Psychoanalysis On and Off the Couch

“I think that my analytic awareness of denial and projection and the concreteness of psychic reality when executive function wanes, that I could help the other caretakers to understand some of what was going on - to give them a way to understand that relieves their sense of frustration and uncertainty. I think that the analytic awareness of denial, of projection, that these things are not generally recognized by many caretakers, but it does reorient and make the caretaking function much more tolerable. It expands the understanding of what goes on in the waning personality. I also think that analytic work fosters the capacity to tolerate ambiguity, uncertainty, pain and frustration and in that way may allow us, the analytic mind, to tolerate some of the intense affect - as sort of the phrase I love from an Italian analyst, as “writings waiting to be completed” - by the analytic mind. We can hold and metabolize the difficulty and offer that kind of function rather than unpleasantness just to be rid of. These are some of the things that I felt are useful as a psychoanalyst.” Episode Description: We begin with describing how dementia is a cloud over our field both for individuals and for institutes. Maxine then introduces us to 'Sally' who was her analysand 40 years prior to recontacting her to care for her cognitive decline. Maxine mentions that just hearing her former patient's voice instantly brought alive her past experiences with her. We discuss how she approached the issue of caring for her and her neurological condition. We consider the at times overlap between psychogenic and organic symptoms and she shares with us her countertransference experiences of herself losing her memory. Maxine also shares her approach to answering Sally's questions about the possibility of recovering. We close with her describing how she feels that being an analyst aided her care of Sally and what she learned from that experience that she brought to her other patients -"to face the pain of difficult truths."   Our Guest: Maxine Anderson, MD, is a training and supervising analyst at the Northwestern Psychoanalytic Society and Institute, the Seattle Psychoanalytic Institute and Society and the Canadian Psychoanalytic Society. Originally trained in psychiatry, she pursued psychoanalytic training in Seattle in the early 1970s and then pursued post-graduate work at the British Psychoanalytical Society for 8 years, returning to Seattle in 1992.  Thereafter, she became a Founding Member of the Northwestern Psychoanalytic Society and Institute. Maxine has published several articles, and chapters and 3 books, the most recent being The Hardest Passage: a psychoanalyst accompanies her patient's journey into dementia (Karnac, 2025). Feeling herself now to be an Elder in life and in her field, Maxine hopes to continue to think and write about this phase of personal and professional life.   Recommended Readings: Balfour, A. (2007). Facts, phenomenology, and psychoanalytic contributions to dementia care.    In: R. Davenhill (Ed.) Looking into Later Life: a psychoanalytic approach to depression and dementia in Old Age. (pp. 222–247). London: Routledge, 2007.   Davenhill, R. (Ed.) (2007) Looking into Later Life. A Psychoanalytic approach to Depression and Dementia in Old Age. London: Karnac.   Davenhill, R. (2007). No truce with the furies: issues of containment in the provision of care for people with dementia and those who care for them.   In: R. Davenhill ( Ed.), Looking into later life: a psychoanalytic approach to dementia and depression in old age. (pp. 201-221). London: Routledge.   Evans, S. (2008). “Beyond forgetfulness”: How psychoanalytic ideas can help us to understand the experience of patients with dementia”. Psychoanalytic Psychotherapy, 22(3):155–176.   Kitwood, T. (1997). Dementia Reconsidered: The Person Comes First. Milton Keynes: Open University Press.   Malloy, L (2009). Thinking about dementia – a psychodynamic understanding of links between early infantile experience and dementia. Psychoanalytic Psychotherapy, 23(2): 109–120.   Plotkin, D. (2014). Older adults and psychoanalytic treatment: It's about time. Psychodynamic Psychiatry, 42(1): 23–60.   Sherwood, J. (2019). Dementia: childhood and loss. In White, K. Cotter, A. & Leventhal, H. (Eds.), Dementia: An Attachment Approach. London: Routledge.  

“All of this together shaped how I began to think about mind, not as something to be mastered, but as a landscape of the unspoken whether it was ghosts or griefs or desires that were hard to relinquish. I saw that the ghost was not always an ‘other'. It was often intimate, tied to lost ones, sometimes to unmet desires, to unbearable longings, but in some ways possession was an attempt to keep close what was slipping away. The ghost doesn't just haunt, it feels as if it wants something, and we just have to learn to develop ears to listen to what it wants.”  Episode Description: We acknowledge Loewald's concept of 'ghosts becoming ancestors' and consider the similarities and differences with those who hold 'ghosts' to be literal. Shalini shares with us her journey to open herself to the uncertainty and ambiguity of these externalized entities while appreciating both their cultural and intrapsychic sources. We learn of her family's involvement with exorcisms, especially her grandmother's "fearless warmth" and "empathy that saw beyond the terror of the ghosts." She considers the many facets of mind that are represented by 'ghosts' and the essential value of approaching them as guides to the "landscape of the unspoken." Shalini describes a long term engagement that she had with an individual who "taught me to receive the inchoate and horrific...to contain the brokenness and not interpret it away.. and to appreciate the glimpses of beauty in the most grotesque parts of self."   Our Guest: Shalini Masih, a psychoanalytic psychotherapist and writer, grew up in India amidst priests and healers, witnessing spirit possession and exorcism. Now based in Worcestershire, UK, she holds a Master's degree in Psychoanalytic Studies from Tavistock & Portman, London, and a PhD from the University of Delhi. Mentored by psychoanalysts Michael Eigen and Sudhir Kakar, she's an award-winning scholar of the American Psychological Association. She has taught and supervised psychoanalytic psychotherapists in Ambedkar University, Delhi and in Birkbeck, University of London. Her acclaimed paper, 'Devil! Sing me the Blues', was nominated for Gradiva Awards in 2020. Her debut book is Psychoanalytic Conversations with States of Spirit Possession: Beauty in Brokenness.  Recommended Readings: Kakar, Sudhir. Shamans, mystics, and doctors: A psychological inquiry into India and its healing traditions. Chicago, IL: University of Chicago Press, 1991.   Kakar, Sudhir. Mad and Divine. India: Penguin Books India, 2008.   Eigen, Michael. “On Demonized Aspects of the Self” In The Electrified Tightrope. Routledge. 2018.   Kumar, Mansi, Dhar Anup & Mishra, Anurag. Psychoanalysis from the Indian Terroir: Emerging Themes in Culture, Family, and Childhood. New York:Lexington Books, 2018.   Meltzer, Donald, and Williams, Meg H. The apprehension of beauty: The role of aesthetic conflict in development, art and violence. Karnac, London: The Harris Meltzer Trust, 2008.   Obeyesekere, Gananath. Medusa's Hair: An Essay on Personal Symbols and Religious Experience. Chicago, IL: University of Chicago Press, 1981.   Ogden, Thomas. This Art of Psychoanalysis—Dreaming Undreamt Dreams and Interrupted Cries. East Sussex: Routledge, 2005   Botella, Cesar, and Botella, Sara. The Work of Psychic Figurability: Mental States without Representation. Brunner-Routledge. Taylor and Francis Group: Hove and New York. 2005.   Winnicott. Donald W. “Transitional objects and transitional phenomena.”  International Journal of Psycho-Analysis, 34, (1953): 89–97

“The theme that I found with IPSO [International Psychoanalytical Studies Organization] was that there was a common theme [in psychoanalytic training].  There was an initial phase full of terror and excitement, and then a middle phase of maybe some lethargy or apathy or disillusionment. In that middle phase, many candidates found IPSO, or IPSO found them, where they found refuge. They found solace. They found community, not just at their local institutes, but at this kind of world market. Many of the candidates talk about what a timely and wonderful experience it was to be seen, to be validated by fellow candidates in a way that only fellow candidates can do. At least a couple of the authors have written about how they were delighted to see that more than anything else we are similar as human beings, no matter where we're from.”  Episode Description:  We begin with recognizing the deep attachment that many analytic candidates have about their training experiences, which includes affections and resentments. Himanshu outlines the process of reaching out to candidates globally, inviting them to share their reflections on their journeys. We read from a sampling of their essays that eloquently describe their idealizations and de-idealizations, their delights and their burdens, their profound regard for the mysteries of the mind and the appreciation of the power of psychoanalysis to engage with it. We discuss the importance of IPSO, the difficulties associated with Covid and the relevance of our field's traumatic origins. Himanshu closes with sharing his story of encountering an insightful analytic supervisor during his residency and declaring "I want to be like him." Linked Episode:Episode 89: Wisdom and Enthusiasm for Today's Candidates with Fred Busch, PhD   Our Guest: Himanshu Agrawal, MD is an adult and child psychiatrist and recently completed psychoanalytic training through the Minnesota Psychoanalytic Institute. He is an associate professor of psychiatry and behavioral medicine at the Medical College of Wisconsin in Milwaukee where he sees patients, conducts research, and teaches. He recently completed his term as the president of the candidates' council of the American Psychoanalytic Association Recommended Readings: Busch F (Ed), Dear candidate. Routledge, 2020   Agrawal H,  Trials and Tribulations of being a candidate. The American Psychoanalyst, winter 2022   Kernberg O, Thirty methods to destroy the creativity of psychoanalytic candidates. International Journal of psychoanalysis, 77, 1031- 1040

“When we reconstruct [in a patient] a possible lacking object or role or function, we  see that if the analyst himself has been able and the patient allowing him to be able to enter to a deep level the objective reality of the internal world of the patient, it can happen that some new function or position can be achieved. This is something that could be rare but it happens. This is one more reason for not blaming the length of some analytic treatments, because time is needed  for entering that internal deep area where the analytic relation can create something new. Transformation is also one of the words that in our analytic world became more and more common and utilized because we have achieved the certainty that there can be a transformation. Not only an understanding or a clarification, but also a transformation of the quality of the objective world and of the relation with it.”  Episode Description: We begin by describing the differences in psychoanalytic approaches today as compared to past generations. This shift has occurred alongside changes in patients' concerns; currently, individuals are disproportionately preoccupied with how they perceive themselves through others' eyes, rather than grappling with internal conflicts related to guilt. Stefano posits that this increased narcissistic investment stems from alterations in family structures and premature disruptions in "the physiological fusionality" with the early maternal caretaker. We discuss how this sense of distrust in the availability and reliability of caretakers affects the manner in which one introduces a patient into analysis, as well as the broader cultural emphasis on superficial bodily care - what he terms the aperitif experience. We consider the fundamental importance of the depth of object relations in understanding sexual diversities. Stefano concludes by reading the final paragraph from his book, which acknowledges the invaluable lessons learned from his analyst. We reflect on the enduring presence within him of this profoundly personal connection.   Linked Episodes: Episode 140: Are Patients Different Today? with Stefano Bolognini, MD (Bologna)   https://youtu.be/rjzpA8QZrWk?si=Srf_Tuxt0zTpsKNK   Our Guest: Stefano Bolognini, MD, is a psychiatrist and training and supervising analyst of the Italian Psychoanalytic Society (SPI), where he served as president (2009-2013). He also was an IPA Board member (2002-2012) and was IPA president from 2013-2017. He was a member of the European Editorial Board of the International Journal of Psychoanalysis and a founder of the IPA Inter-Regional Encyclopedic Dictionary of Psychoanalysis. He has published over 280 psychoanalytic papers, and his books on empathy and on the inter-psychic dimension have been translated into several languages.  Recommended Readings: Bolognini, Stefano -   Secret Passages. The Theory and Technique of the Interpsychic Relations. IPA New Library, Routledge, London, 2010   https://www.amazon.com/Vital-Between-Non-Self-Library-Psychoanalysis/dp/1032132973, Routledge, London, 2022   https://pubmed.ncbi.nlm.nih.gov/21387998/ Psychoanal. Quart., vol. LXXX, 1, 33-54, 2012.   Enchantments and disenchantments in the formation and use of psychoanalytic theories about psychic reality. The Italian Psychoanalytic Annual, 13, 11-24, July 2019.   New forms of psychopathology in a changing world: a challenge for psychoanalysis in the twenty-first century. The Italian Psychoanalytic Annual, 2020.   Reflections  on  the  institutional  Family of the Analyst and proposing a “fourth Pillar” for Education. Opportunities and problems of transferal dynamics in the training pathway“. In Living and containing Psychoanalysis in Institutions. Psychoanalysts Working Together, edited by Gabriele Junkers, 89-104, Taylor & Francis, 2022.   From What to How : A Conversational with Stefano Bolognini on Emotional Attunement  by Luca Nicoli & Stefano Bolognini. The Psychoanalytic Quarterly, 91 : 3, 443-477, 2022.   The Interpsychic, the Interpersonal, and the Intersubjective: Response to Steven H. Goldberg's Discussion. The Psychoanalytic Quarterly, 91:3, 489-494, 2022.   Hidden unconscious, buried unconscious, implicit unconscious. The Italian Psychoanalytic Annual, 16, 87-102, 2022.  

“The original papers that were written about the analyst's unconscious being attuned to the patient's unconscious  by Hyman and Racker, in both cases they talk about this phenomenon. But both of them utter a caution, which is that one always has to take into account one's own ‘mishegas'.  Essentially, what they're saying is, the unconscious is pretty individualistic and we have our own things, and we have to consider that possibly it's our own difficulties, our own unconscious, that is playing a bigger role in our countertransference reaction to the patient's unconscious.” Episode Description: We begin by discussing the meaning of the many italics throughout the book and my sense of their being an expression of Fred's wish to be carefully understood. This is part of our conversation where we examine how internal reactions are used to comprehend another person's mind. There are a number of themes to this work, and to Fred's contributions over the years, which focus on helping individuals understand the way their mind works, as distinct from the particular contents of their mind. One of the gifts of psychoanalysis is to facilitate patient's discovery of the freedom to think which allows for a post-termination capacity for self-analysis. We discuss how self-criticism can serve as an unconscious lifeline, the importance of attending to the need for silence as distinct from what is not being said and the seductiveness of gossip, to name but a few of the topics in the book that we cover. Fred closes by describing "The wonderful thing about being a psychoanalyst is there are always things to learn and ways to grow."   Our Guest: Fred Busch, Ph.D. is a Training and Supervising Analyst at the Boston Psychoanalytic Society and Institute. He has published eight books, and over 80 articles on psychoanalytic technique, along with many book reviews and chapters in books.  His work has been translated into many languages, and he has been invited to present over 180 papers and clinical workshops nationally and internationally. His last six books are: Creating a Psychoanalytic Mind (2014); The Analyst's Reveries: Explorations in Bion's Enigmatic Concept (2019); Dear Candidate: Analyst From Around the World Offer Personal Reflections on Psychoanalytic Training, Education, and the Profession (2020); A Fresh Look at Psychoanalytic Technique (2021), Psychoanalysis at the Crossroads: An International Perspective (2023).The Ego and Id: 100 years later (2023), How Does Analysis Cure? (2024).   Recommended Readings: Busch, F. (2014). Creating a Psychoanalytic Mind: A Psychoanalytic Method and Theory. London: Routledge.   Busch, F. (2019). The Analyst's Reveries: Explorations in Bion's Enigmatic Concept. London: Routledge.   Busch, F. (2021). A Fresh Look at Psychoanalytic Technique: Selected papers on Psychoanalysis. Routledge: London.   Busch, F. (2023) The Significance of the Ego in “The Ego and the Id” and its Unfulfilled Promise. International Journal of Psychoanalysis 104:1077-1090.   Busch, F. (2000). What is a deep interpretation? J. Amer. Psychoanal.Assn., 48:238-254.   Busch, F. (2005). Conflict Theory/Trauma Theory. Psychoanal.Q., 74: 27-46.   Busch, F. (2006). A shadow concept. Int.J.Psychoanal.,87: 1471-1485. Also appearing as Un oncerto ombra, Psycoanalisi, 11:5-26.   Busch, F. (2015). Our Vital Profession*. Int. J. Psycho-Anal., 96(3):553-568. Reprinted in Busch, F. (2015). La nostra professione vitale. Rivista Psicoanal., 61(2):435-456; Busch, F. (2015). Nuestra profesión vital*. Int. J. Psycho-Anal. Es., 1(3):605-627; Busch, F. (2015). Nuestra profesión vital1. Rev. Psicoanál. Asoc. Psico. Madrid, 75:131-153.  

“The idea of analytic neutrality, which was more or less a cliche truth when I was training back in the 1980s, is clearly getting at something very important, which is that we mustn't try to pre-conceive where the patient's development is going to take him or her. But that doesn't mean that the development is not in a direction. Aristotle famously said that the human being is a ‘zoon politikon', a creature who belongs in a somewhat structured society. Healthy development is in that sort of direction as we become more integrated, as our ‘ghosts become more like ancestors', to use that famous metaphor. We become more aware of the reality of other people and their real as opposed to their fantasy importance in the ecosystem of which we are all part. And this makes possible the sort of ethical realization that Levinas was talking about. We recognize the reality of the other. We discover that we are interconnected. We are part of something that is hugely greater than ourselves and that goes beyond our knowing. But of course, that doesn't mean that we are not also selfish and unique selves. It's that we are under pressure, so to speak, from both quarters.”  Episode Description: We begin with David's description of Freud's view of religion as offering  "compellingly attractive" illusions in the face of the helplessness we face by life's and death's unpredictability. Alternatively, David suggests that religions provide 'objects', ie Gods, that are importantly allegorical and offer an ‘ethical seriousness' over time. We discuss the ability of these allegories to offer possibilities of 'transcendence' in a world that he sees as often limited to the material. He presents Levinas' view of the responsibility we all have when encountering "the face of the other" - a responsibility that is not chosen but "slipped into my consciousness like a thief." We consider the ethical differences between one's superego and one's conscience. We close with David sharing with us the vicissitudes of his early life that, as for us all, form a context for our later interests.     Our Guest: David Black studied philosophy and Eastern religions before training in London, first as a pastoral counsellor and later as a psychoanalyst. He is a Fellow of the British Psychoanalytical Society, now retired, who has written widely on psychoanalysis in relation to matters of ethics and religion. In 2006 he edited Psychoanalysis and Religion in the Twenty-first Century. He has published two collections of his own psychoanalytic papers, most recently Psychoanalysis and Ethics: the Necessity of Perspective. He is also a poet and translator, whose translation of Dante's Purgatorio was published in 2021 in the New York Review of Books Classics series. (It was later the winner of the annual American National Translation Award in Poetry.) Visit David Black's website at: https://www.dmblack.net.    Recommended Readings: Black, D.M. Psychoanalysis and Ethics: The Necessity of Perspective. (2024: Routledge New Library of Psychoanalysis.)   Chetrit-Vatine, V. Primal Seduction, Matricial Space, and Asymmetry in the Psychoanalytic Encounter. (2004: International Journal of Psychoanalysis, 85: 4.   Lear, J. Wisdom Won from Illness. (2017: Harvard University Press.)   Lemma, A. First Principles: Applied Ethics for Psychoanalytic Practice. (2023: Oxford University Press.)   Levinas, E. Ethics as First Philosophy. In The Levinas Reader, ed. Sean Hand. (1989: Blackwell Publishing.)   Loewald, H. Papers on Psychoanalysis. (1980: Yale University Press.)

