SOUTHERN CALIFORNIA INSTITUTE FOR BIOENERGETIC
ANALYSIS
333 Olive St., San Diego, CA 92103
Telephone (619) 295-8002
An affiliate of the International Institute for Bioenergetic Analysis
Bioenergetics: A Therapy Integrating Mind, Body and Emotions ©
Relational Somatic Psychology
Workshop Series
Application Packet
San Diego Area
Fall 2011
VISIT US ON THE INTERNET AT:
WWW.BIOENERGETICS-SCIBA.ORG
6/7/2011
1
SOUTHERN CALIFORNIA INSTITUTE FOR BIOENERGETIC
ANALYSIS
333 Olive St, San Diego, CA 92103
Telephone (619) 295-8002
Hello!
The Relational Somatic Psychology Workshop Series consists of eight workshops that offer the
opportunity for self-growth and learning about Bioenergetics within a group setting.
This program developed in response to many requests from people who seek a deeper understanding of
their own development and mind-body experience. Some students are new to Bioenergetics, whereas
others have already been introduced to Bioenergetics through their own therapy. Some are therapists
with a background in other theoretical perspectives, some are people from other healing and selfgrowth professions, and others are from totally unrelated fields who simply want to benefit from
learning and experiencing more about Bioenergetics.
Each training day includes Bioenergetic exercises, teaching of Bioenergetic theory, discussion of
readings, experiential learning, and group process. This course stimulates opportunities for personal
growth and it is important that each student has support for any personal issues that arise, so each
student must agree to participate in at least 10 hours of individual Bioenergetic therapy with a Certified
Bioenergetic Therapist during the training program.
Tuition for the series is $100 per class, for a total of $800 for the series. The full tuition is due even if
a participant must miss a class. A non-refundable $25 application fee plus a $100 deposit toward
tuition to hold your space is requested with your application.
The eight Saturday training dates for this year are as follows:
November 5, 2011
December 3, 2011
January 7, 2012
February 4, 2012
March 3, 2012
April 7, 2012
May 5, 2012
June 2, 2012
At the end of the series, a Certificate of Attendance is available for students who attend all eight
classes, have paid tuition in full, and complete 10 hours of therapy with a Certified Bioenergetic
Therapist. Continuing Education Units (CEUs) are also available for Licensed Clinical Social Workers
and Marriage and Family Therapists at no additional charge.
When you have completed this application packet, please send the application and your application fee
to me at the address below. I will contact you when I receive the application packet. Apply soon,
while space is available!
If you have any questions about this Relational Somatic Psychology workshop series or the application
process, please call me at 619-518-1229 or email me at terrimartin@cox.net.
I also encourage you to visit the Southern California Institute for Bioenergetic Analysis website at
www.Bioenergetics-SCIBA.org and sign up to receive announcements about other future workshops
and events.
I look forward to meeting you!
Sincerely,
Terri Martin, LCSW, CBT
333 Olive Street
San Diego, CA 92103
terrimartin@cox.net
619-518-1229
SOUTHERN CALIFORNIA INSTITUTE FOR BIOENERGETIC
ANALYSIS
333 Olive St, San Diego, CA 92103
Telephone (619) 295-8002
RELATIONAL SOMATIC PSYCHOLOGY WORKSHOP SERIES
Application Form
Name:
Address:
City/State/Zip:
Home Phone:
Cell/Business:
Sex:
Age:
Degree:
Professional License # (if applicable):
Person to contact in case of an emergency:
Email:
Phone:
1. Please tell us your reasons for wanting to take this training.
2. Please explain your educational background, including academic degree(s) and additional
professional training.
3. What is your professional experience?
4. What is your previous contact with Bioenergetics?
5. How did you hear about this training program? May we thank them for referring you? If so, please
provide contact information.
6. This training stimulates personal growth and we want to know that students have a therapist who can
offer support and can help process personal material that arises during the training series. Attending a
minimum of 10 hours of Bioenergetic therapy during the course is a required part of the program.
