Psychoanalysis On and Off the Couch

Psychoanalysis applied outside the office.

Candidates' Reflections on their Psychoanalytic Training with Himanshu Agrawal, MD (Milwaukee, Wisconsin) 04/20/2025

Candidates' Reflections on their Psychoanalytic Training with Himanshu Agrawal, MD (Milwaukee, Wisconsin) “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: 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), . Routledge, 2020 Agrawal H, . The American Psychoanalyst, winter 2022 Kernberg O, International Journal of psychoanalysis, 77, 1031- 1040 /episode/index/show/psychoanalysisonandoffthecouch/id/36234450

Reflections on Our Changing Field with Stefano Bolognini, MD (Bologna) 04/06/2025

Reflections on Our Changing Field with Stefano Bolognini, MD (Bologna) “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: 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. IPA New Library, Routledge, London, 2010 , Routledge, London, 2022 Psychoanal. Quart., vol. LXXX, 1, 33-54, 2012. The Italian Psychoanalytic Annual, 13, 11-24, July 2019. The Italian Psychoanalytic Annual, 2020. 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. The Psychoanalytic Quarterly, 91 : 3, 443-477, 2022. The Psychoanalytic Quarterly, 91:3, 489-494, 2022. The Italian Psychoanalytic Annual, 16, 87-102, 2022. /episode/index/show/psychoanalysisonandoffthecouch/id/36006055

Discovering the Process of One's Mind with Fred Busch, PhD (Chestnut Hill, Mass.) 03/23/2025

Discovering the Process of One's Mind with Fred Busch, PhD (Chestnut Hill, Mass.) “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). . London: Routledge. Busch, F. (2019). London: Routledge. Busch, F. (2021). . Routledge: London. Busch, F. (2023) . International Journal of Psychoanalysis 104:1077-1090. Busch, F. (2000). J. Amer. Psychoanal.Assn., 48:238-254. Busch, F. (2005). . Psychoanal.Q., 74: 27-46. Busch, F. (2006). .,87: 1471-1485. Also appearing as Un oncerto ombra, Psycoanalisi, 11:5-26. Busch, F. (2015). *. 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. /episode/index/show/psychoanalysisonandoffthecouch/id/35815645

Religion, 'Allegorical Objects' and Levinas with David Black, PhD (London) 03/09/2025

Religion, 'Allegorical Objects' and Levinas with David Black, PhD (London) “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: . Recommended Readings: Black, D.M. (2024: Routledge New Library of Psychoanalysis.) Chetrit-Vatine, V. (2004: International Journal of Psychoanalysis, 85: 4. Lear, J. . (2017: Harvard University Press.) Lemma, A. (2023: Oxford University Press.) Levinas, E. , ed. Sean Hand. (1989: Blackwell Publishing.) Loewald, H. (1980: Yale University Press.) /episode/index/show/psychoanalysisonandoffthecouch/id/35576485

Childhood Memories: Their Impact on Mothers and Their 0–3-year-old Children with Ilene Lefcourt (New York) 02/23/2025

Childhood Memories: Their Impact on Mothers and Their 0–3-year-old Children with Ilene Lefcourt (New York) “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. Visit Ilene’s website: . Recommended Readings: 1975, Fraiberg S. Adelson E., Shapiro V., Ghosts in the Nursery, , 14, 387-421 1975, Mahler, M., F. and Bergman, A. , Basic Books 1985, Main, M. Kaplan, N. Cassidy, J. Security in Infancy, Childhood, and Adulthood: A move to the Level of Representation. 1991, Fonagy, P., Steele, M., Steele,H., Moran, G. S . The Capacity for Understanding Mental States. , 12(3) 201-218 1992, Bretherton, I. The Origins of Attachment Theory. , 28(5) 759-775 1993, Lieberman, A ., , Simon and Schuster 1995, Stern, D. , Basic Books 1998, Stern, D., Brushwweiler-Stern, N. . Basic Books 2005, Lieberman, A., Angels in The Nursery, . Vol. 26(6) /episode/index/show/psychoanalysisonandoffthecouch/id/35387115

