Psychoanalysis On and Off the Couch

“I thought I should be sensitive, accessible and alive, in order to enable the baby to wake up and to start moving something inside that will bring up her potentials and start to BE.”

 

Description: Harvey Schwartz welcomes Hamutal Raz Shiloach clinical psychologist and a training and supervising psychoanalyst at the Israeli Psychoanalytic Society. She is a founder and director of the Multicultural Center for Parent-Infant Psychotherapy in Yafo, Israel, which will be the focus for our conversation today. She teaches widely in Israel. This is not surprising because after listening to today’s episode you will hear a master clinician describing her involvement with a very challenging situation with a mother and a young daughter. They are an affectively frozen mother and a frozen daughter, and Hamutal brings not only deep emotional connection to the work with this couple but also deeply thought out cognitive thinking about it as well. It isn’t often that you ́ll find the two combined. There are clinicians who feel very strongly about the work and there are those who think very deeply about the work. It is special when you find someone who does both.

 

Key takeaways:

[3:27] The challenges of running a multicultural daycare center.

[6:13] Full day program for children at risk who are taken care by welfare authorities.

[7:20] The language and cultural challenge.

[9:02] The particularities about the mother-baby early bond in the African cultural.

[11:46] The presence over the word.

[14:10] Kinds of problems seen at the daycare center.

[15:59] Working with the Arab population in Israel with Arab clinicians.

[17:40] Clinical example.

[30:20] The psychoanalytic intervention through listening and actions.

[33:13] The importance of body language and primitive features in the work with babies.

[33:45] Hamutal Raz Shiloach talks about her career journey and how she started working in this project.

 

 

Mentioned in this episode:

IPA Off the Couch www.ipaoffthecouch.org

 

Recommended Readings:

Interview Bibliography

 

Dalley, T.  (2010) Containment of trauma: Working in the community. In: T. Baradon (Eds.), Relational Trauma in Infancy. London: Routlege.

 

Fraiberg, S. (1982)  Pathological Defenses in Infancy. Psychoanalytic Quarterly, 51:612-635.

 

Salomonsson, B. (2007) 'Talk to me Baby, Tell me What's the Matter Now'  Semiotic and Developmental Perspectives on Communication in Psychoanalytic Infant Treatment. International Journal of Psycho-Analysis, 88(1):127-146.

 

Stern, D. (1995) The Motherhood Constellation, London: Karnac.

 

Winnicott, D. W. (1969) The Mother-Infant Experience of Mutuality. In: C . Winnicott., R. Shepherd & M. Davis (Eds.) Psychanalytic Exploration. Cambridge, Massachusetts: Harvard University Press.

 

 

 

 

“We begin introducing children to emotions, how they felt, their functions and how to deal with their intra and interpersonal feelings, like anger, shame, fear and envy and we did this through storytelling, paintings and plays.”

 

Description: Harvey Schwartz welcomes Shahrzad Hashemi and Rosa Famini. Shahrzad Hashemi is a psychoanalytic psychotherapist and an advanced candidate at the comprehensive program for psychoanalytic psychotherapy at HamAva Institute in Tehran. She is also the editorial assistant of the open-access journal Psychoanalytic Discourse. In addition to her private practice, Shahrzad has been involved in many psychoanalytically informed activities in hospitals and schools, which we will hear more about in today’s interview. Rosa Famini is also a psychoanalytic psychotherapist and an advanced candidate at the comprehensive program for psychoanalytic psychotherapy at HamAva Institute in Tehran. She is also a PhD candidate in Educational Psychology in Tehran University and she heads the Child and Adolescent Psychoanalytic Psychotherapy training courses being held in collaboration with the Dutch Psychoanalytic Institute and Society in Tehran.

 

The work we are going to hear about today in the schools is being supervised by Dr. Nahaleh  Moshtagh who is an American trained psychoanalytic candidate and is also the Director of the HamAva Institute. As we will hear in today’s interview, the passion for understanding, touching and freeing people’s minds from painful limitations is an interest that is shared by clinicians worldwide.

 

Key takeaways:

[4:05] The principles of the school project.

[7:06] School principal who was interested in psychoanalytic training for the students.

[9:10] Pupils, teachers and parents.

