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Psychoanalysis On and Off the Couch
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Psychoanalysis On and Off the Couch

Author: Harvey Schwartz MD

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Psychoanalysis applied outside the office.
191 Episodes
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“Some time ago, I realized that there was such a thing for me as experiencing my patients as being friends, but they were psychoanalytic friends. It was a psychoanalytic friendship that was quite unique and unlike any other friendship. I think that's what people are talking about when they write about psychoanalytic love. It's not love like any other kind of relationship, because the psychoanalytic relationship is so unique. And I feel the same way about psychoanalytic parenting. It's like it's close to mentoring, but it's different because the structure of the relationship is different than from a mentor or an esteemed and loved teacher. It really is helping somebody with the whole process of development and helping them grow, mature, and become more comfortable with themselves and to know themselves better. That seems to me the essence of parenting, and I don't think we should feel defensive about thinking about it that way. That doesn't seem to me that it's my counter-transference in needing to be a good mother, a good father, a good parent to my patients.”  Episode Description: We discuss the challenge of transmitting the experiential knowledge of the dynamic therapies to new generations. David's book on therapeutic aphorisms demonstrates a number of key elements of this unique relationship - symbolic meanings in symptoms, 'psychotherapeutic parenting', the simultaneous use of medications and working with the unlikable patient to name but a few of the topics he brings forward. He describes the challenges of the negative therapeutic reaction, how "transference reactions are the creative soul of the patient's story" and what it was like for him to admit to a patient that he lied to her. We close with his reflecting on the meaning to him of retiring from full time practice, noting "I haven't retired my psychoanalytic mind."   Our Guest: David Joseph, MD is a supervising and training analyst at the Washington Baltimore Center for Psychoanalysis where he served as chair of the board and director of the Institute Council (education committee). For many years he was the Director of Residency Training at St. Elizabeths Hospital in Washington, DC.  He has a long-standing interest in ethics and has written and spoken about a number of ethical issues in the practice of psychoanalysis. He closed his clinical practice several years ago, at the age of 82. In June 2025, his book: Listening for a Lifetime: The Artful Science of Psychotherapy, was published by Mission Point Press.    Recommended Readings: Freud’s technique papers.   Greenson, R. (1952) The Mother Tongue and the Mother. JAPA, 1   Zetzel. E. (1956) Anxiety and the Capacity to Bear It.    Schafer, R. (1976) A New Language for Psychoanalysis. Yale University Press. New Haven   Wachtel, P. L.(1977) Psychoanalysis and Behavior Therapy. Basic Books, NY.   Greenberg, J. and Mitchell, S. A. (1983) Object Relations in Psychoanalytic Theory. Harvard University Press.   Arlow, J. (1995) Stilted Listening: Psychoanalysis as Discourse. PQ, 215-233.   Schafer, R. (1999) Disappointment and Disappointedness. IJP, 80: 1093-1104.   Pine, F. (2011) Beyond Pluralism: Psychoanalysis and the Working of Mind. PQ: 80, 823-856.   Poland, W. (2018) Intimacy and Separateness in Psychoanalysis. Routledge, NY.   Holmes, D, (2022). Neutrality is not Neutral. JAPA, 70: 317-322  
“This really is the full motivation for my having written the memoir. I want people to know what the process is like; not only what the process is like but what the feelings are that don't really make you think of psychoanalysis as a way of changing your life. We're just living and hoping that things will change without really taking account of the fact that we could be living better lives and in a better way. I began to think of the ways of the world and the wickedness in it. There's so many things that we do to keep us going - me and my aphrodisiacs, and I think other people doing other things just to divert them from the misery and unhappiness that they feel.  I don't know how often that's looked at or discussed, so I hope the book does open that up a little bit.”  Episode Description: We begin with Beverly's description of her early years of feeling lost and the consequent self-destructive patterns she replayed. Years of sensation-seeking led her to become "exhausted, limp, tarnished, and each time, more profoundly lost." She "landed on an analyst's couch in Little Venice, a section of London. I was paying for someone to recognize me. She did." Beverly shares her analytic journey with us and how vital her discovery of 'kindness' was, first from the outside and then from within. We discuss the early death of her father, her mother's depression and the devotion of her older brother.  She closes with "Like life, psychoanalysis is a continuing process. It doesn't stop...issues crop up, new feelings arise...we better understand what those feelings are telling us, and how to make use of them in an environment we have been able to choose for ourselves. And so it goes…"   Our Guest:  Beverly Kolsky, MSW has worked as a psychotherapist for more than forty years both in America and in England.  She trained as a psychoanalyst with the New York Institute for Psychoanalytic Self Psychology also and received training in London where she worked under the auspices of the Tavistock Clinic and the Institute of Marital Studies. Her work has been published in two journals:  Mind Consiliums and Voices: Art and Science of Psychotherapy. She had two psychoanalytic experiences in two countries with analysts of two different orientations. Her motivation for writing the book as a memoir was to let others in the community know the transformative and enduring power of psychoanalysis. She was in private practice in Englewood, N.J. and now lives, mostly retired, in the northern Adirondacks.   Recommended Readings: Jung, C.G. 1963. Memories, Dreams, Reflections. London: Collins and Routledge and Kegan Paul.   Kohut, H. 1984.  How Does Analysis Cure? Chicago: University of Chicago Press.   Kolsky, B. 2015  Mind Consiliums 15(10), (1-10).  Empathy and Secrecy: Discovering Suicide as a Form of Addiction."   Kolsky, B. 2019  "The Ghost in You: Psychotherapy and Grief" (Voices: The Art and Science of Psychotherapy.) Paperback The American Academy of Psychotherapists.   Kolsky, B. 2019  Voices: Journal of the American Academy of Psychotherapists. Vol 55 No 2 "To Be or Not To Be: A Patient's Search for the Lost Mother."    Kuchuck, S. 2021. London: Confer Books. The Relational Revolution in Psychoanalysis and Psychotherapy. Confer Books.    Malan, D, 1979.  England. Butterworth & Co Ltd. Individual Psychotherapy and the Science of Psychodynamics.   Taylor, K. 2002. U.S. Kevin Taylor M.D. Seduction of Suicide: Understanding and Recovering From Addiction to Suicide.  
