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Home > Conference > Archives > 2005 Conference > Program
2005 Conference Program
The 28th Annual Conference
On the Psychology of the Self
DEVELOPING CLINICAL MOMENTUM
Schedule & Paper Abstracts
- Thursday, October 20
- Optional Pre-Conference Morning Courses
- Optional Pre-Conference Afternoon Courses
- Opening Reception and Keynote Lecture
- Friday, October 21
- Panel I
- Panel II
- Saturday, October 22
- Original Papers and Workshops: Session A
- Original Papers and Workshops: Session B
- Course Luncheon and Kohut Memorial Lecture
- Panel III
- Sunday, October 23
- Original Papers and Workshops: Session C
- Plenary Summary
Thursday, October 20, 2005
8:00 AM
Registration
Thursday, October 20, 2005
9:00 AM - 12:15 PM
Courses A through D are offered simultaneously.
15-minute break at 10:45 AM
Optional Workshop A
Thursday Morning Live: Master Class
Frank Lachmann, PhD, "The Other Side of Aggression"
Guests: James Fisch, MD; Alan Kindler, MD; Anna Ornstein, MD;
Rosemary Segalla, PhD; Estelle Shane, PhD; Judith Teicholz, EdD
Case Presenter: Carla Leone, PhD
Moderator: Sanford Shapiro, MD
Optional Workshop B
Research on Therapeutic Change
Sidney Blatt, PhD; Frederic Busch, MD
Overview: This talk will begin with a brief overview by Dr. Busch
about the value of doing psychoanalytic research, the types of research
being done, and current controversies surrounding this research. Dr.
Blatt will then focus on the importance of differentiating among
patients and studying the interactions between patient characteristics
and response to different types of treatment resulting in different
types of outcome. He will discuss specific procedures to evaluate
treatment response, including changes in mental representation. Dr.
Blatt will then focus particularly on the distinction between anaclitic
and introjective styles, and how this distinction is useful in
differentiating between two types of depression and among different
personality disorders, and how these two types of patients are
differentially responsive to different aspects of the treatment process
and change in different ways during treatment. Dr. Busch will describe a
psychodynamic approach to the treatment of panic disorder and a study
designed to assess the effectiveness of this approach. He will then
discuss efforts to identify factors that are involved in patients'
improvement.
Optional Workshop C
Art, Creativity and Self Psychology
Co-Leaders: George Hagman, MSW; Carol M. Press, EdD
Guest Artists: Maggie Baker, PhD (cellist); Leslie Hogan, DMA (composer)
Overview: This workshop presents a self psychological perspective on
art and creativity. Mr. Hagman will introduce the participants to the
art work of Henri Matisse from a self psychological viewpoint. Dr.
Press, a choreographer, will perform an original work inspired by the
paintings of Matisse, with score for solo cello by Dr. Hogan, performed
live by Dr. Baker. Mr. Hagman and Dr. Press will facilitate
explorations of the embodied and visual dimensions of art and self
experience through special exercises. There will be ample time for
discussion and making clinical connections. Participants are also
invited after the workshop to join a "field trip" to the world famous
"Cone Collection" at the Baltimore Museum of Art to view first hand the
spectacular collection of Matisse's work.
Optional Workshop D
Group and Couples Work (All Day Session)
Irene Harwood, MSW, PhD, PsyD; Martin Livingston, PhD
Overview: This workshop will combine a didactic presentation of the
basic principles of a self-psychological intersubjective approach to
work with couples and groups with role playing and an experiential
process group.
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Thursday, October 20, 2005
1:45 PM - 5:00 PM
Courses E through K are offered simultaneously.
15-minute break at 3:45 PM
Optional Workshop E
Master Class Supervision
Anna Ornstein, MD; Paul H. Ornstein, MD
Case Presenter: Anne Yarowsky
Optional Workshop F
Master Class Supervision
Howard Bacal, MD
Case Presenter: Midge Breslin, M Ed
Optional Workshop G
Master Class Supervision
Rosemary Segalla, PhD
Case Presenter: Heidi Block, MSW
Optional Workshop H
Master Class Supervision
Judith Teicholz, EdD
Case Presenter: TBA
Optional Workshop I
Workshop on Listening: Reflections on Hypothesis and Evidence
Leader: Evelyne Albrecht Schwaber, MD
Case-Presenter: Elizabeth Carr, APRN, MSN, BC
Overview: The focus will be on details of the data-gathering process,
and on how we conceptualize our clinical methodology, to consider the
distinctions between the hypotheses we generate and the evidence we have
for them. Looking at process notes of single session(s), we'll try to
sharpen our view on nuances of communications, both verbal and
nonverbal, to highlight attendance to cues we might otherwise overlook,
and to reflect on some of our assumptions and inferences whatever our
espoused theoretical model to see how these may or may not hold up, or
stand in the way of opening yet untried paths.
Reference: Schwaber, E.A. (2005). The struggle to listen: continuing
reflections, lingering paradoxes, and some thoughts on recovery of
memory. J Amer. Psychoanal. Assn., 5:789-810.
Optional Workshop J
Workshop on The Role of The Analyst's Personal Experience of the Therapeutic Relationship - From Racker Through Kohut to Intersubjectivity
Case Presentations: The Value of the Analyst's Vulnerability The Value of the Analyst's Vulnerability in the Erotic Realm by Elizabeth Seward, M.D.
Workshop Leaders: Jessica Benjamin, Ph.D. and Malcolm Owen Slavin, Ph.D.
Overview: Case presentations of analytic work by Elizabeth Seward
(one case on Thursday, a second on Sunday) will serve as the basis for
an evolving, interactive clinical/theoretical discussion by Jessica
Benjamin, Malcolm Owen Slavin and workshop participants. We'll cover
some historical and contemporary views of the impact of an analysis on
the analyst as well as the wide range of ways analysts think about and
try to use this experience as part of the therapeutic action. The
Thursday workshop will develop a framework for discussion around the
first of Dr. Seward's cases and the Sunday workshop will further develop
the our ideas in the context of her second case presentation.