[9:26] Improving children’s self reflection skills.

[9:51] Example of the psychoanalytic listening implemented in a school setting.

[13:11] A project that attempts to change perspectives about school.

[15:21] Reflecting on group dynamics.

[17:50] Psychodynamic psychotherapy in Iran.

[19:21] The challenges that Shahrzad Hashemi and Rosa Famini encounter.

[20:36] Psychoanalytic training in Iran.

[23:16] Psychoanalytic private practice in Iran.

[24:25] Future goals for Shahrzad Hashemi and Rosa Famini.

[25:18] Continuing growth in a career as a psychoanalyst.

 

Mentioned in this episode:

IPA Off the Couch www.ipaoffthecouch.org

 

Recommended Readings:

 

Britzman, D. P. (2009). Very Thought of Education, The: Psychoanalysis and the Impossible Professions. Suny Press.

Britzman, D. P. (2012). After-education: Anna Freud, Melanie Klein, and psychoanalytic histories of learning. SUNY Press.

Britzman, D. P. (2015). A psychoanalyst in the classroom: On the human condition in education. Suny Press.

Henry, G., Osborne, E., & Salzberger-Wittenberg, I. (2003). The emotional experience of learning and teaching. Routledge.

Sapountzis, I. (2018). Revisiting Bion’s “Notes on thinking”: Implications for school psychologists. Journal of Infant, Child, and Adolescent Psychotherapy, 17(3), 187-197.

 

“I listen with my psychoanalytic ear, for the unconscious, for defense mechanisms, affect, ego strengths and relationship between us, but at the UN I specifically want to focus on my work using a psychoanalytic lens”

 

Description: Harvey Schwartz welcomes Dr. Vivian B. Pender, who is a Clinical Professor of Psychiatry at Weill Cornell Medical College and a Training and Supervising Psychoanalyst at Columbia University’s Center for Psychoanalytic Training and Research. She is a trustee of the American Psychiatric Association. Dr. Pender is also the main representative to the UN of the International Psychoanalytic Association. Her edited book The Status of Women was published by Routledge in 2016.

In our talk today Dr. Pender will describe her long-standing and devoted work at the United Nations and some of the successes that she’s had, bringing her psychoanalytic mindset to that vital work.

 

Key takeaways:

[3:25] Interventions in sex trafficking and forced marriages.

[7:33] Violence towards women and girls.

[8:23] Commercial sexual exploitation of women and girls.

[8:53] Child marriage is permitted in 48 states in the US.

[9:44] The case of an 8 year old girl about to be married to a 60 year old man.

[10:24] How to report to the UN?

[14:24] The experience of “on the ground workers”.

[18:13] Dr. Pender talks about working for the UN.

[20:01] What brought Dr. Pender into this work?

 

Mentioned in this episode:

IPA Off the Couch www.ipaoffthecouch.org

World Health Organization Mental Health Action Plan

 

Recommended Readings:

Bion, W. (1961). Experiences in Groups. London: Tavistock Publications.

 

Pender VB (2007). Approaches to prevention of intergenerational transmission of hate, war and violence. International Journal of Psychoanalysis;88:507-14.

 

Pender VB (2019). The International Psychoanalytical Association at the United Nations in Harris, A & Montagna, P, Eds., Psychoanalysis, Law and Society. London: Routledge.

 

 

 

Pero nosotros mantenemos el enfoque psicoanalítico para comenzar desde nuestra manera de escuchar, la manera de escuchar aquello que se nos transmite con la convicción de que los contenidos sociales y culturales son absolutamente susceptibles de ser entendidos y darles sentido desde nuestra escucha.

But we maintain the psychoanalytic approach to start from our way of listening, the way of listening to what is transmitted to us with the conviction that social and cultural contents are absolutely susceptible to be understood and given meaning from our listening.