“There are very specific fears that people have that are specifically related to their own childhood, and I'd like to give an example. A mom with twins had a kidnapping fear. She was afraid every time she saw a car drive by her house that her twins would be kidnapped. Now this mother was herself adopted when she was a newborn, but her adoption did not become final until she was one year old. Her twins were approaching one year. I was struck by the anniversary of her fear of kidnapping, and when I asked her who she thought was driving the car that drove by her house, she blurted out, 'my biological mother - adoption was never an issue for me, I have the best parents,' she said, but her fears about her babies being kidnapped were rooted in her own guilty feelings. She said, 'I get to keep my biological babies and my biological mother did not. I can have biological babies and my adoptive mother could not.' Carrie's fantasy that her biological mother was threatening to kidnap her babies represented both her fears of retaliation for her aggressive victories over both her biological mother and her adoptive mother, and the repair of her disavowed feeling of loss by a reunion with her biological mother. This meaning of the memory, this understanding of the memory, resolved her kidnapping fear. It dissolved.” Episode Description: We begin with an overview of the importance of mothers' childhood memories in their experience of their own children. These memories are of the conscious sort and also the not-so conscious. They are of the loving as well as the misattuned versions. "The challenge for mothers is to understand the complexity of their own childhood memories and to help their babies and toddlers adapt to the everyday ups and downs of life, as well as to the exceptional ones." We discuss typical fears, sleep problems, 'mutually-regulated patterns', naming body parts, nakedness, weaning and screen time. Ilene ran mother-baby-toddler groups for 35 years and shares with us her relentless curiosity for what we all bring to the parenting experience.   Our Guest: In 1982, Ilene Lefcourt established the Sackler Lefcourt Center for Child Development - programs for parents and their children from birth to three years. She was the Director, led the Mother-Baby-Toddler Groups, and provided Developmental Consultation to parents for over 35 years. She saw over 1,000 families and taught Child Psychiatry Residents and Parent-Infant Psychotherapy Trainees about her work. She has been a faculty member at the Columbia Psychoanalytic Center since 1995. Ms. Lefcourt is currently in private practice in New York City. She is the author of When Mothers Talk, Parenting and Childhood Memories, and Mother-Baby-Toddler Group Guide. Her forthcoming book is, Mothers and Daughters: The First Three Years.   Recommended Readings: 1975, Fraiberg S. Adelson E., Shapiro V., Ghosts in the Nursery,  Journal of the American Academy of Child Psychiatry, 14, 387-421   1975, Mahler, M., F. and Bergman, A. The Psychological Birth of the Human Infant, Basic Books   1985, Main, M. Kaplan, N. Cassidy, J. Security in Infancy, Childhood, and Adulthood: A move to the Level of Representation. Monographs of the Society for Research in Child Development   1991, Fonagy, P., Steele, M., Steele,H., Moran, G. S . The Capacity for Understanding Mental States. Infant Mental Health Journal, 12(3) 201-218   1992, Bretherton, I. The Origins of Attachment Theory. Developmental Psychology, 28(5) 759-775   1993, Lieberman, A ., The Emotional Life of the Toddler, Simon and Schuster    1995, Stern, D. The Motherhood Constellation, Basic Books   1998, Stern, D., Brushwweiler-Stern, N. The Birth of a Mother. Basic Books   2005, Lieberman, A., Angels in The Nursery, Infant Mental Health Journal. Vol. 26(6)

“The amount of guilt and the sense of alienation that people feel when they fall in love with someone who is ‘outside', and the struggle that they have to undergo to explain that choice which they fully don't understand themselves, is a very deep conflict that my work tries to capture. The title of my book is ‘Intimacy in Alienation', and alienation is something that is really very pregnant in the identities of these individuals who feel like aliens to their own community because their community cannot imagine why are they seeing the other as something positive but not as how the community wants them to see. So there's a big gap that often gets deeper and it widens and it really forecloses any conversation and imagination.” Episode Description: We begin with considering the nature of 'malignant othering' that Ashis describes in parts of the Hindu-Muslim interface in India. His thesis is that transcending the binary into a 'third' is essential in the "quest for newer foundations defining Hindu and Muslim identities that are freed from historically entrenched definitions." He describes the challenges faced by each community that lacks the imagination of what is positive in the other. We discuss the importance of family support for interfaith couples and how often that is lacking. He describes 'love-jihad' where the autonomous agency of the partners is, through the eyes of fundamentalism, reduced to stereotypes of oppressor-oppressed. Ashis describes his research methodology which borrows from the psychoanalytic method in its recognition of transference and repetition. He closes by sharing with us the impact on him of the riots of 2002 and behind that the latent presence of the atrocities of the 1947 Partition. He bemoans "the erosion of the narratives of harmony" and sees his work as his effort at healing.   Our Guest: Ashis Roy (PhD) is a Psychoanalyst at the Delhi Chapter of the Indian Psychoanalytic  Society ( IPA London). He works with adults and couples. For more than a decade he was on the Faculty at the Centre of Psychotherapy and Clinical Research, Ambedkar University, where he participated in institution building, taught psychoanalysis, and trained students to become Psychoanalytic Psychotherapists.  He is a faculty at CAPA (China-American Psychoanalytic Alliance) and is interested in exploring Asian and South Asian cultures using psychoanalysis. He hosts podcasts on the New Books Network and works with psychoanalysts across the globe. His book, Intimate Hindu-Muslim Relationships: A Psychoanalytic Exploration of the Self and the Other (2024) has been published by Yoda Press.   Recommended Readings: Erikson, E. H. (1968). Identity, youth, and crisis. New York: W.W. Norton.   Kakar, S. (1996). The colors of violence: Cultural identities, religion, and conflict. Chicago: University of Chicago Press.   Wahab. G (2021) Born a Muslim: Some truths about Islam in India.  Aleph Book Company.   Altman, N. (2005). The Analyst in the Inner City. Relational Perspective Book Series    Davids, M. F. (2009) The Impact of Islamophobia. Psychoanalysis and History 11:175-191   Green, A., & Kohon, G. (2005). Love and its vicissitudes. London: Routledge.

“I belong to the race that in the Middle Ages was blamed for all the plagues and such experiences have a sobering effect, and they do not arouse the tendency to believe in illusions. Much of my life has been devoted to trying to shed illusions. But if there is an illusion worth believing in, at least partially, this is the illusion: that we learn how to divert the impulse of destruction from our own kind, how to stop hating each other because of trivial differences, and stop killing each other for profits. That we stop taking advantage of the achievements of progress to control the forces of nature in a way that will lead to our destruction. Without this illusion, what future awaits us?”  Sigmund Freud, Letter to Romain Rolland, 1923 “I found [this letter] in the collection that Eran Rolnik translated into Hebrew. I met it in the Hebrew version, and when I got back to the German, something else happened. In the Hebrew translation it was talking about the ‘hope'. But then the people in Vienna told me in German this is not ‘hope', this is ‘illusion'. I thought it is even more powerful that he speaks about the power of illusion, the needed illusion. It also brought me back to the beginning of my journey when a friend said the main purpose of the film is to have Freud telling us something like the ‘big father', how should we live today? A tip and insight from Freud. So this is an insight from Freud, a message from Freud over time to us now. I'm not sure it's prophetic. I think there's no prophecies, but it speaks to us now. It speaks to us now.”  Episode Description: We begin with an opening quote from Freud that characterized his sense of being an 'outsider'. Yair then shares with us his own personal journey of discovering Freud as distinct from his father. Having some analytic exposure awakened in him the capacity to, like Freud, ignite his creativity and discover Freud anew. Unique among the many Freud documentaries, Yair utilizes 3D animation techniques as well as dreamlike imagery, newly uncovered archival film and evocative music to invite the viewer to regressively experience the possibilities of the unconscious. We go through four periods of Freud's life which include his struggles with Viennese antisemitism, his discovery of the role of childhood sexuality, his illness and the deaths of his father, daughter, granddaughter and mother and his exile to London. We conclude with his 1923 letter to Romain Rolland where he pleads "that we stop taking advantage of the achievements of progress to control the forces of nature in a way that will lead to our destruction.”    Our Guest: Yair Qedar is an Israeli documentary filmmaker, social activist and former journalist. In his project "the Hebrews", he had been chronicling the lives of Jewish and Israeli figures of the modern Hebrew literary canon. Qedar's 19 feature length documentaries have all premiered at film festivals and have won the director over 30 prizes. Also, Qedar is a leading LGBTQ activist and created the first Israeli LGBTQ newspaper.   To View the Film: This documentary was first shown at the Sigmund Freud Museum in Vienna on January 9th, 2025. It is currently being screened at film festivals worldwide. To arrange a viewing, please contact Yair Qedar at quedary@gmail.com    Website and Trailer: https://ivrim.co.il/en/films/outsider-freud/     Recommended Readings: Adam Phillips (2014): Becoming Freud: The Making of a Psychoanalyst. Yale University Press. Ernest Jones (1953): The Life and Work of Sigmund Freud. Basic Books. Sigmund Freud (1926): The Ego and the Id. Standard Edition, Vol. XIX, Hogarth Press. Sigmund Freud (1937): Letter from Sigmund Freud to Marie Bonaparte  Sigmund Freud (1929): Letter to Romain Rolland 

“I've had the experience of having some wonderful supervisees, many of whom have done quite fine work and where it has not been an issue of any kind of great concerns. And allowing the candidate to see what's written and also discussing it with them, obviously makes it quite easy for them to get both positive input, but also at times, input that will help them evolve and deepen their work even more.”  Episode Description: We begin by exploring the critical role of case writing in psychoanalytic training, discussing Stephen's concept of "a fourth pillar of analytic training." Stephen introduces the dynamic interplay between writing and self-reflection, arguing that the act of writing illuminates resistances, countertransference, and areas of growth that might elude the analyst in supervision or personal analysis. He shares his innovative "three-minute chess match" technique for identifying the heart of a case narrative and reflects on his journey—from his mother's poetry to his current work mentoring candidates in the art of case writing. We explore Stephen's insights on the 're-immersion anxiety' that can inhibit case writing, and how addressing these resistances transforms the writing process and deepens clinical work. We conclude with a discussion of how the process of writing fosters an enduring capacity for self-supervision and analytic insight.   Our Guest: Dr. Stephen Bernstein, MD is a Training and Supervising Analyst at the Boston Psychoanalytic Society and Institute and has chaired a discussion group on writing about analytic cases for over 30 years. He is a prolific author, including his recent paper, The Process of Case Writing: A Fourth Pillar of Analytic Training, published in the Journal of the American Psychoanalytic Association. Dr. Bernstein's work highlights the centrality of case writing as an essential tool for self-reflection and professional development. Beyond his focus on writing, he has contributed to the field with early research demonstrating the compatibility of preparatory psychotherapy with psychoanalysis and continues to mentor candidates, fostering their growth as analysts and writers.   Recommended Readings: Bernstein, S. (2023). The Process of Case Writing: A Fourth Pillar of Analytic Training. Journal of the American Psychoanalytic Association. Gabbard, G. O. (2000). Disguise or Consent? Problems and Recommendations Concerning the Publication and Presentation of Clinical Material. International Journal of Psychoanalysis, 81, 1071-1086. Kantrowitz, J. L. (2004). Writing About Patients: I. Ways of Protecting Confidentiality and Analysts' Conflicts Over Choice of Method. Journal of the American Psychoanalytic Association, 52, 69-99. Stimmel, B. (2013). The Conundrum of Confidentiality. Canadian Journal of Psychoanalysis, 21(1), 84-106. Stein, M. H. (1988). Writing About Psychoanalysis: II. Analysts Who Write, Patients Who Read. Journal of the American Psychoanalytic Association, 36, 393-408.  

“I feel so strongly about this [collective commemorative ritual]. I think that early psychoanalytic writing overemphasized the value of separation-individuation and pathologized the opposite. It's been through personal experience that I have come to see that in a different way with regard to Jewish commemorative ritual which takes place a couple of times a year. But also some experiences that I have had outside the realm of religion. The one that pops to mind was what President Biden did about a year after the first onslaught of the Covid epidemic. He had candles put all around the reflecting pool in Washington, one candle for every number of people who had died, and this was broadcast on television.  I sat there and I wept over thousands of deaths, and then I began to think about the power of the experience of mourning with others. Despite the fact that we didn't all lose the same person, we had all lost somebody to this virus that was not as yet being managed. There was something incredibly powerful about that - in the same way for those who lost someone on 9/11 who go down to the Twin Towers and read the list of names every year. But we analysts have not theorized this stuff and I think it's time that we did.”    Episode Description: We begin with Joyce sharing with us her evolution from being a young analyst who was essentially ever available to her struggling patients to now being "more aware of the problematic edge to a kind of responsiveness that once felt simply necessary."  We discuss what she calls analyst's 'secret delinquencies' - when the clinician intentionally withdraws from the patient into personal matters "so that the analyst becomes the single subject in the room." We consider post-treatment friendships between analyst and analysand and the nature of the evolution of the transference. Joyce shares with us her reflections on growing older and the mixed blessings it provides in terms of greater experience and clinical wisdom as well as a tempting "disengagement from an earlier sense of therapeutic discipline." We close with her suggestion that we consider the "dynamic function of commemorative ritual" not as a mere enactment but as a fulsome experience for "reworking old connections."     Our Guest:Joyce Slochower Ph.D., ABPP, is Professor Emerita of Psychology at Hunter College & the Graduate Center, CUNY; faculty, NYU Postdoctoral Program, Steven Mitchell Center, National Training Program of NIP, Philadelphia Center for Relational Studies & and PINC in San Francisco.  She is the author of Holding and Psychoanalysis: A Relational Perspective (1996; & 2014) and Psychoanalytic Collisions (2006 & 2014), and co-Editor, with Lew Aron and Sue Grand, of “De-idealizing relational theory: a Critique from Within” and “Decentering Relational Theory: a Comparative Critique” (2018).  Her new book, Psychoanalysis and the Unspoken, was released by Routledge in June 2024. She is in private practice in New York City.    Recommended Readings: 2024 Psychoanalysis and the Unspoken.  NY, London: Routledge.    2024 Factions are Back. Journal of the American Psychoanal.  Assn., 72(4): 561-582.   2018 Deidealizing Relational Theory: A Critique from Within.  L. Aron, S. Grand, & J. Slochower, Eds. London: Routledge.   2017 Don't tell anyone.  Psychoanalytic Psychology, 34: 195-200.   2014 Holding and Psychoanalysis: A Relational Perspective (2nd Edition). New York: Routledge.   2014 Psychoanalytic Collisions: (2nd Edition), New York: Routledge. 

"What Freud may have missed here is that the investment in the lost object is a much more reconstructive and integrative process. It's one where we remember all the stories that we have heard from the lost object - the repetitive stories about the childhood of the person or how they met significant others and all these stories are within us and revived, and we have questions. We think: ‘Too bad I never asked about this or that' and in activating these memories we also experience joy and we have a slow process of integration which is not necessarily about loss but about how continuous this person lives in our mind and that is a little bit the focus of this novel. It's in that sense a portrait of the mind and the process of mourning."    Episode Description: We begin with recognizing Cordelia's contributions to clinical and theoretical psychoanalysis in addition to her fiction writing. Her latest novel, Momento, has been described as "a journey through the labyrinth of the dream world" and invites the reader into the experiences of ambiguity, timelessness, and the absurd. On a theoretical level, Cordelia introduces the usefulness of the term lethe - the river in the underworld of Hades that causes people to forget their past when they drink from it. We discuss the distinction between libido and lethe and how they manifest themselves in the analytic setting. She emphasizes the importance of understanding aggression not as a stand-alone but as a container of further meaning. We close with her sharing her childhood story of wanting to please her father with her detailed knowledge - a sublimation that she continues to gain pleasure from to this day.   Our Guest: Cordelia Schmidt-Hellerau, Ph.D.,  is a Training and Supervising Analyst and on the Faculty of the Boston Psychoanalytic Society and Institute as well as of the Swiss Psychoanalytic Society. Her area of expertise is metapsychology, in particular drive theory and its clinical applications. An updated version of her monograph of Freud's metapsychology, Life Drive & Death Drive, Libido & Lethe, is just being published by International Psychoanalytic Books. Her psychoanalytic books and articles have been published in many languages. She has also published three novels and edited a Freud Reader, an Essay Book, and three collections of Short Stories. She is the Chair of the IPA in Culture Committee and works in private practice in Brookline, Massachusetts.   Recommended Readings: Freud, S (1917) Morning and Melancholia. In Freud, S. Standard Edition, Vol IVX,     239 258   Schmidt-Hellerau, C. (2018) Driven to Survive. Selected Papers Psychoanalysis.      New York: International, Psychoanalytic Books.   Schmidt-Hellerau, C. (2020) Memory's Eyes. A New-York Oedipus Novel. Queens, NY: International Psychoanalytic Books.   Schmidt-Hellerau, C. (2023) Memento. A Novel in Dreams, Thoughts, and Images. New York: International Psychoanalytic Books.   Schmidt-Hellerau, C. (2024) Life Drive & Death Drive, Libido & Lethe. A clear road through Freud's metapsychology leading to helpful findings and new concepts. New York: International Psychoanalytic Books.

"A number of art schools in the early 60s said: “Clearly, it is the relationship of the painter to the medium that is the essence of painting - the painter must be emotionally present, and this is what we should instill in our students.” So they started to take away traditional training in art schools of representational drawing, of color theory, of figurative drawing, and what they ended up with was a generation of artists who were passionately throwing paint at canvases but unable to make art. The relationship between the fundamentals and intuition is very complicated. Nobody seemed to make the point that the great abstract expressionists  were all trained for decades in traditional art schools. That's what they came out of, and we see this in our analytic colleagues. Many of them are writing wonderfully at the moment, but they were trained as Kleinians or trained as ego psychologists, and they have that in their bone marrow. The kind of representational work with Apple [painting of his dog] that I am talking about when I say: I draw and I draw and I draw until I can put that aside, in analytic work I go to something basic in my training. For me it happens to be something that's close to Paul Gray, it's not where I'm going to stop, but I can use Paul Gray because that's what I was trained in - I will look for transference, I'll look for defense, I'll look for resistance and I'll go back and look for the derivatives of certain affects that are enacted in the relationship. I go over it and over it until I can relinquish it like I did with the painting of Apple, and then the intuitive comes in, but the intuitive is the reward at the end of decades of hard work."   Episode Description: We begin with Jon's mother's encouragement to paint by finding the bird's vitality through "becoming the bird." This leads us to consider the relationship between intuitive seeing and the "images which I might desire to produce." We discuss his notion of the aesthetic matrix which applies both to the analytic encounter as it does to the painter's relationship to his creative process. Jon shares with us his conviction that basic technique, whether artistic or analytic, must first become part of one's inner make-up before intuition can enlighten an obscure moment. He walks us through his creative process in the face of a blank canvas on the wall in front of him. He discusses the different uses of watercolor and oil paint and how their unique properties parallel his spontaneous engagement at various periods of an analysis. He presents a clinical encounter and how he was able to unpack a countertransference impasse through working on a painting. He closes with sharing an experience he had in his native South Africa which leads him to feel that "it's a blessing to be able to work in America."   Linked Paper and Websites: The Aesthetic Matrix: A Conversation Between a Painter and a Psychoanalyst  

"The Holocaust seems to me to be the paradigmatic case of the acting out of unconscious fears, fantasies and projections onto another group that has ever occurred. It is the place therefore for psychoanalytic concepts in understanding anti-Semitism and racism more generally. Particularly in this context and thinking about Nazism and Nazi perpetrators is crucial, especially given what for me is so interesting about this is not just thinking as a historian and how can I borrow psychoanalytic ideas to enrich the thing I am interested in explaining. Also, because the history of psychoanalysis is bound up with this history. It's why I cited Fenichel and Loewenstein - the idea of psychoanalysis as this ‘Jewish science', of the emigrates all persecuted by Nazism and how they restarted their lives in the US or elsewhere, the grappling with the German psychoanalysts after the war, the conflicts in the International Psychoanalytic Association after the war - these are all part of the history of the Holocaust. For me, this combination of the history of psychoanalysis as an endeavor, plus the usefulness of psychoanalytic concepts in trying  to explain this phenomenon in the first place is a hugely enriching conversation.”     Episode Description: We begin with outlining the tension within the 'complemental series' where external events and intrapsychic registration of those events are both contributors to psychic difficulties. This applies to early as well as later life traumas. Dan's book invites us to additionally consider the conflicting psychoanalytic contributions to the question of what enables survival. All research points to the essential dimension of luck in enabling survival in concentration camps. As a historian he fleshes out the contrasting viewpoints of analysts Eddy de Wind and Viktor Frankl as they each describe what they felt were the essential psychological qualities that contributed to survival. De Wind and others point to a state of stupor, also characterized as estrangement or dissociation, as an essential state of mind to facilitate surviving in overwhelming circumstances. He shares with us why he as a historian feels that an analytic way of thinking is essential as "history without psychoanalysis cannot access aspects of the human experience that elude rational thought - and there are sadly many."   Our Guest: Dan Stone, PhD, is Professor of Modern History and director of the Holocaust Research Institute at Royal Holloway, University of London, where he has taught since 1999. He is the author of numerous articles and books, including, most recently: The Holocaust: An Unfinished History; Fate Unknown: Tracing the Missing after World War II and the Holocaust; and Psychoanalysis, Historiography and the Nazi Camps: Accounting for Survival. He is also the co-editor, with Mark Roseman, of volume I of the Cambridge History of the Holocaust. Dan chaired the academic advisory committee for the Imperial War Museum London's redesigned Holocaust Galleries (opened in 2021) and is a member of the UK's Advisory Group on Spoliation Matters.   Recommended Readings:   Martin S. Bergmann and Milton E. Jucovy (eds.), Generations of the Holocaust (New York: Columbia University Press, 1982)   Werner Bohleber, Destructiveness, Intersubjectivity, and Trauma: The Identity Crisis of Modern Psychoanalysis (London: Routledge, 2018)   Matt Ffytche and Daniel Pick (eds.), Psychoanalysis in the Age of Totalitarianism (London: Routledge, 2016)   Dagmar Herzog, Cold War Freud: Psychoanalysis in an Age of Catastrophes (Cambridge: Cambridge University Press, 2017)   Emily A. Kuriloff, Contemporary Psychoanalysis and the Legacy of the Third Reich: History, Memory, Tradition (New York: Routledge, 2014)   Dori Laub and Andreas Hamburger (eds.), Psychoanalysis and Holocaust Testimony: Unwanted Memories of Social Trauma (London: Routledge, 2017)   Steven A. Luel and Paul Marcus (eds.), Psychoanalytic Reflections on the Holocaust: Selected Essays (New York: Ktav, 1984)   Dan Stone, Psychologists in Auschwitz: Accounting for Survival (lecture at the German Historical Institute,( London, 11 July 2024):   

