All programs take place at OPC, unless otherwise indicated.

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All programs take place at OPC, unless otherwise indicated.

Fundamentals of Psychoanalytic Psychotherapy 10 Wednesdays (on the first Wednesday of the month)

Sept. 5, Oct. 3, Nov. 7, Dec. 5, 2012 and Jan. 2, Feb. 6, Mar. 6, Apr. 3, May 1, June 5, 2013 15 cme's / $420 regular price / $378 with member discount

This series of ten monthly sessions is designed to meet the needs of clinicians who want to gain a beginning understanding of psychoanalytic psychotherapy. These sessions will have a clinical focus and will provide an opportunity for participants to hear and discuss case material and to present case material if they wish. Brief readings focused around a key clinical or theoretical concept will also be discussed. The sessions will be taught and facilitated by members of the Oregon Psychoanalytic Center.

The conference is an ideal starting place for clinicians who wish to explore the possible avenues for training in psychoanalytic psychotherapy, as well as any clinician who wants to have the supportive and stimulating experience of a group case conference.

Learning Objectives:

1. Describe the salient characteristics of a psychodynamic psychotherapy

2. Apply the concepts of transference, countertransference, and resistance to your work with patients 3. Begin a psychodynamic treatment with a patient

4. Write a dynamic formulation of a patient

5. Feel more confident with your psychodynamic work with patients Instructors:

(Section A) Ann Anthony, MD; Larisa Jeffreys, PMHNP; Saskia Hostetler Lippy, MD; Scot MacLean, MD (FULL) (Section B) Kathy Reicker, LCSW; Julie Rosenberg, MD; Lee Shershow, MD; Constance Jackson, MD

Contemporary Psychoanalytic Perspectives for Psychoanalytic Clinicians Oct. 9, Nov. 13, Dec. 11, 2012 and Jan. 8, Feb. 7, Mar. 14, Apr. 16, May 14, 2013 12 cme's / $335 regular price / $301.50 with member discount

Psychoanalysis and psychoanalytic psychotherapy have experienced profound evolutionary shifts in the past thirty years. Where once the patient’s unconscious process was the primary focus of psychoanalytic work, contemporary perspectives include an appreciation of the complex relational context within which personal subjectivity develops. This course is for psychoanalysts and psychoanalytic therapists with clinical experience who are interested in an exposure to contemporary theory in a class that will focus on deepening clinical work. We will include interpersonal and relational two-person psychology perspectives; intersubjectivity/contemporary self psychology; contemporary trauma theory; body/non-verbal aspects of treatment; contemporary views of gender/sexuality; and psychoanalytic field theory. We will meet monthly for 8 classes, providing ample opportunity for case discussions.

Learning Objectives: The participant will:

1. Gain familiarity with a variety of contemporary psychoanalytic perspectives and their influence on psychoanalytic practice.

2. Discuss specific clinical implications of operating from a one-person vs. two-person psychology perspective. 3. Be able to apply selected contemporary perspectives to his or her psychoanalytic clinical work.

Instructors:

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In Conjunction with the Early Development Committee:

Building a Person from the Inside Out or What Child Analytic Thinking Can Teach You About Your Child and Adult Cases

Oct. 10, 17, 24, 31, 2012

6 cme's / $170 regular price / $153 with member discount

Development from an analytic perspective involves internal structure building from the ground up, so to speak. This course will address the internal building blocks of a human psychology, giving students a framework for understanding early internal development and its implications for the complex work we do with our patients, be they children or adults. This course will explore seminal and current developmental literature addressing topics such as ego development, defenses, object relations development, internalization and identification, the critical role of narcissism.

1. Describe the internal building blocks of human psychology

2. Discuss the topics of ego development, defenses, object relations, internalization and externalization, and narcissism, and how they relate to the patient's development

Instructors:

Carol Arland, PsyD and Betsy Iannuccillo, LCSW

Bion’s “Container-Contained” Nov. 1, 8, 15, 29, 2012

This class will focus on Bion’s concept of “container-contained” and its usefulness in understanding the process of normal development and the development of thought, alongside the range of difficulties that arise when the “container” is damaged or lacking. We will utilize clinical material and two short works of fiction from the novel “Olive Kitteridge” to explore and discuss these ideas.

1. Gain an understanding of Bion's concept of "container-contained" and its role in the development of thought and personal meaning

2. Be able to contrast the process of containment and normal development with that of a "negative container" and the types of emotional difficulties that arise in these situations

3. Understand the importance of normal projective identification and be able to contrast that with abnormal or pathological projective identification

4. Be able to apply the concept of "container-contained" and "negative container" to clinical work Instructor:

Naomi Steinberg, Ph.D.