Optional Workshop K
Group and Couples Work (continued from morning - all day session)
Irene Harwood, MSW, PhD, PsyD; Martin Livingston, PhD
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Thursday, October 20, 2005
5:15 PM - 6:30 PM
Welcome Reception
Thursday, October 20, 2005
7:00 PM - 7:15 PM PM
Main Meeting Begins with Welcoming Speech
Joseph Lichtenberg, MD; Wendy Fischer, MSW
Thursday, October 20, 2005
7:15 PM - 9:45 PM
Keynote Lecture
Presenters: James Fosshage, PhD; Daniel Stern, MD
Chair: Fred Hilkert, MD
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Friday, October 21, 2005
8:00 AM
Registration
Friday, October 21, 2005
9:00 AM - 12:00 PM
Panel I
Developing Clinical Momentum with a Focus on Transference
9:00 AM - 9:10 AM
President's Update: James Fosshage, PhD
9:10 AM - 9:20 AM
Chair: Jill Gardner, PhD
9:20 AM - 10:00 AM
Presenters: Linda Marino, PhD; Marian Tolpin, MD
10:00 AM - 10:20 AM
Discussant: Evelyne Albrecht Schwaber, MD
10:20 AM - 10:50 AM
Break
10:50 AM - 11:10 AM
Discussant: Estelle Shane, PhD
11:15 AM - 11:30 AM
Panelists
11:30 AM - 12:15 PM
Audience
12:15 PM - 2:00 PM
Lunch
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Friday, October 21, 2005
2:00 PM - 5:00 PM
Panel II
Developing Clinical Momentum with a Focus on Relationship/Enactment
2:00 PM - 2:10 PM
Chair: Ron Bodansky, PhD
2:10 PM - 2:50 PM
Presenter: Gianni Nebbiosi, PhD
2:50 PM - 3:10 PM
Discussant: Hazel Ipp, PhD
3:10 PM - 3:40 PM
Break
3:40 PM - 4:00 PM
Discussant: Jacqueline Gotthold, PsyD
4:00 PM - 4:15 PM
Panelists
4:15 PM - 5:00 PM
Audience
Friday, October 21, 2005
5:45 PM
Council Meeting, Followed by Council Dinner (by invitation only)
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Saturday, October 22, 2005
8:30 AM - 10:00 AM
A1 - Original Papers and Workshops
Supervision and Psychoanalytic Specificity Theory: A Workshop for Supervisors and Supervisees (Part 1)
The aim of this Workshop is to explore the value of psychoanalytic Specificity Theory for understanding and enhancing the supervisory process. The 3-hr. workshop will comprise 2
1 _ hour sessions, on Saturday, October 22nd.
Workshop Leader: Howard Bacal
Presenter: Lucyann Carlton
Supervisors: Bernard Brickman and Bruce Herzog
Psychoanalytic Supervision:
While psychoanalytic supervision may include the general aim of teaching psychoanalytic clinical method, especially in the early phases of training, its major intent is to enable the supervisee to work more effectively with the particular patient, regardless of the level of his or her experience. We believe that the application of Specificity Theory to the supervisory process can enhance this objective.
Synopsis of Specificity Theory and its Clinical Application: Psychoanalytic Specificity theory is a process theory which posits that:
- The nature and spectrum of therapeutic possibility available to a particular analytic dyad is specific and non-replicable.
- This specificity emerges from the contextually functioning totality of who the two participants are.
- Therapeutic efficacy centrally reflects the capacity for therapeutic interaction of the specific dyad.
- This specificity includes but significantly transcends the application of any particular psychoanalytic structured theory.
Psychoanalytic Specificity Theory, applied to the supervisory process, avers that:
- The nature and spectrum of supervisory work available to any particular supervisory dyad is specific and non-replicable.
- This specificity emerges from the contextually functioning totality of not only who these two participants are, but also from the interaction of the three participants - the patient, the analyst, and the supervisor. In effect, a triadic specificity emerges from their mutual effect.
- Supervisory efficacy will reflect the specific capacity for useful interaction of the particular analyst-supervisee-patient triad.
- This specificity includes, but significantly transcends, the impact of any psychoanalytic structured theory.
The Workshop: This workshop will provide the opportunity to explore these hypotheses and their implications for the ways in which supervisors and supervisees may work together more effectively.
The Workshop Process:
Following a brief introduction to Specificity Theory by Howard Bacal,
the presenting analyst, Lucyann Carlton, will offer identical sectors of clinical material, sequentially, to the 2 supervisors, Bruce Herzog and Bernard Brickman, who hold similar self-psychological/relational orientations.
The workshop leader will then moderate a discussion between the presenter and the two supervisors in which their experience of the supervision will be explored. The audience will, in turn, be included in the discussion.
Background Reading:
Registrants may find it helpful to read the following articles prior to attending the workshop:
Bacal, H. A. (1998). Optimal Responsiveness and the Specificity of Selfobject Experience. In H. Bacal (ed). Optimal Responsiveness: How Therapists Heal their Patients. Northvale, NJ: Jason Aronson, pp. 141-170.
Bacal. H. A. & Herzog, B. (2003). Specificity Theory and Optimal Responsiveness: An Outline. Psychoanalytic Psychology, Vol. 20, pp. 635-648.
Kindler, A. R. (1998). Optimal Responsiveness and Psychoanalytic Supervision In H. Bacal (ed). Optimal Responsiveness: How Therapists Heal their Patients. Northvale, NJ: Jason Aronson, pp. 357-382.
Educational Objective: At the conclusion of this workshop, the participant will appreciate the value of Psychoanalytic Specificity Theory for understanding and enhancing the supervisory process.
A2 - Original Papers and Workshops
Working with Men who Please too Much
Presenter: Peter Kaufman, PhD
Moderator: Caryle Perlman, LCSW
Discussant: Sandra Hershberg, MD
Overview: This paper outlines a self-psychologically oriented
approach to working with men who manifest addictive tendencies which
reflect their struggle to free themselves from their accommodative
trends. Drawing on Brandchaft's ideas about pathological accommodation
and Goldberg's consideration of the vertical split, the author reviews
how these men compulsively repeat patterns of complying with significant
figures so that they can maintain their sense of security, and then
defying these same figures through secretive acts of sexuality and drug
and/or alcohol use in order to affirm themselves and restore their
self-esteem. The author then depicts how these men can be helped to
change from relying on this repetitive pattern to depending upon the
therapist's support so that they can better regulate themselves and
pursue their ambitions more effectively.
Looking at representative case, the author demonstrates how the use
of emphatic inquiry can enable these men to understand the multiple
functions of their addictive behavior and the interconnections between
their self-states of compliance and defiance. The author also shows how
the well-timed use of integrative interpretations can help the patient
bring these opposing self-states together so that they can achieve
greater self-integration and take the risk of asserting their
conflictual ambitions with their significant other. These integrative
comments also can help to consolidate the patient's tie with the
therapist by enabling the patient to see that the therapist recognizes
and accepts both sides of the patient. In this case example, the
therapist's integrative comment can be seen as a "moment of momentum" in
the treatment process which facilitated the patient's transition from
depending upon his addictive tendencies to relying on the therapist's
support in order to better regulate his aversive affects and his
self-esteem.
