Greater Kansas City 

Psychological Association

  • Home


  • September 28, 2018



Psychotherapy Technique in Crisis: Ineffectiveness with Intelligent-Obsessive Symptomatology 

Presented by Alan C. Domian, Ph.D


In this presentation, Dr. Domian will open with a brief summary of his ideas on the see-saw effect in the history of psychotherapy and how this keeps theory, technique, and our clinical practice stuck. 

The see-saw effect refers to the repetitive cycling back and forth between the two polarities of rational/behavioral and relational/empathic therapies. He believes that it is the inability to work with intelligent-obsessive symptomatology, one of the most common clinical presentations, that causes theorists to default and repackage one psychotherapy trend when the other becomes lifeless.

Dr. Domian will spend the bulk of the presentation on the alternative—working in a genuinely psychological way with intelligent-obsessive symptomatology without over-relying on medication or either one of the two polarities on the see-saw.

This workshop is rooted in the intensive training Dr. Domian received (2007-2015) in ego analytic psychotherapy from the psychoanalyst Bernard Apfelbaum out of Berkeley California. Clinical examples will emphasize both individual and couple therapy.


  • To increase therapist knowledge of the two polarities that currently predominate clinical theory.
  • To describe the negative effect on clinical practice of the repetitive cycling specifically related to intelligent-obsessive symptomatology. 
  • To identify and implement psychotherapy techniques working with varying levels of complexity in intelligent-obsessive symptomatology in both individuals and couples.


About Dr. Domian

Al Domian specializes in individual adults and couples. He has worked as a psychotherapist since 1974 with adults, couples, children and families in a variety of outpatient and inpatient settings. Past experience includes director of psychological services at a psychiatric hospital for children, director of a residential treatment center for adolescent girls, psychotherapist at a university counseling center, and consultant/in-service trainer to various mental health and business organizations. He has conducted hundreds of psychological evaluations for forensic and treatment purposes.

Over the years, he has lectured at local colleges, universities, and internship programs on couples and adult psychotherapy. Dr. Domian received his undergraduate degree from the University of Kansas in 1972 and master's degree in 1977. His doctoral degree is from the University of Missouri at Kansas City in their APA-approved counseling psychology program. He completed his internship at the V.A. Medical Center in Leavenworth, Kansas. He is a licensed psychologist in both Missouri and Kansas.

Date:  Friday, September 28

Time:  TBD

Location:  TBD

Cost:  Free for GKCPA members,  $15 for non-members

Powered by Wild Apricot Membership Software