 

Description/ Descripción : Laura Katz, psicoanalista de la Asociación Psicoanalítica Argentina   y actual Directora de Comunidad y Cultura de la Federación de Psicoanálisis de Latinoamérica (FEPAL), recibe en este episodio a Maria Pia Costa presidenta de la Sociedad Peruana de Psicoanálisis, dicha sociedad lleva adelante el programa comunitario Psicólogos Contigo, que ha sido ganador del Premio IPA en la Comunidad, este es un premio creado por la actual directiva de la IPA con la intención  de fomentar el trabajo de los psicoanalistas en sus comunidades. El premio será recibido por Maria Pia Costa en el congreso de la IPA en Londres el próximo julio. Maria Pia Costa es psicoanalista didacta y actual presidenta de la Sociedad Peruana de Psicoanálisis, ocupó también anteriormente el puesto de vicepresidenta y tesorera, realizó estudios de doctorado de estado en psicología clínica, psicopatología y psicoanálisis y obtuvo el diploma de estudios avanzados de psicología clínica, psicopatología y psicoanálisis, ambos en la Universidad de Nanterre, París. Ha trabajado temas como la femineidad y homoparentalidad, durante algunos años su interés se ha centrado en temas de violencia política y sus repercusiones emocionales. Ha publicado el libro Frente al Espejo Vacío: Un acercamiento psicoterapéutico a la violencia política. También ha publicado artículos en la revista Calibán, revista de la federación de psicoanálisis de américa latina y también artículos sobre sexualidad femenina y homoparentalidades en la revista de la Sociedad Peruana de Psicoanálisis. Ha publicado otros artículos en la revista Andares y en la Nouvelle Revue de Psychanalyse.

La entrevista de hoy se centrará en poder ampliar diferentes aspectos del programa comunitario Psicólogos Contigo. Los espacios comunitarios son espacios en donde los vínculos que se generan en su interior tienen un efecto directo en la producción de la subjetividad. Hoy reciben las consecuencias que arrojan los procesos de fragmentacion y exclusion social. El trabajo de escucha, posición que se encuentra en los fundamentos del psicoanálisis, habilita en dichos espacios comunitarios, el lugar de la palabra y de esta manera poder darle al sujeto la posibilidad de armar lazo social a través del soporte que le proporcionan sus otros.

 

Key takeaways/ Claves:

[4:45] Laura Katz le da la bienvenida a Maria Pia Costa al podcast.

[5:05] Premio IPA en la Comunidad.

[5:34] Objetivos iniciales del Programa Psicólogos Contigo.

[8:23] Tres proyectos dentro del programa: Atencion de Campo, Cuaderno: Historia de las lluvias e inundaciones en Perú, y Prevención de Violencia contra Niños y Niñas.

[9:44] Demanda de espacios individuales de diálogo.

[10:50] Atención a la población infantil.

[15:01] VIolencia como una emergencia nacional.

[16:38] Soporte del estado en programas comunitarios.

[18:31] Efectos traumáticos de la violencia de las catástrofes naturales e intrafamiliar.

[19:32] La catástrofe es humana y es social.

[20:58] Las consecuencias de las situaciones de violencia no atendidas.

[21:42] Cuidando generaciones futuras.

[23:33] No hay por qué disociar lo terapéutico de lo comunitario.

[25:48] Psicoanálisis como disciplina pertinente para responder a problemáticas sociales contemporáneas.

[27:34] La escucha psicoanalítica en el espacio comunitario.

[29:15] ¿Por qué Psicologos Contigo y no Psicoanalisis Contigo?

[30:31] Jornadas sobre trabajo comunitario.

[32:26] Salir del diván para alcanzar a la comunidad.

 

Mentioned in this episode/ Mencionado en este episodio:

IPA Off the Couch www.ipaoffthecouch.org

 

Recommended Readings/ Lecturas recomendadas:

Marcelo Viñar. Experiencias psicoanalíticas en la actualidad sociocultural. Noveduc. Buenos Aires, 2018.

 

Mordechai Benyakar. Lo disruptivo. Amenazas individuales y colectivas: el psiquismo ante guerras, terrorismos y catástrofes sociales. Biblos. Buenos Aires, 2003.

 

Frente al espejo vacío: un acercamiento psicoterapéutico a la violencia política. Equipo de psicoterapeutas de la Coordinadora Nacional de Derechos Humanos. Lima 1998.

 

César Rodríguez Rabanal. Las cicatrices de la pobreza. Un estudio psicoanalítico. Nueva Sociedad. Lima 1992.

