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Event Series Event Series: Psychopathology II

Psychopathology II

May 8, 2020 @ 3:30 pm - 5:00 pm, Freud Classroom

Adult Psychoanalytic Training (APT)
2019-20, 3rd Trimester — Fridays, 3:30-5:00pm
Michael Pauly, MD


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May 8, 2020 — Narcissistic Vulnerability and Treatment Implications

[30 pages]

28 pages of reading.

The following two papers contain key frameworks for understanding the enactments that arise in working with narcissistically-sensitive, highly defended individuals.

Bateman, A. (1998) Thick-Skinned Organizations and Enactment in Borderline and Narcissistic Disorders. IJP, 79:13-25.

Alex Bateman, in Thick-Skinned Organizations and Enactment in Borderline and Narcissistic Disorders, proposes that narcissistic and borderline individuals move between thick and thin- skinned positions, lending an instability to the clinical picture which is both a danger and an opportunity for the treatment. He helpfully uses clinical material to outline his impression of the three countertransference experiences contributing to enactment (complementary, concordant, and defensive) and to highlight three levels of enactment (collusive, defensive, and the un-named role of father, corrective). The last he feels serves as a new helpful developmental experience that moves the treatment forward.

Steiner, J. (1994) Patient-Centered and Analyst-Centered Interpretations: Some Implications of Containment and Countertransference. Psychoanal. Inq., 14:406-422.

John Steiner’s, Patient-Centered and Analyst-Centered Interpretations, offers a new way of thinking about the subject of interpretation to shift from patient to analyst and allow for important communication between the analyst and their patient without provoking a defensive withdrawal or rejection. Does Steiner’s approach make sense to you? If so, have you made an effort to approach interpretive communication this way and with what affect?



Details

Date:
May 8, 2020
Time:
3:30 pm - 5:00 pm
Series:
Event Categories:
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Organizer

SPSI
Phone
(206) 328-5315
Email
info@spsi.org
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Venue

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