“I think that the comparison [between political and erotic passions]  is related to the danger of transgressing boundaries from the side of the analyst. It's not totally the same, but it's because of the emotions and the danger of being too much involved as an analyst, if you don't pay attention to what is happening in ourselves with our own emotions, then it can be similar. I think both are important for the psychoanalytic process, to see it as a real relationship - there is this setting where two people in the room meet. They are real persons, but at the same time, a kind of dramatic play fantasy creation coming up from fantasies of the patient, and our own reactions as analysts come into play and gradually just build up the story that is mainly related to the patient's biography, the patient's relationships, and what's going on in her or his life at the moment, but now in relation with us.”   Episode Description: We recognize the passionate political world we are living in and the challenges it introduces into the psychoanalytic relationship. Such moments of intense personal conviction challenge the clinician's capacity to hold those convictions, allow the same for the analysand and still locate an analytic surface with which to find additional meanings. Heribert feels that this creates opportunities for intensity akin to "erotic-sexual impulses." He discusses clinical encounters that include his "revealing my assessment of reality" as an aspect of his authentic self living in relation to the patient. He presents the case of a young man whose effort to locate his analyst's "soft spot" entailed provoking him with his idealization of Hitler. Unlike the patient's father who turned away from him at such times, his analyst  tolerated "my required countertransference" which enabled the patient to recognize and tolerate his  tender longings that had lived disguised in his sado-masochistic preoccupations. We close with Heribert, the new IPA president, sharing his vision of  psychoanalysis having a presence beyond the couch in universities and the community at large.   Our Guest: Heribert Blass, Dr. Med. (MD), Psychoanalyst and training analyst for adults, children and adolescents, member of the German Psychoanalytic Association and IPA (DPV/IPA), also specialist of psychosomatic medicine and psychotherapy, psychiatry, working in private practice in Düsseldorf, Germany. Since August 2025 President of the International Psychoanalytical Association (IPA). From 2020 to 20204 President of the European Psychoanalytical Federation (EPF). He has published on the image of the father, male identity and sexuality, gender dysphoria and transidentities, aspects of thought function in the psychoanalytic process and in the institution, psychoanalytic supervision, psychoanalysis in society and as editor of a book on Time and the Experience of Time (first in German, the English publication will follow soon) about the exchange of psychoanalysis with other sciences.   Recommended Readings: Blass, H. (2023). La actitud analítica en un contexto de creencias polarizadas en la consulta. In: La Cultura del Odio. El Odio a La Diferencia. Revista de Psicoanálisis de La Asociación Psicoanalítica de Madrid, Vol 38, Nr. 98, p.439-458 (ISSN: 1135-3171) Blos, P. (1962). On Adolescence. A Psychoanalytic Interpretation. New York: The Free Press Blos, P.  (1985). Son and Father. Before and Beyond the Oedipus Complex.  New York: The Free Press  Freud, S. (1915). Observations on Transference-Love (Further Recommendations on the Technique of Psycho-Analysis III). S.E. 12:157–171.  Gabbard, G. O. (1995). Countertransference: The Emerging Common Ground. International Journal of Psychoanalysis 76:475-485  Greenson, R.R. (1974). Loving, Hating and Indifference Towards the Patient. International Review of Psychoanalysis 1:259-266  Heimann, P. (1950). On Counter-Transference. International Journal of Psychoanalysis 31:81-84  Loewald, H. W. (1975). Psychoanalysis as an Art and the Fantasy Character of the Psychoanalytic Situation. Journal of the American Psychoanalytic Association, 23:277–299.   Tuckett, D. et al. (2024). Knowing What Psychoanalysts Do and Doing What Psychoanalysts Know. London: Rowman & Littlefield    
"I was quite protective of the parent reader while I was editing this. I feel that so many of the books out there on the shelf have a real kind of finger wagging quality to parents. They kind of tell parents what to do, what not to do, mostly what they're doing wrong. I  felt like I wanted to create a resource that empathized with the parents' position, and that protected them, because this is literally the hardest thing in the world. So the protectiveness felt important to me, and it was one of the things that was really quite important that we always held the parent in mind, which is why every letter starts with ‘Dear Parent’.”    Episode Description: We begin with acknowledging the 'profound ordinariness' of the parenting experiences that these thirty-nine psychoanalysts share with the reader.  They openly reveal their vulnerabilities, childishness, ambivalences and sorrows.  They also share their delights, pleasures and feelings of accomplishment. The letters that we read include those on parental protectionism, feelings of being excluded, rivalries and erotic feelings. All the contributors acknowledge the presence of their pasts in their parenting present. Andy speaks of her journey as a mother and how vital her finding psychoanalysis was for both her and her family. She concludes the book "I hope that you close this book with a deep sense of respect for yourself, a healthy curiosity and a few more questions than answers."   Our Guest: Andy Cohen is a psychoanalyst with the South African Psychoanalytical Association (SAPA). Her TEDx Talk, "A Mom Can’t Always Act Like a Grown-Up – Here’s Why", explores the unconscious forces between mother and child. She holds an MA Fine Art and has worked as an Art Counsellor using psychodynamic art-based interventions in at-risk communities. She currently lives and works in Johannesburg, South Africa.   Recommended Readings: TED Talk by Andy Cohen: “A mom can’t always act like a grown up - here’s why” When Mothers Talk - Magical Moments and Everyday Challenges from Birth to Three Years by Ilene S. Lefcourt Doing Psychoanalysis in Tehran by Gohar Homayounpour Psychoanalysis from the Inside Out by Lena Ehrlich Intimacy and Separateness by Warren Poland Dear Candidate: Analysts from around the World Offer Personal Reflections on Psychoanalytic Training, Education, and the Profession by Fred Busch  
"I have had quite some reactions to the article [on their psychoanalyses]. I was also telling Mauro and my colleagues that out of quite a number of articles I've published on maybe more pressing issues in the field of cancer research, for example, brain tumor research that I've spent quite some time with, I think it's actually the article [on psychoanalysis] that probably prompted the most reactions, at least in my personal surroundings, and the reactions have been overwhelmingly positive. So colleagues are very interested. They often ask questions about psychoanalysis, quite specifically, how it works, how it contributed, and also complemented the article in the sense that it was something that was quite outside of the box, so outside of the typical surgical publication.” - FV   "How can we reach surgeons? How can we make this interesting and attractive for them to even consider? I think most surgeons will be very performance-driven people, and I think that it goes hand in hand that that type of person will seek ways to improve themselves, but probably more in a technical way. Let's say they want to get faster in their operations. They want to get more skillful. They want to do more complicated surgeries. So there's a lot about self improvement in that you exercise until you master something. And I think that analogy with sports was our way of saying, hey, you know, this is actually pretty cool. You can compare yourself to  professional athletes, in terms of self improvement, and this is actually one way you can get there, how you can improve. At the same time, it was also important for us to acknowledge that it's not for everyone so we also mentioned alternatives, of course." - MV   Episode Description: Mauro and Flavio begin by describing the encouragement they received from their father to pursue personal analysis "to explore our unconscious minds for a lighter life and less emotional baggage." They share their psychoanalytic journeys and give examples of how their greater capacity to reflect instead of react has led to improved surgical patient outcomes. They also describe collegial tensions that were more clearly addressed through their ability to authentically know how they felt. They recommend that like elite athletes who have sports psychologists to address obstacles to their performances, so might surgeons appreciate the utility of psychoanalysis and other measures to improve their clinical attunement. Mauro concludes "Everyone has their baggage - don't be afraid to look at it and to understand what's going on. It's worth it."   