“The historian [of the vineyard] gave us regular feedback on what she was finding, and she also brought in oral historians to take our own life histories. There's also a psychoanalytical point to be made here - you can take refuge in this scholarly exercise, going into archives and finding out things that happened hundreds of years ago, you can all too easily remove yourself from that: ‘This is what happened long, long ago'. But all of us on this farm, we had all lived through Apartheid. The oral historians who wanted to participate, we met over many sessions in my living room and the oral historians asked each of us who volunteered to participate to tell our stories of our lives and it was a real revelation to me. Despite my abstract awareness, the actual concrete listening to people who I was getting to know as individuals, to hear one after another account of the grinding poverty of what it actually is like to be a poor black farm worker in South Africa under Apartheid."    Episode Description: Mark shares with us his original intent to make a "citizen-sized contribution to the reconstruction" of South Africa through redressing the inequalities that formed a basis of his family's vineyard. He describes going through a painful process of enlightenment where good intentions themselves were insufficient to honor the historical processes that lived inside the owner and the tenant farmers who have been on the land for generations. Psychoanalytically informed, he consulted a historian and archeologist to, along with the farmers, dig into both the land and the lives of all involved. This led to a rebalancing of the pride/shame dynamic that had existed in the owner/workers. When faced with the inevitable question, "Must I give the farm back?" Mark discusses what he felt was the difference between ‘self-interest' and ‘selfish-interest'. He shares with us the efforts he took to enable the workers to become landowners, to become educated and also to become discoverers and messengers of their historically rich cuisine and music. He also details the ‘not so happy ending; of these efforts as his farm has struggled financially under the burden of these considerable costs and government corruption. Things have turned around of late and there is reason to be optimistic for the long-term flourishing of his vineyard and his “citizen sized” contribution to the well-being of those with whom he works.   Our Guest: Mark Solms, PhD is a member of the British Psychoanalytical Society and the American and South African Psychoanalytic Associations. He is Director of Neuropsychology at the Neuroscience Institute of the University of Cape Town. He is an Honorary Fellow of the American College of Psychiatrists. He has received numerous honors and awards, including the Sigourney Prize. He has published 350 scientific papers, and eight books, the latest being The Hidden Spring (Norton, 2021). He is the authorized editor and translator of the Revised Standard Edition of the Complete Psychological Works of Sigmund Freud (24 volumes) and the forthcoming Complete Neuroscientific Works of Sigmund Freud (4 volumes). Recommended Reading:  Solms, M. (2015) Psychoanalysis in Pursuit of Truth and Reconciliation on a South African Farm: Commentary on Gobodo-Madikizela. Journal of the American Psychoanalytic Association 63:1147-1158  

"I think it is very interesting to open a debate and talk about this impact of the culture, this epoch, in the subjectivity and never losing the internal work within psychoanalysis, within our consulting room. So when I  quote the Lacanian way of saying the ‘declination of the father's name', I am talking about these times, this epoch, in which the reference  and the subjectivity fails in respecting what we can call ‘the authority'. But ‘the authority'  means not authoritarian systems - it is the law, it is the possibility of symbolization, and it's the way of being free too, because without some limits you cannot be creative, you cannot be open to symbolization. We are talking about how the ‘other' is working in this new social environment and how this evanescence of the father's name is part of a situation that leaves open to the death drive."    Episode Description: We begin with recognizing the aspects of chaos that surround us  in the real-world. Gabriela takes us from there into the chaos that often lives internally. She then addresses the clinical space which allows for its emergence through the dyad. She speaks of the evanescence of the father's name, authority vs authoritarianism, the 'halo of metaphors' and the nature of the analyst's 'open form' of clinical engagement. Gabriela describes analytic cure as "step by step, so that love and not revenge for pain predominate." She shares with us her early life involving her child analysis, her study of architecture and her now working as an analyst and a painter.   Linked Website: Gabriela Goldstein    Our Guest: Gabriela Goldstein, Ph.D. Past President of APA (2020-2023). Training analyst of Argentina Psychoanalytical Association (APA), and the International Psychoanalytical Association (IPA) and FEPAL. Doctor Ph.D in Psychology (Universidad del Salvador). Books include The Aesthetic Experience, Writings on Art and Psychoanalysis, and Art in Psychoanalysis. Co-author, among others, of the APA book Dreams and Perception APA Editorial and the book Dear Candidate Fred Busch edit. She has won the Mom-Baranger prize for best monograph in Psychoanalysis with The Aesthetics of Memory, Freud at the Acropolis and won the A. Storni prize for conceptual contributions in Psychoanalysis with Transience, or the Time of Beauty. She has served on many IPA and APA committees including the IPA and Culture Committee since 2007. In addition, Gabriela is both an architect and a painter. Since 1985 she has taken part in solo painting exhibitions in Argentina as well as collective exhibitions in museums, art galleries, and cultural centers in Italy, France and Germany. She lives and works in Buenos Aires.     Recommended Readings: Baranger, W. y M. (2012). La situación analítica como campo dinámico. Revista de Psicoanálisis. 69(23), pp. 311-352   Bush, F. (editor) (2021) Dear Candidate: Analysts from Around the World Offer Personal Reflections on Psychoanalytic Training, Education and the Profession. Routledge. London and New York.   Freud, S. (1919) “The Uncanny” The Standard Edition of complete psychological works of S. Freud, V 17   Goldstein, G (2013) Art in Psychoanalysis, A Contemporary Approach to Creativity and Analytic Practice, Karnak-IPA      Goldstein G. (2022): “La no respuesta del Otro: algunas cuestiones sobre la cura” Revista de Psicoanálisis de la Asociación Psicoanalítica Argentina, LXXIX-3-4   Goldstein, G (2022): “Los misterios de la creación: Entre cuerpo y cultura”, Revista Uruguaya de Psicoanálisis ( on -line 135)   Mc Dougall, Andre, J., De M´Uzan, Et all,(2010) El artista y el Psicoanalista Ed. Nueva Vision   Winnicott, D.W. (1978). Winnicott, D.W., Green. A, Mannoni, O, Pontalis; J-B y otros    Winnicott, D. W. (1974): “Fear of breakdown” Int. Rev. of Psychoanalysis. (1974) l, 103

“I was very interested in the unspoken thoughts and feelings of the patient because I think one of the things about free association is that in the beginning most of what's going on with the patient is unsaid.  As the analysis evolves more and more of the unspoken becomes spoken and more of it becomes at the center of the analytic space. I wanted to show the evolution of the unsaid. At the beginning of the book, the unsaid is more than the said, and then it evolves as the analysis goes on.”    Episode Description: We begin discussing Roberta's first career as a sociologist which she described as an effort to disengage from her self-focused ruminations. She pursued psychoanalytic training after receiving her PhD in sociology. She also continued as a writer of both fiction and non-fiction. Both genres represented her personal as well as other-oriented reflections. Her book Our Time is Up is likewise a combined memoir and novel – she both is and isn't the young woman 'Rose' whose analysis with ‘Joan' forms the essence of this work. She reads sections from the book that describe her first meeting with her analyst as well as when the analyst's illness is introduced into their treatment. The book concludes with 'Rose' saying, “Frida Kahlo said about Diego Rivera, ‘He took me shattered and returned me in one piece, whole.' I could say the same thing about Joan.”     Our Guest: Roberta Satow is a practicing psychoanalyst in Washington, CT; a senior member of the National Psychological Association for Psychoanalysis and Professor Emerita of Sociology at Brooklyn College and the Graduate Center of the City University of New York. In addition to her non-fiction books Gender and Social Life and Doing the Right Thing: Taking Care of Your Elderly Parents Even if They Didn't Take Care of You, she has written two novels, Two Sisters of Coyoacan and Our Time is Up. Dr. Satow also writes blogs on Psychology Today and psychology.net.   Recommended Readings:   Roberta Satow, Our Time is Up, IPBooks, 2024. Roberta Satow, Two Sisters of Coyoacan, 2017. Roberta Satow, Doing the Right Thing: Taking Care of Your Elderly Parents Even if They Didn't Take Care of You (Tarcher/Penguin 2006). Roberta Satow, Psychology Today Blog. Roberta Satow,  Psychotherapy Blog Roberta Satow, A Case of Severe Penis Envy: The Convergence of Cultural and Individual Intra-Psychic Factors, Journal of the American Acad. of Psychoan. October 1983.  

“There was a lot of dilemma, and I wasn't able to definitely deal with the sudden knowledge of my cancer and to be able to impart that information in a more containing and structured manner so that my patients can be held even in that situation. But the consciousness was there about how to go about it. Whenever I was asked by the patient directly, or if the necessity arose where the hospital needed to impart the information, I did agree later that they can let them know about the cancer situation, and the patient can connect to me directly. When I was in a better stage, I knew how to deal with it, but that was months later. I found that the honest submission was more helpful for me and for the patient because when certain larger than life events happen, it probably connects us in a more humble way to the community - that the analyst as healer is not supreme above all of this, and who can also be affected with such aspects of life."    Episode Description: We begin with honoring the clinical difference between fantasies of physical vulnerability from real life mortal danger. Jhuma shares with us her medical journey that entailed suddenly receiving a diagnosis of cancer. She was immediately hospitalized and faced with, among other challenges, the question of how to inform her patients. She describes her fragility and uncertainty and the various engagements she was able to arrange. We discuss the meanings of "honest submission," patient's curiosity, and their aggression and tenderness towards her. She elaborates on the presence of the Hindu notion of an afterlife and her post-hospital awareness that “the clinical becomes vast" - this refers to the importance of bringing analytic sensibilities to the many venues that are 'off the couch'. We close with her sharing clinical vignettes demonstrating how even real-life current trauma can meaningfully awaken a patient's awareness of their forgotten painful past.     Our Guest: Jhuma Basak is a Training & Supervising Psychoanalyst of the Indian Psychoanalytical Society and member of the International Psychoanalytical Association. She holds a Ph.D. in Psychology from the Kyushu University, Fukuoka, Japan. She has specific interest in culture & gender in psychoanalysis. She has publications in Japanese, Italian, French and Spanish. Over the past 20 years, she has presented at various IPA Congresses, along with the Keynote for the 53rd IPA Congress in Cartagena in 2023. Other presentations were at the Washington Baltimore Centre for Psychoanalysis, Hakuoh University, and Kyushu University. She is the co-editor of the book Psychoanalytic & Socio-Cultural Perspectives on Women in India and editor of Sculpting Psychoanalysis in India – Sudhir Kakar. Jhuma has been the past Co-Chair of the Asia Committee on Women & Psychoanalysis and continues to be its consultant.    Reading List: Bernstein, Stephen (2024): The Making of the IPA Podcast: Psychoanalysis On & Off the Couch. Psychoanalytic Inquiry, Vol.44. No.2, 166-177.   Fajardo, B (2001): Life-Threatening Illness in the Analyst. Journal of the American Psychoanalytic Association. 49:569-586.   Feinsilver, David (1998): The Therapist as a Person Facing Death: The Hardest of External Realities and Therapeutic Action. International Journal of Psychoanalysis, 79: 1131-1150   Fieldsteel, N. D. (1989): Analysts' expressed attitudes toward dealing with death and illness. Contemporary Psychoanalysis, 25 (3): 427-432 o    Halpert, Eugene (1982): When the Analyst is Chronically Ill or Dying. Psychoanal. Q., (51):372-389.   Kitayama, O. (1998) Transience: Its Beauty and Danger. International Journal of Psychoanalysis 79:937-942.   Masur, Corinne (ed) (2018): Flirting with Death: Psychoanalysts Consider Mortality. Routledge.   Rosner, Stanley (1986): The Seriously Ill or Dying Analyst & the Limits of Neutrality. Psychoanalytic Psychology, 5(4), 357-371

"In my own two analyses, I had observed such transformations for me in a very impressive way. I started my own analysis after the traumatic death of my sister when I was 22 years old. At that time, I had a breakdown, and I suffered from severe depressive and psychosomatic symptoms and sleep disorders but also from terrible nightmares that haunted me almost every night. Fortunately, my two analyses did change my depressive and psychosomatic symptoms, but what was at least as important for me, subjectively, was the change in my dreams, including the manifest dream content. The nightmares became less frequent; I was hardly in the position of an observer anymore but actively involved in the dream event. I was less alone in the dream but accompanied by people close to me and was more often able to solve the problems and conflicts which arose in the dream. In addition, the dreams were no longer predominantly characterized by fear and death anxiety but a whole range of emotions emerged. Towards the end of my second analysis, I will never forget that I had the only dream of my life from which I woke up because I was laughing out loud."    Episode Description: We begin with acknowledging the ambivalence that many analysts have towards research. It is seen as distant from the sharing of subjectivities that draw many to our field. Marianne honors the unique transference reliving and then remembering that is central to the analytic encounter and from that position suggests ways that it can be researched. She presents a patient whose manifest dreams were studied over the course of treatment along with his sleep laboratory data. She notes how the stability of the analyst's presence is essential but not sufficient to maximize therapeutic benefit. We discuss the role of theory, the controversy over approaching the veridical past and the seductions of simplified treatments. Marianne closes by sharing her deep respect for the unconscious and how psychoanalysts are living in "rich times of pluralism."   Linked Episode:  https://ipaoffthecouch.org/2019/07/13/episode-10-refugees-germany-psychoanalysis/   Our Guest: Marianne Leuzinger-Bohleber, Prof. Dr. phil, director of the Sigmund-Freud-Institut in Frankfurt Germany (2001-2016), professor for psychoanalysis at the University of Kassel, Senior Research Fellow at the University Medicine in Mainz. She is a training analyst of the German Psychoanalytical Association (DPV) and the International Psychoanalytical Association (IPA). She has served as the Chair of the Research Subcommittees for Clinical, Conceptual, Epistemological and Historical Research of the IPA (2001-2009), Vice Chair for Europe of the Research Board der IPA (2010-2021); Chair of the IPA Subcommittee for Migration and Refugees 2018/19 and since then member of the committee. She received the Mary Sigourney Award 2016, the Haskell Norman Prize for Excellence in Psychoanalysis 2017, the Robert S. Wallerstein Fellowship (2022-2027) and the IPA's Outstanding Scientific Achievement Award, 2023. Her research fields are clinical and extra-clinical research in psychoanalysis, psychoanalytic developmental research, prevention studies, interdisciplinary dialogue between psychoanalysis and literature, educational sciences and the neurosciences.       Recommended Readings: Leuzinger-Bohleber, M. (2008): Biographical truths and their clinical consequences: Understanding ‚embodied memories‘ in a third psychoanalysis with a traumatized patient recovered from serve poliomyelitis. International Journal of Psychoanalysis 89: 1165-1187.   Leuzinger-Bohleber, M. (2015): Working with severely traumatized, chronically depressed analysands. In: The International Journal of Psychoanalysis Volume 96, Issue 3, June 2015, Pages: 611-636.   Bohleber, W., Leuzinger-Bohleber, M. (2016): The Special Problem of Interpretation in the Treatment of Traumatized Patients. In: Psychoanalytic Inquiry 36: 60-76, 2016.   Fischmann, T., Ambresin, G., Leuzinger-Bohleber, M. (2021): Manifest dreams in psychoanalytic treatment. A psychoanalytic outcome measure. Frontiers in Psychology, doi: 10,3389/fpsyg, 2021.678440.   Leuzinger-Bohleber, M., Donié, M., Wichelmann, J., Ambresin, G., & Fischmann, T. (2023). Changes in dreams - the development of a dream-transformation scale in psychoanalysis with chronically depressed, early traumatized patients. The Scandinavian Psychoanalytic Review, 46:1-2, 82-93. doi:10.1080/01062301.2023.2297116   Fischmann, T., and Leuzinger-Bohleber, M.: Dreams, Memories, and Trauma—A search for transformations in psychoanalysis (in press).

"I don't know what to do about this because we do have to use clinical material. It's the best tried and true method in which to inculcate analytic thinking in our students and supervises. On the other hand, we are so indebted to our patients and their trust in us and our responsibilities as ethical practitioners not to divulge their privacy. Principles are what we're trying to teach, we're not trying to teach people, we are not trying to teach that person, the case is not what we are teaching, but the principles in the case."    Episode Description: We begin by acknowledging the tension between our commitment to patient confidentiality and our need to learn, teach and advance our field through the sharing of intimate information. We discuss the difference between using clinical examples to reveal particular individuals as opposed to illustrating principles in psychoanalysis. Barbara describes the well-known case of a famous author whose analyst revealed identifiable details of his analysis in a publication. She shares why she feels that co-writing with one's analyst about one's treatment is problematic - "it stretches the concept of co-construction to a clinical breaking point." We consider how presenting a patient publicly impacts the analyst's interiority and lives on in the treatment. We close with recognizing the challenge of confidentiality and appreciating "the insuperable predicament posed by the mutually exclusive imperatives of protecting patient privacy and educating the next generation, as well as ourselves. Remembering that ego ideals are only approximations is our most effective balm."     Our Guest: Barbara Stimmel, PhD, is an adult and child psychoanalyst in New York city where she has practiced for the past several decades. She teaches and supervises widely and has contributed to psychoanalytic journals as well as editing and contributing chapters in several books. She has also presented papers, discussion groups and workshops in the wide world of psychoanalysis. She has held offices in psychoanalytic institutions on the local, national, and international level.  Barbara is involved at Mt. Sinai Medical Center in New York, where she sits on committees, has taught residents, and serves on the Palliative Care team.  She is on the President's Council of Sanctuary for Families, an organization devoted to women and families surviving domestic violence and trafficking. She also sits on the Shakespeare Council of The Public Theatre in New York.  This diversity of interests is reflected in the variety of topics within psychoanalysis and psychotherapy about which she has written, presented, and taught.  In some sense, confidentiality is part and parcel of any clinical topic, regardless of theory and patient population.   Recommended Readings:   Crastnopol, M. (1999). The analyst's professional self as a third influence on the dyad: When the analyst writes about the treatment. Psychoanalytic Dialogues,  9,  445-470. Gabbard, G. O. (1997). Case histories and ««confidentiality»». International Journal of Psycho-Analysis,  78,  820-821.   Gabbard, G. O. (2000). Disguise or consent? Problems and recommendations concerning the publication and presentation of clinical material. International Journal of Psychoanalysis,  81,  1071-1086.   Kantrowitz, J. L. (2004a). Writing about patients: I. Ways of protecting ««confidentiality»» and analysts' conflicts over choice of method. Journal of the American Psychoanalytic Association,  52,  69-99.   Kanwal, G. (2024) To Reveal or not to Reveal, That is the Wrong Question: Thoughts about Clinical Writing in Psychoanalysis. Psychoanalytic Quarterly 93:135-156.   Stein, M. H. (1988b). Writing about psychoanalysis: II. Analysts who write, patients who read. Journal of the American Psychoanalytic Association,  36,  393-408.   Stimmel, B. (2013). The Conundrum of Confidentiality.  Canadian Journal of Psychoanalysis,21(1):84-106

"During the whole course of your [psychoanalytic] training, you are laying on the couch and have your personal analysis and beforehand you don't know where it will lead you. You start to discover corners of your unconscious psyche which you don't want, which you are not so eager to explore. This accompanies you during the whole course of  training, always confronted with your own psyche and with not-yet-discovered areas of your internal world -  this is really an adventurous journey. And  you do the same with your patients. It is not that you treat diseases with certain symptoms, but you delve deeply into their souls and this is a shared enterprise. Doing psychoanalysis you are confronted with your own psyche, you are confronted with the psyche of the patient too. This confronts you with surprises, sometimes deep anxieties and terrors that you've never known beforehand. So I think the comparison of psychoanalytic training of starting a journey with a sailing ship into the vast areas of the ocean, it's a good example, you will never know exactly what will be the next day or what you will be confronted with."    Episode Description: We begin with recognizing two aspects of psychoanalytic training - the adventurous and the immersive. These aspects, in addition to the many challenges in the training, can offer the unique opportunity to come to know the depths of the human experience. We discuss the various theoretical models currently available and how they can both enrich and distract from the core competencies that allow for a depth treatment. We consider whether different types of patients need different types of interventions, the centrality of neutrality, and the value and impossibility of free association. Eike addresses the unfortunate conflation of abstinence and unfriendliness, and we consider the clinical moment of receiving a gift from a patient.  We close with his sharing his psychoanalytic journey that began in mathematics and then to medicine and then to psychoanalysis.   Our Guest: Dr. Eike Hinze is a psychiatrist and psychoanalyst in Berlin. He did his psychoanalytic training at the Berlin Karl-Abraham-Institute and works in his private practice. At present he is chair of training in the institute. One of his main areas of interest is the psychoanalytic treatment of elderly patients. For decades he has been active in the training of future psychoanalysts. For more than 15 years, he has been working in the Board of the Psychoanalytic Institute for Eastern Europe the objective of which was the development and furthering of psychoanalysis in Eastern Europe. He is co-author of a recently published book studying commonalities and differences between different styles of performing psychoanalysis.   Recommended Readings:   Ch. Brenner (1982) The Mind in Conflict. International Universities Press. New York.   F. Bush (editor) (2021) Dear Candidate: Analysts from Around the World Offer Personal Reflections on Psychoanalytic Training, Education and the Profession. Routledge. London and New York.   Ferro (2002) In the Analyst's Consulting Room. Taylor & Francis. New York.   E. Hinze (2015) What do we learn in psychoanalytic training? Int J Psychoanal 96:755-771.   J.-M. Quinodoz (1993) The Taming of Solitude. Routledge, London and New York.   J.-M. Quinodoz (2004) Reading Freud. A Chronological Exploration of Freud's Writings. Routledge. London and New York.   D. Tuckett, E. Allison, O. Bonard, G. Bruns, A. Christopoulos, M. Diercks. E. Hinze, M. Linardos, M. Sebek (2024) Knowing What Psychoanalysts Do and Doing What Psychoanalysts Know. Rowman & Littlefield. Lanham. Boulder. New York. London.  