Are you already participating in Bioenergetic Therapy?
If no, do you agree to begin therapy with a Certified Bioenergetic Therapist (CBT) within the first
month of the training? (A list of CBTs is included with this application.)
If you are already seeing a Certified Bioenergetic Therapist, would you like to tell us with whom?
(optional)
If you have any questions about this training program, please call Terri Martin at 619-518-1229.
Mail completed application along with $25 non-refundable application fee plus $100 deposit toward
tuition (please make checks out to SCIBA) to:
Terri Martin, LCSW, CBT
333 Olive Street, San Diego, CA 92103
terrimartin@cox.net
Southern California Institute for Bioenergetic Analysis
333 Olive St, San Diego, CA 92103
Telephone (619) 295-8002
RELATIONAL SOMATIC PSYCHOLOGY WORKSHOP SERIES
FALL 2011 SYLLABUS – SAN DIEGO
1—November 5, 2011
Introduction to Basic Concepts: What is Bioenergetics? -- Energy, grounding, charge &
discharge; overview of character styles; very basic anatomy and body alignment
Reading: First four chapters, Bioenergetics, Alexander Lowen
2—December 3, 2011
Dissociation, Shock & Developmental Trauma In The Body—Schizoid Character
Reading: Betrayal of the Body, Alexander Lowen (Chapters 2 & 3)
3—January 7, 2012
Attachment In The Body—Oral Character
Reading: Characterological Transformation, Stephen M. Johnson (Chapter 5, The Abandoned Child)
4—February 4, 2012
Borderline Issues In The Body—Borderline Character
Readings: Character Styles, Stephen M. Johnson (Chapter 7, The Owned Child: Symbiotic
Character); Living on Shifting Sands: Grounding and Borderline Personality Organization, Scott
Baum
5—March 3, 2012
Aggression In The Body—Masochistic Character
Reading: Character Styles, Stephen M. Johnson (Chapter 9, The Defeated Child)
6—April 7, 2012
Narcissism in the Body—Narcissistic Character
Reading: Narcissism, Alexander Lowen, (Chapters 2 & 3)
7—May 5, 2012
Sexuality in the Body—Rigid Character
Reading: Love, Sex & Your Heart, Alexander Lowen (Chapter 5, The Fear of Love)
8—June 2, 2012
Integration In The Body
Integration of relational styles and character types
SOUTHERN CALIFORNIA INSTITUTE FOR BIOENERGETIC
ANALYSIS
333 Olive St, San Diego, CA 92103
Telephone (619) 295-8002
LIST OF CERTIFIED BIOENERGETIC THERAPISTS (CBT’s)
The following is a list of Certified Bioenergetic Therapists in the San Diego area who are approved as
training psychotherapists. Students are required to complete 10 hours of Bioenergetic Analysis during
the Relational Somatic Psychology Workshop Series. Students may also see Certified Bioenergetic
Therapists outside of the San Diego area. The therapist must be a member in good standing of a
society recognized by the International Institute of Bioenergetic Analysis. Any questions about these
requirements should be directed to the Coordinator of the One-Year Program.