Ethics

Nov. 1, 8, 15, Dec. 6, 2012

This course is designed to meet the ethics continuing education requirements for clinicians. We will consider how to practice clinically in an ethical manner as well as think about ethical issues from a psychological standpoint. Learning Objectives:

1. Increase knowledge of ethical principles as they apply in clinical and other professional settings 2. Consider ethical implications as they apply in the clinical setting

Instructor: Scott Murray, MD

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Lacan in Portlandia: Let's Pickle! and Relish Your Symptom Dec. 6, 13, 20, 2012 and Jan. 3, 2013

If we consider the “dream of the 1890’s” and Freud’s Viennese culture in particular, as dominated by negotiating prohibitions against pleasure, then Portlandia’s “dream of the 90’s” teaches us about a decidedly different ego-ideal, one which demands enjoyment. In the show this demand often grows ridiculous, painful, for example in the sketches “Put a Bird on It” or the “Battlestar Galactica Marathon.” In this course we will watch vignettes from the popular TV show and some films, using these to explore Lacanian notions, including the registers—Symbolic, Real, and Imaginary, jouissance, the mirror stage, and the nature of desire as it develops out of lack. Participants should ultimately see how a Lacanian might best translate our motto “Keep Portland Weird” into “Enjoy Your Symptom.” Readings for this four-week course will include works by Jacques Lacan, Mari Ruti, Paul Verhaeghe, and Slavoj Žižek.

1. Summarize basic Lacanian concepts related to the nature of desire in a psychoanalytic discourse 2. Apply Lacanian concepts to both the cultural landscape of Portlandia and to our clinical work

Instructors:

Matt Carges, MA and Craigan Usher, MD

Mind Meeting Brain: How Does the Neuroscience of Affect Inform Psychoanalytic Practice? Jan. 3, 10, 24, 31, 2013

In OPC’s sixth annual Mind Meeting Brain class, we will focus on the neuroscience of affect and emotion. As Freud believed, affect is on the frontier between the mental and somatic, and is now recognized as central to self-organization. Neuroscience discoveries enhance the understanding of affect, its role in mental life, and its uniquely salient importance in the therapeutic process. We will read the following authors, among others: Jaak Panksepp (author of Affective Neuroscience, whom OPC will bring to Portland in November, 2013), Antonio Damasio, Joseph LeDoux, Mark Solms, and Alan Schore. Throughout the class we will integrate the theoretical material with clinical perspectives.

1. Discuss the relationship between psychoanalytic views of affect and contemporary affective neuroscience research 2. Identify key findings in affective neuroscience research that are relevant to the therapeutic process

Instructors:

Lee Shershaw, MD and Nancy Winters, MD

Special Program with Mary Target, PhD: Embodied Experiences Saturday, Jan. 5, 2013

OHSU

Mary Target, PhD is a psychoanalyst, researcher, and professor of psychoanalysis at University College London. She is also the Professional Director and Academic and Research Organiser of the Doctorate in Child and Adolescent Psychotherapy at the Anna Freud Centre. Dr. Target is a pioneering author and researcher in attachment theory and psychoanalysis and psychoanalytic psychotherapy with children and adults. There are three main topics she will explore in her program; these include 1) a discussion of the role of recovering memories of early experience versus working in the transference; 2) presentation of a paper that utilizes Winnicottian concepts to think about initiating analysis with some resistant patients; and 3) an exploration of how early “embodied” experiences are expressed in either patient or analyst.

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1. Through a theoretical exploration and discussion of case material, audience members will be able to compare and contrast the impact of exploring patients’ early childhood experiences opposed to working within the transference. 2. Participants will be able to describe common forms of resistance in initiating analyses and understand how key concepts articulated by D.W. Winnicott are helpful in treating those patients who might benefit from psychonalysis but are having difficulty starting the process.

3. Participants will be able to define early “embodied experiences,” recognize how these somatosensory phenomena can be expressed in patient and analyst, and consider how an awareness of “embodied” experiences complements analytic listening.

Instinct and Integration: An Exploration of Psychoanalytic Ideas about Sexuality Jan. 24, 31, Feb. 7, 21, 2013

Thinking about sexuality has played an important part of psychoanalytic theorizing since its inception, but has left the center stage. This course aims to bring sexuality back into analytic focus. We will begin by reviewing some of Freud’s ideas of sexuality and will move towards understanding contemporary psychoanalytic thinking about sexuality and romantic love. The struggle to integrate sexual and affectionate ties within an intimate relationship will be a guiding theme for our reading. We will begin with reading On Chesil Beach by Ian McEwan prior to the class.