“I have never needed the psychoanalytic professionalism as much as in these very unconventional situations. It took the woman out of the shock of her freezing psychic state. In the acute situation just to meet a human being who dared to try to stand the horror of what she’s gone through - I think it was essential for her.”

 

Description: Harvey Schwartz welcomes Dr. Marianne Leuzinger-Bohleber. She is a training analyst at the German Psychoanalytic Association and a member of the Swiss Psychoanalytical Society. She’s a recipient of the Sigourney Award in 2016 and the Haskell Norman Price for Excellence in Psychoanalysis in 2017. From 2001 to 2016 she was the director in charge of the Sigmund Freud Institute in Frankfurt, Germany. From 2001 to 2009 she was chair of the IPA research subcommittee for conceptual research. Her areas of interest include psychoanalytic developmental research, prevention studies, interdisciplinary dialogue between psychoanalysis and literature, educational sciences and the neurosciences.

 

In today’s interview, we will learn about what Dr. Leuzinger-Bohleber considers her “psychoanalytic spirit” which she brings to all of her clinical encounters. This reveals itself to include warm empathic humanity and a wise clinical ear.

 

Key takeaways:

[4:25] Social and clinical situation of refugees in Germany.

[5:50] An overwhelming welcome culture.

[7:25] Split in society regarding refugees.

[8:12] Developing of antisemitism.

[10:00] Trying to break the intergenerational transmission of the trauma.

[10:30] Step by Step program to bring psychoanalytic sensitivity to large groups of people.

[14:55] Trying not to deny trauma but rather educate people about it.

[16:08] Principles developed for refugees.

[16:51] Traumatized people shouldn’t get into a passive situation.

[17:25] Refugees participating in activities and also giving back to contribute to the village.

[19:37] Recognizing sadistic impulses and nonverbal gestures.

[20:20] Addressing cultural distances.

[21:11] Crisis intervention.

[22:28] Homosexuality.

[23:35] A clinical case.

[30:14] Being grateful for psychoanalysis

[31:22] What Dr. Leuzinger-Bohleber learned from the empirical research.

[32:09] Trying to symbolize the trauma.

[33:30] Impact of psychoanalytic interventions with refugees.

[34:48] Chronic depression and early trauma.

 

Mentioned in this episode:

IPA Off the Couch www.ipaoffthecouch.org

Short film by Rose Palmer about STEP-BY-STEP project

 

Recommended Readings:

Leuzinger-Bohleber, M. (2015): Finding the Body in the Mind – Embodied Memories, Trauma, and Depression. International Psychoanalytical Association, London: Karnac

 

Bohleber, W. & Leuzinger-Bohleber, M. (2016): The Special Problem of Interpretation in the Treatment of Traumatized Patients. In: Psychoanalytic Inquiry 36: 60-76, 2016

 

Leuzinger-Bohleber, M. , Rickmeyer C, Lebiger-Vogel J, Busse A, Fritzemeyer K, Burkhardt- Mußmann C, (2015): Early Motherhood in Migration: A First Report from FIRST STEPS- An Integration Project for Infants with an Immigrant Background. J Preg Child Health 2:147. doi: 10.4172/2376-127X.1000147

 

Leuzinger-Bohleber, M., Rickmeyer, C.,Tahiri, M.,Hettich, N. (2016a): Special Communication. What can psychoanalysis contribute to the current refugee crisis? Preliminary reports from STEP-BY-STEP: A psychoanalytic pilot project for supporting refugees in a „first reception camp“ and crisis interventions with traumatized refugees.  Int Journal of Psychoanal, 97 (4): 1077-93.. doi: 10.1111/1745-8315.12542. Epub 2016 Aug 11

 

Leuzinger‐Bohleber, M. (2016). From free speech to IS–pathological regression of some traumatized adolescents from a migrant background in Germany. International Journal of Applied Psychoanalytic Studies, 13(3), 213-223.

“There were so many opportunities to ponder what’s going on with different characters, what’s going on with tensions between generations, what’s going on with family relations. It’s as if psychoanalysis shed a new light on literature and it’s as if literature, its persuasiveness and accomplishment of great literature, seemed to confirm psychoanalytic understanding of how human beings internally are put together.”