Educational Objective: At the conclusion of this presentation,
the participant will better understand how he/she can utilize a
self-psychologically oriented approach in treating the addictive
tendencies manifested by men who please too much.
A3 - Original Papers and Workshops
Momentum in the Creative Process: Recognizing and Sustaining the Flow of Self-Expression in Art and Psychotherapy
Presenter: Karen Schwartz, PhD
Moderator: Elizabeth Feldman, PhD
Discussant: George Hagman, MSW
Overview: While self psychology has historically hailed the
creative expression that is often observed to follow from self
restoration in self psychological analyses, Kohut (1971) cautioned
against undue attention to a patient's preoccupation with creative
activity in the middle stages of treatment. If a contemporary self
psychological perspective is applied to analytically informed
treatments, analyses or psychoanalytic psychotherapies, need that same
caveat apply? Would it not be consistent with contemporary self
psychology's valuing of the forward edge transference expectation
(Tolpin, 2002) to give clinical attention to the often hesitant and
tentatively voiced buds of self that are evident in patients' artistic
strivings as they appear in the mid-stages of treatment? In this paper,
clinical material from two self psychologically informed psychotherapies
is used to explore the application of self psychological model of
creativity to understand and work with aversive motivation (Lichtenberg,
Lachmann, and Fosshage 1992) that arises in both creative processes:
artistic creation and psychotherapy.
Educational Objective: At the conclusion of this presentation,
the participant will be able to consider a self psychological model of
creativity's implication for both artistic process and a self
psychologically informed psychotherapy process.
A4 - Original Papers and Workshops
The Analyst's Reverie
Presenter: Elizabeth Weiss, LCSW
Moderator: Susen Kay, PsyD
Discussant: Faith Lewis, MSW
Overview: This paper will explore the use of the analyst's
reverie. It will review case material in which the analyst tracks
recurrent reveries over the course of a six-year treatment. Exploring
the evolution of reverie enables the analyst to have greater access to
her anxiety. This process paves the way to a greater understanding of
the transference and co-constructed aspects of treatment. The concepts
of Thomas Ogden, Beebe and Lachmann and Regina Pally will be used in the
discussion. The presentation will illustrate the concept of reverie and
the method the analyst used to access her reverie. Reviewing detailed
case material and integrating the reverie response of the analyst will
clarify this process of reflecting on difficult and anxious responses
that may be out of the analyst's awareness, yet is central to the
dynamics of the co-constructed relationship.
Educational Objective: At the conclusion of this presentation,
the participant will be able to understand that attention to the
analyst's reverie will serve self and mutual regulatory functions,
enhance emotional memory, enhance the analyst's, and thereby the
patient's opening of a fuller emphatic, co-constructed intersubjective
experience.
A5 - Original Papers and Workshops
Who are You, Who am I, and Where are We Going: Sustained Emphatic Immersion in the Opening Phase of Psychoanalytic Treatment
Presenter: Richard Geist, EdD
Moderator: Lydia Denton, CSW
Discussant: Jane Lewis, LCSW
Overview: There is a striking dearth of general, postmodern
articles on the beginning phase of analytic treatment, and none that
focus on how a particular analytic couple initially co-creates that
risky, emerging therapeutic dialogue which will partially determine
whether patient and analyst can reorganize their experience in ways that
facilitate mutual growth and healing. In an effort to correct our lack
of attention to this neglected but important phase of treatment, this
paper offers a way of listening and responding in the opening phase of
that is rooted in an unwavering emphatic stance. It attempts to: 1)
define three disparate modes of empathy and how they interweave as
treatment commences; 2) explain why it is in the best interest of the
patient and the analyst to remain immersed in an empathic stance during
the opening phase; and 3) suggest several enabling functions that
empathy serves for both patient and analyst in the beginning stage of
treatment. Using verbatim clinical material to illuminate from several
perspectives how the analyst's initial, sustained, empathic inquiry
(including the analyst's own subjectivity) informs our understanding of
the analytic endeavor, it delineates a clinical sensibility and
theoretical/philosophical orientation that facilitates new patients
remaining in and deepening the treatment.
Educational Objective: At the conclusion of the presentation,
the participant will be able to understand the importance of and
rationale for remaining in an unwavering empathic stance in the opening
phase of psychoanalytic treatment.
A6 - Original Papers and Workshops
The Resurrection of Hope through Implicit Knowing in an Analysis
Presenter: Ruth Burtman, PhD
Moderator: Wendy Fisher, MSW
Discussant: Sandra Kiersky, PhD
Overview: Psychoanalytic treatment is often sought in the hope
that a person's life experience can change. Relational theories of
psychoanalysis have conceptualized hope as emerging from the resolution
of the patient's dread that the analytic situation will repeat prior
disappointing experiences in relationships (Mitchell, 1993). In such
cases, hope is not a primary state, but emerges from the resolution of
dreaded relationship expectations. Rather than privilege a developmental
line where dread must be uncovered in order to regain hope, the author
suggest that both hope and dread are expectations organized jointly
through early dyadic experience. It is only where one dominates over the
other as a result of relevant early experiences and interactions that
issues regarding hope and anxiety appear in treatment. Through the use
of clinical material, the author will show how hope can be
conceptualized as imbedded within and then changed through the patient's
expanding repertoire of implicit relational knowing.
Educational Objective: At the conclusion of this presentation,
attendees will be able to describe how implicit relational knowing
becomes imbedded in our ways of being with others from early relational
experiences. Participants will also be able to describe how such
understanding allows that perturbations in the system can expand
patient's repertoire of knowing and therefore change their life
experiences of living in dread more than hope.
A7 - Original Papers and Workshops
Therapeutic Touch as an Emphatic Response in Severe Self Disorder
Presenter: Anne-Marie Marshall, M Psych
Moderator: Monika Amler, MD
Discussant: Joye Weisel-Barth, PhD, PsyD
Overview: This paper discusses the use of therapeutic touch as
an empathic response to the challenges of disconnection particular to
Severe Self Disorder, often referred to as Borderline Personality
Disorder. 70% of individuals with Severe Self Disorder have been
traumatized. Dissociation, somatisation and re-enactment, three defining
characteristics of a heavily traumatized person, create significant
obstacles for an individual with Severe Self Disorder in making use of
their therapist as an affect regulating object. This paper uses the
theory and practice of Self Psychology, neuro-physiology, affect and
attachment theory, as well as trauma research, in order to support
therapeutic touch as an empathic response which is, at times, most
appropriate to the developmental capacity and self-object needs of those
with Severe Self Disorder. Detailed clinical case material is being used
to bring life to the complexities, challenges and rewards for both
patient and therapist which are inherent in such a therapeutic journey.