“I would love for the psychoanalytic world to re-embrace some of these adjunctive treatments that get to non-ordinary states of consciousness in order to enhance psychoanalytic treatment, and that includes psychedelics. The other thing I'd like to see is, I think psychoanalysts are extremely well suited to use psychedelic-assisted therapy in a non-harmful way. I really believe that without an ongoing treatment relationship that these medicines are not going to be quick fixes. There's an article in the Substack blog, Ecstatic Integration, about an Israeli man who had an MDMA treatment for chronic post-traumatic stress disorder and it's a very interesting read, and it really does speak to the crucial aspect of having an ongoing therapy relationship while we use these medicines. I want people who are in the analytic field who are trained right out of the box to provide these containers to be more involved in the psychedelic field. For the psychedelic field I think sometimes I wish they would be a little more humble, a little less zealous about the efficacy, and a little more concerned about what could happen that's harmful. I also think the psychedelic field, for some reason, has not embraced psychoanalysis as a major tool to enhance the medicine."    Episode Description: Charis begins by discussing her inspiration, attributed to Maimonides, for always seeking new understandings to enhance her care of patients. We also begin with a caution - any time we introduce a frame change in clinical work, we must carefully attend to our countertransference to determine the factors that are contributing to our actions. That said, we should be careful to not use our carefulness to rationalize inhibitions to thinking and acting creatively. Charis describes her thinking underlying her decision to introduce ketamine with a particular patient as well as the process of the ongoing psychotherapy. We discuss the practical aspects of this procedure, the risks, the changes in the patient, and the importance of an ongoing psychotherapy to serve as a productive holding and processing space for this work. She concludes with her recommendation to the analytic world to be more open to such adjunctive approaches to therapy and to the psychedelic world to be more modest in their assumptions of its healing ability.   Linked Webinar and Article:  /g/Communications/Ees4tjM0U1lEtzEkVrUmDjgBmH9Vd6wgap_-Z-7BJVXNDw?e=h8Afay&referrer=Outlook.Win32&referrerScenario=email-linkwithembed">https://ipaworld.sharepoint.com//g/Communications/Ees4tjM0U1lEtzEkVrUmDjgBmH9Vd6wgap_-Z-7BJVXNDw?e=h8Afay&referrer=Outlook.Win32&referrerScenario=email-linkwithembed   https://www.ecstaticintegration.org/p/successfully-treating-c-ptsd-with?utm…     Our Guest: Dr. Cladouhos is a child, adolescent, and adult psychiatrist and psychoanalyst practicing in Boston, Massachusetts. She is on the faculty at the Tufts University School of Medicine and in the Boston Psychoanalytic Institute's adult and child analytic training programs.  She is the course director of an experiential elective for first-year medical students at Tufts called The Healer's Art: Rekindling the Heart and Soul of Medicine and established a pilot retreat program (First Aid for Physicians) through Tufts Medical Center to address physician burnout. She is trained in EMDR and Deep Brain Reorienting, has completed the first phase of MDMA training through MAPS, and has a certificate in Ketamine Assisted Psychotherapy from the Fluence Center for Psychedelic Training in New York. She is a member of the International Society for the Treatment of Trauma and Dissociation's Special Interest Group on psychoanalytic contributions to the treatment of trauma and dissociation.     Recommended Readings:    Jeffrey Guss (2022) A Psychoanalytic Perspective on Psychedelic Experience, Psychoanalytic Dialogues, 32:5, 452-468, DOI: 10.1080/10481885.2022.2106140    Fischman, Lawrence G. Knowing and being known: Psychedelic-assisted psychotherapy and the sense of authenticity. 09/20/22. Frontiers in Psychiatry. pp.1-36    Lawrence G. Fischman (2019) Seeing without self: Discovering new meaning with psychedelic-assisted psychotherapy, Neuropsychoanalysis, 21:2, 53-78, DOI: 10.1080/15294145.2019.1689528     Dahlberg, Charles Clay. LSD Facilitation of Psychoanalytic Treatment: A Case Study in Depth    Aaron D. Cherniak, Joel Gruneau Brulin, Mario Mikulincer, Sebastian Östlind, Robin Carhart-Harris & Pehr Granqvist (2023) Psychedelic Science of Spirituality and Religion: An Attachment-Informed Agenda Proposal, The International Journal for the Psychology of Religion, 33:4, 259-276, DOI: 10.1080/10508619.2022.2148061   Orbach, S. There Is No Such Thing As A Body. John Bowlby Memorial Lecture: British Journal of Psychotherapy. 20 (1) 3-15 2003   Orbach, S. Body Part 2: Psychoanalysis' Discomfort with Touch. British Journal of Psychotherapy. 20 (1) 17-26.2003.   Essentials of informed consent:   Power Trip: Cover Story New York Magazine. Lily K Ross and David Nickels 

“What is it like to be a clinician with a patient who either comes because they're going to be dying or it happens in the treatment -  what is it like for the clinician? It's lonely in a way because there is a lot of parallel with what the patient is going through. To me, and as a field, I would like to think we could talk about this and write about it. My peer group at the time was terribly important to me - colleagues, people that basically would be with me in this. But in the end I was the one that went alone to the service at the funeral home and I went to my patient's luncheon, not to have the lunch but to talk to the family, and then I left - I didn't stay for the lunch, I thought that might be a little intrusive. There's nothing really to read about, talk about, pick somebody's brain about how do they experience this in their work or I don't really understand why we've been so quiet about this in our work.” PW   “You mentioned about being alone in it, and there is a way in which it's very true. I think a large part is that not many of our colleagues have had this experience. But on the flip side, maybe because I've worked with so many patients and I'm beginning to notice a certain consistency, but I've also had such an experience of close intimacy with these patients. There's a closeness that is to be had particularly in analytic work and work over time - but it happens quite quickly in the work with dying patients, and in that regard, I felt less alone in my work. In some ways in the rest of our work, because we maintain a careful distance in a way, a boundary with the patient, a frame - I feel with the dying patients, I feel like both of us are more in the room together.” MM     Episode Description: We begin with acknowledging the tension that exists between the literal and metaphoric aspects of the analytic relationship and how that is highlighted in the face of physical illness in either party. We focus on patients' illnesses both as they present upon initial consultation and when they develop in the course of treatment. Mark describes his years of work with cancer patients, and Peggy shares her experience with an analysand who, in the 6th year of her treatment, developed a terminal illness. We consider the emotional challenges associated with making home visits, the meaning of 'boundaries', feelings associated with fees, and the shared experience of love between patient and analyst. We consider the ways that the analyst's affective intensity may also be associated with earlier and feared illnesses in their own life. We close with considering the difficulties that our field has in honestly communicating this aspect of the heart and soul of psychoanalysis.   Linked Episodes: Episode 23: A Psychoanalyst Encounters the Dying – Discovering ‘Existential Maturity'   Episode 40: How Psycho-Oncology Informs an Approach to the Covid-19 Crises with Norman Straker, MD   Our Guests: Mark Moore, PhD, is a clinical psychologist and psychoanalyst who works in private practice in Philadelphia. He was the Director of Psychological Services at the Abramson Cancer Center at Pennsylvania Hospital from 2004-2014 where he supervised psychology interns and post-doctoral fellows during their psycho-oncology rotation and provided psychological services to cancer patients and their families. He is also currently a co-leader for a weekly doctoring group for neurology residents at Penn Medicine. He was the Director of the Psychotherapy Training Program from 2014-2020 at the Psychoanalytic Center of Philadelphia, where he currently teaches courses on Writing, Assessment, Core Concepts, and a comparative course on Psychotherapy and Psychoanalysis. He was a recipient of the 2020 Edith Sabshin Teaching Award from the American Psychoanalytic Association, and he runs a monthly teaching forum for faculty at his institute. Dr. Moore's clinical work focuses on health issues, notably chronic illness, losses, and life transitions associated with cancer, and the fear of dying. He has written several book chapters on topics including the concept of harmony in Japan, cultural perspectives on lying, conducting therapy outside the office, the experience of bodily betrayal in illness and aging, the experience of shame across the adult lifespan, and more recently about friendship.    Peggy Warren, MD, is a psychiatrist and psychoanalyst in Boston. Originally from Chicago, she danced professionally with Giordano Dance Chicago from ages 15 to 21, which created a lifelong interest in the effects of creativity and mentoring on human development. Fascinated by cell biology, she received a master's degree in microbiology from Chicago Medical School and then an MD from Rush University. In medical school, she was chosen to be an Osler Honor Fellow in Pathology/Oncology, where she was first exposed to dying patients. Awarded the Nathan Freer prize for excellence in a medical student at graduation, she used the prize money to buy the Complete Works of Freud and began to learn about the power of the unconscious. After completing residency training in psychiatry at Massachusetts General Hospital, she pursued analytic training and graduated from the Boston Psychoanalytic Society and Institute. She was on the teaching and supervising faculty of the MGH/McLean psychiatry residency program for 30 years, the Boston Psychoanalytic faculty for 20 years, and won the teaching award from the Harvard Medical School MGH/McLean residency program in 2010. She has given talks on “Vaslav Nijinski: Creativity and Madness,” was a discussant with Doris Kearns Goodwin on Abraham Lincoln and depression, lectured on the effect of twinships on siblings, was a discussant in the “Off the Couch Film Series,” (Boston Coolidge Corner theater), a case presenter “On the Dying Patient” at the 2017 American Psychoanalytic meetings, and is a faculty member of the American Psychoanalytic Association's annual Workshop on Psychoanalytic Writing. She has been in private practice in Boston as a psychoanalyst for 38 years.   Recommended Readings: Bergner, S. (2011). Seductive Symbolism: Psychoanalysis in the Context of Oncology. Psychoanalytic Psychology, 28,267-292.   Emanuel, L. (2021). Psychodynamic contributions to palliative care patients and their family members. In H. Schwartz (Ed.), Applying Psychoanalysis to Medical Care. New York: Routledge.    Hitchen, C. (2012). Mortality. New York: Hatchette Book Group.   Minerbo, V. (1998). The patient without a couch: An analysis of a patient with terminal cancer. Int. J. Psych-Anal., 79,83-93.   Norton, J. (1963). Treatment of a Dying Patient. Psychoanalytic Study of the Child, 18, 541-560   Didion, Joan: The Year of Magical Thinking. Vintage/Random House, 2007   Jaouad, Suleika: Between Two Kingdoms: A Memoir of a Life Interrupted; Random House, 2022.   Bloom, Amy: In Love: A Memoir of Love and Loss;Random House, 2023.  

"From such accounts [of Polish atrocities] we can see how incredibly emotional and how incredibly pleasurable it could be on the social level, not only for the people involved, but for the whole group, and we can really see how violence on others becomes the core of social identity, of the national identity. We tend to think about committing violence as anti-social, and that Eros  is the only force that brings us together.  We can't see here how eroticized violence or sexualized violence might do it as well. After so many years of research, we don't really have to ask the question: how is it that people can do such things, or how can people become murderers on a social level, on a group level?  I'd say that the more interesting question we may ask is how did the murderers stay people and stay citizens? How could after committing such crimes in plain sight of the whole group, how could that group remain a stable group? How could a community of murderers and bystanders to the violence - what is the social glue that brings them all together? I would say that eroticized violence is one of the main aspects, one of the main elements of creating a closed identity based on denial of humanity of the other.”    Episode Description: We begin with acknowledging the phenomena of bystanding in the presence of extreme violence. The slaughter of neighbors by neighbors notoriously occurred in the Rwandan genocide and in the Polish Holocaust, which is the focus of Jan's research. He posits that the psychoanalytic concept of perversion best captures the denial and split-off excitement that characterizes bystanding - 'one eye open, one eye closed'. He challenges the possibility of observer's indifference, documents the ever-present knowledge that neighbors have of the history of their neighbors, and discusses the experience of 'ghosts' inhabiting the homes of forgotten/remembered neighbors. We distinguish between being a bystander and a witness, and the state of mind “We will not forgive you for what we did to you.” We close with our sharing the difficulty of listening to this material and how he managed this over the years of his research.   Our Guest: Jan Borowicz, PhD, is a certified psychotherapist and candidate in psychoanalytic training in Polish Psychoanalytic Society (IPA). He is a Member of Holocaust Remembrance Research Group in the Institute of Polish Culture, University of Warsaw, Poland.  He is interested in cultural memory, psychoanalytic theory, and Holocaust studies. He published two books in Polish on history and memory of the Holocaust. Recently, he published his first book in English, Perverse Memory and the Holocaust: A Psychoanalytic Understanding of Polish Bystanders (2024), in which he explores the deep implications of witnessing mass violence and extermination.    Recommended Readings: Jessica Benjamin, "A relational psychoanalysis perspective on the necessity of acknowledging failure in order to restore the facilitating and containing features of the intersubjective relationship (the shared third)", International Journal of Psychoanalysis, vol. 9, iss. 3, 2009.   Jan Borowicz, Perverse Memory and the Holocaust: A Psychoanalytic Understanding of Polish Bystanders, trans. Mikołaj Golubiewski, Routledge: London and New York, 2024.   Stanley Cohen, States of Denial: Knowing about Atrocities and Suffering, Cambridge: Polity Press, 2001.   Samuel Gerson, "When the Third is Dead: Memory, Mourning, and Witnessing in the Aftermath of the Holocaust", International Journal of Psychoanalysis, vol. 9, iss. 6, 2009.   Grzegorz Niziołek, Polish Theatre of the Holocaust, trans. Ursula Phillips, London: Bloomsbury Publishing and Instytut Teatralny im. Zbigniewa Raszewskiego, 2021.   Probing the Limits of Categorization: The Bystander in Holocaust History, eds. Christina Morina, Krijn Thijs, New York: Berghan Books, 2019.   Joel Whitebook, Perversion and Utopia: Studies in Psychoanalysis and Critical Theory, Cambridge, Massachusetts: MIT Press, 1996.

My conversation with Sudhir Kakar took place five weeks before his untimely death on April 22nd.  “Freud obviously is very brave and courageous to accept that the world is inadequate and that my desires will never be sufficiently fulfilled. My question - is this in fact the case? I think that everyone has had some kind of spiritual experience, some more than others and in many different contexts, not just religious ones. Spiritual experiences contradict Freud's notion of common unhappiness and the idea of the world as inadequate. What reason do we have to assume that all such common experiences are simply false, that they are based on some kind of false consciousness? Rather, I believe that the inadequacy lies in our own awareness rather than with the world. The world allows for many experiences that would be highly adequate yet we block them - what we call the mundane world is much more enchanted than we think it is."    Episode Description: We begin by considering the embodiment of one's cultural imagination - "one's mental representation of culture" - into one's unconscious mind. Sudhir describes different early child-rearing practices and invites the question about their influence on our later inner lives. He shares with us his early idealization of Freudian/Western ways of thinking and his later development, which returned to the enchanting aspects of his Hindu youth. We discuss the similarities and differences between a Judeo-Christian-based psychoanalysis and one founded on a Hindu imagination. We consider the different notions of God, ritual, and illusion. He distinguishes an 'autonomous person' from a 'communitarian person' and describes the pleasures and burdens of each. We close with his sharing his lovely psychoanalytic origin story connected to his meeting Erik Erikson and discovering "I want to be like him."   Our Guest: Sudhir Kakar was a psychoanalyst, scholar, and writer. He had been a Lecturer and Visiting Professor at Harvard University, Visiting Professor at the Universities of Chicago, McGill, Melbourne, Hawaii, and Vienna, Fellow at the Institutes of Advanced Study, Princeton, Berlin, and Cologne, and was on the board of Freud Archives. He had received the Kardiner Award of Columbia University, Boyer Prize for Psychological Anthropology of the American Anthropological Association, Germany's Goethe Medal, Tagore-Merck Award, McArthur Research Fellowship, and Order of Merit of the Federal Republic of Germany. `As ‘the psychoanalyst of civilizations', the French weekly Le Nouvel Observateur listed Kakar in 2005 as one of the world's 25 major thinkers. Sudhir was the author/editor of 20 books of non-fiction and six novels. His books have been translated into 22 languages.   Recommended Readings: Kakar, Sudhir - The Indian Jungle: Psychoanalysis and Non-Western Civilizations, Karnac. June 2024   The Capacious Freud, in F. Busch and N. Delgado eds.The Ego and the Id 100 years Later. London: Routledge 2023   Re-reading Freud's The Future of an Illusion in Hindu India, in O'neill  &  S.Akhtar.eds.On Freud's the Future of an Illusion. London: Routledge, 2018   The  Analyst and the Mystic Chicago: University of Chicago Press, 1992   Psychoanalysis and Eastern Spiritual Healing Traditions, J. of Analytical Psychology,48(5).   Shamans, Mystics and Doctors: A Psychological inquiry into India and its Healing Traditions. New York: A. Knopf, 1982.   Mad and Divine: Spirit and Psyche in the Modern World. Chicago: U. of Chicago Press, 2009

"Psychoanalysis landed in Finland in the 50s; before the Second World War there were one or two persons familiar with psychoanalysis. In the 50s, psychoanalysis got a lot of interest in Finland but then there was no possibility of training in Finland. The pioneers went abroad, some to Sweden and some to Switzerland. They picked up the theoretical preferences in the new countries and new institutes - the IPA Associations mainly were from people studying in Sweden and coming back to Finland and creating the IPA association. The Therapeia Institute consisted mainly of people studying in Switzerland and got a lot of influence from existential psychoanalysis and Jungian psychoanalysis… I tend to side with Lee Grossman [link below]; I guess the theoretical theories reflect more the character - when you listen to a case presentation of course people present them differently depending on their theoretical background, but in the consulting room I am not sure there is that much difference."    Episode Description: We begin with acknowledging the value of meeting and learning from analyst colleagues from around the world.  We discover both similarities and differences in both the challenges and pleasures of this work. In Finland there was a government-mandated change in the structure of training in psychotherapy and psychoanalysis starting in 2012.  The anticipatory anxieties were considerable. There was input from the university on issues of curricula, research opportunities, and improved pedagogy. The fears of loss of meaningful autonomy proved to be mostly fears - not realized. We also discuss the origins and current state of psychoanalysis in Finland. We close with a few words of the pervasive role of sauna in Finnish life and the ways it manifests in analyses.   Linked Episode: Episode 135: Technique is Character Rationalized with Lee Grossman, MD (Oakland, Ca.) – IPA Off the Couch   Our Guest: Jan Johansson is a psychologist and a training and supervising analyst at the Therapeia Institute in Helsinki, Finland. Currently, he's working as a psychoanalyst in private practice in Helsinki. In addition, he supervises psychotherapists and psychoanalysts. He has been interested in issues concerning psychoanalytic training for the last decade and a half. Currently he is the chair of the board of the Institute, while also being a member of board of the Therapeia Society. He also was a member of the Executive Committee of the International Federation of Psychoanalytic Societies 2014 - 2022. He is interested in promoting the multitude of psychoanalytic voices; while being trained within an object-relational frame, he doesn't identify exclusively with any particular theoretical frame of reference. He lives in Espoo, a neighbor city of Helsinki with his wife. After languishing in the darkness of the Finnish winter from October to mid-March, in the summer they enjoy the light and the white nights at their summer-house at the seaside, heating their sauna everyday and swimming in the Finnish Gulf.   Linked Episode:  Episode 135: Technique is Character Rationalized with Lee Grossman, MD (Oakland, Ca.)    Recommended Readings: Grossman, L. (2023): The psychoanalytic encounter and the misuse of theory. New York: Routledge.   Kernberg, O.F. (2016). Psychoanalytic education at the crossroads: Reformation, change and the future of psychoanalytic training. New York: Routledge   Reeder, J. (2004). Hate and love in psychoanalytic institutions: The dilemmas of a profession. New York: Other Press.   Tuckett, D. (2005). Does anything go? Towards a framework for the more transparent assessment of psychoanalytic competence. Int J Psychoanal. 86: 31–49.   Tuckett, D., Amati Mehler, J., Collins, S., Diercks, M., Flynn, D., Franck, C., Millar, C., Skale, E., Wagtmann, A-M. (2020): Psychoanalytic education in the Eitingon model and its controversies: A way forward. Int J Psychoanal. 101: 1106 – 1135.  

