Description: The presentation will provide a real case example to learn about primitive psychopathology, how to think about such patients, and how to manage them practically. It is geared toward clinicians who work with challenging cases from a psychodynamic or psychoanalytic perspective. Emphases in the presentation with be on psychoanalytic techniques, such as the importance of a secure treatment frame; holding and containment of the patient’s marked anxieties; the uses of countertransference to understand the patient; analysis of transference; careful listening to the subtleties of language to enhance understanding of unconscious processes; and the gentle art of interpretation in a way the patient could hear and then understand himself. Understanding and linking infantile and early childhood experiences informed the conceptualization of how the patient’s conflicts and dynamic structure developed. Examples of these psychoanalytic techniques are embedded in the case history and process notes from several sessions. They will be further elaborated during intermittent breaks for discussion during the presentation.
- Explain the importance of maintaining a secure frame; paying close attention to the countertransference; interpreting the transference and paying close attention to the subtleties of language when treating patients with serious primitive core psychopathology.
- Describe how infantile or early childhood experiences can affect psychodynamic structure and how that can lead to symptoms in adulthood such as depression, anxieties, primitive fantasies, acting out, lethargy, decreased motivation and can inhibit fulfilling the person's fuller potential in relationships and professional or work endeavors.
Biography: Nancy Bakalar is a psychiatrist and practices adult psychoanalysis and psychotherapy in Lone Tree, CO and by video-teleconferencing. Nancy lived in the Washington, DC area for 30 years and trained at The International Institute for Psychoanalytic Training (IIPT) in Chevy Chase, MD, an APsaA certified training program. Nancy is a teaching and supervising analyst at IIPT and is a TA/SA at The Denver Institute for Psychoanalysis. Nancy’s theoretical base is primarily object relations theory. Another significant influence on Nancy’s analytic work is founded on infant observation. She trained in infant observation for four years under Jeanne Magagna who was Esther Bick’s last student and contributed and edited a book with Ms. Magagna entitled Intimate Transformations: Babies with Their Families. Nancy founded the infant Observation Program at The International Psychotherapy Institute (IPI) and was the chair for nine years. She now teaches infant observation privately. Keeping infantile experiences in mind in adult work has proven helpful in treating patients who largely seem untreatable, and whose analyses Freud saw as interminable in his paper on that subject. Nancy has written numerous book chapters and made presentations on the applications of object relations theory to the practice of psycho-analysis and psychotherapy. She also has written and presented on clinical work utilizing telepsychiatry, tele-psychoanalysis, and tele-therapy for individuals, couples and families.
Nancy served in the United States Navy for 26 years as an active duty psychiatrist. That experience gave Nancy a wealth of experience in evaluating and treating service men and women who suffered pathological and characterological personality structures.
Cost: While this event is free and open to the public, there is a fee for those who would like to receive CME credit. Please choose the appropriate level when registering.
- CME credit for DPS Members: $30
- CME credit for non DPS Members: $40
- No CME credit: Free - $0
Registration: This lecture will take place virtually using Zoom. Registration is required. Registration will close on November 17, 2021. The Zoom link will be emailed to registrants 24 hours before the start of the event.
Confidentiality: During lectures, we will follow rules of confidentiality for clinical case material including disguising identifying information. Please do not discuss any case material outside of this lecture. No recording of case material is allowed.
CME Certificates: In order to receive a CME certificate, the attendee must: pre-register, pay in full, attend the entire session and complete an evaluation within 7 days after the program. CME certificates will be sent by email within a month following the event after attendees are cross referenced by registration, payment, attendance, and completion of the evaluation.
Cancellation & Certificate Replacement Policy: There will be no refunds of fees for cancellations within 7 days of the event. If awarded a CME certificate, please retain for your records. There will be a $3 charge if the Society office has to resend a certificate.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of American Psychoanalytic Association and Denver Psychoanalytic Society. 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 2 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 for this educational activity have relevant financial relationship(s)* to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
*Financial relationships are relevant if the educational content an individual can control is related to the business lines or products of the ineligible company. (Updated July 2021)