Our Guests: Flavio Vasella, MD PhD, is a junior attending neurosurgeon at the University Hospital Zurich, with a clinical and research focus on neurosurgical oncology. He earned his PhD in Molecular Life Sciences at the University of Zurich, where his research explored genome editing strategies in primary brain tumors. His primary academic interests include translational and clinical neuro-oncology as well as surgical education.   Mauro Vasella, MD, is a board-certified plastic surgeon with multiple years of clinical experience specializing in reconstructive surgery. He is affiliated with the University Hospital Zurich in Switzerland and the Royal Melbourne Hospital in Australia and has held positions as a fellow and attending surgeon. His practice and research field focuses on regenerative-reconstructive surgery and burn injuries.   Recommended Readings: FV - Paul Kalanithi – When Breath Becomes Air This memoir by a neurosurgeon-turned-patient is a poetic and piercing meditation on mortality, identity, and the transition from doctor to patient. It explores the tension between the analytical and emotional mind (somewhat paralleling the internal work of psychoanalysis) and offers profound insight into the humanity at the core of medical practice. Bill George – True North: Discover Your Authentic Leadership This book presents a leadership philosophy rooted in self-inquiry, values, and life stories. True North emphasizes that effective leadership comes from understanding your life narrative and using that insight to lead with integrity and resilience. True North challenges leaders to cultivate authenticity by exploring their internal landscape. While the book focuses on leadership in a business context, it offers a compelling, practical perspective for medical professionals as well. Atul Gawande – Complications: A Surgeon’s Notes on an Imperfect Science Gawande offers a candid look at the uncertainties, dilemmas, and emotional burdens of being a surgeon. His reflection on fallibility and decision-making underlines the importance of non-technical skills and the internal work required to become not just competent, but humanely attuned, in medicine. The impact of nontechnical skills on technical performance in surgery: a systematic review. Hull L, Arora S, Aggarwal R, Darzi A, Vincent C, Sevdalis N. J Am Coll Surg.2012  This systematic review analyzed 28 studies linking surgeons’ non-technical skills—such as teamwork, situational awareness, and stress management to actual technical performance in the operating room. It found evidence that effective NTS positively affects outcomes, while fatigue and communication failures contribute to technical errors.   MV - The Art of Loving – Erich Fromm Realizing the simple but somehow not always obvious fact that before being able to truly love someone, one must truly find themselves loveworthy. This implies and demands introspection, as well as forgiveness towards yourself and others. Outliers: The Story of Success – Malcolm Gladwell To master something, one must invest a substantial amount of time and dedication – this is not only true for technical skills, but also non-technical skills. Personal growth is only possible if you invest time, such as undergoing a psychoanalysis or similar. The Checklist Manifesto – Atul Gawande While the checklist itself is very technical, the way it was conceived and its effect was and still is rather non-technical. It is a question of putting your ego aside and truly focusing on areas which you can improve.  
“I really think that the purpose is to make space for the unknown, uncertainty, and for our kind of humility in the face of the complexity of our belonging to the physical world. So it's our animality, our physicality, all of that is so complicated and difficult to grapple with. The unknown is uncontrollable and is a huge abyss, as we know, for everybody. I do think that I'm trying to pivot here a little bit towards meeting the patient's attempts to grapple with that unknown.” Episode description:  We begin by examining the assumptions of causality that we humans commonly invoke when faced with physical ailments. Childhood imaginings come forward during such times, and, despite being distressing, they offer comfort in the face of frightening uncertainty. Similarly, analytic theorizing has occasionally suggested certainties in the face of the unknown. This may limit the analytic space, thereby making vulnerability, fears, and new awarenesses less accessible. Sharone presents clinical material from patients with testicular cancer and lymphoma, where their psychogenic theories of etiology interfered with their medical care. We consider the distinction between patients with somatic symptoms and psychosomatic patients. We question the ability of the analytic method to uncover the origins of medical illnesses while emphasizing the importance of recognizing the "particular possibilities of our method."   Our Guest: Sharone Bergner Ph.D. is a clinical psychologist and psychoanalyst in full time private practice of psychoanalysis, psychotherapy and clinical supervision in New York City. She is a member and former faculty at the Institute for Psychoanalytic Training and Research and is Adjunct Assistant Clinical Professor and a clinical supervisor at the NYU Postdoctoral Program in Psychotherapy and Psychoanalysis, in the Contemporary Freudian track, where she teaches a course called The Body in Analytic Reverie. She is a member of the International Psychoanalytic Association and the editorial board of The Psychoanalytic Quarterly. She has a special interest in the body/mind in relation to maternal reverie in early development, vitality, embodiment, and medical issues, having worked early in her career in a cancer hospital, with the internal medicine, OBGYN, and dermatology clinics of a large urban teaching hospital, with political refugees and with parent-child pairs.    Recommended Readings: 1. Bergner, S. (2011). Seductive Symbolism: Psychoanalysis in the Context of Oncology. Psychoanalytic Psychology 28:267-292.   2. Gottlieb, R. (2003). Psychosomatic medicine: the divergent legacies of Freud and Janet. Journal of the American Psychoanalytic Association, 51:857-881.   3. Winnicott, D.W. (1966). Psycho-Somatic illness in its positive and negative aspects. International Journal of Psychoanalysis, 47:510-516.   4. Lombardi, R. (2017). Body-Mind Dissociation in Psychoanalysis: Developments After Bion. Routledge.   5. Lemma, A. (2015). Minding the Body: The Body in Psychoanalysis and Beyond. Routledge.   6. Miller, P. (2014). Driving Soma: A Transformational Process in the Analytic Encounter. London: Karnac. Not to be missed: case vignette: Recalling a Challenging Analytic Case, pp. xxvi-xxxviii      
