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Psychopathology I: Neurotic Psychopathology

March 19, 2021 @ 1:45 pm - 3:15 pm, Wyman Classroom

Fourth Year Adult Psychoanalytic Training (APT)
2020-21, 3rd Trimester — Fridays, 1:45-3:15pm
Charlotte Malkmus, MA LMHC
Michael Pauly, MD


View Whole Syllabus

Introduction

Welcome to Psychopathology I: Neurotic-Level Personality and Symptom Disorders.

We have chosen to organize this course to first convey an understanding of the developmental underpinnings of neurotic character organization and to then explore the related intrapsychic and interpersonal (including transferential-countertransferential) manifestations of neurotic-level psychopathology.

The following are the types of questions we hope to explore throughout the course:

  • What is implied by the term neurotic character?
  • What is it that one looks for in the consultation period that differentiates between neurotic and the less organized structures that underlie borderline / psychotic characters or states?
  • What are the developmental / relational experiences that may have facilitated or hindered the psychic achievements that characterize a neurotic level organization?
  • What are the predominant conflicts and / or defenses that characterize the various diagnostic categories within neurotic-level symptom or character presentations?

Discussion of clinical material is essential in bringing to life and making personally relevant the concepts we will be exploring. Hence, we strongly encourage you to bring vignettes and short process-notes to class.

Learning Objectives

  1. At the end of this course the clinical associate will be able to identify patient characteristics that differentiate neurotic from non-neurotic primitive structural organizations, thereby improving their clinical diagnostic precision.
  2. Equipped with the ability to better identify patient characteristics of a neurotic structural organization the associate will have a greater ability to tailor their psychoanalytic technique to improve the odds of finding an empathic resonance with the patient’s experience, thereby increasing the odds of patient retention and a deepening of the analytic process.
  3. At the end of this course the clinical associate will have an improved understanding of the symbolic and defensive functioning of neurotic symptoms and character structure. Thus they will be able to offer interventions/interpretations that increase the odds of positive changes / clinical outcomes.
  4. The clinical associate will be able to consider the effects of race, class and gender on their intrapsychic and interpersonal conceptualizations of patients, increasing their capacity to work effectively with a broader demographic range.

March 19, 2021 — What constitutes Neurosis?

[35 pages]

32 pages

Sugarman emphasizes that neurosis is defined not in terms of the manifest content of the patient’s verbal material but rather in terms of a mental organization based on the achievement of certain capacities (self-reflective capacity, capacity for affect regulation, capacity for narcissistic regulation, and internal conflict).

Ogden & Gabbard explore the pull towards symptom-focused treatments and encourage the analyst to resist this in exchange for a truth-focused treatment aimed at helping the patient dream themselves more fully into existence.

Auchincloss E.; Samberg, E. (2012), “Neurosis”, in Psychoanalytic Terms and Concepts, pp167-169.

Sugarman, A. (2007). Whatever Happened to Neurosis? Who are we Analyzing? And How? Psychoanal. Psychol., 24:409-428.

Ogden; Gabbard (2010) The Lure of the Symptom In Psychoanalytic Treatment, JAPA, 58:533-544.



Details

Date:
March 19, 2021
Time:
1:45 pm - 3:15 pm
Series:
Event Categories:
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Organizer

SPSI
Phone
(206) 328-5315
Email
info@spsi.org
View Organizer Website

Venue

SPSI
4020 E Madison St, #230
Seattle, WA 98112
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Phone
(206) 328-5315
View Venue Website