“My interest is to rather than continue with the psychoanalytic tilt which has tended to try to find the words - to find the areas of the analyst that has words to engage with these states and then help the patient transform these states into something thinkable and communicable. [In contrast] my interest has been to take the patient where they are; it's kind of a radical way of saying ‘meeting the patient where they are', and find our way and lend ourselves to engaging with them in their own idiom, using Bollas's term, in their own way of being and to find ways to be with them that don't necessarily rely on talking about things and making things known.”   Episode Description: We begin by considering patient's non-represented mental states and their manifestation in somatic and motoric registers. Robert describes his understanding and approach to clinically engage those who "barely experience continuity of the self or subjectivity in themselves or others." He recommends 'companioning' with them. This entails not trying to "move the patient out of these regressed areas into greater relatedness ...but to welcome these other dimensions and their full expression within the analytic space." We consider the role of enactive engagements, the non-verbal vs the pre-verbal and 'radical neutrality'. He presents a case where the patient and analyst shared music, food and not discussed emotional intimacy between them that he felt was vital to enable the patient to emerge as a 'real person'. We close with speaking of Robert's professional history of working early on with psychotic individuals and finding that his approach enabled them, often to their surprise, to feel heard. He also describes his attunement to the experience of being an 'other' that emerged from his growing up as an 'other' - a Jew in London.       Our Guest:  Robert Grossmark, Ph.D., ABPP, is a psychoanalyst in New York City. He works with individuals, groups, and couples. He is on the teaching and supervising faculty at the New York University Postdoctoral Program in Psychotherapy and Psychoanalysis, The National Institute for the Psychotherapies Program in Adult Psychoanalysis, The National Training Program in Psychoanalysis, National Faculty Member, the Florida Psychoanalytic Center and lectures at other psychoanalytic institutes and clinical psychology training programs nationally and internationally. He is an Associate Editor for Psychoanalytic Dialogues. He is the author of The Unobtrusive Relational Analyst: Explorations in Psychoanalytic Companioning and co-edited The One and the Many: Relational Approaches to Group Psychotherapy and Heterosexual Masculinities: Contemporary Perspectives from Psychoanalytic Gender Theory.      Recommended Readings: Grossmark, R. (2024) The Untelling, Psychoanalytic Dialogues. In press.   Grossmark, R. (2019) The anguish of fatherhood, Psychoanalytic Perspectives,  16 (3), 316-325. Grossmark, R. (2023) A child is being murdered: A contemporary psychoanalytic treatment of a compulsion to child pornography, Psychoanalytic Psychology, 40: 25-30   Bach, S. (2011) Chimeras: Immunity, interpenetration and t he true self. Psychoanalytic Review, 98(1): 39-56   Winnicott, D. W. (1974). Fear of breakdown. International Review of Psycho-Analysis, 1(1-2), 103–107.   Bollas, C. (2011) Character and interformality. In C. Bollas, The Christopher Bollas Reader (p. 238-248)   Ogden, T.O. (2017) Dreaming the analytic session: A clinical essay. Psychoanalytic Quarterly, 86: 1-20.   Stern, D.B. (2022) On coming into possession of oneself: Witnessing and the formulation of experience. Psychoanalytic Quarterly, 91: 639-667   Symington, N. (2012) The Essence of psychoanalysis as opposed to what is secondary. Psychoanalytic Dialogues. 22, 4, 395-409

"The first line treatment for adolescents with anorexia now is family-based therapy typically, which involves helping the parents facilitate the refeeding of the adolescent. So, I was working with the patient in that way and found it to be helpful and useful, but was consistently struck by the neglect of the patient's inner life, and found, at least based on my experience with many patients, that while you could get some symptomatic relief, if you didn't, in some way, address the deeper dynamics, the aspects of the patient's personality organization that drove the disorder, that were implicated at the disorder, there was a way that the patient would snap back to their old behaviors over time, that deeper change and a deeper understanding of what was going on was really necessary; and so that's been kind of evolution from my work over the past ten years from  my first book, which was about anorexia in males, and tried to present a kind of Integrative understanding of that phenomena, increasingly over time I've become more and more interested in the deeper kind of analytic thinking that we can bring to bear on this kind of suffering.”    Episode Description:  We begin with a description of the common contertransferential pull to intervene behaviorally in the face of repetitive self-destructive eating disorder symptoms. This intention can inform but not compel the clinical decision as to the indicated treatment of choice for someone at any particular moment. Behavioral and pharmacologic treatments can be important in softening the pressure of eating disorder symptoms. They do not, however, give an individual access to their interoceptive life, from which these disturbing self-preoccupations emerge. We discuss the challenges of working with those who have limited capacities for mentalisation and as a result, live out their inner lives somatically and motorically. Immersive treatment leads the clinician to experience these proto-affects in one's own body and in one's own ruminations. Tom discusses alexithymia, typical family structures, and the presence of the 'abject' experience in the lives of these patients. He presents a disguised case of a patient who was able to work through both the early struggles and later neurotic aspects of these conflicts analytically. We close with his sharing with us his vision for the future which includes more integration between the dynamic and adynamic approaches to these challenging patients.   Our Guest: Tom Wooldridge, PsyD, is Chair in the Department of Psychology at Golden Gate University as well as a psychoanalyst and board-certified, licensed psychologist. His first book, Understanding Anorexia Nervosa in Males, was published in 2016. His second book, Psychoanalytic Treatment of Eating Disorders: When Words Fail and Bodies Speak, an edited volume in the Relational Perspectives Book Series, was published in 2018. His third book, Eating Disorders (New Introductions to Contemporary Psychoanalysis), was released in 2022.  His fourth book, co-edited with Burke, Michaels, and Muhr, is entitled Advancing Psychotherapy for the Next Generation: Rehumanizing Mental Health Policy and Practice. He has also written a novel about the process of psychotherapy, Ghosts of the Unremembered Past, additionally released as an audiobook. He is a Personal and Supervising Analyst at the Psychoanalytic Institute for Northern California and a Training Analyst at the San Francisco Center for Psychoanalysis. He is on the Scientific Advisory Council of the National Eating Disorders Association, Faculty at the Psychoanalytic Institute of Northern California (PINC), the Northern California Society for Psychoanalytic Psychology (NCSPP), the William Alanson White Institute's Eating Disorders, Compulsions, and Addictions program, and the San Francisco Center for Psychoanalysis, and has a private practice in Berkeley, CA.     Recommended Readings:   Williams, G. (1997). Reflections On Some Dynamics Of Eating Disorders: ‘No Entry' Defences and Foreign Bodies. International Journal of Psycho-Analysis., 78, 927-941. Brady, M.T. (2011). Invisibility and insubstantiality in an anorexic adolescent: phenomenology and dynamics. Journal of Child Psychotherapy, 37(1), 3 – 15. Bromberg, P.M. (2001). Treating patients with symptoms – and symptoms with patients: Reflections on shame, dissociation, and eating disorders. Psychoanalytic Dialogues, 11(6), 891 – 912. Petrucelli, J. (2015). ‘My body is a cage': Interfacing interpersonal neurobiology, attachment, affect regulation, self-regulation, and the regulation of relatedness in treatment with patients with eating disorders. In J. Petrucelli (Ed.). Body-states: Interpersonal and relational perspectives on the treatment of eating disorders. (Psychoanalysis in a New Key). New York: Routledge. Sands, S. (2003). The subjugation of the body in eating disorders: A Particularly female solution. Psychoanalytic Psychology, 20(1), 103 – 116. Wooldridge, T. (2021). Anorexia nervosa and the paternal function. Journal of the American Psychoanalytic Association, 69(1), 7-32.   Wooldridge, T. (2018). The entropic body: Primitive anxieties and secondary skin formation in anorexia nervosa. Psychoanalytic Dialogues, 28(2), 189 – 202.

"The ability to play means we can indulge in a kind of illusion, not delusion, and make a distinction. It always amazes me that when the patient arrives, they like the routine of an analysis; nobody breaks that, it's an illusion; it is a piece of theater every time. We open the door to our patients and they lie on the couch, and yet there is something enormously gratifying as the patient works out their sense of  reality from that illusory field. I think it is exactly what the mother is able to bring to the infant - this capacity to play and this capacity to continue to evolve beyond the analysis as an internalization of that experience of being listened to and being with someone. The details of that is related to an intrapsychic surviving and non- surviving object in the analyst  who continues to think and feel and be with the patient in the consulting room.”   Episode Description: Joel begins his conversation with Jan around Winnicott's conceptualization of aggression in development and in the analytic encounter. She noted that he had a very sophisticated developmental theory of aggression which culminated with the role that the destruction of the object plays in constituting reality. Jan explains that she has elaborated Winnicott's late theory of aggression with her notion of the ‘surviving object'. She distinguishes the 'surviving object' from the 'good object', especially as it stands apart from a moralizing position. She considers its internalization as an essential condition for healthy development. They discussed the role that insight continued to play for Winnicott after he emphasized the importance of the patient's experience in the analytic process. They also consider the ‘fear of woman' as a root of misogyny. After discussing the uniqueness of the analytic setting to facilitate play, fantasy, and “magic which is not psychosis,” Jan concludes by emphasizing the importance of in-person treatment in order to have an in vivo experience of the non-retaliatory analyst.   Linked Episode: Episode 144: Why Winnicott? Joel Whitebook, PhD   Our Interviewer and Guest: Joel Whitebook, PhD is a philosopher and psychoanalyst. He is on the Faculty of the Columbia University Center for Psychoanalytic Training and Research and was the founding Director of the University's Psychoanalytic Studies Program. In addition to many articles on psychoanalysis, philosophy, and critical theory, Dr. Whitebook is also the author of Perversion and Utopia (MIT) and Freud: An Intellectual Biography (Cambridge). Jan Abram, PhD is a training and supervising analyst of the British Psychoanalytical Society and in private practice in London. She is a Visiting Professor of the Psychoanalysis Unit at University College London and is currently Vice President of the European Psychoanalytic Federation for the Annual Conferences. She is President-Elect for the EPF to start her term in March 2024. She is a Visiting Lecturer and supervisor at the Tavistock Clinic in London. In 2016, she was a Visiting Professor at the University of Kyoto, Japan, where she resided for a writing sabbatical. Jan Abram has published several books and articles notably The Language of Winnicott, Donald Winnicott Today (2013), The Clinical Paradigms of Melanie Klein and Donald Winnicott: Comparisons and Dialogues (co-authored with R.D. Hinshelwood 2018); The Surviving Object: psychoanalytic clinical essays on psychic survival-of-the-object (2022) and her second book with R.D. Hinshelwood: The Clinical Paradigms of Donald Winnicott and Wilfred Bion: Comparisons and Dialogues (2023).     Recommended Readings: ben Abram, J. (2022) The Surviving Object: Psychoanalytic Clinical Essays on Psychic survival-of-the-object New Library of Psychoanalysis Routledge   Abram, J. (2023) Holding and Containing: on the specificity of Winnicott's object relations theory Holding und Containing: Zur spezifischen Natur der Objektbeziehungen bei Winnicott. Psyche - Z Psychoanal 77 (9), 768-796 DOI 10.21706/ps-77-9-768  

“I was speaking to the tendency of the popular media to perceive narratives of Indian women's sexuality via the lens of oppression. Now, of course, sexual violence against women is an important concern in India, as it is worldwide. But telling the story of violence against women misses the story of how women desire, which is what I wanted to highlight. What struck me from reading the responses from these psychoanalytic interviews that I did was just how much women adapted their Eros to their circumstances. Particularly the older women that were interviewed, those who were older than 35, didn't feel very oppressed, even as they narrated experiences and circumstances that sounded oppressive to me. Of course, if these were patients instead of the psychoanalytic interviewees that they were, one might wait for a kind of realization of oppression, but I wanted to see how psychoanalysis could be useful in mapping how Eros leaks within a framework where oppression is internalized, as it was for many of my interviewees. What I found very interesting was some of the imaginative ways that women found to satisfy their sexual desires while still maintaining community belonging. Viewed from the outside, this can look like oppressive forms of hypocrisy or enactments. But within the frame of these women's lives, it seems like they had found some creative ways of making Eros central and also of having Eros and breathing it at the same time in order to move forward."      Episode Description: Amrita focuses our attention on the presence of women's active sexual desire which often gets obscured by society's tendency to see women as simply victims of violence and oppression. In her book, Women's Sexuality and Modern India - In a Rapture of Distress, she shares with us the results of in-depth interviews as well as latent clinical data from educated and financially comfortable Indian women. We discuss the erotic aspects of modesty; the differences between Indian and International feminisms; the role of the protective parent to foster girlish excitement, i.e. to offer a helping hand to their daughter; and the importance of the involved father to enable an identification for comfortable aggression. We close with a description of an unusual culturally imbued sexual practice that invites Amrita's deep attunement to multiple levels of meaning.   Our Guest: Amrita Narayanan, PsyD, is a Clinical Psychologist and Psychoanalyst and the author of Women's Sexuality and Modern India: In a Rapture of Distress. She has a longstanding interest in how a civilization's culture shapes its sexuality and its psychoanalysis.  She is an essayist in The Parrots of Desire: 3000 Years of Erotica in India and in Pha(bu)llus: a cultural history of the Phallus. She also writes a monthly column, Sexual Politics, for a newspaper, The Deccan Herald, Bengaluru. Aside from her clinical practice, Amrita is a Visiting Professor of English at Ashoka University, New Delhi, where she teaches psychoanalysis at the undergraduate and Masters level.        Recommended Readings: Narayanan, A. (2023) Women's Sexuality and Modern India: In a Rapture of Distress (Oxford University Press, 2023)   Kakar, S. (1990) Intimate Relations: Exploring Indian Sexuality. Penguin Books: New Delhi.   Menon, M. (2019). Infinite Variety: A History of Desire in India. Speaking Tiger Books: New Delhi.   Narayanan, A and Kakar, S. (2023) The Capacious Freud In Busch, F and Delgado, N. The Ego and Id: 100 Years Later. Contemporary Freud, Turning Points and Critical Issues Series. Routledge: UK.    Narayanan, A. (2018). When the Enthralled Mother Dreams: a clinical and cultural composition. IN Kumar, M. Mishra, A., and Dhar, A. (Eds). Psychoanalysis in the Indian Terroir: Emerging Themes in Culture, Family and Childhood. Lexington Books: USA.   Narayanan. A. (2013). Ambivalent Subjects: Psychoanalysis, Women's Sexuality in India and the writings of Sudhir Kakar. Psychodynamic Practice. 20-3. 213-227   

"The genetic asymmetry [with sperm donorship] will create issues and complications -  it puts a strain on the relationship, i.e. who is excluded; who has more rights to this product? In other words, if the sperm donor is from a stranger,  the father feels ‘am I really adequately or sufficiently related that I could claim fatherhood'?”   Episode Description: We begin by acknowledging the erroneous assumption that  unconscious conflicts over becoming a parent are etiologic for what had been called 'psychogenic infertility.' Correlation is not causality. We review the widespread use of assisted reproductive technologies, with up to 750,000 babies born per year through these methods. Mali presents a composite case of a 48-year-old woman who went through many arduous IVF cycles before appreciating the degree of omnipotence and denial that characterized her approach to this problem, as it had toward many other issues in her life. She shares with us the common experience of infertility representing a sense of defectiveness and guilt. We consider the many challenges of sperm and egg donorship, including who one chooses as a donor as well as when one should tell children of their biological origins. We close with Mali sharing with us her recommendations to rejuvenate the field of child analysis.   Our Guest: Mali Mann, M.D, is a Training and Supervising psychoanalyst and Child Supervisor at the San Francisco Center for Psychoanalysis. She is a clinical professor Adjunct at Stanford University School of Medicine, Department of Psychiatry and Behavioral Science.  Some of her published papers include, "Immigrant Parents and their Emigrant Adolescents: The Tension of Inner and Outer Worlds;" "Shame Veiled and Unveiled," "Aggression in Children: Origins, Manifestation, and Management through Play," Adolescent Psychoanalysis book chapter. "The Formation and Development of Ethnic Identity." Her edited book, Psychoanalytic Aspects of Assisted Reproductive Technology, won three awards: 1) Pinnacle Book Award, 2) International Book Awards in Family and "Parenting and Family" category in 2016, 3) Finalist for Book Vana Award in 2016. She has published two books of poetry: Whisper, Forget Me Not, and A Path with No Name. Her latest book, My Pony, Keran, is a semi-autobiographical children's book. She has been a member of Flying Doctors for nearly three decades (Los Medicos Voladores). She and her late husband, Dr. William James Stover, traveled to the Orphanages in  South America and Mexico to offer medical help to children and their families. In her spare time, she paints abstract expressionism and figurative; her art has been exhibited in US galleries and won several awards.      Recommended Readings: Allison. G. H. (1997). Motherhood, motherliness, and psychogenic infertility. Psychoanalytic Quarterly, 66: 1-17   Ludden, J. (2011) A. F. (1961). A new openness for donor kids about their biology. NPR: Making Babies: 21st Century Families.(17 September).   Bibring, G. L.' Dwyer, T. F., Huntington, D.S., & Valenstein, A. F. (1961). A Study of Psychological Process in pregnancy and the earliest mother and child relationship. Psychoanalytic Study of the Child, 16: 9-72   Ehrensaft, D. (2008), When baby makes three or four or more, Psychanal. Study Child, 63:3-23.   Freud, S. (1914). Remembering, repeating, and working through. (Further recommendations on the technique of psycho-analysis II.) S.E., 12.   Inderbitzin, L. B & Levy, S. (1998). Repetition Compulsion revisited: Implication for Technique, Psychoanalytic Quarterly. 67:32-53   Lester, E. P. & Notman, M. (1986). Pregnancy, developmental crisis, and object relations: Psychoanalytic considerations. Int. J. Psychoanal., 62: 357-366   Notman, M. & Lester, E. P. (1988). Pregnancy: theoretical considerations. Psychoanl. Inq., 8: 139-160   Pines, D. (1982). Relevance of early development to pregnancy and abortion. Int. J. Psychoanal., 61: 311-318   Zallusky, S. (1999). Infertility in The Age of Technology, Journal of American Psychoanalytic Association, 48: 1541-1562  

"As I elaborate in the book, there was no physical contact or romantic engagement. The reason why I chose the ‘lover' as the [psychoanalytic] analogy is, in the real world outside of psychoanalytic practice, where else do you have an interpersonal encounter that is so intensely engaging, attentive, respectful, and caring? That would be in the first six weeks or six months of a romantic relationship. If we eliminate the romantic/sexual part and just stay with ‘wow, this other party is paying such attention to me' -  reminds me of Lacan's idea that what we really seek in the other is their desire for us, which by the way, I don't completely agree with because I think it goes both ways - I would say that that is the analogy from the world of lovers that I would map onto psychoanalytic work at least on the part of the psychoanalyst - he or she ideally pays that kind of intense attention, care, respect and attunement, that you would find between lovers.”   Episode Description: We begin with discussing the various ways that we can shape our psychoanalytic frame to enable a deepening of the clinical encounter. This is in contrast to frames that have gone awry. In his book Lover - Exorcist - Critic Alan describes a composite patient where he became over-involved to the detriment of the work that was eventually repaired. We reference a problematic frame in his earlier training analysis that perhaps set the stage for this difficulty. He shares with us his concept that "by enlightening subjectivity, by raising consciousness, depth psychotherapy liberates." We discuss in some detail the forces in him, his patient, and their relationship that led him to greater enactments than were useful. He shares with us the challenges he faced in remedying his emotional imbalance with her and the intense rage it awakened in her, deriving from various periods in her life. We both emphasized the vital role of the consultant at such times. We close with Alan describing his co-founding and leadership in the Rose City Center - a low fee clinic providing dynamic psychotherapy to individuals who would never otherwise see the inside of an analyst's office.   Our Guest: Alan Michael Karbelnig, PhD is a psychoanalyst, writer, teacher, and forensic psychologist and practices in Pasadena, California. He is a supervising and training psychoanalyst at the New Center for Psychoanalysis in Los Angeles. He lectures nationally and internationally, including in China, India, Thailand, and Israel. He writes a weekly Substack newsletter titled Journeys to the Unconscious Mind. Alan has published 20 scholarly articles and five book chapters in addition to his book Lover, Exorcist, and Critic. He considers his 2004 founding of Rose City Center—a nonprofit clinic providing psychoanalytic psychotherapy for economically disadvantaged persons throughout California—his proudest professional accomplishment.    Recommended Readings:   Bellow, H. (1962). Herzog. New York: Viking.   Bromberg, P. (1996). The multiplicity of self and the psychoanalytic relationship. Standing in the spaces: Essays on clinical process, trauma & dissociation. London: The Analytic Press.   Greenberg, J. and Mitchell, S. (1983) Object relations in psychoanalytic theory. Harvard University Press. Cambridge, MA.   Karbelnig, A. M. (2022). Chasing Infinity: Why clinical psychoanalysis' future lies in pluralism. International Journal of Psychoanalysis, 103(1):5-25.   McEwan, I. (2019). Machines Like Me. New York: Anchor.   Strenger, C. (1989). The classic and romantic visions in psychoanalysis. International Journal of Psychoanalysis. 70:593-610