“The subject of affairs, I think it's of interest to everybody. We have all had an Oedipal experience - we've all been babies who have at some point realized that we are not the only person. We're not perfectly fused with our mother, and she has other things to do, and there may be a father. We've all known what rejection feels like, and probably betrayal, and I think that affairs are in our unconscious. I think that's sort of evident in the way that most great novels, most great films, or at least many, have an affair at their heart. From Anna Karenina to Madame Bovary to Fatal Attraction, I think this is something that is just interesting. I wanted to write about affairs because I think they are a way of showing what psychoanalysis can do in a field in which everyone has an opinion on, and probably most people, in some way, have been indirectly or directly affected by. That was really the sort of the genesis for wanting to write about affairs.” Episode Description: We consider the challenge of writing about dynamic treatments in a manner that is accessible to the non-clinical reader. Juliet's book about affairs opens up this widely recognized experience and adds intrapsychic insights without using emotionally - distancing jargon. She introduces us to individuals who have been involved in affairs, with carefully protected confidentiality, who generally reveal the power of past experiences to influence adult choices. Some end happily, and some end in agony. Juliet demonstrates the usefulness of bringing a dynamic listening to both accepting and deepening each individual's lifelong search for love.   Our Guest: Juliet Rosenfeld is a psychoanalyst and a member of the British Psychoanalytical Society, London. She studied at Oxford before a 15-year career in advertising and marketing, ending up in Government Communications. During this time, she began a Master's at the Tavistock and Portman Trust in Organizational Consultancy and started training as a psychotherapist a year later. She qualified as an integrative psychotherapist in 2012. Juliet was an elected trustee of the UK Council of Psychotherapy for four years, and is presently one of two clinician Trustees at the Freud Museum London, Sigmund Freud's final home. Juliet is the author of two books, The State of Disbelief ( 2020) and Affairs, True Stories of Love, Lies, Hope and Desire. Juliet's broader interest is in how psychoanalysis might be more accessible, and its ideas put into non-clinical language for audiences who may never be able to access psychotherapy themselves but are curious about what the unconscious means and what goes on in the consulting room. Recommended Readings: Creativity and Perversion by Janine Chasseguet-Smirgel (W. W. Norton & Co., Inc., 1984)   Dreams of Love and Fateful Encounters by Ethel S. Person (American Psychiatric Association Publishing, 2006)   Home Is Where We Start From by D. W. Winnicott (Penguin, 1990)   Love in the Time of the Internet by Martina Burdet (underbau, 2020)   Sex, Death and the Super Ego by Ronald Britton (Routledge, 2020)   Sexual Attraction in Therapy edited by Maria Luca (Wiley-Blackwell, 2014)   Sexuality and Attachment in Clinical Practice edited by Joseph Schwartz and Kate White (Routledge, 2019)   The Bonds of Love by Jessica Benjamin (Knopf Doubleday Publishing Group, 1988)   The New Sexual Landscape and Contemporary Psychoanalysis by Danielle Knafo and Rocco Lo Bosco (Confer Books, 2020)   Novels about Affairs Anna Karenina by Leo Tolstoy (Penguin Classics, 2003)   A Very English Scandal by John Preston (Penguin, 2017)   Deception by Philip Roth (Vintage, 1991)   Getting Lost by Annie Ernaux (Fitzcarraldo Editions, 2022)   Madame Bovary by Gustave Flaubert (Wordsworth Editions, 1993)   Middlemarch by George Eliot (Wordsworth Editions, 1993)   The End of the Affair by Graeme Green (Vintage Classics, 2004)     
“Now's the time to tell that wonderful story of the little boy. He was about two or three years old, and he went in the icebox to get some milk, and he managed to get this big carton and spill it all over the floor. Now, needless to say, there'd be a lot of parents that would react very negatively and frustrated - this mother happened to be a scientist. So she came in, she saw the bottle of milk, and what had happened. She went and got some paper towels, put them on the milk, and said, ‘Look at this. Look how the milk starts creeping up these fibers of the towel. Isn't that cool?’ And then she said, ‘Look, if you have something heavy you need to get out of the refrigerator, feel free to call me. But how neat is this that  the milk is being absorbed by the towel?’ Well, she was a scientist, and he became a world-class scientist. She understood his interest and she didn’t bring a fear and shame-inducing reaction, and all the negative effects that could have resulted if she had handled it differently. Instead, she put a sense of joy and interest in being intrigued with his interests, and turned the whole thing around.” Episode Description: Paul starts our conversation about affects by referencing Tomkins’ work, which identified 6 negative and 2 positive affects/feeling states, all of which are represented by different facial expressions in infancy. He reports on clinical work that is enhanced by locating the patient's affective surface, which enables meaningful contact within the dyad. We focus on the affect of interest and how essential it is in establishing a sense of self in the world. He also shares the many ways that this interest can be undermined by the child's environment. He describes research on the capacities of 18-month-olds and how they differ from 14-month-olds regarding the awareness of self and other. Paul also emphasizes how destructive corporal punishment is in the lives of children and in society at large. We end with the final sentence from his book, a quote from Abraham Lincoln, "We can succeed only by concert. It is not 'Can any of us imagine better?' but 'Can we all do better?' Object whatsoever is possible, still the question recurs, 'Can we do better?'   Our Guest: Paul Holinger, MD, MPH, is a psychiatrist and psychoanalyst, Faculty and Former Dean at the Chicago Psychoanalytic Institute, Training/Supervising and Child/Adolescent Supervising Analyst. He is Professor of Psychiatry (Retired) at Rush University Medical Center, Chicago. His most recent books include Affects, Cognition, and Language as Foundations of Human Development and What Babies Say Before They Can Talk: The Nine Signals Infants Use to Express Their Feelings. Recommended Readings: Holinger PC: Violent Deaths in the United States: An Epidemiologic Study of Suicide, Homicide, and Accidents. New York: The Guilford Press, 1987.   Holinger PC: Offer D; Barter JT: Bell CC: Suicide and Homicide Among Adolescents. The Guilford Press, 1994.   Holinger PC: What Babies Say Before They Can Talk: The Nine Signals Infants Use to Express Their Feelings. New York: Simon & Schuster, 2003. (Several Translations)   Holinger PC: Affects, Cognition, and Language as Foundations of Human Development. New York/London: Routledge, 2024.   Holinger PC: Violent deaths as a leading cause of mortality: An epidemiologic study of suicide, homicide, and accidents. Amer J Psychiatry 137: 472-476, 1980.   Holinger PC: A developmental perspective on psychotherapy and psychoanalysis. Amer J Psychiatry 146: 1404-1412, 1989.   Holinger PC: Noninterpretive interventions in psychoanalysis and psychotherapy: A developmental perspective. Psychoanalytic Psychology 16: 233-253, 1999.   Holinger PC: Further issues in the psychology of affect and motivation: A developmental perspective. Psychoanalytic Psychology 25: 425-442, 2008.   Holinger PC: Further considerations of theory, technique, and affect in child analysis: Two prelatency cases. International J Psychoanalysis 97: 1279-1297, 2016.   Holinger PC: The problem of physical punishment and its persistence: The potential roles of psychoanalysis. The Psychoanalytic Study of the Child 73:1-9, 2020.  