 

Description: Steven S. Rolfe welcomes Dr. Paul Schwaber who is Professor of Letters Emeritus of Wesleyan University and a practicing psychoanalyst. For many years he was Director of the College of Letters Wesleyan Undergraduate Major in Western literature, philosophy and history. He’s published extensively on the relationship between imaginative literature and psychoanalysis. He coedited Poetry and Power: Poems Occasioned by the Presidency and the Death of John F. Kennedy basic books, and he is the author of The Cast of Characters: A Reading of Ulysses. In 1993, he was given the Robert S. Liebert Award in applied psychoanalysis, by the Columbia Center of Psychoanalysis and the Association of Psychoanalytic Medicine and in 2014, the Edith Sabshin Teaching Award, by the American Psychoanalytic Association. A graduate of the Western New England Institute he was Chair of its faculty and served as its President. He has served on the editorial board of the International Journal of Psychoanalysis and on the board of the James Joyce Quarterly Journal of Applied Psychoanalytic Studies, Psychoanalytic Quarterly and the Journal of the American Psychoanalytic Association. He and his wife Rosemary Balsam have edited the book review section of the Journal of the American Psychoanalytic Association.

 

Key takeaways:

[3:58] Paul Schwaber’s interest in two “impossible professions”.

[7:57] Starting his own psychoanalysis.

[9:18] Realizing the need for analytic experience.

[11:50] Pursuing training without any previous clinical experience.

[13:10] Teaching and training at the same time.

[14:15] Literature and psychoanalysis confirming each other.

[18:02] The idea of including literature into the psychoanalytic curricula.

[19:15] Psychoanalysis and Shakespeare.

[22:00] A lifelong interest in Ulysses.

[24:34] Joyce and Freud’s fascination for  the human mind.

[26:18] Paul Schwaber gives an example in regards to the intersection between literature and the psychoanalytic world.

  

Mentioned in this episode:

IPA Off the Couch www.ipaoffthecouch.org

 

Recommended Readings:

The Cast of Characters: A Reading of Ulysses Yale University Press (1999).

 

Of Poetry and Power: Poems Occasioned by the Presidency and by the Death of John F.  Kennedy Basic Books (1964)

 

"Women and Freud's Imagination," The American Scholar, XLI (Spring, 1972), 224-37

 

"Scientific Art: The Interpretation of Dreams," The Psychoanalytic Study of the Child, XXXI (1976), 515-33. 

 

“Freud and the Twenties," The Massachusetts Review, XXII (Spring, 1981), 133-51.

 

"The Patriarchal Tradition: Creation and Fathering in Genesis" in Father and Child: Developmental and Clinical Perspectives, ed. Stanley Cath, M.D., Alan Gurwitt, M.D. and John M. Ross, Ph.D. (Boston: Little, Brown, 1982), 383-97.

“Both analyst and patient will have to share a bitter taste of abandonment, of boredom, of antagonism  and they have to remain together, because together they will be able to construct something to get out of it.” 

 

Description: Harvey Schwartz welcomes Dr. Jose Zusman who is a psychiatrist and a psychoanalyst in Rio de Janeiro. He is a training analyst and a professor at the Psychoanalytic Society of Rio de Janeiro and he is a professor and supervisor in psychoanalytic oriented psychotherapy for the Psychiatry Residents at the Federal University in Rio de Janeiro, where he holds a Master in Psychiatry and also a PhD in Psychoanalysis. As you will hear in today’s interview, Dr. Zusman shares with us a sensitive understanding of the trauma and lack of resonances that one can find in the early lives of patients who later become addicted. He also describes how one, as a depth psychotherapist and analyst, can listen and ameliorate some of the pain in the patient’s inner lives that lead them to turn to addictive substances. 

 

Key takeaways: 

[3:19] What is vital about a psychoanalytic approach in working with addicted patients? 

[5:01] Addiction is a symptom. 

[5:58] The environment is fundamental. 

[6:40] Object seeking. 

[7:13] Distortion of the reality. 

[8:09] The addicted patient can't find what they need. 

[8:44] Human beings are a dependent species. 

[11:44] How do you treat a patient who has not been recognized? 

[12:39] The addicted clings to any element that makes them feel alive. 

[13:18] Patients turn to sensations instead of affects. 