Educational Objective: At the conclusion of the presentation
the participant will be able to understand the theoretical
underpinnings, as well as being provided with clinical case guidelines,
supporting the consideration and use of therapeutic touch as an empathic
response in Severe Self Disorder.
A8 - Original Papers and Workshops
Enacting and Being-With: Understanding Disruptions and Impasses in Psychoanalysis
Presenter: Donna Orange, PhD, PsyD; Ellen Shumsky, LCSW
Moderator: Peter Maduro, JD, PsyD
Discussant: Cherian Verghese, PhD
Overview: The concept of Enactment - a co-created dramatic
engagement fueled by unconscious influence - has become a major feature
of therapeutic action in clinical narratives informed by Relational
theories (those influenced primarily by object relations, interpersonal,
and feminist theories). Theories with a developmental sensibility
derived from an emphasis on affect attunement and the importance of
selfobject transferences (classical self psychology, contemporary self
psychology, and intersubjective systems theory) rarely speak of clinical
engagements as Enactments. The authors intention in this article is to
clarify the similarities and differences between the theoretical
presuppositions underlying these differing approaches. The use a
clinical vignette as a springboard into a discussion of two way of
understanding the same piece of clinical process viewed from each of
these perspectives - each with its' own language, theoretical
assumptions, and conceptual emphases.
Educational Objective: By the end of this presentation
participants will understand the different definitions of enactment and
its place in the psychoanalytic conversation about healing therapeutic
action. They will grasp why Relational psychoanalytic theories
influenced by object relations, interpersonal, and feminist theory place
great weight on the importance of Enactments - co-created dramatic
engagements fueled by unconscious influence. And they will understand
why psychoanalytic theories with a developmental sensibility - classical
self psychology, contemporary self psychology, and intersubjective
systems theory - organize their clinical narratives differently using
concepts like rupture and repair, instersubjective disjunction, and
dyadic development.
A9 - Original Papers and Workshops
The Case for a Pluralistic Approach to Epistemology
Presenter: Nona Williams, PsyD
Moderator: Susana Martinez, MA, Mphil
Discussant: Arthur Gray, PhD
Overview: There are a variety of responses that an analyst can
make when faced with a patient's view of reality that is different from
her own. The manner in which an analyst responds to a patient's
alternative view of reality will be a function of the epistemological
approach on which she is relying, possibly unconsciously, at any given
time. The three approaches to epistemology most discussed in the
psychoanalytic literature are objectivism, constructivism, and
perspectival realism. This paper presents the view that the application
of each of these approaches can either facilitate or impede the
therapeutic process, depending on the context. In order to help analysts
to apply the most appropriate epistemological perspective, and to
interpret the application of an inappropriate perspective, this paper
provides a brief description of the three approaches to epistemology,
and examines the various contexts in which each of them might be
beneficial or harmful.
Educational Objective: At the conclusion of this presentation
the participants will be able to recognize the therapeutic impact of the
epistemological approaches that underlie the various ways in which they
deal with issues of truth and reality in psychoanalytic practice.
A10 - Original Papers and Workshops
Temporality and the Power of the Father: Oedipus in Self Psychology
Presenter: Ronald Zirin, PhD
Moderator: Michal Drabanski, MA, MS
Discussant: Lisa Bialkin, MSW, JD
Overview: This paper deals with the Oedipus myth in ancient
Greece and with the Oedipus complex in psychoanalysis. The author places
both of these within the context of the human struggle to come to terms
with temporal existence. The suggestion is made that Freud failed to see
the broader implications of the myth, and presents a literal concretized
version of it in his conception of the Oedipus complex. Using Kohut's
broader view of the interpretation of the oedipal phase, the author
tries to return both the ancient legend, and the modern complex back to
the human struggle to come to terms with transience and temporality.
Building on previous study of the development of the knowledge of death
in early childhood, I suggest that parent and child engage in a joint
effort, both explicitly and implicitly, to construct a mutually
satisfactory sense of the meaning of death and the passage of time.
Material from one of the author's analytic patients is presented in
order to ground these ideas to the soil of clinical treatment.
Educational Objective: Upon completion of this session,
participants will understand a broadened view of the Oedipus legend and
complex, and be able to apply this view in clinical work.
A11 - Original Papers and Workshops
Self Psychology and Religion (Part 1): Bidden or Not Bidden, God is Present: The Influence of Religion on Psychoanalytic Theory and Practice
Presenter: Howard Baker, MD
Moderator: Michael Clifford, Mdiv
Discussant: Ann Eisenstein, LCSW
Overview: Within the Western Tradition that gave birth to
psychoanalysis, it is nearly impossible for people not to have a concept
of a god, whether or not we believe in that god's existence. The author
argues that whatever religious perspective we hold, believer, agnostic,
or atheist, it influences our psychoanalytic theory and practice. This
subject is rarely examined, so both the pernicious and positive effects
that religion might have on treatment often remain unrecognized. This
paper illustrates some ways religious convictions may have influenced
Freud, Fairbairn, Winnicott, and Kohut. After explaining his personal
religious narrative, the author illustrates its impact on a particular
case in which the patient and the author shared an entirely unexpected,
extraordinary, profound experience that God was immanently present with
them in the consulting room. The author considers the beneficial
consequences of this event for both the patient and himself and raises
some possible implications for psychoanalytic theory and practice. A
brief appendix summarizing some aspects of the philosophical evaluation
of the veracity of mystical experiences will be offered to
participants.
Educational Objective: At the end of this presentation, the
participants will be able to explain how religious perspectives
influence psychoanalytic theory and practice, and illustrate this with
the experiences of several psychoanalysts.
Saturday, October 22, 2005
10:00 AM - 10:30 AM
Break
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Saturday, October 22, 2005
10:30 AM - 12:00 PM
B1 - Original Papers and Workshops
Supervision and Psychoanalytic Specificity Theory: A Workshop for Supervisors and Supervisees (Part 2)
Continued from morning session, please see A1.