The following is a list of San Diego area Certified Bioenergetic Therapists:
Garet Bedrosian, LCSW, CET, CBT
333 Olive St, San Diego, CA 92103
619-295-8002
Michael Brennan, MA, MFT, CBT
3288 El Cajon Blvd #2, San Diego, CA 92104
619-282-6911
Paula Buckley, MFT, CBT
PO Box 5164, San Diego, CA 92165
619-525-3498
Nicole Dockter, LCSW, CBT
1767 Grand Ave #4, San Diego, CA 92109
619-318-5012
Mac Eaton, PhD, CBT
318 9th St Ste A, Del Mar, CA 92014
858-481-8847
Michele Germain, LCSW, CBT
South Coast Hwy, Encinitas, CA 92024
760-500-7869
Diana Guest, MFT, CBT
1767 Grand Ave #4, San Diego, CA 92109
858-336-3740
Michael Kimmel, LCSW, CBT
5100 Marlborough Drive, San Diego, CA 92116
619-955-3311
Maggie Locke, MFT, CBT
4506 Adair St, San Diego, CA 92107
619-222-4743
Terri Martin, LCSW, CBT
333 Olive St, San Diego, CA, 92103
619-518-1229
Dan Offner, LCSW, CBT
333 Olive St, San Diego, CA 92103
619-260-1872
Jan Parker, PhD, MFT, CBT
12929 Pomerado Road, Poway, CA 92064
858-679-1558
Carol Russ, PhD, CBT
1767 Grand Ave #4, San Diego, CA 92109
858-755-8206
Vincentia Schroeter, PhD, MFT, CBT P.O. Box 235738, Encinitas, CA 92023
858-259-2480
Tarra J. Stariell, MFT, CBT
760-294-2150
327 S. Ivy St, Esc.92025 & SanDiego92103
th
Paul Sussman, PhD, MFT, CBT
3101 4 Ave, San Diego, CA 92103
619-542-1335
Barbara Thomson, PhD, MFT, CBT
304 Alviso Way, Encinitas, CA 92024
760-944-7448
The above is a list of independent therapists, and some may have a sliding scale. Contact individual
therapist to verify rates and set appointments.
SOUTHERN CALIFORNIA INSTITUTE FOR BIOENERGETIC
ANALYSIS
333 Olive St, San Diego, CA 92103
Telephone (619) 295-8002
LIST OF CERTIFIED BIOENERGETIC THERAPISTS (CBT’s)
The following is a list of Certified Bioenergetic Therapists in the Southern California area who are approved as
training psychotherapists. Students are required to complete 10 hours of Bioenergetic Analysis during the
Relational Somatic Psychology Workshop Series. Students may also see Certified Bioenergetic Therapists
outside of the San Diego area. The therapist must be a member in good standing of a society recognized by the
International Institute of Bioenergetic Analysis. Any questions about these requirements should be directed to
the Coordinator of the One-Year Program.
The following is a list of Los Angeles and Orange County area Certified Bioenergetic Therapists:
Nancy Chenay, MFT, CBT
1107 S. Pacific Coast Hwy, Redondo Beach 92077
310-318-5005
Ginger Clark, PhD, CBT
1107 Abbot Kinney Blvd, Venice, CA 90291
310-281-6059
Robert Coffman, PhD, CBT
11847 Wilshire Blvd, Los Angeles, CA 90025
310-379-8709
Becky Crusoe, MFT, CBT
2277 Townsgate Rd, #200, Thousand Oaks 91360
805-494-8777
Ellie Freedman, MFT, CBT
1151 Dove St, Suite 210, Newport Beach 92651
949-315-5616
Craig Gillett, MFT, CBT
11847 Wilshire Blvd, Los Angeles, CA 90025
310-450-2045
Robert Hilton, MFT, CBT
150 Paularino Ave, Suite 185, Costa Mesa 92626
714-850-9905
Virginia Hilton, PhD, CBT
150 Paularino Ave, Suite 185, Costa Mesa 92626
714-850-9905
Ida Karayan, PsyD, CBT
1139 N. Brand Blvd, Suite C, Glendale, CA 91202
818-243-9070
Gurucharan Khalsa, PhD, CBT
428 W. Harrison Ave #200, Claremont, CA 91711
909-593-3798
Jacqueline Mills, PhD, CBT
2615 Pacific Coast Hwy #217, Hermosa Beach, CA 90254
310-318-1408
Patricia Miya, MFT, CBT
1107 S. Pacific Coast Hwy, Redondo Beach 90277
310-316-7268
Cindy Paxton, PhD, CBT
222 E. Olive St, Suite 7, Redlands, CA 92373
909-798-7711
Janet Pinneau, MFT, CBT
9420 Prairie St., #305, Northridge, CA 91324
818-885-8938
Margaret Schmitz, LCSW, CBT
2212 Dupont Dr, Suite I, Irvine, CA 92603
949-451-4597
Carl Shurbs, PhD, CBT