Forbidden Intimacy: Marrying the 'Other' with Ashis Roy, PhD (Kolkata, India) 02/09/2025

Forbidden Intimacy: Marrying the 'Other' with Ashis Roy, PhD (Kolkata, India) “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). . 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) . Aleph Book Company. Altman, N. (2005). . Relational Perspective Book Series Davids, M. F. (2009) . Psychoanalysis and History 11:175-191 Green, A., & Kohon, G. (2005). . London: Routledge. /episode/index/show/psychoanalysisonandoffthecouch/id/35193295

The Making of the Documentary: Outsider. Freud with Yair Qedar (Tel Aviv) 01/26/2025

The Making of the Documentary: Outsider. Freud with Yair Qedar (Tel Aviv) “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 [email protected] Website and Trailer: https://ivrim.co.il/en/films/outsider-freud/ Recommended Readings: Adam Phillips (2014): . Yale University Press. Ernest Jones (1953): . Basic Books. Sigmund Freud (1926): . Standard Edition, Vol. XIX, Hogarth Press. Sigmund Freud (1937): Sigmund Freud (1929): /episode/index/show/psychoanalysisonandoffthecouch/id/34997515

A Fourth Pillar: Unlocking the Power of Case Writing in Analytic Training with Stephen B. Bernstein, MD (Brookline, Mass.) 01/12/2025

A Fourth Pillar: Unlocking the Power of Case Writing in Analytic Training with Stephen B. Bernstein, MD (Brookline, Mass.) “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). . Journal of the American Psychoanalytic Association. Gabbard, G. O. (2000). International Journal of Psychoanalysis, 81, 1071-1086. Kantrowitz, J. L. (2004). Journal of the American Psychoanalytic Association, 52, 69-99. Stimmel, B. (2013). , 21(1), 84-106. Stein, M. H. (1988). Journal of the American Psychoanalytic Association, 36, 393-408. /episode/index/show/psychoanalysisonandoffthecouch/id/34734515

The Unspoken: Analyst's 'Delinquencies', Post-Treatment Contact and Aging with Joyce Slochower, PhD (New York) 12/15/2024

The Unspoken: Analyst's 'Delinquencies', Post-Treatment Contact and Aging with Joyce Slochower, PhD (New York) “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 NY, London: Routledge. 2024 Assn., 72(4): 561-582. 2018 L. Aron, S. Grand, & J. Slochower, Eds. London: Routledge. 2017 , 34: 195-200. 2014 (2nd Edition). New York: Routledge. 2014 New York: Routledge. /episode/index/show/psychoanalysisonandoffthecouch/id/34450580

Poetry of the Mind and the Process of Mourning with Cordelia Schmidt-Hellerau, PhD (Chestnut Hill, Massachusetts) 12/01/2024

Poetry of the Mind and the Process of Mourning with Cordelia Schmidt-Hellerau, PhD (Chestnut Hill, Massachusetts) "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, Memento, 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) In Freud, S. Standard Edition, Vol IVX, 239 258 Schmidt-Hellerau, C. (2018) New York: International, Psychoanalytic Books. Schmidt-Hellerau, C. (2020) . Queens, NY: International Psychoanalytic Books. Schmidt-Hellerau, C. (2023) New York: International Psychoanalytic Books. Schmidt-Hellerau, C. (2024) New York: International Psychoanalytic Books. /episode/index/show/psychoanalysisonandoffthecouch/id/34205370

"Before Painting the Bird, You Must Become the Bird" with Jonathan Palmer, MD (Newton, Mass.) 11/17/2024

"Before Painting the Bird, You Must Become the Bird" with Jonathan Palmer, MD (Newton, Mass.) "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: /episode/index/show/psychoanalysisonandoffthecouch/id/33957607