[14:27] A clinical case. 

[22:57] “I am seeing you” 

[23:20] How do you apply a psychoanalytic intervention with patients that are financially impaired? 

[24:05] Do not forget the patient. 

[25:50] Current situation in Brazil regarding psychoanalytic assistance. 

[27:30] We don’t treat symptoms, we deal with the origins. 

 

Mentioned in this episode: 

IPA Off the Couch www.ipaoffthecouch.org  

 

Recommended Readings: 

 

Balint, M. (1968/1979).The Basic Fault. Tavistock Publication. London. 

 

Dodes, L (2003). The Heart of Addiction. HarperCollins Publishers. New York. 

 

Fairbairn, W: (2014). Then and Now Routledge Publishers. New York. 

 

Khantzian, E.J. (1997). Treating Addiction as a Human Process 

Jason Aronson. New York 

 

McDougall, J (1995). The Many Faces of Eros. W.W. Norton Company, Inc.  New York.

“Physical illness begins a very serious journey where there is a disconnect between one’s sense of embeddedness in one’s own body, to all of a sudden being contained within a persecutory object.”

 

Description: Harvey Schwartz welcomes Dr. Dr. Gavril Hercz to the podcast. Dr Hercz  is both a practicing nephrologist and a practicing psychoanalyst. His nephrology practice is at the Humber River Hospital in Toronto, Canada and he is a member of the Canadian Psychoanalytic Society. This combination of skills is of course unusual and will form the basis of our conversation today. Dr. Hercz is also an associate professor in the University of Toronto and he is the founder of psychonephrology.com. Dr. Hercz will describe how he had brought his psychoanalytic sensitivities to his work in nephrology and in dialysis units. Through his writings and lecturing worldwide he has had an important influence on how dialysis is understood and carried out, not only in Canada but around the world.

 

Key takeaways:

[2:45] Dr. Gavril Hercz winner of the IPA and Health Committee award.

[5:15] Listening to the inner life while attending the physical health.

[6:06] It is not only the individual but the family that becomes ill.

[8:44] Bringing psychoanalysis to dialysis units.

[9:37] Cognitive dissonance.

[10:28] Chronic physical illness begins a journey of disconnection within the body.

[11:25] The changes in the relationship with one’s body.

[13:50] Group and one on one interventions.

[15:12] The challenges of the frame.

[17:48] Integration as a physician and psychoanalyst.

[20:03] Generating quantifiable data about quality of life.

[22:00] Psico-social model of care.

[25:45] Asking nurses to write down conversations with the patients.

[26:26] Patients having the experience of being known.

[28:50] The foundations of  Psychonephrology.com.

 

Mentioned in this episode:

IPA Off the Couch www.ipaoffthecouch.org

Psychonephrology.com

 

Recommended Readings:

Hercz G.  The trauma of dialysis Initiation.  J Am Soc Nephrol 28: 2835-2837, 2017

Garland C. External disasters and the internal world : An approach to psychotherapeutic understanding of survivors. In: Textbook of Psychotherapy in Psychiatric Practice, edited by Holmes J, London, Churchill Livingstone. 1991, pp 507-532

Aisenstein M. The indissociable unity of psyche and soma: A view from the Paris Psychosomatic School. Int J Psychoanal 87:667-680, 2006

Winkley L. Living with chronic illness: Consultation to a children's renal dialysis unit. J  Child Psychother 16:49-62, 1990

 

“The early parental caregiving is inscribed in the body of the baby and contributes to the structure of his mind. All the primary inscriptions program and shape, not only the brain of the newborn, but also are going to reemerge when this baby will become a parent.”

 

Description: Harvey Schwartz welcomes Dr. Meropi Michaleli who is a clinical psychologist and psychoanalyst in Athens, Greece. Dr. Michaleli’s practice focuses on the psychoanalytic approach to pregnancy, the perinatal period, infertility and parent-infant therapy. She studied psychosomatics in Paris; she trained in brief mother-infant psychotherapy in Geneva and she has become a teacher of teachers, especially for health personnel involved in the perinatal and neonatal period especially those faced with infants and families under high psychosocial risk.