“In the analysis, the place where you face the experience of otherness, of foreignness, of the unconscious that goes through you, it doesn't appear as knowledge. Of course, in an analysis, you get a lot of knowledge, but it's not an important aspect of an analysis. I think that in the analysis, and that's the idea of using that word ‘transmission’ instead of ‘teaching’, what you receive is something that the analyst doesn't have. When you receive some knowledge from a teacher, you receive the knowledge the teacher has. When you transmit something, or when you receive something that has been transmitted by the analyst or by the psychoanalytical setting, is something that the other doesn't have. It's a kind of void. It's a kind of fire. It's like the baton that every runner passes to others in a relay race. It is something more difficult to be grasped with words, is something elusive to words, but it does exist.” Episode Description: We begin with describing the 'necessary foreignness' of psychoanalysis, "It is from both a foreign perspective and foreign listening that makes it possible to notice the concealed underpinnings, to discover the new, and to express the unexpressed." We consider the clinical asymmetry that allows for the patient's unbridled freedom to think and speak the unspeakable. Educationally, Mariano discusses the essential transmission of analytic experience as contrasted with the teaching of knowledge - a distinction between science and mystery. He shares his thoughts on eclectisism, hypothesis testing and risk. We close with recognizing that the "anachronistic method of psychoanalytic listening is the most authentic way of being contemporary."   Our Guest: Mariano Horenstein, PhD is a training and supervising analyst who belongs to the IPA, FEPAL (Latin American Psychoanalytical Federation), and the international research group "Geographies of Psychoanalysis". He is an IPA Board member and a former chief editor of Calibán, the official Journal of FEPAL. Former Training Director of APC (Argentina). His articles have been translated into Portuguese, English, Farsi, French, Russian, Italian, Portuguese and German. Author of four books :Psychoanalysis in Minor Language, The Compass and the Couch. Psychoanalysis and its Necessary Foreignness, Funambulistas. Travesía adolescente y riesgo and Artists, Writers and Philosophers on Psychoanalysis. From the Couch. He has received international awards as M. Bergwerk (about the clinic forms of Evil), Lucien Freud (about Psychoanalysis and Culture); Elise Hayman Award for the study of Holocaust and Genocide (given by the IPA); A. Garma (given by the Spanish Association of Neuropsychiatry); the FEPAL Award and Carolina Zamora Award (given by Madrid Psychoanalytical Association). http://www.marianohorenstein.com/     Recommended Readings: Horenstein, Mariano, The compass and the couch. Psychoanalysis and its necessary foreignness, Mimesis, Milan, 2018.   Horenstein, Mariano, Artists, writers and philosophers on Psychoanalysis. From the couch, Routledge, London, 2024.   Horenstein, Mariano, Psicoanálisis en lengua menor, Viento de Fondo, Córdoba, 2015.   Preta, Lorena (ed), Dislocated subject, Mimesis, Milan, 2018.   Preta, Lorena (ed), Geographies of Psychoanalysis, Mimesis, Milan, 2015.   Preta, Lorena, The brutality of things. Psychic transformations of reality, Mimesis, Milan, 2019.   Wohlfarth, I., Hombres del extranjero. Walter Benjamin y el Parnaso judeoalemán, Taurus, CDMX, 2014.
“I think that my analytic awareness of denial and projection and the concreteness of psychic reality when executive function wanes, that I could help the other caretakers to understand some of what was going on - to give them a way to understand that relieves their sense of frustration and uncertainty. I think that the analytic awareness of denial, of projection, that these things are not generally recognized by many caretakers, but it does reorient and make the caretaking function much more tolerable. It expands the understanding of what goes on in the waning personality. I also think that analytic work fosters the capacity to tolerate ambiguity, uncertainty, pain and frustration and in that way may allow us, the analytic mind, to tolerate some of the intense affect - as sort of the phrase I love from an Italian analyst, as “writings waiting to be completed” - by the analytic mind. We can hold and metabolize the difficulty and offer that kind of function rather than unpleasantness just to be rid of. These are some of the things that I felt are useful as a psychoanalyst.” Episode Description: We begin with describing how dementia is a cloud over our field both for individuals and for institutes. Maxine then introduces us to 'Sally' who was her analysand 40 years prior to recontacting her to care for her cognitive decline. Maxine mentions that just hearing her former patient's voice instantly brought alive her past experiences with her. We discuss how she approached the issue of caring for her and her neurological condition. We consider the at times overlap between psychogenic and organic symptoms and she shares with us her countertransference experiences of herself losing her memory. Maxine also shares her approach to answering Sally’s questions about the possibility of recovering. We close with her describing how she feels that being an analyst aided her care of Sally and what she learned from that experience that she brought to her other patients -"to face the pain of difficult truths."   Our Guest: Maxine Anderson, MD, is a training and supervising analyst at the Northwestern Psychoanalytic Society and Institute, the Seattle Psychoanalytic Institute and Society and the Canadian Psychoanalytic Society. Originally trained in psychiatry, she pursued psychoanalytic training in Seattle in the early 1970s and then pursued post-graduate work at the British Psychoanalytical Society for 8 years, returning to Seattle in 1992.  Thereafter, she became a Founding Member of the Northwestern Psychoanalytic Society and Institute. Maxine has published several articles, and chapters and 3 books, the most recent being The Hardest Passage: a psychoanalyst accompanies her patient’s journey into dementia (Karnac, 2025). Feeling herself now to be an Elder in life and in her field, Maxine hopes to continue to think and write about this phase of personal and professional life.   Recommended Readings: Balfour, A. (2007). Facts, phenomenology, and psychoanalytic contributions to dementia care.    In: R. Davenhill (Ed.) Looking into Later Life: a psychoanalytic approach to depression and dementia in Old Age. (pp. 222–247). London: Routledge, 2007.   Davenhill, R. (Ed.) (2007) Looking into Later Life. A Psychoanalytic approach to Depression and Dementia in Old Age. London: Karnac.   Davenhill, R. (2007). No truce with the furies: issues of containment in the provision of care for people with dementia and those who care for them.   In: R. Davenhill ( Ed.), Looking into later life: a psychoanalytic approach to dementia and depression in old age. (pp. 201-221). London: Routledge.   Evans, S. (2008). “Beyond forgetfulness”: How psychoanalytic ideas can help us to understand the experience of patients with dementia”. Psychoanalytic Psychotherapy, 22(3):155–176.   Kitwood, T. (1997). Dementia Reconsidered: The Person Comes First. Milton Keynes: Open University Press.   Malloy, L (2009). Thinking about dementia – a psychodynamic understanding of links between early infantile experience and dementia. Psychoanalytic Psychotherapy, 23(2): 109–120.   Plotkin, D. (2014). Older adults and psychoanalytic treatment: It’s about time. Psychodynamic Psychiatry, 42(1): 23–60.   Sherwood, J. (2019). Dementia: childhood and loss. In White, K. Cotter, A. & Leventhal, H. (Eds.), Dementia: An Attachment Approach. London: Routledge.  