B2 - Original Papers and Workshops
Life-Long Coupled Relationships and Psychoanalysis: Reconsidering Developmental Milestones and Measures of Normality in Clinical Theory
Presenter: Jeffre Phillip Chevront, Jr., PsyD
Moderator and Discussant: Andrew Morrison, MD
Overview: The history of psychoanalytic theory is replete with
ideas in which social customs and traditions are incorporated into
clinical theory and practice, then peddled as developmental milestones
and measures of normality. Two examples are ideas about the relative
immaturity of women as compared to men and the pathologizing of
homosexuality. Such ideas have been difficult to identify and
exceedingly hard to retract, owing to the fact that these ideas are
woven into the fabric of both theory and culture. Using the idea of
life-long coupled relationships as commensurate with psychological
health as an example of the sort of social custom that is still embedded
in our clinical theories, this paper seeks to illustrate how such biases
continue to negatively impact clinical treatment and disrupt theoretical
advances. Writings in neo-Kleinian and relational psychoanalysis,
specifically Kernbert's Love Relations and Mitchell's Can Love Last?,
are critiqued. The author argues that these theories can, with some
patients, mislead us into reaching for the wrong developmental
milestones, potentially colluding with the patient's own fears, and
exacerbating feelings of dread, and neglecting underlying hopeful,
healthy, and creative developmental strivings that are present.
Self-psychology is used to suggest an alternative approach that is more
clinically and theoretically flexible and successful.
Educational Objective: At the conclusion of this presentation,
participants will be able to explain how the idea of partnered
relationships and marriage has been woven into ideas of psychological
health in many versions of psychoanalytic theory.
B3 - Original Papers and Workshops
Speaking of Gender: Jane Champion's Piano and Other Sad and Sex-y Tales
Presenter: Doris Brothers, PhD
Moderator: Annette Richard, PhD
Discussant: Dorienne Sorter, PhD, CSW
Overview: When we speak about gender in the language of
relational systems - an approach that is informed by self psychology and
the theory of intersubjectivity - we may also find ourselves speaking
about trauma. This paper advances the notion that trauma is experienced
and perpetuated within systemic contexts in which certainty about
psychological survival has been lost or destroyed. An extreme form of
uncertainty regulation that tends to emerge in traumatized systems
involves the breakdown of complex experience in rigid dichotomies. The
mutually exclusive categories of masculinity and femininity that
comprise dichotomous gender are understood as both products of trauma
and as traumatizing. By way of illustration, the author discusses gender
in her own life, in the lives of characters in Jane Champion's film, The
Piano, and in the life of a male patient who delights in experimenting
with drag, ie dressing in women's clothes and make-up.
Educational Objective: At the conclusion of this presentation,
the participant should be able to understand some of the complexities in
the relationship between trauma and the experience of gender
dichotomization and appreciate the benefits of a relational systems
perspective.
B4 - Original Papers and Workshops
Concerned Action, Empathic Recognition, and the Conundrum of Self-Care
Presenter: Steven Stern, PsyD
Moderator: Franz Herberth, MD
Discussant: Barry Magid, MD
Overview: In this paper the author proposes a theoretical
framework for the treatment of self-care problems. This framework takes
as its starting point the frequent countertransference "pulls,"
encountered with such patients, toward what might be called concerned
involvement: the impulse to actively intervene in a protective or
directive way in the hopes of fostering better self-care. Stern suggests
that rather than simply acting on these impulses on the one hand, or
viewing them as projectively or intersubjectively induced impulses
simply to be processed internally by the analyst for purposes of
empathic understanding and interpretation on the other, we view such
impulses as the opening of a paradoxical or dialectical potential space
in the transference-countertransference relationship. The author argues
that self-care problems result from the breakdown of a central dialectic
in the parent-child relationship between concerned involvement and
empathic recognition and that it is this dialectic that must be
reestablished and reworked in the treatment relationship. An extended
clinical vignette is offered to illustrate these principles.
Educational Objective: At the conclusion of the presentation,
the participant will have been introduced to a new dialectical model for
the treatment/management of self-care problems within an analytic
treatment and will be able to apply the principles of the model to
treating self-care problems in his/her practice.
B5 - Original Papers and Workshops
Iatrogenic Aspects of the Psychoanalytic Situation: Safety and the Uncanny
Presenter: Fonya Helm, PhD, ABPP
Moderator: Lallene Rector, PhD
Discussant: Susan Mickel, MFT
Overview: The psychoanalytic situation provides the patient
with a continuum of experiences ranging from an ambience providing a
sense of safety and support, through different kinds of experiences of
thoughtful inquiry, to experiences of fear and the uncanny. The author
contends that some balance of the two is necessary to create a
psychoanalytic process and that the balance is different for each
psychoanalytic couple. The curative factor for the patient is a
sustained inquiry into the issues that are most important to oneself in
relation to others, in the context of a relationship that feels
predominantly safe. The affective exchange is curative to the extent
that vital affects are communicated. Positive affects, such as hope and
love, are curative in themselves, as is empathic listening. Negative
emotions, such as anger, hate and feelings of the uncanny, are also
helpful, if the relationship feels safe enough. The psychotherapeutic
situation also affects the analyst and has the potential to provide the
analyst with a sense of efficacy, power, and the full range of feelings.
We feel more comfortable with our patients than they do with us, despite
our efforts to listen empathically.
Educational Objective: At the conclusion of the presentation,
the participant will be able to evaluate the therapeutic situation with
regard to the communication of affects along a continuum ranging from
the sense of safety to the sense of the uncanny.
B6 - Original Papers and Workshops
Authenticity and Analytic Technique: Towards a Reconciliation
Presenter: Nancy VanDerHeide, PsyD
Moderator: Michael Kloepper, MD
Discussant: Ruth Gruenthal, MSS
Overview: analyst authenticity has largely replaced anonymity
and neutrality as viable contemporary analytic values. Questions arise,
however, as to the compatibility of authenticity with the use of
strategically determined interventions, such as the sustained empathic
emersion of Self Psychology and the stance of "wearing the
attributions." This paper explores a concept of authenticity and
intentionally based on philosophical ideas of Perspectival realism and
Fallibilism, together with a consideration of what determines the
relative validity of certain therapeutic choices over others. Clinical
case examples are used to elucidate these reflections.
Educational Objective: At the conclusion of this presentation,
the participant will have a greater appreciation for the multiply
determined nature of the therapist's authenticity in engaging us with
his or her patients.
B7 - Original Papers and Workshops
Primum Non Nocere: A Supervisor's Odyssey
Presenter: Paula Fuqua, MD
Moderator: Barbara Feld, MSW
Discussant: Marc Sholes, LCSW
Overview: This paper attempts to apply an intersubjective
perspective to the process of supervision. The aspect of the experience
of the supervisor has been especially poorly attended to. The author
attempts to rectify this lack with a description of her experience
supervising several therapists who fell in love with their patients. The
supervisory experience is amalgamated into one composite and focused on
what it is like to be the consultant in this awkward position. This
opens the way for a more realistic dialogue in the future between
supervisors and supervisees.
Educational Objective: At the conclusion of the presentation,
participants will be more aware of the bi-laterality of supervision.