"What's the spiritual room? For me, it does tend to be a connection to something greater than just me; it is a contemplative space; it is getting to the core of who I am, allowing in some ways for the best of me to come to the fore; to have space for grace. I am humbled by what people bring to tell me. I take what I'm doing in the office very seriously because it is really like sacred work in terms of people being able to work, love, and play. I mean that is for them to find their real callings rather than the false selves that they may experience; it's a similar call for finding one's true self, and that is really important work."    Episode Description: We begin by considering the presence of religion as part of the cultural heritage which patients bring to the clinical encounter.  Ginta shares with us her upbringing in the Lithuanian Catholic church and its presence in her life, in her journey to medical school and to her psychiatric and analytic training. She speaks of the relationship between her sense of spirituality and God, the importance of Jesus' human/divine amalgam, and how prayer provides her access to her interiority.  We consider the similarities and differences between speaking freely to God and speaking freely to one's analyst. We discuss the narthex, the church antechamber, and its association with the analytic waiting room and how the structure of the Mass has similarities with the structure of the analytic session. We also consider her reflections on abortion - including a quote from Freud on the topic. Ginta closes by sharing with us her sense of the sacredness of our work.     Our Guest: Ginta Remeikis, MD, is a psychiatrist and psychoanalyst practicing in Rockville, MD. Having graduated from Northwestern University Medical School, she completed her psychiatric residency at Georgetown and Chestnut Lodge Hospital, where she then served on the medical staff and psychoanalytic training at the Washington Psychoanalytic Institute. Most recently, she has presented at meetings of the APCS (Association for the Psychoanalysis of Culture and Society) and AABS (Association for the Advancement of Baltic Studies) on intergenerational transmission of trauma; diaspora experiences; the psychic role of language, especially bilingualism; the use of literature for processing trauma; and psychodynamics around disability. In 2003 she organized the New Directions weekend conference, “The Future of Religion in the Psychoanalytic World: Revisiting the Mind/Soul Dilemma” and for several years presented on issues of psychiatry and religion to Georgetown's psychiatry residents. Besides enjoying reading, she has published poetry in Lithuanian in several collections and journals.   Recommended Readings:   Corcoran, Paul, “Seamus Heaney lost his Catholic faith.  But his poetry still sought transcendence.” in America; The Jesuit Review, Sept. 15, 2023.   Epstein, Mark, Thoughts Without a Thinker: Psychotherapy from a Buddhist Perspective, Basic Books, 1995.   Greeley, Andrew M., The Catholic Myth: The Behavior and Beliefs of American Catholics, Charles Scribner's Sons, NY, 1990.   Merton, Thomas, New Seeds of Contemplation, New Directions, NY, 1961.   Rizzuto, Ana-Maria, Why did Freud Reject God?: A Psychodynamic Interpretation, Yale University Press, New Haven, 1998.   Smith, Joseph H. and Susan A Handelman, editors, Psychoanalysis and Religion, Psychiatry and the Humanities, vol. 11, The Johns Hopkins University Press, Baltimore, 1990.   Trinkūnas, Jonas, editor, Of Gods & Holidays; The Baltic Heritage, Tvermė, 1999.  

"My analysis not only allowed me to grieve [my mother], with my analyst patiently pushing me in the direction of my feelings, but it radically transformed my life. I wouldn't have had kids if I hadn't had my analysis because I thought ‘I'm an ambitious person, I want a career, you can't do everything'. I didn't know any models of women who had a career and enjoyed motherhood. In my analysis I learned just through analyzing my own dreams and free associations, that this was all a rationalization. I was a very maternal person and I had the unconscious belief that if you become a mother you die. Once that was conscious, I talked to my husband who was excited about the idea about having kids. We had our two daughters, and so my life is in very concrete ways radically enriched by my psychoanalysis. So I went into the field with a deep conviction of how therapeutic this process is and it's been kind of a straight line from there."    Episode Description: We begin by describing the arc of learning that characterizes our psychoanalytic life journey. The oral tradition starts with our first supervisors and extends from there to study groups and to becoming a supervisor oneself. Nancy shares with us her professional trajectory from being an eager college student first encountering Freud to becoming a best-selling psychoanalytic author. She relates the transformative experience of her own analysis, the steps of maturation in her clinical work, and how she has faced the traumas of older age. We discuss the role that students have in relating to their more experienced colleagues and we close with her sharing her hope for our field's future.   Our Guest: Nancy McWilliams, PhD is Visiting Professor Emerita at Rutgers Graduate School of Applied & Professional Psychology and has a private practice in Lambertville, NJ. She is author of four textbooks (on psychoanalytic diagnosis, case formulation, therapy, and supervision) and is co-editor of both editions of the Psychodynamic Diagnostic Manual. A former president of the Society for Psychoanalysis and Psychoanalytic Psychotherapy of the American Psychological Association, she is a member of the Austen Riggs Center Board of Trustees. Her books are available in 20 languages and she has taught in 30 countries.    Recommended Readings:   McWilliams, N. (2022). Credo: Psychoanalysis as a wisdom tradition. In J. Salberg (Ed.), Psychoanalytic credos: Personal and professional journeys of psychoanalysts (pp. 70-77). New York: Routledge.   McWilliams, N. (2021). Psychoanalytic supervision. New York: Guilford Press.    Lingiardi, V., & McWilliams, N. (Eds.) (2019) Special Issue: The PDM-2 and clinical and research Issues in psychoanalytic diagnosis. Psychoanalytic Psychology, 35.   McWilliams, N. (2017). Psychoanalytic reflections on mortality: Aging, dying, generativity, and renewal. Psychoanalytic Psychology, 34, 50-57. Also in C. Masur (2018), Flirting with death: Psychoanalysts consider mortality (pp. 25-40). New York: Routledge.   McWilliams, N. (2011). Psychoanalytic diagnosis: Understanding personality in the clinical process, rev. ed. New York: Guilford Press   McWilliams, N. (2004). Psychoanalytic psychotherapy: A practitioner's guide. New York: Guilford Press.   

"The fact that music is so important for our constitution - that music is almost how we move in the world, that our own bodies are played through by musical forms, that the way we relate to our own way of being in the world is sort of mediated by music - this is powerful stuff. But it's not always very fitting to us. We hear a lot of music in our lives, we don't always choose what we hear. We don't choose our analyst's musicality, we don't first check what kind of musicality an analyst has. We are bombarded by music; music can be imposed upon us, it can make us feel within ourselves in a way that doesn't feel right to us. There is a lot of complexity here as we think about this matter of music being so central to us. But we can find the music that works for us, but we don't create the music. It belongs to the realm of collective cultural life. There is a lot of struggle in music, and in the analytic setting there is a lot of struggle - because for many patients a lot of the work rests on whether there can be any shared sensory experience or not.”     Episode Description: We begin with recognizing that the process of human musicalization begins in utero and forms the basis of much of psycho-somatic-social life. Peter, Michael and Adam's written collaboration, Here I'm Alive - The Spirit of Music in Psychoanalysis is intended to be a musical book about psychoanalysis - a representation of how music binds us to the individual and cultural domains of life. We discuss rhythmizing consciousness, atavistic vs enhancing music, and the blues as a companion soundtrack for loss and tribulation. We take up the relationship between Freud's dream book and his joke book, how present analytic melodies contain aspects of the past, and how dissociation requires a remusicalization of the psychoanalytic situation. We close with Adam reading a paragraph which includes "The capacity of the sexual drive to propel the body back into musical movement and transmute the seizure of trauma into conducted energy to ground the current."   Our Guests:   Peter Goldberg, Ph.D., is a Personal and Supervising Analyst at the Psychoanalytic Institute of Northern California, Chair of Faculty at the San Francisco Center for Psychoanalysis, and on the faculty of the Wright Institute in Berkeley. He has presented widely and written on a range of clinical and theoretical topics, including the evolution of clinical theory in psychoanalysis, sensory experience in analysis, the concept of the analytic frame, the theory and treatment of dissociative states, non-representational states; and the impact of social trauma on individual psychology. He is in private practice in Albany, CA.   Michael Levin, Psy.D. is a Training Analyst and Faculty Member at the San Francisco Center for Psychoanalysis. He has taught and presented on topics including the work of Laplanche, phenomenology, and psychoanalysis, and the place of psychoanalysis in cultural and intellectual history. He is in private practice in San Francisco.   Adam Blum, Psy.D. is an Adjunct Faculty Member at the San Francisco Center for Psychoanalysis. He has written and presented on psychoanalysis and the music of Björk, Kendrick Lamar, Frank Ocean, Stephen Sondheim, Aretha Franklin, and Michael Jackson. He is in private practice in San Francisco.     Recommended Readings and Videos:   Nicholas Spice, “Winnicott and Music” (2001), in The Elusive Child, ed. Lesley Caldwell (London: Karnac, 2002).    Peter Sloterdijk, “Where Are We When We Hear Music?” (2014), in The Aesthetic Imperative: Writings on Art (London: Polity, 2018).   Francis Grier, “Musicality in the Consulting Room,” International Journal of Psychoanalysis 100:827–51.    Sondheim Teaches "My Friends" from Sweeney Todd (video) .    Byung-Chul Han, The Scent of Time: A Philosophical Essay on the Art of Lingering (London: Wiley, 2017).   Maurice Merleau-Ponty, The Phenomenology of Perception (London: Routledge, 1962)   The Late Late Show with James Corden, “Paul McCartney Carpool Karaoke” (video).   Harmut Rosa, Resonance (Cambridge: Polity, 2019).    Meshell Ndegeocello, The Omnichord Real Book (2023) (album), Blue Note Records.  

“Discrimination is something that is needed for the child to create himself as a person. You need to be discriminated from the other, and the other is useful for you, as Freud said, as a model, as a rival, as an enemy. There are different kinds of relationships with the other - you need the other, and we are persons connected with the other. If you discriminate you from the other, this is benign. But if you are doing it from a power position, saying: ‘These people are not like me' - this is malignant othering. It is malignant because when you are marking these people as different, as the Nazis did with the Jewish people, then it is very easy for these people to become the target for any kind of attack when there will be social or economic problems. Malignant  because you are doing it from a position of power and because these people that you are discriminating from you may become targets for possible attacks for different reasons in the community."   Episode Description: We begin with Abel reading a statement from the Prejudices, Discrimination and Racism Committee which is included below. He shares with us his personal and family story that led him to be interested in racism and to chair this committee. We discuss the differences between benign otherness and malignant othering. He emphasizes the presence of negation in all of us, tempting us to ignore the dangers from discrimination. He speaks of the future of psychoanalysis and how he feels it depends upon its application in settings off the couch. We consider the risks of dilution of the training experience and also the great benefit to the many who will receive treatment from analytically oriented care. He warns us of the dangers of making the perfect the enemy of the good.    Statement from the IPA Prejudices, Discrimination, Racism Committee: The rise of antisemitism in the wake of the Hamas barbaric attack   We strongly condemn the murder, maiming, and abduction of hundreds of Israeli civilians and soldiers during an unprovoked attack by Hamas terrorists. The scale of this terrorist attack is unprecedented in recent history. It can only be viewed as a pogrom, and we express our deep solidarity with the victims. Hamas is a terrorist organization, and Palestinians are also their victims. We feel sorrow for all civilians who are killed or suffering in this war, including so many in Gaza. In its founding document, the Hamas Charter, Hamas states that it is committed to waging Jihad, or holy war, in order “to raise the banner of Allah over every inch of Palestine”. Its stated goal is to eliminate the Jewish state and kill Jews. It must be made clear that the terror against Israel is not motivated by economic, geographic, or political conflicts: all of Israel is considered a holy land that must not be defiled by the presence of "infidels", whether Christians or Jews. The statement of freeing Palestine from occupation, “From the River to the Sea”, reveals a clear intent to eliminate the State of Israel. A fight against Hamas is a fight of light against darkness, of liberalism against the forces of oppression. We, as psychoanalysts, can identify the dehumanization of the Jewish population that was displayed by the horrific massacre on the 7th of October. In addition to the suffering of Israel´s population, antisemitic manifestations and attacks have increased exponentially all over the world. As the Prejudices Discrimination and Racism Committee we are alert to antisemitism and the dangerous consequences of its negation. We hope that in due course, it will be possible to find strong leaders who will have the courage to meet and negotiate peace between Israelis and Palestinians.   Abel Fainstein (Chair) Argentine Psychoanalytical Association (APA) Paula Kliger.  Michigan Psychoanalytic Society (MPS)  Rosine Perelberg. British Psychoanalytical Society ( BPS) Leonie Sullivan. Australian Psychoanalytical Society  (AP Raya Zonana. Brazilian Society of Psychoanalysis of Sao Paulo. (SBPSP) Mira Erlich-Ginor (Ex officio)  Israel Psychoanalytic Society (IPS)   Our Guest: Abel Fainstein, MD is a Psychiatrist, Master in Psychoanalysis, Full Member and former President of the Argentine Psychoanalytical Association (APA) and the Psychoanalytic Federation of Latin America (FEPAL). He is a former member of the IPA Board and Ex Com ,Current Chair of the Prejudice, Discrimination, Racism Committee of the IPA, current advisor of the IRED Interregional Encyclopedic Dictionary in Psychoanalysis by the IPA, and of the Revista Uruguaya de Psicoanálisis by APU. He is a judge for the first IPA Tyresias Award on Sexual and Gender Diversity, 2021. He was awarded the KONEX Award in Psychoanalysis, 2016.     Recommended Readings:   Busch, F. ( 2023) Psychoanalysis at the Crossroad. An international perspective. Routledge. NY.    Cabral. A.C ; Fainstein A.M (   2019  ) On training analysis .Debates. APAEditorial. Buenos Aires   Sandler,P. ; Pacheco Costa G. (2019 ) On Freud's "The Question of Lay Analysis.” Turning Points and Critical Issues (The International Psychoanalytical Association ... Turning Points and Critical Issues Series) Routledge. London.    Powell, J.A, Menendian, S. (2016) The Problem of Othering. Othering and Belonging. Expanding the Circle of Human Concern.  Othering & Belonging is published by the Haas Institute for a Fair and Inclusive Society at the University of California, Berkeley.   Winer,R;  Malawista,K (2017 ) Who is behind the couch. Karnac. London

“The situation was that I went with my husband Danny, who is also a clinical psychologist, and we were  on the team that came and told people when family members were identified and that they had been murdered. There was one time when we went to two kids, telling them that their parents were murdered. We were with them in the room with an aunt and another family member. All of a sudden, I said, “Danny's father and my father were in the Holocaust, and they also lost their parents. And you know they became happy people and good fathers for us.  And here we are with you now.”  It was like my telling a lullaby - I knew that they hear us and they don't hear us, but I believed that the unconscious can hear me. That's how my personal transgenerational story helped me to help them to believe that a life can become after this disaster.”  M.R.   “And the music in your saying whatever you said was part of what worked there, both the liveliness and something that has a real connection to experiences one can survive from. This is a very unusual kind of intervention for psychoanalysts, and also that it may not fit everyone. There is a match between how can one make use of oneself and go out of one's skin and one's routines, i.e. the way I always do whatever I do. Instead,to do something different that is echoing the needs of the person with whom you are in contact.” M.E-G.   Episode Description: We begin by tracing the recent history of those organizations that are dedicated to the premeditated butchery of civilians. Both Merav and Mira share with us their experiences when the sirens went off on Saturday morning October 7th. We follow them as they attend to those who physically survived the mutilation, murder and kidnapping of their family members. Merav, building from her personal family Holocaust history, created a series of guidelines with which to engage those who were overwhelmed. It became a sort of proactive psychoanalytic manual to give structure to and help regain the alpha function of those who are suffering while also recognizing the presence of past traumas in their lives. They share with us their personal experiences, the crucial importance of President Biden's speech and visit, and the vital assistance that all the Israeli psychoanalytic organizations are providing. Central to their personal and professional message is We have survived traumas in the past, and we will survive again this time.   Our Guests: Merav Roth, Ph.D. and Mira Erlich-Ginor, Ph.D., are both members of the Israeli Psychoanalytic Society.   Linked Episodes:  Episode 110: PCCA (Partners in Confronting Collective Atrocities) and Working with Ukrainian Current Atrocities with Mira Erlich-Ginor   Episode 96: Why Do We Read Books? Literature and Psychoanalysis with Merav Roth, Ph.D.   For Donations: First Line Med    listen/subscribe IPAOfftheCouch.org  

"The gift of the [traditional] healer that he shares with those of us who do psychoanalytic work is that we are given an idea of the human mind as being always in a process of mediating the real world and the drives of sex and aggression - which if not moderated can lead to terrible things. We're in there, and that's what our training helps us to do.”    Episode Description: We begin with Martha describing her social work background and how it informed her approach to working with overwhelmed children in New York. She recounts her efforts in El Salvador and her understanding that children who were violent were actually children who were over-exposed to violence. She also functioned as one who accompanied those clinicians who themselves were at risk of being overwhelmed by the violence in their work. We take up her engagement in Angola and their cultural model of the individual as "the self that exists for the purpose of social participation." We consider the case of a child soldier who was treated by traditional healers for multiple symptoms related to his involvement in atrocities. We note the similarity with Bion's Knowing and Love as it is lived between the individual, the healer and the community. We close with recognizing the importance of the 'moral third' and the centrality of reparation in both African and American cultures.   Our Guest: Martha Bragin, Ph.D., is jointly appointed Professor at the Silberman School of Social Work at Hunter College and the Ph.D. Program in Social Welfare at the Graduate Center of the City University of New York. She joined the faculty after 30 years of experience supporting United Nations agencies, governments, nongovernmental and people's organizations to address the effects of violence and disaster on children, youth, families, and the communities in which we live. Dr Bragin is a Fellow of the Research Training Program of the IPA and the editorial board of the International Journal of Applied Psychoanalytic Studies. She serves as a member of Inter-Agency Standing Committee (UN-IFRC-NGO) Reference Group on Mental Health and Psychosocial Support in Emergency Settings, a globally representative body that sets and monitors standards for psychosocial interventions in emergencies. Dr Bragin is recipient of the International Psychoanalytic Association's Tyson Prize as well as the Hayman Prize for published work on traumatized children and adults in 2011 and 2021. She is the author of numerous peer-reviewed publications and is in private practice in New York City.   Recommended Readings: Bragin, M. (2003). The effect of extreme violence on the capacity for symbol formation: Case studies from Afghanistan and New York. In J. Cancelmo, J. Hoffenberg, & H.    Myers (Eds.), Terror and the psychoanalytic space: International perspectives from Ground Zero (pp. 59–67). New York, NY: Pace University.   Bragin, M. (2004). The uses of aggression: Healing the wounds of war and violence in a community context. In B. Sklarew, S. Twemlow, & S. Wilkinson (Eds.), Analysts in the trenches: Streets, schools and war zones (pp. 169–194). Hillsdale, NJ: Analytic Press.   Bragin, M. (2005). Pedrito: The blood of the ancestors. Journal of Infant Child and Adolescent Psychotherapy, 4(1), 1–20.   Bragin, M. (2007). Knowing terrible things: Engaging survivors of extreme violence in treatment. Clinical Social Work Journal, 35(4), 229 – 236.   Bragin, M. (2010). Can anyone here know who I am? Creating meaningful narratives among returning combat veterans, their families, and the communities in which we all live. Clinical Social Work Journal, 38(3), 316–326.   Bragin, M., & Bragin, G. (2010). Making meaning together: Helping survivors of violence and loss to learn at school. Journal of Infant Child & Adolescent Psychotherapy, 9(2), 47-67.   Bragin, M. (2012). So that our dreams will not escape us: Learning to think together in time of war. Psychoanalytic Inquiry: A Topical Journal for Mental Health Professionals, 32 (2), 115–135.   Bragin, M. (2019) Pour a libation for us: Restoring the sense of a moral universe to children affected by violence. Journal of Infant, Child, and Adolescent Psychotherapy 18 (3), 201- 2011.