“All of this together shaped how I began to think about mind, not as something to be mastered, but as a landscape of the unspoken whether it was ghosts or griefs or desires that were hard to relinquish. I saw that the ghost was not always an ‘other’. It was often intimate, tied to lost ones, sometimes to unmet desires, to unbearable longings, but in some ways possession was an attempt to keep close what was slipping away. The ghost doesn't just haunt, it feels as if it wants something, and we just have to learn to develop ears to listen to what it wants.”  Episode Description: We acknowledge Loewald's concept of 'ghosts becoming ancestors' and consider the similarities and differences with those who hold 'ghosts' to be literal. Shalini shares with us her journey to open herself to the uncertainty and ambiguity of these externalized entities while appreciating both their cultural and intrapsychic sources. We learn of her family's involvement with exorcisms, especially her grandmother's "fearless warmth" and "empathy that saw beyond the terror of the ghosts." She considers the many facets of mind that are represented by 'ghosts' and the essential value of approaching them as guides to the "landscape of the unspoken." Shalini describes a long term engagement that she had with an individual who "taught me to receive the inchoate and horrific...to contain the brokenness and not interpret it away.. and to appreciate the glimpses of beauty in the most grotesque parts of self."   Our Guest: Shalini Masih, a psychoanalytic psychotherapist and writer, grew up in India amidst priests and healers, witnessing spirit possession and exorcism. Now based in Worcestershire, UK, she holds a Master’s degree in Psychoanalytic Studies from Tavistock & Portman, London, and a PhD from the University of Delhi. Mentored by psychoanalysts Michael Eigen and Sudhir Kakar, she’s an award-winning scholar of the American Psychological Association. She has taught and supervised psychoanalytic psychotherapists in Ambedkar University, Delhi and in Birkbeck, University of London. Her acclaimed paper, 'Devil! Sing me the Blues', was nominated for Gradiva Awards in 2020. Her debut book is Psychoanalytic Conversations with States of Spirit Possession: Beauty in Brokenness.  Recommended Readings: Kakar, Sudhir. Shamans, mystics, and doctors: A psychological inquiry into India and its healing traditions. Chicago, IL: University of Chicago Press, 1991.   Kakar, Sudhir. Mad and Divine. India: Penguin Books India, 2008.   Eigen, Michael. “On Demonized Aspects of the Self” In The Electrified Tightrope. Routledge. 2018.   Kumar, Mansi, Dhar Anup & Mishra, Anurag. Psychoanalysis from the Indian Terroir: Emerging Themes in Culture, Family, and Childhood. New York:Lexington Books, 2018.   Meltzer, Donald, and Williams, Meg H. The apprehension of beauty: The role of aesthetic conflict in development, art and violence. Karnac, London: The Harris Meltzer Trust, 2008.   Obeyesekere, Gananath. Medusa’s Hair: An Essay on Personal Symbols and Religious Experience. Chicago, IL: University of Chicago Press, 1981.   Ogden, Thomas. This Art of Psychoanalysis—Dreaming Undreamt Dreams and Interrupted Cries. East Sussex: Routledge, 2005   Botella, Cesar, and Botella, Sara. The Work of Psychic Figurability: Mental States without Representation. Brunner-Routledge. Taylor and Francis Group: Hove and New York. 2005.   Winnicott. Donald W. “Transitional objects and transitional phenomena.”  International Journal of Psycho-Analysis, 34, (1953): 89–97
“The theme that I found with IPSO [International Psychoanalytical Studies Organization] was that there was a common theme [in psychoanalytic training].  There was an initial phase full of terror and excitement, and then a middle phase of maybe some lethargy or apathy or disillusionment. In that middle phase, many candidates found IPSO, or IPSO found them, where they found refuge. They found solace. They found community, not just at their local institutes, but at this kind of world market. Many of the candidates talk about what a timely and wonderful experience it was to be seen, to be validated by fellow candidates in a way that only fellow candidates can do. At least a couple of the authors have written about how they were delighted to see that more than anything else we are similar as human beings, no matter where we're from.”  Episode Description:  We begin with recognizing the deep attachment that many analytic candidates have about their training experiences, which includes affections and resentments. Himanshu outlines the process of reaching out to candidates globally, inviting them to share their reflections on their journeys. We read from a sampling of their essays that eloquently describe their idealizations and de-idealizations, their delights and their burdens, their profound regard for the mysteries of the mind and the appreciation of the power of psychoanalysis to engage with it. We discuss the importance of IPSO, the difficulties associated with Covid and the relevance of our field's traumatic origins. Himanshu closes with sharing his story of encountering an insightful analytic supervisor during his residency and declaring "I want to be like him." Linked Episode:Episode 89: Wisdom and Enthusiasm for Today’s Candidates with Fred Busch, PhD   Our Guest: Himanshu Agrawal, MD is an adult and child psychiatrist and recently completed psychoanalytic training through the Minnesota Psychoanalytic Institute. He is an associate professor of psychiatry and behavioral medicine at the Medical College of Wisconsin in Milwaukee where he sees patients, conducts research, and teaches. He recently completed his term as the president of the candidates’ council of the American Psychoanalytic Association Recommended Readings: Busch F (Ed), Dear candidate. Routledge, 2020   Agrawal H,  Trials and Tribulations of being a candidate. The American Psychoanalyst, winter 2022   Kernberg O, Thirty methods to destroy the creativity of psychoanalytic candidates. International Journal of psychoanalysis, 77, 1031- 1040