Supervisees will feel more entitled to have expectations of their
supervisors and at the same time see them in a more human, equal way.
Supervisors will be more open with themselves and supervisees. All will
see the process of supervision in a more intersubjective light.
B8 - Original Papers and Workshops
The Body Knows: Accessing the Unconscious through Dance as a Metaphor for Growth and Creativity
Presenter: Marilyn Metzl, PhD
Moderator: Shake' Topalian, MA, RNCS
Discussant: Carol Press, EdD
Overview: This paper explores the relationship between psychic
space and bodily space by focusing on the development of human potential
through psychoanalysis, movement, and dance. A case study of a
depressed, suicidal thirty-four year old woman is presented, who
developed a sense of self through the rhythms of dance and
psychoanalysis. In treatment, the positive feelings that resulted from
"proper timing" allowed for the emergence of her autonomy, efficacy,
personal achievement, and growth. The process between patient and
analyst emerged as a continuous construction, allowing them to form a
twinship bond and to provide an opportunity for the patient to repair an
early mind/body split. The development of the "within-dyad" coordination
of the verbal and affective communication of psychoanalysis unfolded in
direct conjunction with the bi-directional coordination of dance.
Educational Objective: At the conclusion of the presentation,
participants will be able to understand how conflicts can be addressed
through mind-body development before processing conflict in
psychoanalysis.
B9 - Original Papers and Workshops
A Girl, Her Mother, and Her Analyst: A Study of Self- and Interactive Regulation in Child Treatment
Presenter: Amy Joelson, LCSW
Moderator: Roger Segalla, PhD
Discussant: Irene Harwood, MSW, PhD, PsyD
Overview: This paper applies the concepts of self- and
interactive regulation to child treatment. In a case illustration, two
pivotal moments are examined. The mother was present for both. In the
first moment, the mother cries, and in the second moment the mother
laughs. This paper elaborates on the experience within the triad. It
examines the processes of self- and interactive regulation that emerge
in the triad of the 4-year old patient, her mother, and the analyst. In
the discussion, the implicit dimension of self- and interactive
regulation is placed in the foreground, with dynamic content in the
background. The mother's facial expressions provide a focal point of
reference. Furthermore, this paper demonstrates how play can function to
regulate experiences of self as well as interactions with others.
Finally, it explicates a more nuanced understanding of the therapeutic
action of play, and of nonverbal implicit interactions in general.
Educational Objective: At the conclusion of the presentation,
the participant will be able to apply the concepts of self- and
interactive regulation to clinical work within the dyad or triad. The
participant will be able to illustrate how nonverbal, implicit
communications can function as both self- and interactive regulation,
and appreciate how individual patterns of self and interactive
regulation impact on the emerging treatment process.
B10 - Original Papers and Workshops
There and Not There and Here: The Influence of the Analyst's Dissociation on Treatment
Presenter: Sally Cassidy, MSW, PsyD
Moderator: Marcia Dobson, PhD
Discussant: Lester Lenoff, MSW
Overview: Much has been written about the dissociation of the
patient. There has been some interesting work on the reaction of the
analyst to the patient's dissociation but very little commentary is to
be found on the dissociative process of the analyst. Dissociation is a
term to which many of us personally resonate. An understanding of how we
are shaped by dissociation, which, in turn, shapes the analytic process,
will enhance our analytic works. This is the intent of the current
endeavor.
Educational Objective: Upon completion of this workshop, the
participant will be able to explain the influence of analyst's
dissociation on treatment.
B11 - Original Papers and Workshops
Self Psychology and Religion (Part 2): Kohut and Kaplan: God as Collective Selfobject
Presenter: Ann Eisenstein, LCSW
Moderator: Michael Clifford, Mdiv
Discussant: Howard Baker, MD
Overview: The thinking of Mordecai Kaplan, the 20th Century
Jewish philosopher and founder of Reconstructionist Judaism, and Kohut's
Self Psychology, have some very striking parallels. As the granddaughter
of Kaplan and a Self Psychologist since the early 80s, the author has
been personally immersed in both worlds. In the first section of this
paper, Eisenstein spells out the similarities between the two men and
their theories, similarities that have led her to think of Kohut as the
"Kaplan of psychoanalysis" (just as Kaplan is the Kohut of
Orthodox/Conservative Judaism!). In the second section, she experiments
with a synthesis of the two theoretical systems that suggests a way to
think about God for those of us and/or our patients who struggle with a
particular religious paradox. The paradox is the coexisting attachment
to personal God imagery on the one hand, and an inability to believe in
a personal or supernatural God, on the other. The idea of God as a
collectively conceived selfobject transference is put forth. Despite the
possible intellectual appeal of such a formulation, it is also noted
that we ultimately need to work at achieving greater comfort with
holding the tension of this paradox, while unashamedly allowing
ourselves moments of surrender to a fantasy of God that has its
precedent in our earliest and deepest selfobject experiences.
Educational Objective: At the conclusion of the presentation,
participants will have an expanded perspective on the issue of religious
conflict regarding a belief in God, and the potential effects of this
conflict that may exist in themselves and/or in their patients.
B12 - Original Papers and Workshops
Restitutive Selfobject Function in the "Entitled Victim": A Relational Self Psychological Perspective
Presenter: Christine Kieffer, PhD
Moderator: Carol Mayhew, PhD, PsyD
Discussant: Theresa Aiello, PhD
Overview: This paper will focus upon the nature of the
restitutive fantasies of the entitled victim, who frequently displays a
relational pattern characterized by idealization of an unavailable other
to shore up a fragile self state. These individuals may erupt in
narcissistic rage when a sudden and traumatized de-idealization occurs,
a state which may be mobilized when the idealized other cannot
participate in the enactment of the fantasy. Such individuals may appear
markedly independent, often quite aloof and even isolated, but further
examination reveals a pseudo-independence. In reality, such individuals
are highly dependent on the often primitive selfobject functions that
the idealized other provides (Kohut, 1977; 1971). While often initially
presenting in consultation as highly related, there is, in actuality, a
limited capacity for intimacy because that would threaten the fragile
nature of the idealization due to increased potential for narcissistic
injury. Such persons may thus also be viewed as markedly schizoid as
well as narcissistic, since they must achieve a schizoid solution of
distance in order to preserve connection with an idealized object
(Fairbairn, 1958, 1940; Gehrie, 2001). The entitled victim stance is
thus part of this self-protective strategy, which is intended to protect
against re-injury but instead virtually guarantees it and also
interferes with repair. A case vignette will be presented which will
demonstrate that interpretation of this pathological self-structure is
necessary in order to develop clinical momentum.