"Instead of the analyst being in a position where they know something about the patient, they are with the patient. As Winnicott says in his late work, if you are a philosopher in your armchair, you have to come out of your armchair and be on the floor with the child playing. I don't think that one should act that out with an adult patient- however  it is that approach to actually being with the patient, listening to the patient's words, listening to their state of mind without preconceived ideas. That's almost impossible, but  Winnicott says that psychoanalysis is an objective study, an objective way of looking at things without preconceived ideas, without preconceived notions. It links with what you said about ‘normative' - if we go into the consulting room feeling that our patients need to be as we are or need to fit in some kind of norm, then I don't think this is psychoanalytic. I think it is against the whole aim of psychoanalysis.”   Episode Description: Jan begins her conversation with Joel by sharing her background in theater and the steps she took to train as an analyst. She describes what drew her to Winnicott and how she sees him as broadening, not replacing, Freudian thinking. She distinguishes her understanding of Winnicott from others who believe that, by speaking of the importance of the environment, he minimized constitutional factors and the unconscious. She interprets what he meant by the environment in terms of the ‘psyche-body' and the mother's unconscious. Jan discusses a paradox in Winnicott in that he offers a positive theory of health while also being uniquely non-judgmental and non-pathologizing. She concludes with a controversial observation that a five times weekly in person training analysis is essential to achieve a deep regression that will familiarize analysts with the primitive parts of their personalities so they will be able to accept and deal with those parts of their patients' personalities.   Our Interviewer and Guest: Joel Whitebook, PhD is a philosopher and psychoanalyst.  He is on the Faculty of the Columbia University Center for Psychoanalytic Training and Research and was the founding Director of the University's Psychoanalytic Studies Program.  In addition to many articles on psychoanalysis, philosophy, and critical theory, Dr. Whitebook is also the author of Perversion and Utopia (MIT) and Freud: An Intellectual Biography (Cambridge).   Jan Abram, PhD is a training and supervising analyst of the British Psychoanalytical Society and in private practice in London. She is Visiting Professor of the Psychoanalysis Unit, University College London, and is currently Vice President of the European Psychoanalytic Federation for the Annual Conferences. She is President-Elect for the EPF to start her term in March 2024. She is a Visiting Lecturer and supervisor at the Tavistock Clinic, in London. In 2016, she was a Visiting Professor for the University of Kyoto, Japan, where she resided for a writing sabbatical. Jan Abram has published several books and articles notably: The Language of Winnicott, Donald Winnicott Today (2013), The Clinical Paradigms of Melanie Klein and Donald Winnicott: comparisons and Dialogues (co-authored with R.D. Hinshelwood 2018); The Surviving Object: psychoanalytic clinical essays on psychic survival-of-the-object (2022) and her second book with R.D. Hinshelwood: The Clinical Paradigms of Donald Winnicott and Wilfred Bion: comparisons and dialogues (2023).   Learn more about Jan Abram    Recommended Readings: Abram, J. (2007) The Language of Winnicott: A Dictionary of Winnicott's use of terms Routledge   Abram, J. (ed) (2016) André Green at the Squiggle Foundation Routledge   Abram, J. (2008) Donald Woods Winnicott (1896 – 1971): A brief introduction Education Section Int J of Psychoanal 99: 1189 - 1217   Abram, J. (2021) On Winnicott's Concept of Trauma Int J of Psychoanal 102: 4 10  

"I made a film for PepWeb on the research of Beatrice Beebe. I made the video for her picture book, The Mother-Infant Interaction Picture Book, and various other short films. These are deep dives into mother-infant dyads that reveal something, i.e. rupture and repair, various kinds of dyadic interchanges. These are available for free on YouTube. That's another way that I use my analytic self and my documentary maker self together. I'm much happier with the YouTube films  even though they're less produced because they reach a wide audience - they are for parents, not clinicians. I want to get the story of this way of thinking or various ways of working, or psychoanalysis itself out to the greater public because I'm such an evangelizer for it. It changed my life in so many ways, and I think it's a very different animal than what the wider world (if they've heard of it at all) thinks that it is - it's so alive these days, so integrative, and so worthy of letting people know.”    Episode Description: We began with Karen sharing with us her journey from documentary filmmaker to psychoanalyst. She discusses her immersion in the world of cinema verité - "a camera capturing life" - as the pathway that brought her to train in psychoanalysis. We consider the similarities and differences between these ways of thinking and how she feels that for her, they are additive in deepening her listening abilities. She describes her films of Beatrice Beebe's work, how she serves as a consultant to filmmakers, and how she often treats those in the field, especially in regard to their (over)involvement with trauma. We close with Karen's recommendations for using YouTube to let the wider community know about psychoanalysis. Our Guest: Karen Dougherty is a Psychoanalyst (FIPA) and documentary filmmaker. She has an MA in English Literature (McGill) and an MA in Psychoanalytic Studies (University of Sheffield). She is a clinical supervisor and course instructor at the FPP and the Advanced Training Program in Psychoanalytic Psychotherapy, with a particular focus on attachment, relationship issues, and trauma. In addition to her private practice in rural Amaranth, Ontario, Karen is the host of the podcast for the Canadian Psychoanalytic Society, Conversations in Psychoanalysis. Since 2022, she has been a member of the IPA Think Tank on the Resolution of Intractable Conflict, for which she produces a YouTube Channel. The recipient of a PEPweb video grant, she has made several films on the research of Dr. Beatrice Beebe for clinicians and parents. She continues to collaborate on documentary projects as a researcher and story consultant (recent films include Toxic Beauty; Category: Woman, both directed by Phyllis Ellis). Bridging these two careers, Karen is both a communications consultant for psychoanalytic organizations and a mental health consultant for film and television.   Linked Episode: Episode 97: Off the Couch and into the Political Arena with John, Lord Alderdice FRCPsych – IPA Off the Couch   Recommended Links:   Karen Dougherty    The CPS podcast will be accessed through the CPS website.   The PEPweb citation for the documentary for clinicians: Dougherty, K., Beebe, B., Margolis, A., Altstein, R., Berman, J. & Mathieson, G. (2016) Mother-Infant Communication: The Research of Dr. Beatrice Beebe. PEP Video Grants 1:11.   Beebe, Dr. Beatrice, prod., Dougherty, K., dir. “Joining Your Baby's Distress Moments: A Story of One Mother and Infant”:   “Decoding Mother-Infant Interaction: A Story of One Mother and Infant,” the first two of a series of short films for parents showcasing the research of Dr. Beatrice Beebe:   Allan King, The Criterion Collection   Allan King, Queens University Film and Media Collection   Allan King's Warrendale, a “direct cinema” documentary about a home for emotionally disturbed children in Toronto:  

"We know as analysts there's a long literature on mourning and its connection to creativity from the time of Freud's work to George Pollock's work and others - but that's too intellectual; let me make it more personal, and then I'll talk about Freud and Maimonides. My father and my mother lost a combination of 10 siblings and a granddaughter murdered by the Nazis, plus their parents and aunts and uncles. I've heard stories about their siblings and I think: ‘Look what they would have done, what they would have created not just families but ideas', and I realized in my analysis that for years I have been trying to make up, by writing books, what would have been done by the aunts, uncles, and cousins that I never knew because they were murdered. So creativity can have a reparative, never enough perhaps, but a reparative quality.” Episode Description: I introduce the topic of the not fully acknowledged role of religion in the lives of analysts and analysands, which will be explored in future conversations. Nathan begins by sharing his personal connection with his religion, which he feels does not involve a belief in a God. He describes how his relation to his Judaism, like his essence as an analyst, entails an attunement to an inner life, a commitment to proper behavior, and a search for hidden meanings. He describes his family of origin and their almost complete annihilation in the Holocaust. We discuss the similarities he feels exists between Maimonides and Freud, the importance of mourning in their creative processes, and the great attention to 'the word' that both worldviews exhibit. We also take up whether 'belief' is an appropriate term to characterize one's psychoanalytic clinical work. We close with his sharing clinical examples where religion played an important role in the treatment.   Linked Episode: https://harveyschwartzmd.com/2021/04/23/ep-6-how-to-raise-loving-and-creative-30-year-old/   Our Guest: Nathan Szajnberg, MD, is Retired Freud Professor, the Hebrew University and former Wallerstein Research Fellow in Psychoanalysis. Born in Germany, he attended the University of Chicago College and Medical School. His most recent books are Psychic Mimesis from Bible and Homer to the Present (Lexington) and The Secret Symmetry of Maimonides and Freud (Routledge). His third novel is A Windmill, A Knight, A Jerusalem.   Recommended Readings: 1. Freud, Future of an Illusion (1928) Hogarth Press.   2. Meissner, W. W. (1985) Psychoanalysis: The Dilemma of Science and Humanism. Psychoanalytic Inquiry 5:471-498   3.Szajnberg, N. (2019) Jacob and Joseph, Judaism's Architects and Birth of the Ego Ideal. Cambridge Scholars Publishing   4. Wallerstein, R. S. (1998) Erikson's Concept of Ego Identity Reconsidered. Journal of the American Psychoanalytic Association 46:229-247   5. Wallerstein, R. S. (2000) The Analysis of the Hysterical Patient: Limitations?. Forty-Two Lives in Treatment: A Study of Psychoanalysis and Psychotherapy 56:293-321   6. Wallerstein, R. S. (2014) Erik Erikson and His Problematic Identity. Journal of the American Psychoanalytic Association 62:657-675  

"Conscience represents ethics that are not socially constructed and not socially learned but built-in. In fact, the whole of psychoanalysis is grounded in such an ethic - we all as analysts value life over death, we value truth over lies, we value love over hate, kindness over cruelty. Like those little three-month-old infants that Bloom studied at Yale, these values are grounded in our biology. They are part of what Winnicott would call our true self and they are quite distinct from the very different moral notions that wind up in our superego. After all, our superego contains our racism, it contains our sexism, it contains our heterosexism and those values are very distinct from our core values: love over hate, life over death. We all know on a fundamental level what's right and what's wrong on that very basic level, and that is the voice of conscience; we don't need God for this; it is built in biologically.”   Episode Description: Don begins by describing the difference between the narcissistically based superego from the object-oriented conscience. He sees the former as culturally derived and the latter as biologically given. We discuss how in the clinical situation persecutory guilt, i.e., superego, may often be emphasized to defend against the vulnerabilities associated with loving and being loved. We consider the use and overuse of the concept of trauma in contrast to intrapsychic conflict, and he distinguishes between empathy and sympathy. He shares his view that the edges of our political parties are imbued with the self-certainty born from the paranoid position. Ultimately, he concludes, "I'm not afraid that analysis will disappear - people who have problems with their soul will seek out soul doctors."   Our Guest: Don Carveth, Ph.D., is an emeritus professor of sociology and social and political thought at York University in Toronto. He is a training and supervising analyst in the Canadian Institute of Psychoanalysis, a past Director of the Toronto Institute, and past editor-in-chief of the Canadian Journal of Psychoanalysis. He is the author of The Still Small Voice: Psychoanalytic Reflections on Guilt and Conscience, Psychoanalytic Thinking: A Dialectical Critique of Contemporary Theory and Practice, and Guilt: A Contemporary Introduction. Many of his publications are available on his York website (yorku.ca/dcarveth) and his current website (doncarveth.com); his video lectures are available on his YouTube channel (YouTube.com/doncarveth). He is in private psychoanalytic practice in Toronto.   Recommended Readings: Carveth, D. (2016). Why we should stop conflating the superego with the conscience. Psychoanalysis, Culture & Society(2017) 22, 15-32.   Carveth, D.(2023). Guilt: A Contemporary Introduction. New York: Routledge.   Carveth, D. (2006).  Self-Punishment as Guilt Evasion: Theoretical Issues." Canadian Journal of Psychoanalysis/Revue Canadienne de Psychanalyse 14, 2 (Fall2006): 172-96.  

"One of the changes that analysis provided me with was an awareness about how similar we all are, of course with a few differences. For me, an analyst is before all a person who had the opportunity to realize how we all human beings are very similar. We can familiarize with ourselves and with others thanks to these similarities and continuities. I would say like all my colleagues I asked for analysis when I was a young doctor in order to be helped. This is what is common to all  analysts - analysts are people who are more aware and more experienced to ask for help than other people because they had the opportunity to be helped by a good treatment and to have the opportunity to integrate better.”   Episode Description: Stefano begins by describing the characteristics of many analysts today who seek treatment through the lens of mistrust of dependency and mutuality. Instead, defensive styles lean towards pseudo-autonomy, entitlement, and suspiciousness. We discuss how dealing with initial resistances to the transference is both similar to and different from generations ago. We consider the theoretical advances in understanding earlier developmental struggles as well as our greater appreciation of the medium of countertransference. Stefano notes that today's longer training analyses are an important contribution to these more profound clinical skills. He discusses some of the environmental contributions to current narcissistic inclinations as well as the temptations to reduce the uniqueness of the analytic experience to the familiar and comfortable. He closes by sharing with us his personal story and the essential step for all of us to be able to "ask for help."   Our Guest: Stefano Bolognini, MD, is a psychiatrist and training and supervising analyst of the Italian Psychoanalytic Society (SPI), where he served as president (2009-2013). He also was an IPA Board member (2002-2012) and was IPA president from 2013-2017. He was a member of the European Editorial Board of the International Journal of Psychoanalysis and a founder of the IPA Inter-Regional Encyclopedic Dictionary of Psychoanalysis. He has published over 260 psychoanalytic papers, and his books on empathy and on the inter-psychic dimension have been translated into several languages.   Recommended Links and Readings: Bolognini, Stefano: Secret Passages. The Theory and Technique of the Interpsychic Relations. IPA New Library, Routledge, London, 2010   Vital Flows between Self and Not-Self, Routledge, London, 2022 The Analyst's awkward Gift: balancing Recognition of Sexuality with parental protectiveness. Psychoanal. Quart., vol. LXXX, 1, 33-54, 2012.   Enchantments and disenchantments in the formation and use of psychoanalytic theories about psychic reality. The Italian Psychoanalytic Annual, 13, 11-24, July 2019.   New forms of psychopathology in a changing world: a challenge for psychoanalysis in the twenty-first century. The Italian Psychoanalytic Annual, 2020.   Reflections on the institutional Family of the Analyst and proposing a “fourth Pillar” for Education. Opportunities and problems of transferal dynamics in the training pathway“. In Living and Containing Psychoanalysis in Institutions. Psychoanalysts Working Together, edited by Gabriele Junkers, 89-104, Taylor & Francis, 2022.   From What to How: A Conversational with Stefano Bolognini on Emotional Attunement by Luca Nicoli & Stefano Bolognini. The Psychoanalytic Quarterly, 91 : 3, 443-477, 2022.   The Interpsychic, the Interpersonal, and the Intersubjective: Response to Steven H. Goldberg's Discussion”. The Psychoanalytic Quarterly, 91:3, 489-494, 2022.   Hidden unconscious, buried unconscious, implicit unconscious. The Italian Psychoanalytic Annual, 16, 87-102, 2022.  

"Technology is based on the premise that there can be an optimization of things through algorithmic understanding. ‘Ones and zeros' data can be manipulated and thus produce an optimal outcome which is a lovely idea for certain kinds of things. It's not necessarily, in my opinion, the best idea for the psyche or for happiness or for developing a life that's meaningful. I think a psychological mindset is slightly different in that our colleagues are really concerned with being with the person, making meanings, suffering sometimes through difficult things, so there isn't just an automatic assumption as there is in the tech mindset that we're trying to optimize for whatever it is that's good. It becomes very philosophical in the end… What is optimized? What is good? Why should we do it? There are all these kinds of questions that one may ask the technology mindset person: Why would we want to hack our nutrition or our mental health in order to become stronger or better? It is a little problematic, I think, as an end goal."    Episode Description: Nicolle begins by describing her journey from being a math teacher in the inner city to then becoming a consultant in the early days of the tech revolution. She shares the ethical concerns that led her to shift her interest to the mental health field and her eventually becoming Dean of the School of Professional Psychology and Health at California Institute of Integral Studies. While there she observed that "analysts think differently." This led her to seek to train as an analyst while also utilizing her familiarity with the tech mindset to create bridges with those in each field. We discuss the differences in ways of thinking between technologically immersed individuals and those with a psychological orientation - keeping in mind that each has much to learn from the other. We consider the dangers in the developing technological world, which include matters of privacy, distractedness, and a capacity to sit with suffering. We close with Nicolle sharing her vision for the future, which includes analysts playing a part in developing ethical approaches to the upcoming new developments. Her podcast is titled Technology and the Mind.   Our Guest: Nicolle Zapien, Ph.D. is a licensed MFT with 20 years of clinical experience. She is a post-seminar candidate at the Psychoanalytic Institute of Northern California (PINC). She serves on the Ethics committee and the Visiting Scholar committee at PINC and also on APsA's committee for public information. From 2015 to 2019, Dr. Zapien served as Professor and Dean of the School of Professional Psychology and Health at California Institute of Integral Studies, overseeing 6 clinical training degree programs and 5 training clinics. There, she served on the IRB and chaired the research committee. Prior to her clinical work, Dr. Zapien spent a decade as a consultant designing, conducting, and/or overseeing over 200 quantitative and/or qualitative studies for industry clients and non-profits. Some of these studies employed user experience and human factors design methods to optimize the user experiences of technology products and services delivered via smartphones, tablets, websites, or kiosks. She has authored 2 books and several academic articles on themes associated with human decision-making, ethics, and phenomenology.   Recommended Readings: Bednar, K., & Spiekermann, S. (2022). Eliciting Values for Technology Design with Moral Philosophy: An Empirical Exploration of Effects and Shortcomings. Science, Technology, & Human Values.    Frankel, R. & Krebs, V. (2022). Human Virtuality and Digital Life: Philosophical and Psychoanalytic Investigations. Routledge: New York, NY.   Greenfield. A. (2021). Radical Technologies: The Design of Everyday Life. Verso: New York, NY.   Marshall, Brandeis Hill (2023). Data Conscience: Algorithmic S1ege on our Humanity.John Wiley & Sons: Hoboken, NJ.   Millar, I. (2021). The Psychoanalysis of Artificial Intelligence. Palgrave MacMillian: Cham, Switzerland.   Turkle, S. (2022) The Empathy Diaries. Penguin Press: New York, NY.  

"In divorce it's fundamental that even though the couple ends, there's not an end to the family. We still owe a debt to the other - that other who offered to love us, who we had the opportunity to love, our debt to the children of that union. We are irrevocably called to ethics and to the continuing sense of responsibility to that other. Even though the marriage doesn't survive, the family needs to. In the high - conflict scenario, not only does the marriage not survive, often the family doesn't as well. In that sense it is profoundly unethical.  So when I attempt to work with people in that situation, I always do so from an ethical perspective - ethical in the sense of creating a third, so that you try and enter into that system, but it has to be a profoundly ethical presence which I also find is distinctly psychoanalytic. I think our method is saturated with ethics without even realizing it, we're always thinking in ethical terms, managing transference, powerful forces within analytic relationship -  it's a profoundly ethical task that we do. In that sense we also serve as witnesses to what our patients have experienced. The witnessing is also a kind of engagement and we try to do that when we work with people in the high-conflict position."  Episode Description: We begin by distinguishing high-conflict divorce from less malignant versions. Arthur has found that high-conflict divorce is characterized by a particular timeless destructiveness that lacks regard for the sense of the family or the history of affection that had existed within and between the individuals. He has noted an experience of overwhelming disillusionment in the histories of those who are unable to mourn and instead remain immersed in vendetta seeking. We discuss the role of ethics, witnessing, and the capacity for the 'third' in these couples. Arthur shares with us his clinical experience with same-sex couples as well as with the unfortunate scenarios of alienated children who attempt to bolster the fragile capacities of one parent by refusing any contact with the other. He concludes by describing that his attention to the inner realities of these individuals is what he uniquely brings as a psychoanalyst to these often behaviorally tumultuous human tragedies.   Our Guest: Arthur Leonoff, Ph.D., is a psychologist and Supervising & Training Analyst of the Canadian Psychoanalytic Society. He is a past president and recipient of his Society's Citation of Merit. He is also an Honorary member of the American Psychoanalytic Association. Dr. Leonoff was the first president of the North American Psychoanalytic Confederation. He currently is chair of the IPA Committee International New Groups.Dr. Leonoff has maintained a private psychoanalytic practice for more than four decades. He is an active clinician, teacher, supervisor, and presenter, as well as author. Recently he has contributed to two edited volumes, Dear Candidate and Psychoanalysis at the Crossroads. He has written on diverse subjects of clinical interest, including the kindling of metaphor in recovering from the impact of early complex psychic trauma.In addition to his psychoanalytic practice, Dr. Leonoff has worked extensively as a consultant and expert witness to the Canadian courts on the confluence of psychopathology and high-conflict divorce. He is the author of three books in this field, most recently The Good Divorce (2015) and When Divorces Fail, Disillusionment, Destructivity & High Conflict Divorce (2021), The Good Divorce has been revised and republished as The Ethical Divorce, which is available from Friesen Press. Recommended Readings: Leonoff, A (2021). When Divorces Fail: Disillusionment, Destructivity, and High Conflict Divorce. Rowman & Littlefield. Leonoff, A. (2021) The Ethical Divorce: A Psychoanalyst's Guide to Separation, Divorce, and Childcare. Friesen Press. Fidler, B. and Bala, N. (2020). Conclusions, concepts, controversies, and conundrums of “alienation:” Lessons learned in a decade and reflections on challenges ahead, Family Court Review, 58(2). 576-603. Greenberg, L., Fidler, B. and Saini, M.A. (Eds). (2019). Evidence-Informed Interventions for Court-Involved Families: Promoting Healthy Coping and Development, Oxford University Press. Levinas, E. (1985). Ethics and Infinity: Conversations with Philippe Nemo (R.A. Cohen, Trans.). Duquesne University Press. Wallerstein, J. and Kelly, J. (1980). Surviving the Breakup: How children and Parents cope with Divorce. Basic Books.  