“When we reconstruct [in a patient] a possible lacking object or role or function, we  see that if the analyst himself has been able and the patient allowing him to be able to enter to a deep level the objective reality of the internal world of the patient, it can happen that some new function or position can be achieved. This is something that could be rare but it happens. This is one more reason for not blaming the length of some analytic treatments, because time is needed  for entering that internal deep area where the analytic relation can create something new. Transformation is also one of the words that in our analytic world became more and more common and utilized because we have achieved the certainty that there can be a transformation. Not only an understanding or a clarification, but also a transformation of the quality of the objective world and of the relation with it.”  Episode Description: We begin by describing the differences in psychoanalytic approaches today as compared to past generations. This shift has occurred alongside changes in patients' concerns; currently, individuals are disproportionately preoccupied with how they perceive themselves through others' eyes, rather than grappling with internal conflicts related to guilt. Stefano posits that this increased narcissistic investment stems from alterations in family structures and premature disruptions in "the physiological fusionality" with the early maternal caretaker. We discuss how this sense of distrust in the availability and reliability of caretakers affects the manner in which one introduces a patient into analysis, as well as the broader cultural emphasis on superficial bodily care - what he terms the aperitif experience. We consider the fundamental importance of the depth of object relations in understanding sexual diversities. Stefano concludes by reading the final paragraph from his book, which acknowledges the invaluable lessons learned from his analyst. We reflect on the enduring presence within him of this profoundly personal connection.   Linked Episodes: Episode 140: Are Patients Different Today? with Stefano Bolognini, MD (Bologna)   https://youtu.be/rjzpA8QZrWk?si=Srf_Tuxt0zTpsKNK   Our Guest: Stefano Bolognini, MD, is a psychiatrist and training and supervising analyst of the Italian Psychoanalytic Society (SPI), where he served as president (2009-2013). He also was an IPA Board member (2002-2012) and was IPA president from 2013-2017. He was a member of the European Editorial Board of the International Journal of Psychoanalysis and a founder of the IPA Inter-Regional Encyclopedic Dictionary of Psychoanalysis. He has published over 280 psychoanalytic papers, and his books on empathy and on the inter-psychic dimension have been translated into several languages.  Recommended Readings: Bolognini, Stefano -   Secret Passages. The Theory and Technique of the Interpsychic Relations. IPA New Library, Routledge, London, 2010   https://www.amazon.com/Vital-Between-Non-Self-Library-Psychoanalysis/dp/1032132973, Routledge, London, 2022   https://pubmed.ncbi.nlm.nih.gov/21387998/ Psychoanal. Quart., vol. LXXX, 1, 33-54, 2012.   Enchantments and disenchantments in the formation and use of psychoanalytic theories about psychic reality. The Italian Psychoanalytic Annual, 13, 11-24, July 2019.   New forms of psychopathology in a changing world: a challenge for psychoanalysis in the twenty-first century. The Italian Psychoanalytic Annual, 2020.   Reflections  on  the  institutional  Family of the Analyst and proposing a “fourth Pillar” for Education. Opportunities and problems of transferal dynamics in the training pathway“. In Living and containing Psychoanalysis in Institutions. Psychoanalysts Working Together, edited by Gabriele Junkers, 89-104, Taylor & Francis, 2022.   From What to How : A Conversational with Stefano Bolognini on Emotional Attunement  by Luca Nicoli & Stefano Bolognini. The Psychoanalytic Quarterly, 91 : 3, 443-477, 2022.   The Interpsychic, the Interpersonal, and the Intersubjective: Response to Steven H. Goldberg’s Discussion. The Psychoanalytic Quarterly, 91:3, 489-494, 2022.   Hidden unconscious, buried unconscious, implicit unconscious. The Italian Psychoanalytic Annual, 16, 87-102, 2022.  
“The original papers that were written about the analyst’s unconscious being attuned to the patient's unconscious  by Hyman and Racker, in both cases they talk about this phenomenon. But both of them utter a caution, which is that one always has to take into account one's own ‘mishegas’.  Essentially, what they're saying is, the unconscious is pretty individualistic and we have our own things, and we have to consider that possibly it's our own difficulties, our own unconscious, that is playing a bigger role in our countertransference reaction to the patient's unconscious.” Episode Description: We begin by discussing the meaning of the many italics throughout the book and my sense of their being an expression of Fred's wish to be carefully understood. This is part of our conversation where we examine how internal reactions are used to comprehend another person's mind. There are a number of themes to this work, and to Fred's contributions over the years, which focus on helping individuals understand the way their mind works, as distinct from the particular contents of their mind. One of the gifts of psychoanalysis is to facilitate patient's discovery of the freedom to think which allows for a post-termination capacity for self-analysis. We discuss how self-criticism can serve as an unconscious lifeline, the importance of attending to the need for silence as distinct from what is not being said and the seductiveness of gossip, to name but a few of the topics in the book that we cover. Fred closes by describing "The wonderful thing about being a psychoanalyst is there are always things to learn and ways to grow."   Our Guest: Fred Busch, Ph.D. is a Training and Supervising Analyst at the Boston Psychoanalytic Society and Institute. He has published eight books, and over 80 articles on psychoanalytic technique, along with many book reviews and chapters in books.  His work has been translated into many languages, and he has been invited to present over 180 papers and clinical workshops nationally and internationally. His last six books are: Creating a Psychoanalytic Mind (2014); The Analyst’s Reveries: Explorations in Bion’s Enigmatic Concept (2019); Dear Candidate: Analyst From Around the World Offer Personal Reflections on Psychoanalytic Training, Education, and the Profession (2020); A Fresh Look at Psychoanalytic Technique (2021), Psychoanalysis at the Crossroads: An International Perspective (2023).The Ego and Id: 100 years later (2023), How Does Analysis Cure? (2024).   Recommended Readings: Busch, F. (2014). Creating a Psychoanalytic Mind: A Psychoanalytic Method and Theory. London: Routledge.   Busch, F. (2019). The Analyst’s Reveries: Explorations in Bion’s Enigmatic Concept. London: Routledge.   Busch, F. (2021). A Fresh Look at Psychoanalytic Technique: Selected papers on Psychoanalysis. Routledge: London.   Busch, F. (2023) The Significance of the Ego in “The Ego and the Id” and its Unfulfilled Promise. International Journal of Psychoanalysis 104:1077-1090.   Busch, F. (2000). What is a deep interpretation? J. Amer. Psychoanal.Assn., 48:238-254.   Busch, F. (2005). Conflict Theory/Trauma Theory. Psychoanal.Q., 74: 27-46.   Busch, F. (2006). A shadow concept. Int.J.Psychoanal.,87: 1471-1485. Also appearing as Un oncerto ombra, Psycoanalisi, 11:5-26.   Busch, F. (2015). Our Vital Profession*. Int. J. Psycho-Anal., 96(3):553-568. Reprinted in Busch, F. (2015). La nostra professione vitale. Rivista Psicoanal., 61(2):435-456; Busch, F. (2015). Nuestra profesión vital*. Int. J. Psycho-Anal. Es., 1(3):605-627; Busch, F. (2015). Nuestra profesión vital1. Rev. Psicoanál. Asoc. Psico. Madrid, 75:131-153.  