Educational Objective: At the end of this presentation,
participants will be able to identify key elements of the restitutive
selfobject merger fantasy that is an important element in the
psychopathology of the entitled victim.
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Saturday, October 22, 2005
12:15 PM - 2:00 PM
Course Luncheon and Kohut Memorial Lecture
Introduction: Ernest Wolf, MD
Lecture: "Freud and Kohut: What Lasts, What Fades," Joseph Lichtenberg, MD
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Saturday, October 22, 2005
2:15 PM - 3:45 PM
Panel III
Developing Clinical Momentum with a Focus on Dramatic Moments and Improvisation
2:15 PM - 2:25 PM
Chair: Bernard Brickman, MD
2:25 PM - 3:05 PM
Presenter: Alan Kindler, MD, FRCP(C)
3:05 PM - 3:25 PM
Discussant: Philip Ringstrom, PhD, PsyD
3:25 PM - 3:45 PM
Discussant: Dan Stern, MD
3:45 PM - 4:00 PM
Break
Saturday, October 22, 2005
4:00 PM - 5:45 PM
Post Panel Discussion Groups
(Attendees and Panelists will be assigned
to rooms to discuss Panels One, Two and Three)
Saturday, October 22, 2005
7:00 PM - 11:00 PM
Conference Reception
(Light dinner followed by dancing and music)
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Sunday, October 23, 2005
8:45 AM - 10:45 AM
C1 - Original Papers and Workshops
Meet the Author: Practicing Intersubjectively
Presenter/Author: Peter Buirski, PhD
Moderator: Gary Rodin, MD
Overview: In thinking about Intersubjective Systems Theory,
the author draws heavily on the work of Stolorow, Atwood and Orange. In
this book, he is concerned with translating theory into practice: that
is, with explicating and elucidating the way clinical practice can be
shaped by adopting an intersubjective sensibility. In the first few
chapters, he illustrates how an intersubjective systems sensibility
shapes the therapeutic process in ways that are very different form a
process informed by other theoretical views. In later chapters, he shows
how an intersubjective systems sensibility lends itself to working with
diverse clinical populations, like people with prejudice, people with
multicultural background, and people suffering from trauma. Finally, he
ends with a look at Freud's case of the Wolf Man through the lens of
intersubjectivity.
Educational Objective: At the conclusion of this presentation,
the participants will have a clearer idea of how to apply
intersubjective systems theory to the broad range of people encountered
in clinical practice: for example, what makes intersubjective systems
theory especially appropriate for working with people from diverse
ethnic and racial background.
C2 - Original Papers and Workshops
The Virtual Seduction of Teens: The Lure of Internet Pornography and the Warping of the Adolescent Self
Presenter: Stan Dudley, PhD; Todd Walker, PsyD
Moderator: Robert Lundquist, PsyD
Discussant: Nancy Goldman, PsyD, MFT
Overview: There is a growing concern that children and
adolescents are being increasingly exposed to a wide range of
pornography, particularly on internet sites, some of which is extremely
perverse and violent. Of particular importance is the possibility that
repeated exposure may cause long lasting psychological, moral, or
developmental harm to children. However, there is a lack of
psychological research in general and psychoanalytic studies in
particular on the developmental impact of child and adolescent exposure
to internet pornography and interactive sexual encounters. This workshop
will first review some of the existing research on pornography and
addiction. The presenters will then use case examples of adolescent
online sexual encounters as an epistemological window to explore the
experience, meaning, functions, and pathogenesis of this powerful
phenomenon. Group discussion will focus on ways to better understand and
treat narcissistically vulnerable teens who are developing sexually
compulsive and addictive behaviors using individual and family
therapy.
Educational Objective: At the conclusion of this workshop,
participants will be able to define and identify characteristics of
adolescent addiction to pornography and understand individual and family
models of treatment.
C3 - Original Papers and Workshops
Qualities of Engagement and the Analyst's Theory
Presenter: Judith Teicholz, EdD
Moderator: Leslie Smith, MSW
Discussant: Judith Pickles, PhD, PsyD
Overview: Recent developments in psychoanalytic theory-making
can have the effect of challenging the analyst's loyalty to a single
paradigm. Among these trends are: 1) A movement toward meta-theory, in
which contemporary theories are formulated at levels of abstraction that
can encompass concepts and technical recommendations from multiple
theories; 2) Expanded influence among authors from diverse theoretical
orientations; 3) An emphasis on qualities of engagement between patient
and analyst, which highlight the analyst's unique subjectivity and
self-expression. Among these qualities are authenticity, spontaneity,
creativity, playfulness, humor, and empathy (used as a guide to action),
all of which can lead to more affective and improvisational interactions
between patient and analyst, and to theory's seeming to play a lesser
role. Using an extended clinical vignette, this paper explores some of
the ways that these intersecting theoretical developments can impact the
treatment relationship and the analyst's way of thinking about and
conducting the work.
Educational Objective: At the conclusion of this presentation,
the participant will be able to describe how certain recent developments
in psychoanalytic theory-making have the impact of loosening the hold
that any single theoretical paradigm has over the analyst's ways of
thinking about and conducting the clinical work, while still being able
to preserve the concept of selfobject as central, and the use of empathy
as a guide to action.
C4 - Original Papers and Workshops
The Reason of Unreason: A Psychoanalytist's Thoughts on Don Quixote
Presenter: Leon Wurmser, MD
Moderator: Paul H. Ornstein, MD
Discussant: David Wyner, MSW
Overview: How can the truth be spoken in a State where the
Church has nearly total power and where the State enforces, with
burnings at the stake, with hangings and mass expulsions, the right and
arbitrary force of the kings and of the ecclesiastic authorities? It can
be told only indirectly, with the displacements and transformations of
primary process. The work was written at the time of the expulsion of
the Moriscos and the mass burnings of the baptized Jews, the Conversos,
to whom Cervantes' family belonged. The Caballero andante, the wandering
knight, is the Jew or Converso or humanist who is wandering from place
to place in his exile, doubly uprooted, doubly deprived of his home, and
cheated in his hope for liberation and dignity. So often these three
were merged into one identity. Don Quixote is the fool who always seeks
in his own way honor and flees from shame, but who invites and provokes
it by his craziness, putting into question the idea of Imperial Spain
and the aristocratic codex of honor, with its cult of the purity of
blood and race. He is a figure of protest by ridiculousness and
absurdity. The delusional ideas serve the denial of shame. Don Quixote
is the paradigm of man in conflict. He is the man of double identity,
the representative of the tragic conflicts within the superego, and with
that also of enormous significance as an emblem for psychoanalysis.
