West Virginia University, Morgantown, WV Learning Center, WVU Health Sciences Center Room 1909 Free Parking is available on-site

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1 Where: West Virginia University, Morgantown, WV Learning Center, WVU Health Sciences Center Room 1909 Free Parking is available on-site Kay Thompson, D.D.S. was a mentor, teacher, trainer, administrator, lecturer, practitioner, and volunteer in the fields of hypnosis and dentistry. She served as Third District Trustee to the American Dental Association, and was past president of the Pennsylvania Dental Association. She was Past President and Fellow, American Society of Clinical Hypnosis; Associate Editor, Erickson Monograph; Invited Presenter and Faculty, All Erickson Congresses; and National and International lecturer on pain/clinical hypnosis Mission Statement: To TRAIN the professional in the field of hypnosis To teach the possibilities of TRANCE To use the appropriate TREATMENT to encourage and facilitate health, well being, and happiness The faculty has volunteered their time to meet these demands in the spirit of Kay Thompson s approach to learning: Christa Aucremanne, LICSW Arnold Freedman, Ph.D. Lisa Hamilton, Ph.D. Richard Iammarino, M,.D. Marion P. Kostka, Ed.D. Penny Kostka, M.A.. Stacie Murrer, D.M.D Anthony Onorato, M.A., LPC, CCAC Joseph Richard, Ed.D. Robert N. Stuchell, D.M.D. Bruce Sorkin, Ph.D. Eligibility: The Symposium is open to all past participants of the Annual WVU Hypnosis Training Workshops and those sponsored by the Western Pennsylvania Society of Clinical Hypnosis originally held at the University of Pittsburgh. It is also open to individuals that have completed training in hypnosis through either the American Society of Clinical Hypnosis (A.S.C.H.) or the Erickson Foundation. It is not an introductory course in hypnosis but rather an event to help past participants hone their hypnotic skills through the practice of induction techniques and the Ericksonian concept of utilization.

2 Learning Objectives: To learn about the individual adaptations of formal and informal inductions To learn how to incorporate hypnosis into actual clinical practice To understand the various meanings of UTILIZATION CE Credit: Continuing Education credit has not been requested for this event in an attempt to minimize the expense of sponsoring the workshop. Most professional groups and licensure organizations can be approached individually (in advance) to secure acceptable credit. You will receive a Certificate of Attendance for the event which is usually required for such consideration. Fees: Full day registration $50.00 Full day/full-time students* $25.00 Late or on-site registration add $10.00 * Documentation is required for student registrations. Registration: Print and complete the registration form and the questionnaire. Fax or mail them to the address on the registration form. Payment: By credit card (see registration form) or check. Make checks payable to WVU Carruth Center Checks must be received by 28 May 2010 Refunds: If you are unable to attend after you have registered, you must notify us in writing by May 28, A $20.00 fee will be charged for cancellations and no refunds will be made after May 28. A late fee of $10.00 will be assessed after May 28th. Refunds will take approximately 30 days to process.

3 Co-sponsored by the West Virginia University Hypnosis Study Group & The Western Pennsylvania society of Clinical Hypnosis (both component societies of A.S.C.H.) & The Milton H. Erickson Institute of West Virginia 8:30 a.m. Registration/Continental Breakfast 9 9:30 a.m. Welcome/Introductions 9:30 12 noon Demonstrations of approaches to various clinical situations including self-hypnosis 12 1:30 p.m. Lunch (on your own) 1:30 3:00 p.m. Objects d induction. A small group practice session focused on the utilization of chosen objects to facilitate trance. 3:00 4:30 p.m. The Practice of Induction: A small group practice session with feedback including the observation of hypnotic phenomena. 4:30 p.m. Discussion/ Q & A

4 Questionnaire: Please identify demonstrations that interest you. List your preferences by ranking them i.e. 1 Most interested 2 Next interested Test Anxiety Smoking Cessation Performance Anxiety Insomnia/sleep issues Weight Control Grief/loss Preparation for Surgery Stress Management Anger Management Pain Management Other

5 REGISTRATION FORM Print and Return Form to: Kay F. Thompson Memorial Symposium WVU Carruth Center for Counseling 700 College Avenue 315 Student Services, PO Box 6422 Morgantown, WV Or fax to: Information at: LAST NAME FIRST NAME MIDDLE STREET ADDRESS CITY STATE ZIP PHONE CONTACT ORGANIZATION DEGREE/SPECIALITY LICENSE(S) STATE NAME ON CERTIFICATE Students: College/University: Program: Symposium Fee: Late Fee: TOTAL FEES: ************************************************************************************** CREDIT CARD PAYMENT METHOD: VISA MASTER CARD EXPIRATION DATE: Signature on Card CREDIT CARD INFORMATION IS DESTROYED AFTER PROCESSING. MAKE CHECK PAYABLE: WVU CARRUTH CENTER CONTACT : Marion.Kostka@mail.wvu.edu ( )