“The basic principle in defense analysis is that one approaches what is going on right now -  it's an experience-near technique. You don't make conjectures about what would be called experience-distant phenomenon until you have a lot of material, a lot of knowledge about the patient. As the treatment goes on you really stick with what the patient is doing right now.”   Episode Description: Leon shares with us what he sees as the fundamental method of analytic treatment, which "regardless of the manifest theoretical orientation of the therapist ... are effectively utilizing the technique of interpreting defenses against unwelcome affects." He emphasizes the importance of being interested in the patient's defenses and less so the warded-off content. We consider the term 'protection' in place of 'defense'; how these interventions are an amalgam of clarification and interpretation; and the source of the bad reputation that attaches to the concept of 'defense interpretation'. He shares with us how this approach links with the neurosciences and the concept of implicit emotion regulation. We discuss the work of Berta Bornstein, who introduced the importance of defending against unpleasant affects. He discusses two cases of disruptive children and their use of aggression in an effort to avoid sadness and loneliness. We close with his sharing his view of our field and his conclusion that "analysis will survive - it's too powerful a tool."   Our Guest:  Leon Hoffman, MD, is a psychiatrist and child and adolescent psychiatrist. He is a Training and Supervising Analyst at the New York Psychoanalytic Society and Institute. He is the Co-Director of the Pacella Research Center of NYSI. Among many publications, he is co-author with Timothy Rice and Tracy Prout of Regulation Focused Psychotherapy for Children (RFP-C): A Psychodynamic Approach and with Timothy Rice Defense Mechanisms and Implicit Emotion Regulation: A Comparison of a Psychodynamic Construct with One from Contemporary Neuroscience. In 2022, he presented the Norbert and Charlotte Rieger Psychodynamic Psychotherapy lecture at the American Academy of Child and Adolescent Psychiatry on “Helping Parents Spare the Rod: Addressing Their Unbearable Emotions” based on a paper he authored with Tracy Prout. He presented the Paulina Kernberg Memorial Lecture at Weill Cornell Medicine Child & Adolescent Psychiatry Grand Rounds. On Regulation Focused Psychotherapy: An evidence-based psychodynamic treatment for children with disruptive behaviors. And The Bruce A. Gibbard Lectureship in Psychiatry, University of Vermont, Department of Psychiatry.   Linked Episode:   Episode 38: A Psychoanalyst Studies ‘Why is it easier to get mad than it is to feel sad?' with Leon Hoffman   Recommended Readings: 1.      Hoffman, L. (2007) Do Children Get Better When We Interpret Their Defenses Against  Painful Feelings? Psychoanalytic Study of the Child 62:291-313.   2.      Hoffman, L. (2014).  Berta Bornstein's Frankie: The Contemporary Relevance of a Classic to the Treatment of Children with Disruptive Symptoms. The Psychoanalytic Study of the Child 68:152-176   3.      Rice, T. R., & Hoffman, L. (2014). Defense mechanisms and implicit emotion regulation: a comparison of a psychodynamic construct with one from contemporary neuroscience. Journal of the American Psychoanalytic Association, 62(4), 693-708.    4.      Prout, T. A., Rice, T., Chung, H., Gorokhovsky, Y., Murphy, S., & Hoffman, L. (2021) Randomized controlled trial of Regulation Focused Psychotherapy for Children: A manualized psychodynamic treatment for externalizing behaviors. Psychotherapy Research, 32(5), 555-570.    5.      Hoffman, L. (2020). How can I help you? Dimensional versus categorical distinctions in the assessment for child analysis and child psychotherapy. Journal of Infant, Child, and Adolescent Psychotherapy, 19(1), 1-15.   6.      Leon Hoffman, Tracy A. Prout, Timothy Rice & Margo Bernstein (2023): Addressing Emotion Regulation with Children: Play, Verbalization of Feelings, and Reappraisal, Journal of Infant, Child, and Adolescent Psychotherapy, DOI: 10.1080/15289168.2023.2165874   7.      Prout, T. A., Malone, A., Rice, T., & Hoffman, L. (2019). Resilience, defenses, and implicit emotion regulation in psychodynamic child psychotherapy. Journal of Contemporary Psychotherapy, 49(4). 235-244.    8.      Hoffman, L., & Prout, T. A. (2020). Helping parents spare the rod: Addressing their unbearable emotions. Psychoanalytic Study of the Child, 73(1), 46-61. 

"He [Bernays] proposed to his uncle that he'd do a translation of this book that had been given to him and Freud, perhaps without thinking too much about it,  approved the idea.  Bernays went about hiring a translator who was a psychology Ph.D. student that he found at Columbia University and he got Stanley Hall to write an introduction for what was published in 1920 as ‘A General Introduction to Psychoanalysis'. Now, shortly after this happened,  Freud had second thoughts about authorizing Bernays to translate his lectures, particularly as he had been working with his trusted colleague Ernest Jones on translations.  But by the time Freud wired Bernays to try to stop this publication, Bernays said that it was already too late and that the advertisements had already been placed and the publication was proceeding. Bernays assured Freud that it would be all right and he also assured him that he would get fame and glory and also substantial recompense for the publication. Freud was not too happy about this, nor was Ernest Jones, and when they finally  received the translation that Bernays had done they were particularly upset."    Episode Description: We begin by describing the complicated bloodline between Freud and Edward Bernays - Bernays' mother was Freud's sister, and his father was the brother of Freud's wife. We then consider Bernays' role as the founder of the field of public relations. This has led many to inaccurately see him as a manipulator of the masses through the use of his uncle's theories. In fact, Bernays served as the pro-bono literary agent for Freud's books in the US which contributed to his popularization and to providing vital financial support during the years of Austria's hyperinflation. We also discuss Bernays' role in the American pro-democracy movement, which was designed to counter the influence of Nazi propaganda in the years before WWII. We close with Joseph's describing his interest in this subject and his wish to "set the record straight" about Edward Bernays.   Our Guest: Joseph Malherek is a historian who holds a Ph.D. in American Studies from George Washington University in Washington, D.C. He was the Junior Botstiber Fellow at the Institute for Advanced Study at Central European University, and he has been a Fulbright Visiting Professor of Austrian-American Studies at the University of Vienna. He has published widely on the topics of transatlantic migration, twentieth-century intellectual history, and the history of capitalism and consumer culture. His book, Free-Market Socialists: European Émigrés Who Made Capitalist Culture in America, 1918–1968, was recently published by Central European University Press.   Linked Paper: https://www.euppublishing.com/doi/abs/10.3366/pah.2023.0452?journalCode=pah   Recommended Readings: Freud's American Nephew: Edward Bernays and the Selling of Psychoanalysis.  Psychoanalysis and History 25, no. 1 (2023): 59–78.   Bernays, Edward L. (1923) Crystallizing Public Opinion. New York: Boni and Liveright.   Bernays, Edward L. (1965) Biography of an Idea: Memoirs of Public Relations Counsel Edward L. Bernays. New York: Simon and Schuster.   Freud, Sigmund. (1920) A General Introduction to Psychoanalysis. New York: Horace Liveright.   Gay, Peter. (1988) Freud: A Life for Our Time. New York: W.W. Norton.   Lippmann, Walter. (1922) Public Opinion. New York: Harcourt, Brace and Company.   Roudinesco, Élisabeth. (2016) Freud: In His Time and Ours. Translated by Catherine Porter. Cambridge, Mass.: Harvard University Press  

"Analytic candidates in training struggle with the fact that you tend to get thrown into the deep water before you really know what you're doing. Then, the anxious candidate will typically struggle to find something to hang on to - and it's much easier to hang on to a theory than it is to hang on to the subtle and irreproducible nuances of clinical work. Candidates tend to latch on to theory and displace their anxiety about what they don't know to the theory, which is at least in principle knowable in order to calm down  their anxiety about the actual interpersonal event that is the therapy.”   Episode Description: We begin with explaining that our title Technique is Character Rationalized recognizes that we refer to colleagues based on our sense of their character not based on their theoretical orientations. We discuss the use and misuse of theory to offer analysts distancing structures when faced with the uncertainty of intensive treatment. Lee distinguishes between neurotic and perverse mental processes and considers the differing clinical challenges faced with each. We take up sado-masochism as object-preserving, the use of aggression to defend against tenderness, and how privileging psychic reality may for some result in confusing fantasy with reality. We close with Lee sharing with us his personal analytic journey and his reflections on our field now that he is retired.   Our Guest: Lee Grossman, MD trained at the San Francisco Center for Psychoanalysis where he was a training and supervising analyst for 40 years. He served on the editorial board of The Psychoanalytic Quarterly for fifteen years, and currently serves on the board of JAPA. He is also an exhibiting photographer whose work can be seen at www.leegrossman.net. He and his wife, Jan Baeuerlen, have both just retired from clinical work. They live in Oakland, CA with an English bulldog named Frank.   Recommended Readings:   Bateson, Gregory (2002) Mind and Nature: A Necessary Unity. Advances in Systems Theory, Complexity, and the Human Sciences. Hampton Press. Erikson, Erik H. (1963). Childhood and Society, 2nd edition. NY: W.W. Norton. Friedman, Lawrence (1988). The Anatomy of Psychotherapy. Hillsdale NJ: The Analytic Press Greenberg, J.R. (1981). Prescription or description: the therapeutic action of psychoanalysis. Contemp. Psychoanal. 17: 235-57.   Hoffman, I.Z. (1983). The patient as interpreter of the analyst's experience. Contemp. Psychoanal. 19:389-422.   Levenson, E.A. (1988). Real frogs in imaginary gardens. Facts and fantasies in psychoanalysis. Psa. Inquiry 8:552-67.   Loewald, H.W. (1952). The problem of defense and the neurotic interpretation of reality. Int. J. Psa 33:444-449.   Reed, G. S. (1987) Rules of Clinical Understanding in Classical Psychoanalysis and in Self Psychology: A Comparison. Journal of the American Psychoanalytic Association 35:421-446   Upcoming Episode: Freud's Nephew and the Creation of 'Buzz' for Psychoanalysis with Joseph Malherek, Ph.D. (Raleigh, NC)  

"When you're with a patient you take all that you know in your head, all the theory, and you throw it away. You have to listen to the patient and then maybe afterward something becomes clear - you use that ‘in-between' as a way maybe in the next session. But if you were sitting there and thinking: ‘Now the patient is in the paranoid/schizoid position…' that would be disastrous. You have to listen with your guts, your emotions, your intellect, and your body, in order to understand what is going on in a particular moment, in a particular session. Then later on you might be able to make sense of it through theory and through supervision."    Episode Description: We begin with considering the cultural and linguistic contributions to intrapsychic processes and the analytic encounter. Jeanne shares with us her life story involving her 'temporary' visit to California, which became a 37-year stay that included her becoming a psychoanalyst. We discuss the meaning to her and to her analysands of her being German and how she worked with that clinically. She moved to Vienna and began teaching and practicing analysis there, enabling her to compare the two psychoanalytic cultures and methods of practice. We also take up the importance of the German language as the vehicle through which Freud discovered the unconscious. Jeanne concludes by sharing with us her ongoing sense of feeling like an immigrant, a state of mind inherent in the analytic engagement.    Linked Episode: Episode 121: Polish Psychoanalysis, Ukraine and Intergenerational Trauma with Edyta Biernacka (Krakow) – IPA Off the Couch   Our Guest: Jeanne Wolff-Bernstein is a psychoanalyst living and working in Vienna, Austria. She is a member and training analyst at the Wiener Arbietskreis für Psychoanalyse, where she is a member on the Board. She is also the head of the Scientific Advisory Council of the Vienna Sigmund Freud Museum, where she had also been the Fulbright Freud Visiting Scholar in Psychoanalysis in 2008. Prior to moving to Vienna, Jeanne Wolff Bernstein was the past president and supervising and personal analyst at PINC (Psychoanalytic Institute of Northern California). She is still on the faculty at PINC and at the NYU Postdoctoral Program, New York, and teaches at the Wiener Arbeitskreis für Psychoanalyse (WAP) She has published numerous articles on the interfaces between psychoanalysis, the visual arts, and film. Her most recent publications include, Beyond the Bedrock in Good Enough Endings, (2010) ed. by Jill Salberg, The Space of Transition between Winnicott and Lacan in Between Winnicott and Lacan (2011) ed. by Lewis Kirshner, and the section on Jacques Lacan in The Textbook of Psychoanalysis as well as Living between two languages: A Bi-focal Perspective, in Immigration in Psychoanalysis, (2016) Dora, the unending and unraveling story, in Dora, Hysteria & Gender: Reconsidering Freud's Case Study, 2018 and Unexpected antecedents to the concept of the death drive: a return to the beginnings, in Contemporary Perspectives on the Freudian Death Drive, in Theory, Clinical Practice and Culture. 2019, 55-68.   Her last publication, resulting from the 2022 EPF congress on the subject of Ideals, is entitled From Narcissus to Echo: The Imaginary Working under the Mask of the Symbolic.   Her book on Edouard Manet, Framing the Past and the Gaze, is forthcoming. Recommended Readings:   Lots of Freud, over and over again.   Marcel Proust, A la recherche du temps perdu   Winnicott, several key essays, over and over again   Philip Sands, East / West Street and The Ratline   Francoise Davoine, History Beyond Trauma, Shandean Psychoanalysis  

"I've long had concerns about the practice of psychoanalysis and that the theory underlying it has become a veritable Tower of Babel. We have these multiple views where everything is accepted as ‘psychoanalysis,' but they really can't be because they're very different models and they call for very different things. I also feel that our field in general is drifting into sociology so that our national and international meetings feel like there is very little room for clinical discussions, and there are just so many clinical discussions that we need to have." Episode Description: Fred's edited book Psychoanalysis at the Crossroads represents a 'state of the union' for our field. He has brought together contributions representing multiple points of view on a wide range of analytic topics, including those that are considered contentious. After he shares his purpose in compiling this work, we each read a paragraph which serves as a jumping-off point for a wide-ranging discussion. We cover definitions of analysis, the history of narcissistic defenses, the depth of analysis in contrast to more superficial approaches, the role of theory, listening to the impact of one's interventions, curriculum design and the intergenerational struggles around it, and the place of defense analysis. We conclude with Fred sharing with us his concerns for our future and his eagerness to continue to contribute to a depth understanding that can often offer profound relief of suffering to our patients.   Our Guest:   Fred Busch, Ph.D., is a Training and Supervising Analyst at the Boston Psychoanalytic Society and Institute and has been invited to teach at many Institutes. He has published over 80 articles on psychoanalytic techniques and six books. His work has been translated into many languages, and he has been invited to present over 180 papers and clinical workshops nationally and internationally. His last five books are: Creating a Psychoanalytic Mind (2014); The Analyst's Reveries: Explorations in Bion's Enigmatic Concept (2019); Dear Candidate: Analyst from Around the World Offer Personal Reflections on Psychoanalytic Training, Education, and the Profession (2020); A Fresh Look at Psychoanalytic Technique (2021), Psychoanalysis at the Crossroads;: An International Perspective. The Ego and Id: 100 years Later, will appear later this year.   Linked Episode: Wisdom and Enthusiasm for Today's Candidates   Recommended Readings:   Bolognini, S. (1997) Empathy And ‘Empathism.' International Journal of Psychoanalysis 78:279-293   Busch, F. (2013). Creating a Psychoanalytic Mind: Psychoanalytic Method and Theory. London: Routledge.   Busch, F. (2019). The Analyst's Reveries: Explorations in Bion's Enigmatic Concept. London: Routledge.   Da Rocha Barros, E. M. (1995) The Problem Of Originality And Imitation In Psychoanalytic Thought: International Journal of Psychoanalysis 76:835-843.   Diana Diamond, Frank E. Yeomans, Barry L. Stern, and Otto F. Kernberg. (2022). Treating Pathological Narcissism with Transference-Focused Psychotherapy. New York: Guilford Press.   Gray, P. (1982) "Developmental Lag" in the Evolution of Technique for Psychoanalysis of Neurotic Conflict. Journal of the American Psychoanalytic Association 30:621-655.   Joseph, B. (1985) Transference: The Total Situation. International Journal of Psychoanalysis 66:447-454   Kris, A. (1982). Free Association. New Haven, CT: Yale Univ. Press.   Paniagua, C. (2001) The Attraction of Topographical Technique. International Journal of Psychoanalysis 82:671-684  

"They interviewed more than 6,000 American parents and their children from ages eight to thirteen. They wanted to identify what the perception and realities were of the parents' use of technology. It is important to know that about one-third of the children said that their parents spent equal or less time with them than in using their devices. Over half of the children felt that their parents check their devices too often and complained that their parents allow themselves to be distracted by the devices during conversation, something that made a third of them feel unimportant. Many parents too, when asked about their device usage, agreed that it was too frequent and many parents also worried about how this looked to the younger generation. Almost a third concluded that they did not set a good example for their children with their internet devices."    Episode Description: We begin by distinguishing adult addiction to pornography from the situation of childhood overstimulation. Central to the child's experience of being able to psychically metabolize pornographic images is the presence of an adult who is able to recognize "the importance of his presence for the child, the value of their mutual contact so that they can together confront difficult questions and dilemmas." Indeed, Franco and Andrea define the traumatic aspect of pornography for children to be the lack of contact with an object, "a lack that renders impossible the working through of the [pornographic] solicitations." We discuss the three models that characterize parents' rule setting for their children - digital orphans, exiles and heirs - and we also address the meaning to the children of their parents' own dissociative over-involvement in screen watching. They end on an optimistic note finding that "we can view technological experiences as an opportunity to elaborate and construct shared meanings."   Our Guests:   Franco D'Alberton, Ph.D. is a psychologist and child and adolescent psychoanalyst, full member and training analyst of the Italian Psychoanalytic Society (SPI/IPA). He worked in NHS services first as a psychologist in the field of child mental health then as consultant in Psychology at the Pediatric Department of S.Orsola University Hospital in Bologna (Italy). Initially focused on adults training in clinical psychology and psychotherapy, he has increasingly turned to children and adolescents and to family problems. He is currently working in private practice.   Andrea Scardovi MD, PHD, is a psychiatrist and psychoanalyst, and full member of the Italian Psychoanalytic Society (SPI/IPA). He worked in NHS services and at Bologna University, where for many years taught courses on communicative elements of psychotherapy. He developed a training method to improve interview skills of General Practitioners, which was adopted in various Italian regions. He has been a member of the editorial board of the Italian Journal of Psychoanalysis. He is currently working in private practice.   Linked Episode: Episode 103: Addictive Pornography: Psychoanalytic Considerations with Claudia Spadazzi, MD and Jose Zusman, MD – IPA Off the Couch   Recommended Readings:   Balint, M. (1969) Trauma and Object Relationship. Int. J. Psycho-Anal., 50:429-435   Benjamin, J., Atlas, G. (2015). The “Too Muchness” of Excitement: Sexuality in Light of Excess, Attachment, and Affect Regulation. Int. J. Psychoanal, 96(1):39-63.   Freud, S. (1895). Project for a Scientific Psychology. S. E., 1:281-391.   Freud, S. (1908). On the Sexual Theories of Children. S. E., 9:205-226.   Freud, S. (1924). The economic problem of masochism. In S. E., Vol. XIX, 155–70. London: Hogarth Press.   Dodes L. (2019) A general psychoanalytic theory of addiction. In: Savelle-Rocklin, Salman Akhtar, ed., Beyond the Primal Addiction. Food, Sex, Gambling, Internet, Shopping, and Work. Routledge, London.   Gilmore, K. (2017). Development in digital age. Psychoanalytic Study of the Child, 70(1):82-90.   Green, A. (2000) Time and Psychoanalysis: Some Contradictory Aspects. London: Free Association Books, 2002, 95-96.   Lemma A., Caparrotta L. (2014). Psychoanalysis in the Technoculture Era. London: Routledge.   Marzi, A. (2013). Introduction. In Marzi, A. (ed.), Psychoanalysis, Identity, and the Internet: Explorations into Cyberspace. London: Karnac, 2016,XXXIII-L.   Tylim, I. (2017). Revisiting adolescents' narcissism in the age of cyberspace. Psychoanalytic Study of the Child, 70(1):130-134.   Zusman J.A. (2021) Between Dependency and Addiction. Psychoanalytic Study of the Child, 74(1): 280-293.