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“Working with a Strange Young Man: A Case Presentation” with Cara Alexander, MD

March 16, 2021 @ 7:30 pm - 9:00 pm


SPSI Scientific Session

Presented by Cara Alexander, MD

Open to SPSI and NPSI members only. The password to attend will be emailed on the day of the meeting.

This case presentation summarizes a successful 6-year psychoanalytic treatment of a strange young man. With a history of childhood trauma, he demonstrates narcissistic and psychotic features. However, he does not fit into any single diagnostic category. With treatment, he is overcoming his childhood adversity – and with much improved functioning, he is finding a place in the world for a self strangely shaped by his childhood experience.

Cara Alexander, MD is a psychiatrist and psychoanalyst in Seattle, Washington. She is on the faculty of the Seattle Psychoanalytic Society and Institute and treats adults and adolescents in her private practice.

Discussant: Ronald W. Levin, MD

Ronald Levin, MD is on the faculty of The Seattle Psychoanalytic Society and Institute. He has an interest in the functional architecture of the mind and the part it plays in treating patients limited by their primitive mental processing.

Learning Objectives

After attending this presentation, participants should be able to:

  1. describe the diagnostic features of this strange young man
  2. understand how the treatment challenges the patient to take on more complex developmental tasks involving empathy and the formation of identity
  3. understand how some patients with primitive processing and childhood trauma experience fragmentation during developmental advances.
1.5 hours Category II CME. This presentation meets the requirements of WAC 246-924-240 (Definition of Category of Creditable CPE). “This program has been approved for 1.5 CEUs by the NASW Washington State Chapter.” Licensed Social Workers, Marriage and Family Therapists and Mental Health Counselors are eligible. Provider number is #1975-144.

If you have a psychoanalytic idea that you would like to present, contact Stan Case or Ron Levin. Presenting offers the benefit of having your idea discussed and further developed.

SPSI Scientific Sessions are free to attendees.

Coming Attractions:


March 16, 2021
7:30 pm - 9:00 pm
Event Category:


(206) 328-5315
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