Trauma and Survival: Eddy de Wind and Viktor Frankl with Dan Stone, PhD (London) 11/03/2024

Trauma and Survival: Eddy de Wind and Viktor Frankl with Dan Stone, PhD (London) "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: ; ; and . He is also the co-editor, with Mark Roseman, of volume I of the . 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.), (New York: Columbia University Press, 1982) Werner Bohleber, (London: Routledge, 2018) Matt Ffytche and Daniel Pick (eds.), (London: Routledge, 2016) Dagmar Herzog, (Cambridge: Cambridge University Press, 2017) Emily A. Kuriloff, (New York: Routledge, 2014) Dori Laub and Andreas Hamburger (eds.), (London: Routledge, 2017) Steven A. Luel and Paul Marcus (eds.), (New York: Ktav, 1984) Dan Stone, ,( London, 11 July 2024): /episode/index/show/psychoanalysisonandoffthecouch/id/33756702

Psychoanalysis and the Working Through of a Vineyard's Slave History with Mark Solms, PhD (Cape Town) 10/20/2024

Psychoanalysis and the Working Through of a Vineyard's Slave History with Mark Solms, PhD (Cape Town) “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) Journal of the American Psychoanalytic Association 63:1147-1158 /episode/index/show/psychoanalysisonandoffthecouch/id/33509317

Chaos and Transformation in Psychoanalysis: 'the Bet on Freedom' with Gabriela Goldstein, Ph.D. (Buenos Aires) 10/06/2024

Chaos and Transformation in Psychoanalysis: 'the Bet on Freedom' with Gabriela Goldstein, Ph.D. (Buenos Aires) "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: 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). Revista de Psicoanálisis. 69(23), pp. 311-352 Bush, F. (editor) (2021) Routledge. London and New York. Freud, S. (1919) The Standard Edition of complete psychological works of S. Freud, V 17 Goldstein, G (2013) , Karnak-IPA Goldstein G. (2022): Revista de Psicoanálisis de la Asociación Psicoanalítica Argentina, LXXIX-3-4 Goldstein, G (2022): , Revista Uruguaya de Psicoanálisis ( on -line 135) Mc Dougall, Andre, J., De M´Uzan, Et all,(2010) Ed. Nueva Vision Winnicott, D.W. (1978). Winnicott, D.W., Green. A, Mannoni, O, Pontalis; J-B y otros Winnicott, D. W. (1974): Int. Rev. of Psychoanalysis. (1974) l, 103 /episode/index/show/psychoanalysisonandoffthecouch/id/33319052

A Sociologist/Psychoanalyst Writes a Novel/Memoir with Roberta Satow, PhD (Washington, CT) 09/22/2024

A Sociologist/Psychoanalyst Writes a Novel/Memoir with Roberta Satow, PhD (Washington, CT) “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 . Recommended Readings: Roberta Satow, , IPBooks, 2024. Roberta Satow, , 2017. Roberta Satow, (Tarcher/Penguin 2006). Roberta Satow, . Roberta Satow,Roberta Satow Journal of the American Acad. of Psychoan. October 1983. /episode/index/show/psychoanalysisonandoffthecouch/id/33149442

An Analyst's Journey with Cancer with Jhuma Basak, PhD (Calcutta) 09/08/2024

An Analyst's Journey with Cancer with Jhuma Basak, PhD (Calcutta) “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 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): Vol.44. No.2, 166-177. Fajardo, B (2001): 49:569-586. Feinsilver, David (1998): , 79: 1131-1150 Fieldsteel, N. D. (1989): , 25 (3): 427-432 o Halpert, Eugene (1982): . Q., (51):372-389. Kitayama, O. (1998) 79:937-942. Masur, Corinne (ed) (2018): Routledge. Rosner, Stanley (1986): , 5(4), 357-371 /episode/index/show/psychoanalysisonandoffthecouch/id/32939142

Transformation of Dreams in Analysis: the Research Findings with Marianne Leuzinger-Bohleber, Prof. Dr. Phil. (Frankfurt) 07/28/2024