321 S. Beverly Dr, Suite L, Beverly Hills 90212
310-772-0520
Michael Sieck, PhD, CBT
222 E. Olive St, Suite 7, Redlands, CA 92373
909-798-7711
JoLane Thomas, MFT, CBT
1000 Quail St, Suite 155, Newport Beach 92660
949-474-8150
Janet Tunick, PhD, CBT
2566 Overland Ave #780, Los Angeles, CA 90064
310-836-1816
Glenda Walther, PhD, CBT
680 W. 11th St, Claremont, CA 91711
909-267-9780
Bill White, PhD, CBT
833 Dover Dr #12, Newport Beach, CA 92663
949-548-3115
Stephen Zusman, PhD, CBT
15720 Ventura Blvd #602A, Encino, CA 91436
818-986-4656
The above is a list of independent therapists, and some may have a sliding scale. Contact individual therapist to
verify rates and set appointments.
SOUTHERN CALIFORNIA INSTITUTE FOR BIOENERGETIC
ANALYSIS
333 Olive St, San Diego, CA 92103
Telephone (619) 295-8002
IMPORTANT NOTICE ON DUAL-RELATIONSHIPS
People intending to enter the Training Program of the Southern California Institute for Bioenergetic
Analysis need to understand dual relationships. Dual relationships can be best defined when one
individual is engaged in more than one role with another individual. Dual relationships are
unavoidable in a training situation. For example, one’s therapist might become one’s trainer sometime
during the four years of training. Additional possibilities for dual relationships include supervisory
and administrative roles.
It is best that a trainee be aware of the need for flexibility in dealing with these situations. Any
individual who feels that coping with dual relationships is not tenable for them should not enter the
Training Program.
SCIBA appreciates the difficulty that might result from dual relationships and is willing to address
concerns when they arise. For anyone thinking about entering the Training Program for Certification
as a Bioenergetic Analyst, it is strongly encouraged that the issues of dual relationships be discussed
thoroughly with his/her therapist and the Training Committee before entering the program.
SOUTHERN CALIFORNIA INSTITUTE
FOR BIOENERGETIC ANALYSIS
333 Olive St, San Diego, CA 92103
Telephone (619) 295-8002
RELATIONAL SOMATIC PSYCHOLOGY WORKSHOP SERIES
Training Agreement
The purpose of the Relational Somatic Psychology Workshop Series is to enhance each student’s
personal growth and development. This course offers an introduction to Bioenergetic theory but it
does not train students to use Bioenergetic techniques with others. It is important that applicants
understand this so we ask you to review and initial each of the following statements.
PLEASE INITIAL EACH STATEMENT
1. _______I agree that the purpose of the “Relational Somatic Psychology Workshop Series,”
henceforth referred to as “this course,” is for my growth and development. My attendance will
provide me with only an introduction to Bioenergetic theory.
2. _______I agree that attendance or completion of this course does not qualify me to represent
myself as a Bioenergetic Therapist or a Bioenergetically trained therapist.
3. _______I agree that my attendance or completion of this course does not qualify me as being
trained by the Southern California Institute for Bioenergetic Analysis (SCIBA) to conduct
Bioenergetic Therapy.
4. _______I agree that attendance or completion of this course does not train me to use
Bioenergetic techniques or to touch clients in my therapeutic work.
5. _______I agree that under no circumstances will I use any experiential exercises, activities, or
curriculum materials outside of this course.
__________________________________________________________________________________
Print Name
_____________________________________________________________________________
Signature
