O R E G O N P S Y C H O A N A L Y T I C C E N T E R P R E S E N T S

THE DIVERSITY LECTURE SERIES SPONSORED BY

ARLENE SCHNITZER

Psychoanalysis, Sex and Gender in the 21st Century

with JACK DRESCHER, MD

DATE: SATURDAY, MAY 8, 2021

TIME: 9:00 AM - 1:00 PM PACTIFIC TIME/12 NOON - 4:00 PM EASTERN TIME

PRICING:

$150 - NON-MEMBERS

$135 - MEMBERS

$75 - STUDENTS/ RESIDENTS/INTERNS/ COMMUNITY MENTAL HEALTH PROFESSIONALS

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TALK #1 - ETHICAL ISSUES IN TREATING LGBT PATIENTS

The American Psychiatric Association's Principles of Medical Ethics emphasize competence, respect and upto- date knowledge as a basis for appropriate professional behavior toward lesbian, gay, bisexual, and transgender (LGBT) patients.

This presentation first reviews historical psychiatric attitudes towards LGBT patients that could be construed, at best, as patronizing and, at worst, overtly hostile. In modern clinical practice, as opposed to trying to "cure" homosexuality or "transsexualism," LGBT patients are helped to live their lives according to their own natures and desires.

This presentation outlines some common clinical questions raised by LGBT patients-what is known and not known about the origins of homosexuality and transgender expression, sexual orientation conversion efforts (SOCE), therapist self-disclosure, how therapists should address LGBT patients, and controversies surrounding treatment of transgender children-as well as ethical issues raised in these clinical encounters

TALK #2 - A BISEXUAL MAN'S SEARCH FOR IDENTITY:

AN INTERPERSONAL PSYCHOANALYTIC PERSPECTIVE

This is a case presentation of a man starting treatment in his thirties, initially presenting with obsessional anxiety about his sexual identity. Questions about his sexual identity were never resolved in a previous treatment despite eight years of four-time-a-week psychoanalysis. Shortly after beginning a new, once a week treatment, that included pharmacotherapy for Obsessive Compulsive Disorder, the patient experienced a significant reduction in anxiety that allowed him to address questions about sexual identity in a more productive manner.

The clinical material evoked in the analyst associations to the process by which homosexuality was removed from DSM-II in 1973. That history, which includes the replacement of "homosexuality per se" with "sexual orientation disturbance" is reviewed. These associations were shared with the patient.

As the patient began feeling more comfortable exploring his sexual desires for both men and women, he managed to put aside questions of identity until he had accumulated more intimate experiences with both sexes. The case illustrates how the therapeutic task of defining a sexual identity is often a complex, interpretative and interpersonal process.

TALK #3 - FROM BISEXUALITY TO INTERSEXUALITY:

RETHINKING GENDER CATEGORIE

The study of human sexual identities is changing, and these changes oblige analysts to think about sexualities in ways never envisioned by their psychoanalytic forbears. These changes also require that they be aware of some of the limitations imposed upon by their own theoretical traditions.

Toward that end, this presentation begins with a definition of terms related to modern conceptions of sexuality and sexual identities. This is followed by a review of historical assumptions underlying the theory of bisexuality. The next section introduces the audience to the role of categories and hierarchies in general, and to the clinical meaning of sexual hierarchies in particular. This is followed by a discussion of the meanings and uses of the "natural." The final section concludes with a commentary on intersexuality as an example of both the social and surgical construction of gender.

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Continuing Medical Education

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership 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 of 4.0 AMA PRA Category 1 Credit(s)™.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

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Jack Drescher, MD

Clinical Professor of Psychiatry, Columbia University

Adjunct Professor, New York University

Training & Supervising Analyst, W.A. White Institute

jackdreschermd@gmail.com

www.jackdreschermd.net

twitter.com/jackdreschermd