May of this year.

In honor of Daniel T. Richards, a founder of the collection development section in the Medical Library Association, this award is presented annually to an individual who has authored a work related to collection development in the health sciences. Dan Richards, as he was known, worked at the National Library of Medicine in the late eighties helping to develop their collection. He also rewrote the NLM’s Collection Development Manual, and is considered “instrumental in establishing health sciences collection development as a rigorous discipline with a distinct methodology.” (Medical Library Association) Dan became Director of the Biomedical Libraries at Dartmouth College in Hanover, NH in 1991, and was well liked and respected by colleagues there. He passed away unexpectedly in 1995.

New Dynamed App Now Available

Tablet physician

DynaMed has released a new mobile app that is available to UVM and UVM Medical Center users.  DynaMed provides clinicians quick and easy access to evidence-based information at the point-of-care.

The new app features:

  • * Improved user experience
  • * Seamless authentication
  • * Easy access with or without an internet connection
  • * Note taking and bookmarking functions

To get started, visit DynaMed from a browser on the UVM or University of Vermont Medical Center network and click on the “Mobile” link in the top toolbar. See the Dana Mobile Apps guide for complete information.

Photo by NEC Corporation of America with Creative Commons license.


Changes to NIH Manuscript Submission (NIHMS) System


The old NIH Manuscript Submission (NIHMS) System got a facelift in January 2015. NIHMS is used to deposit and approve research manuscripts  funded by NIH and accepted for publication on or after April 7, 2008.

In addition to a new, fresh Web page design, NIH is streamlining the manuscript submission process, as well as the login procedures. The homepage now has a graphic overview of the process. Just hover over the steps for more information or links to more details.

When you enter the system, you will find a list of your manuscripts with the status for each. A PI or author must still provide the initial and final approvals steps, but there are updated instructions for each part of the process.

Major changes to the process:

  • NIHMS ID will be assigned only AFTER files are uploaded
  • Deposit process has been streamlined with clear explanations
  • PDF receipt MUST BE opened before going to the next step reports!
  • Funding must be added by the reviewer BEFORE the initial approval

You can still access the NIHMS System through “My Bibliography” when you add a new citation and want to start the submission or compliance work.

USMLE Study Guide

Studying for Step 1? See our guide to USMLE study resources available at Dana Medical Library.

Here are a few of the other things Dana Library is doing to help you prepare for the boards:

  • USMLE print study materials are gathered in one location near the current newspapers to the right when you walk into the library.
  • Electronic resources will all be listed on the guide.
  • A card-swipe access, quiet study room is available to all medical students. See library staff for assistance.
  • Ear plugs and headphones are available upon request. See either service desk.
  • If there are other resources you would like to see the library purchase, let us know.

Good luck!