Educational Objective: At the conclusion of this presentation,
the participant should have a better understanding of one of the seminal
works of world literature and of some central issues of honor and shame,
double identity and double reality.
C5 - Original Papers and Workshops
Workshop on The Role of The Analyst's Personal Experience of the Therapeutic Relationship - From Racker Through Kohut to Intersubjectivity (Part 2)
Case Presentations: The Value of the Analyst's Vulnerability The Value of the Analyst's Vulnerability in the Erotic Realm by Elizabeth Seward, M.D.
Workshop Leaders: Jessica Benjamin, Ph.D. and Malcolm Owen Slavin, Ph.D.
Overview: Case presentations of analytic work by Elizabeth Seward
(one case on Thursday, a second on Sunday) will serve as the basis for
an evolving, interactive clinical/theoretical discussion by Jessica
Benjamin, Malcolm Owen Slavin and workshop participants. We'll cover
some historical and contemporary views of the impact of an analysis on
the analyst as well as the wide range of ways analysts think about and
try to use this experience as part of the therapeutic action. The
Thursday workshop will develop a framework for discussion around the
first of Dr. Seward's cases and the Sunday workshop will further develop
the our ideas in the context of her second case presentation.
C6 - Original Papers and Workshops
Autobiographical and Theoretical Reflections on the "Ontological Unconscious"
Presenter: Robert Stolorow, PhD
Moderator and Discussant: Donna Orange, PhD, PsyD
Overview: A vignette from the author's own life introduces an
examination of "ontological unconsciousness" - i.e., loss of the sense
of being. The foundation of the sense of being is located in the process
through which emotional experience comes into language, and the loss of
the sense of being is conceptualized as an aborting of this process. The
development, loss, and regaining of the sense of being are grasped as
profoundly embedded in intersubjective context.
Educational Objective: At the conclusion of this presentation,
the participants will grasp the concept of ontological unconsciousness
and its embeddedness in intersubjective context.
C7 - Original Papers and Workshops
We Were All Once Children: How Child Therapy Informs Adult Treatment
Workshop Leaders: Rosalind Chaplin Kindler, MFA; Jacqueline
Gotthold, PsyD; Iris Hilke, MA; Mark Smaller, PhD
Overview: The potential contributions of child analytic
treatment to the development of self psychological theory and adult
treatment remain enormous. The clinical experience with children
(especially pre-school aged children), from a developmental, relational,
and transference/counter-transference perspectives highlight self
psychology concepts in the most experience-near way. This workshop will
utilize clinical material from a case of a three and a half year old
child in four day per week analysis. Central self psychological concepts
from three unique perspectives will be addressed. Issues of transference
and counter-transference will be discussed in some detail as they
pertain to work with the child, parents, and various systems in which
the child lives (i.e., extended family, school, day-care). How
principles utilized in this case inform adult treatment will be
addressed, as well as the reluctance of adult therapists and analysts to
more fully make use of child analytic work.
C8 - Original Papers and Workshops
Inadvertent and Unavoidable Multiple Relations: A Self Psychological Perspective
Presenters: Margaret Baker, PhD; James Bleiberg, PsyD
Moderator and Discussant: Judith Kaufman, MSW
Overview: In many instances avoidance of multiple
relationships is difficult or even impossible. Even if it does not rise
to the level of abuse, a multiple relationship may be detrimental in
that it causes a severe rupture in the therapeutic alliance. The authors
contend that negative repercussions for the treatment arise when a
multiple relationship thwarts a hopeful expectance for therapy while
simultaneously confirming the fear that the worst of the past will
repeat itself. This paper presents case studies to illustrate this
point.
Educational Objective: At the conclusion of this presentation,
participants will be able to identify how salient historical selfobjects
define the likelihood of harm to the therapeutic alliance in the context
of inadvertent or unavoidable multiple relationships.
C9 - Original Papers and Workshops
The Difficult Parent: Treating Character Disordered Parents and Their Children from the Perspective of Self Psychology
Presenters: Amy Eldridge, PhD; Carla Leone, PhD
Moderator: Linda Klempner, PhD
Discussant: Jane Jordan, LCSW
Overview: Although self psychology and subsequent contemporary
psychoanalytic theory has been enormously useful in the treatment of
so-called "difficult patients" (those with severe character pathology or
severe self-deficits), clinicians who treat children psychoanalytically
often fail to apply these important ideas to work with their child
patients' "difficult parents." This frequently leads to the premature
end of the child's treatment. This workshop will therefore briefly
summarize the literature on the treatment of difficult patients and
apply these concepts to the treatment of defensive, hostile, critical or
otherwise difficult parents of child patients.
Educational Objective: At the conclusion of this presentation,
participants will be able to describe at least three ways that self
psychology and other contemporary psychoanalytic theories can be applied
to the treatment of parents with severe character disorders or self
deficits.
C10 - Original Papers and Workshops
Influences from Kohutian and Contemporary Theories in the Development of a Combined Treatment Model
Presenter: Rosemary Segalla, PhD
Moderator: Naomi Silberner-Becker, MD
Discussant: David Shaddock, MA
Overview: This workshop will focus on a combined treatment
model of individual and group psychotherapy. The combined model is being
used more frequently so an orderly technique based on the principles of
self psychology is needed. The workshop will include clinical material
as well as enough time for significant discussion of this combined
model.
C11 - Original Papers and Workshops
The Chestnuts are Hot: Disruption and Healing in a Relational Process
Presenter: Maurizio Pinato PhD
Moderator: Gianni Nebbiosi, PhD
Discussants: Shelley Doctors, PhD; Franco Paparo, MD, PhD
Overview: In this paper the author describes the unfolding of
a relational process, through the healing of a disruption, and how it
results in the creation of a mutual selfobject experience. With this
expression he means an experience of restoration of the sense of self of
both subjects in the analytic dyad, of their intersubjective vitality
and their shared exploratory goal (Lichtenberg, personal communication).
As the relationship developed, a willingness to re-approach a relational
wound was generated and this has promoted an expansion of the dyad's
explorative and healing processes. The patient's "dream talent" (her
competence and skills at dreaming and using her dreams therapeutically)
played a crucial role in the integration and transformation of a
traumatic experience. The regulative capacities acquired, allowed for a
growing synchrony and intimacy in the intersubjective field.
Sunday, October 23, 2005
10:45 AM - 11:00 AM
Break
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Sunday, October 23, 2005
11:00 AM - 11:45 AM
Plenary Summary
Papers and Workshops: Frank Lachmann, PhD
Keynotes, Panels, Theme of the Meeting: Joseph Lichtenberg, MD
Sunday, October 23, 2005
11:45 AM
Final Adjournment
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