1. Participants will have an introductory understanding of Freud’s ideas about sexuality

2. Participants will be able to think clinically about the struggle to integrate sensuous and tender longings in romantic relationships

3. Participants will be introduced to contemporary psychoanalytic ideas about sexuality and romantic love from a variety of theoretical perspectives

Instructors:

Cynthia Gray, MD and James Powers, MD

In Conjunction with the Early Development Committee:

Treatment from the Inside Out: A Case Conference Series with a Focus on Development Feb. 28, Mar. 7, 14, 21, 2013

This four meeting seminar will focus on the application of the developmental thinking of the fall course to the treatment of patients of all ages, adults, children, parents. Participants will be able to share their treatment process as a vehicle for using development as a lens through which to understand inner life and all of its complexities and to inform assessment and intervention.

1. Deepen one’s appreciation and understanding of how developmental perspectives inform treatment of patients, be they adults or children

2. Develop a capacity for analytic listening with a developmental ear Instructors:

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Introduction to Control Mastery Theory (CMT) Mar. 16, 23, 30, Apr. 6, 2013

Control Mastery Theory offers a psychodynamic and empirically tested theory of psychotherapy and psychopathology. It posits that people come to psychotherapy with an unconscious plan to master their trauma and use the psychotherapeutic relationship to test for safety so that they can do this. Thus, CMT differs from other ideas in psychoanalysis which focus on a patient's resistance and it offers interesting and new ways of formulating and working. CMT was developed by Dr's Joseph Weiss and Hal Sampson and empirically tested and studied by the San Francisco Psychotherapy Research Group (sfprg.org) for the last 40 years. CMT has been described as humanistic, cognitive, interpersonal and psychodynamic. Please join us for four Saturday classes where senior clinicians from the San Francisco Psychotherapy Research Group will present key aspects of CMT as well as clinical examples.

Learning Objectives

1. Describe the facets of CMT

2. Apply the concept of CMT to your work with patients Instructor:

Susan Evans, PsyD

Special Program with Donna Orange, PhD, PsyD: The Suffering Stranger and the Hermeneutics of Trust Saturday, May 4, 2013

9am – 4pm OHSU

Donna Orange, PhD, PsyD teaches at NYU Postdoc (New York); IPSS (Institute for the Psychoanalytic Study of Subjectivity, New York); ISIPSé (Roma and Milano); and in private study groups. Recent books are Thinking for Clinicians: Philosophical Resources for Contemporary Psychoanalysis and the Humanistic Psychotherapies (2010), and The Suffering Stranger: Hermeneutics for Everyday Clinical Practice (2011). She cares for her patients on Manhattan’s Upper West Side.

Paper #1: Engagement and Enactment

In the search for common ground among contemporary psychoanalytic and psychotherapeutic perspectives, the clinical concepts of mutual engagement and enactment are well-placed for dialogue. Current self psychologists meet relational psychoanalysts in engaging the full participation of both parties in a therapeutic interaction. Contemporary Freudians have brought into relational psychoanalysis a concept of enactment that can serve self psychologists turned intersubjectivists well when understood as a developmental process. We shall consider these clinical ideas as bridges in our search for common ground.

Paper #2: The Suffering Stranger

Attitudes toward clinical work, in the moment of facing the terrified and traumatized patient, often group themselves around two traditions. We may react to the patient with a critical, suspicious, diagnostic attitude that distances us from the other’s humanity, wondering what the other is up to with all these demands, acting out, and pathologies. Or we may, recognizing in the other person another sufferer both like and unlike ourselves, respond by wondering what the other needs in this moment to feel included in humanity, held, and healed. These two attitudes describe a large shift in psychoanalysis and psychotherapy in recent years that we can describe in terms of the hermeneutics (theory of interpretation) of suspicion and hermeneutics of trust. In this presentation I briefly turn a philosophical (and clinical) eye toward five major thinkers in psychoanalysis – Sándor Ferenczi, Frieda Fromm-Reichmann, D. W. Winnicott, Heinz Kohut, and Bernard Brandchaft – investigating the hermeneutic approach of each, engaging these innovative thinkers precisely as interpreters, and as those who have seen the face and heard the voice of the other in the ethical sense.

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CME's

These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the American Psychoanalytic Association and the Oregon Psychoanalytic Center. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians. The American Psychoanalytic Association designates this Live Activity for a maximum number of AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters of this CME program have any relevant financial relationships to disclose.