Transformation of Dreams in Analysis: the Research Findings with Marianne Leuzinger-Bohleber, Prof. Dr. Phil. (Frankfurt) "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: 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): . International Journal of Psychoanalysis 89: 1165-1187. Leuzinger-Bohleber, M. (2015): . In: The International Journal of Psychoanalysis Volume 96, Issue 3, June 2015, Pages: 611-636. Bohleber, W., Leuzinger-Bohleber, M. (2016): T In: Psychoanalytic Inquiry 36: 60-76, 2016. Fischmann, T., Ambresin, G., Leuzinger-Bohleber, M. (2021): . Frontiers in Psychology, doi: 10,3389/fpsyg, 2021.678440. Leuzinger-Bohleber, M., Donié, M., Wichelmann, J., Ambresin, G., & Fischmann, T. (2023).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). /episode/index/show/psychoanalysisonandoffthecouch/id/32292502

Secrets Kept and Secrets Told: the Analyst's Responsibility with Barbara Stimmel, PhD (New York) 07/14/2024

Secrets Kept and Secrets Told: the Analyst's Responsibility with Barbara Stimmel, PhD (New York) "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). Psychoanalytic Dialogues, 9, 445-470. Gabbard, G. O. (1997). 78, 820-821. Gabbard, G. O. (2000). International Journal of Psychoanalysis, 81, 1071-1086. Kantrowitz, J. L. (2004a). Journal of the American Psychoanalytic Association, 52, 69-99. Kanwal, G. (2024) . Psychoanalytic Quarterly 93:135-156. Stein, M. H. (1988b). Journal of the American Psychoanalytic Association, 36, 393-408. Stimmel, B. (2013). ,21(1):84-106 /episode/index/show/psychoanalysisonandoffthecouch/id/32108222

The Adventure of Immersive Analytic Training with Dr. Eike Hinze (Berlin) 06/30/2024

The Adventure of Immersive Analytic Training with Dr. Eike Hinze (Berlin) "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) . International Universities Press. New York. F. Bush (editor) (2021) Routledge. London and New York. Ferro (2002) Taylor & Francis. New York. E. Hinze (2015) Int J Psychoanal 96:755-771. J.-M. Quinodoz (1993) Routledge, London and New York. J.-M. Quinodoz (2004) Routledge. London and New York. D. Tuckett, E. Allison, O. Bonard, G. Bruns, A. Christopoulos, M. Diercks. E. Hinze, M. Linardos, M. Sebek (2024) Rowman & Littlefield. Lanham. Boulder. New York. London. /episode/index/show/psychoanalysisonandoffthecouch/id/31925122

Adjunctive Psychedelic Medicines during Dynamic Psychotherapy with Charis Cladouhos, MD (Boston) 06/16/2024

Adjunctive Psychedelic Medicines during Dynamic Psychotherapy with Charis Cladouhos, MD (Boston) “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: 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) , 32:5, 452-468, DOI: 10.1080/10481885.2022.2106140 Fischman, Lawrence G. 09/20/22. Frontiers in Psychiatry. pp.1-36 Lawrence G. Fischman (2019), Neuropsychoanalysis, 21:2, 53-78, DOI: 10.1080/15294145.2019.1689528 Dahlberg, Charles Clay. Aaron D. Cherniak, Joel Gruneau Brulin, Mario Mikulincer, Sebastian Östlind, Robin Carhart-Harris & Pehr Granqvist (2023) 33:4, 259-276, DOI: 10.1080/10508619.2022.2148061 Orbach, S. . 20 (1) 3-15 2003 Orbach, S. 20 (1) 17-26.2003. : . Lily K Ross and David Nickels /episode/index/show/psychoanalysisonandoffthecouch/id/31743967

The Dying Patient in Treatment with Mark Moore, PhD (Philadelphia) and Peggy Warren, MD (Boston) 06/02/2024