 

As you will hear in today’s interview, she has a deep appreciation of the importance of early intervention with parents and infants in order to forestall later pathologies, especially the intergenerational transmission of trauma.

 

Key takeaways:

[3:55] Dr. Michaleli’s program and her skills as an analyst applied to the perinatal period.

[5:20] How psychoanalytic thinking can contribute to healthcare.

[5:45] The transition to parenthood is a co-creation involving parents , the newborn, the fetus and the perinatal team.

[7:00] Four theoretical references for the perinatal period.

[7:54] The neuroscience research

[9:30] Importance of primary intervention.

[10:01] Interrupting intergenerational trauma by introducing a new way of relating.

[11:27] Enabling healthcare personnel to work using psychoanalytic resources.

[14:08] Decreasing of fragmentation and confusion in perinatal care.

[16:05] Psychoanalysis provides a holistic understanding for healthcare professionals.

[17:14] Group cohesiveness for professionals.

[17:30] Clinical case.

[21:10] Dr. Michaleli’s personal motivation to work in this area.

[23:50] From theory to real time interventions.

[24:28] The manifestation of the unknown.

[26:38] Interrupting intergenerational transmission of trauma through psychoanalytic intervention in the medical care system in Greece.

 

Mentioned in this episode:

IPA Off the Couch www.ipaoffthecouch.org

 

Recommended Readings:

 

MANCIA M. (1981) On the beginning of mental life in the foetus. International .Journal of Psychoanalysis, 62:351-357 

 

RAPHAEL-LEFF J. (1993) Pregnancy -The inside story. London, Karnac 

 

ROUSSILLON R. (2009) Associativity and Non-Verbal Language, https://reneroussillon.com/r-roussillon-en-anglais-in-english/associativity-and-non-verbal-language/

 

SALOMONSSON B. (2018)   Psychodynamic interventions in pregnancy and Infancy Clinical and Theoretical Perspectives. London, NY, Routledge  

 

WINNICOTT  D. W. (1967): Mirror-role of mother and family in child development. In Playing and Reality. London: Routledge, 1999.

 

https://www.youtube.com/watch?v=szQD3bQopik--

 

http://www.waimhgreece.org.gr/?lang=en

 

 

“Most primary care family physicians you talk to will say that about half of their patient visits, in any given week, are emotional, situational, and relational problems.”

 

Description: Harvey Schwartz welcomes Dr. Randall Paulsen who is a psychiatrist, a training and supervising psychoanalyst and past president of the Boston Psychoanalytic Society Institute. He is an Assistant Professor of Psychiatry at Harvard Medical School and currently supervises and consults at Brigham Women’s Hospital. Dr. Paulsen’s career has been focused on applied psychoanalysis, he directed inpatient and day hospitals at Tufts Medical Center, he developed Primary Care psychiatry as a component of Healthcare Associates and facilitated a long term Balint group for physicians which is the subject of today’s interview. He was the Consulting Psychiatrist at Osher Institute, Harvard Medical School, where he also lead mindfulness-based stress reduction courses. He views psychoanalysis as a subjective science in healthcare, human development and relationships, both individual, group and institutional. Currently, he has a private practice of psychoanalysis in Lexington, Massachusetts.

 

Key takeaways:

[4:15] The history of Balint groups.

[9:31] A new model for physicians. 

[9:58] Three crisis in the history of psychoanalysis.

[11.45] Balint groups in the past and nowadays.

[17:27] How Balint groups work.

[18:35] Sample case of a Balint group.

[23:05] Mindfulness with physicians and patients.

[27:15] Psychoanalysts’ skills applied to the work in Balint groups.

[28:59] The Hungarian model.

 

Mentioned in this episode:

IPA Off the Couch www.ipaoffthecouch.org

 

Recommended Readings:

Balint, M. (1966). Psycho-Analysis and Medical Practice. Int. J. Psycho-Anal., 47:54-62. PEP

 

Balint, M.  The doctor, his Patient, and the Illness 1st ed of the book (Int. Univ. Press, 1957).

The 2nd addition, with an intro by John A. Balint, was published by Churchill Livingstone in 2000.

 

Laurel Milberg, PhD. "The Evolution of Balint Leader Training and Credentialing in the American Balint Society"

 

http://balintinternational.com/