Visiting Professor Week: Program Schedule:

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The Extension Education Committee of the San Francisco Center for Psychoanalysis is pleased to present:

A Day with Michael Feldman

We will begin the day with the presentation of Michael Feldman's paper, "The Manic Defense and Its Effect on The Counter-transference." In his presentation, Dr. Feldman will discuss the difficulties these defenses present for making real contact with a patient and the risk of enactment in the countertransference. Henry Markman, M.D., will discuss the paper. Mitchell Wilson, M.D., will present the case of an adult in psychoanalysis.

In his writing, Michael Feldman brings theoretical concepts alive through his thoughtful discussion and the immediacy found in his description of clinical work. He elucidates the concepts of Kleinian theory, as he charts their theoretical evolution and transformations in contemporary thought. In this charting, he references not only Klein and Freud, but Bion, Rosenfeld and Betty Joseph. Projection becomes projective identification; projective identification becomes enactment, a lived experience for analyst and patient with multiple meanings and possibilities for the analytic work. He brings a fresh perspective and understanding to familiar concepts such as reassurance, historical reconstruction, and parts of the self, and shows how these concepts have shaped clinical work in ways that sometimes obscure knowing a patient more fully in the hour.

Feldman brings us close in to his clinical experience with his detailed and nuanced description of cases and moments in the treatment. His keen understanding of transference and countertransference is evident in the way he carefully considers the different possibilities for understanding these experiences for analyst and patient. In his writing, he moves from considering the pressures that the analyst experiences from the patient to enact, to the analyst's own anxieties and internal need to keep an equilibrium. Thus, he is clear about the analyst's contribution to the emotional situation with the patient.

In his book, Doubt, Conviction and the Analytic Process, Michael Feldman writes "...it is also important for analysts to bend their ear to the instrument that is themselves - to recognize the degree to which the interpretation that they formulate in their mind, or put into words, is invested with conviction or doubt, what internal functions it serves, and how these may facilitate or interfere." He advocates for careful attention to movement and change within analyst and patient and between them as their experience evolves in a given session. He advocates for careful use of formulations and interpretations, seeing them as transient and needing constant reevalutation as the session and the work with the patient move forward. His consistent and precise focus on the clinician's experience and state of mind is an important thread that runs through his work.

This program continues the focus of previous programs with Adrienne Harris, David Tuckett, Antonino Ferro, Danielle and Jean-Michel Quinodoz, Anne Alvarez, Ken Corbett, Michael Parsons, Ron Britton, Dale Boesky, Adam Phillips, Betty Joseph, and Hanna Segal, which have all offered richly illustrative clinical material of ongoing psychoanalytic treatments.

Michael Feldman, M.D. is a training analyst at the British Psychoanalytical Society, and has published numerous psychoanalytic papers, some of which have been published in his recent book, Doubt, Conviction and the Analytic Process. He edited with Elizabeth Bott Spillius, Psychic Equilibrium and Psychic Change, Selected Papers of Betty Joseph. He currently practices in London.

Event Planning Committee:
Marilynne Kanter, Ph.D. and Catherine Mallouh, M.D., co-chairs
Meryl Botkin, Ph.D.
Michael Loughran, Ph.D.
Terrence Owens, Ph.D.

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Clinical material will be presented at this lecture;
No audio or video will be allowed. No internet postings or discussion will be allowed.

Educational Objectives:

Participants will be able to:

1. Identify and explain manic type defenses.
2. Discuss and consider various elements of the anxieties underlying these defenses.
3. Utilize the clinician's emotional responses to a patient in assessing and better understanding the patients object relations.
4. Identify negative effects of manic processes on the patient and therapist.
5. Participants will be able to discuss responses and interpretations of manic states and defenses.

The San Francisco Center for Psychoanalysis is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians. The San Francisco Center for Psychoanalysis takes responsibility for the content, quality and scientific integrity of this CME activity.

PHYSICIANS: The San Francisco Center for Psychoanalysis designates this educational activity for a maximum of 5 credits as listed for each individual program, AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. This credit may also be applied to the CMA Certification in Continuing Medical Education.

LCSWs/MFTs: The San Francisco Center for Psychoanalysis is a provider approved by the Board of Behavioral Sciences, Provider Number PCE623, for 5 CE credits on an hour for hour basis.

PSYCHOLOGISTS: Psychologists attending SFCP events approved for CME credits may report AMA PRA Category 1 Credit(s)™ toward their CE requirements and are now able to directly submit their verification letters at the end of each renewal cycle using the MCEP credit reporting form that can be found on the internet at: http://www.cpapsych.org/associations/6414/files/mcepaa/files/MCEP_Reporting_Form.pdf

REGISTERED NURSES: The San Francisco Center for Psychoanalysis is a provider approved by the California Board of Registered Nursing, Provider Number 02677, on an hour for hour basis.

SFCP is approved by the American Psychological Association to sponsor continuing education for psychologists. SFCP maintains responsibility for this program and its contents.

Commercial Support: None

Faculty Disclosure: The following moderators and planning committee members have disclosed NO financial interest/arrangement or affiliation with commercial companies who have provided products or services, relating presentation(s) or commercial support for this continuing medical education activity: Gary Grossman, Ph.D., Marilynne Kanter, Ph.D., Catherine Mallouh, M.D., Meryl Botkin, Ph.D., Michael Loughran, Ph.D., Henry Markman, M.D., Mitchell Wilson, M.D., Terrence Owens, Ph.D. and Michael Feldman, M.D.. All conflicts of interest have been resolved in accordance with the ACCME Updated Standards for Commercial Support.