The Dying Patient in Treatment with Mark Moore, PhD (Philadelphia) and Peggy Warren, MD (Boston) “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: 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). 28,267-292. Emanuel, L. (2021). Psychodynamic contributions to palliative care patients and their family members. In H. Schwartz (Ed.), . New York: Routledge. Hitchen, C. (2012). Hatchette Book Group. Minerbo, V. (1998). Int. J. Psych-Anal., 79,83-93. Norton, J. (1963). , 18, 541-560 Didion, Joan: , 2007 Jaouad, Suleika: Random House, 2022. Bloom, Amy: ;Random House, 2023. /episode/index/show/psychoanalysisonandoffthecouch/id/31544932

Bystanding as Perversion: "We need to forget about what we actually did not even see here." with Jan Borowicz, PhD (Warsaw) 05/19/2024

Bystanding as Perversion: "We need to forget about what we actually did not even see here." with Jan Borowicz, PhD (Warsaw) "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, (2024), in which he explores the deep implications of witnessing mass violence and extermination. Recommended Readings: Jessica Benjamin, International Journal of Psychoanalysis, vol. 9, iss. 3, 2009. Jan Borowicz, , trans. Mikołaj Golubiewski, Routledge: London and New York, 2024. Stanley Cohen, , Cambridge: Polity Press, 2001. Samuel Gerson,, vol. 9, iss. 6, 2009. Grzegorz Niziołek, , trans. Ursula Phillips, London: Bloomsbury Publishing and Instytut Teatralny im. Zbigniewa Raszewskiego, 2021. , eds. Christina Morina, Krijn Thijs, New York: Berghan Books, 2019. Joel Whitebook, Cambridge, Massachusetts: MIT Press, 1996. /episode/index/show/psychoanalysisonandoffthecouch/id/31345217

An Analyst's Hindu-Indian Imagination with Sudhir Kakar (Goa, India) 05/05/2024

An Analyst's Hindu-Indian Imagination with Sudhir Kakar (Goa, India) 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 - , Karnac. June 2024 , in F. Busch and N. Delgado eds London: Routledge 2023 Re-reading Freud's The Future of an Illusion in Hindu India, in O'neill & S.Akhtar.eds.. London: Routledge, 2018 , 1992 ,48(5). New York: A. Knopf, 1982. . Chicago: U. of Chicago Press, 2009 /episode/index/show/psychoanalysisonandoffthecouch/id/31122098

'Does it Still Taste like Psychoanalysis’? - University Affiliation in Finland with Jan Johansson (Helsinki) 04/21/2024

'Does it Still Taste like Psychoanalysis’? - University Affiliation in Finland with Jan Johansson (Helsinki) "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: 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: with Lee Grossman, MD (Oakland, Ca.) Recommended Readings: Grossman, L. (2023): New York: Routledge. Kernberg, O.F. (2016). New York: Routledge Reeder, J. (2004). New York: Other Press. Tuckett, D. (2005). 86: 31–49. Tuckett, D., Amati Mehler, J., Collins, S., Diercks, M., Flynn, D., Franck, C., Millar, C., Skale, E., Wagtmann, A-M. (2020): . 101: 1106 – 1135. /episode/index/show/psychoanalysisonandoffthecouch/id/30918818

The Presence of 'Companioning' in Psychoanalysis with Robert Grossmark, PhD (New York) 04/07/2024

The Presence of 'Companioning' in Psychoanalysis with Robert Grossmark, PhD (New York) “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) . In press. Grossmark, R. (2019) , 16 (3), 316-325. Grossmark, R. (2023) 40: 25-30 Bach, S. (2011) 98(1): 39-56 Winnicott, D. W. (1974). , 1(1-2), 103–107. Bollas, C. (2011) (p. 238-248) Ogden, T.O. (2017) , 86: 1-20. Stern, D.B. (2022) 91: 639-667 Symington, N. (2012) . 22, 4, 395-409 /episode/index/show/psychoanalysisonandoffthecouch/id/30712693

The Dynamic Underpinnings of the Eating Disorders with Tom Wooldridge, PsyD (San Francisco) 03/24/2024

The Dynamic Underpinnings of the Eating Disorders with Tom Wooldridge, PsyD (San Francisco) "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, , was published in 2016. His second book, , an edited volume in the Relational Perspectives Book Series, was published in 2018. His third book, , was released in 2022. His fourth book, co-edited with Burke, Michaels, and Muhr, is entitled . He has also written a novel about the process of psychotherapy, , 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). ., 78, 927-941. Brady, M.T. (2011). , 37(1), 3 – 15. Bromberg, P.M. (2001). , 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.). . (Psychoanalysis in a New Key). New York: Routledge. Sands, S. (2003). , 20(1), 103 – 116. Wooldridge, T. (2021). 69(1), 7-32. Wooldridge, T. (2018). , 28(2), 189 – 202. /episode/index/show/psychoanalysisonandoffthecouch/id/30511183

Why Winnicott? - Part II: The Surviving Object Joel Whitebook, Ph.D. (New York), interviews Jan Abram, Ph.D. (London). 03/10/2024

Why Winnicott? - Part II: The Surviving Object Joel Whitebook, Ph.D. (New York), interviews Jan Abram, Ph.D. (London). "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: 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 , (co-authored with R.D. Hinshelwood 2018); (2022) and her second book with R.D. Hinshelwood: : Comparisons and Dialogues (2023). Recommended Readings: ben Abram, J. (2022) Abram, J. (2023) 77 (9), 768-796 DOI 10.21706/ps-77-9-768 /episode/index/show/psychoanalysisonandoffthecouch/id/30305313

Female Sexuality in India Today: Through an Analytic Lens with Amrita Narayanan, PsyD (Goa, India) 02/25/2024

Female Sexuality in India Today: Through an Analytic Lens with Amrita Narayanan, PsyD (Goa, India) “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) (Oxford University Press, 2023) Kakar, S. (1990) Penguin Books: New Delhi. Menon, M. (2019). Narayanan, A and Kakar, S. (2023) The Capacious Freud In Busch, F and Delgado, N. 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 Lexington Books: USA. Narayanan. A. (2013). 20-3. 213-227 /episode/index/show/psychoanalysisonandoffthecouch/id/30094783

Infertility and its Unconscious Reverberations with Mali Mann, MD (San Francisco) 02/11/2024

Infertility and its Unconscious Reverberations with Mali Mann, MD (San Francisco) "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). , 66: 1-17 Ludden, J. (2011) A. F. (1961). .(17 September). Bibring, G. L.’ Dwyer, T. F., Huntington, D.S., & Valenstein, A. F. (1961). , 16: 9-72 Ehrensaft, D. (2008), , 63:3-23. Freud, S. (1914). ) S.E., 12. Inderbitzin, L. B & Levy, S. (1998). 67:32-53 Lester, E. P. & Notman, M. (1986). ., 62: 357-366 Notman, M. & Lester, E. P. (1988). ., 8: 139-160 Pines, D. (1982). ., 61: 311-318 Zallusky, S. (1999). , 48: 1541-1562 /episode/index/show/psychoanalysisonandoffthecouch/id/29883798

The Repair of a Frame Gone Awry with Alan Karbelnig, PhD (Pasadena, California) 01/28/2024

The Repair of a Frame Gone Awry with Alan Karbelnig, PhD (Pasadena, California) "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) New York: Viking Bromberg, P. (1996). The multiplicity of self and the psychoanalytic relationship. . London: The Analytic Press. Greenberg, J. and Mitchell, S. (1983) Harvard University Press. Cambridge, MA Karbelnig, A. M. (2022). 103(1):5-25. McEwan, I. (2019). New York: Anchor. Strenger, C. (1989). 70:593-610 /episode/index/show/psychoanalysisonandoffthecouch/id/29677053

Psychoanalysis On and Off the Couch

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