“The idea of analytic neutrality, which was more or less a cliche truth when I was training back in the 1980s, is clearly getting at something very important, which is that we mustn't try to pre-conceive where the patient's development is going to take him or her. But that doesn't mean that the development is not in a direction. Aristotle famously said that the human being is a ‘zoon politikon’, a creature who belongs in a somewhat structured society. Healthy development is in that sort of direction as we become more integrated, as our ‘ghosts become more like ancestors’, to use that famous metaphor. We become more aware of the reality of other people and their real as opposed to their fantasy importance in the ecosystem of which we are all part. And this makes possible the sort of ethical realization that Levinas was talking about. We recognize the reality of the other. We discover that we are interconnected. We are part of something that is hugely greater than ourselves and that goes beyond our knowing. But of course, that doesn't mean that we are not also selfish and unique selves. It's that we are under pressure, so to speak, from both quarters.”  Episode Description: We begin with David's description of Freud's view of religion as offering  "compellingly attractive" illusions in the face of the helplessness we face by life's and death's unpredictability. Alternatively, David suggests that religions provide 'objects', ie Gods, that are importantly allegorical and offer an ‘ethical seriousness’ over time. We discuss the ability of these allegories to offer possibilities of 'transcendence' in a world that he sees as often limited to the material. He presents Levinas' view of the responsibility we all have when encountering "the face of the other" - a responsibility that is not chosen but "slipped into my consciousness like a thief." We consider the ethical differences between one’s superego and one's conscience. We close with David sharing with us the vicissitudes of his early life that, as for us all, form a context for our later interests.     Our Guest: David Black studied philosophy and Eastern religions before training in London, first as a pastoral counsellor and later as a psychoanalyst. He is a Fellow of the British Psychoanalytical Society, now retired, who has written widely on psychoanalysis in relation to matters of ethics and religion. In 2006 he edited Psychoanalysis and Religion in the Twenty-first Century. He has published two collections of his own psychoanalytic papers, most recently Psychoanalysis and Ethics: the Necessity of Perspective. He is also a poet and translator, whose translation of Dante’s Purgatorio was published in 2021 in the New York Review of Books Classics series. (It was later the winner of the annual American National Translation Award in Poetry.) Visit David Black’s website at: https://www.dmblack.net.    Recommended Readings: Black, D.M. Psychoanalysis and Ethics: The Necessity of Perspective. (2024: Routledge New Library of Psychoanalysis.)   Chetrit-Vatine, V. Primal Seduction, Matricial Space, and Asymmetry in the Psychoanalytic Encounter. (2004: International Journal of Psychoanalysis, 85: 4.   Lear, J. Wisdom Won from Illness. (2017: Harvard University Press.)   Lemma, A. First Principles: Applied Ethics for Psychoanalytic Practice. (2023: Oxford University Press.)   Levinas, E. Ethics as First Philosophy. In The Levinas Reader, ed. Sean Hand. (1989: Blackwell Publishing.)   Loewald, H. Papers on Psychoanalysis. (1980: Yale University Press.)
“There are very specific fears that people have that are specifically related to their own childhood, and I'd like to give an example. A mom with twins had a kidnapping fear. She was afraid every time she saw a car drive by her house that her twins would be kidnapped. Now this mother was herself adopted when she was a newborn, but her adoption did not become final until she was one year old. Her twins were approaching one year. I was struck by the anniversary of her fear of kidnapping, and when I asked her who she thought was driving the car that drove by her house, she blurted out, 'my biological mother - adoption was never an issue for me, I have the best parents,' she said, but her fears about her babies being kidnapped were rooted in her own guilty feelings. She said, 'I get to keep my biological babies and my biological mother did not. I can have biological babies and my adoptive mother could not.' Carrie’s fantasy that her biological mother was threatening to kidnap her babies represented both her fears of retaliation for her aggressive victories over both her biological mother and her adoptive mother, and the repair of her disavowed feeling of loss by a reunion with her biological mother. This meaning of the memory, this understanding of the memory, resolved her kidnapping fear. It dissolved.” Episode Description: We begin with an overview of the importance of mothers' childhood memories in their experience of their own children. These memories are of the conscious sort and also the not-so conscious. They are of the loving as well as the misattuned versions. "The challenge for mothers is to understand the complexity of their own childhood memories and to help their babies and toddlers adapt to the everyday ups and downs of life, as well as to the exceptional ones." We discuss typical fears, sleep problems, 'mutually-regulated patterns', naming body parts, nakedness, weaning and screen time. Ilene ran mother-baby-toddler groups for 35 years and shares with us her relentless curiosity for what we all bring to the parenting experience.   Our Guest: In 1982, Ilene Lefcourt established the Sackler Lefcourt Center for Child Development - programs for parents and their children from birth to three years. She was the Director, led the Mother-Baby-Toddler Groups, and provided Developmental Consultation to parents for over 35 years. She saw over 1,000 families and taught Child Psychiatry Residents and Parent-Infant Psychotherapy Trainees about her work. She has been a faculty member at the Columbia Psychoanalytic Center since 1995. Ms. Lefcourt is currently in private practice in New York City. She is the author of When Mothers Talk, Parenting and Childhood Memories, and Mother-Baby-Toddler Group Guide. Her forthcoming book is, Mothers and Daughters: The First Three Years. Visit Ilene’s website: http://ilenelefcourt.com/.      Recommended Readings: 1975, Fraiberg S. Adelson E., Shapiro V., Ghosts in the Nursery,  Journal of the American Academy of Child Psychiatry, 14, 387-421   1975, Mahler, M., F. and Bergman, A. The Psychological Birth of the Human Infant, Basic Books   1985, Main, M. Kaplan, N. Cassidy, J. Security in Infancy, Childhood, and Adulthood: A move to the Level of Representation. Monographs of the Society for Research in Child Development   1991, Fonagy, P., Steele, M., Steele,H., Moran, G. S . The Capacity for Understanding Mental States. Infant Mental Health Journal, 12(3) 201-218   1992, Bretherton, I. The Origins of Attachment Theory. Developmental Psychology, 28(5) 759-775   1993, Lieberman, A ., The Emotional Life of the Toddler, Simon and Schuster    1995, Stern, D. The Motherhood Constellation, Basic Books   1998, Stern, D., Brushwweiler-Stern, N. The Birth of a Mother. Basic Books   2005, Lieberman, A., Angels in The Nursery, Infant Mental Health Journal. Vol. 26(6)   
“The amount of guilt and the sense of alienation that people feel when they fall in love with someone who is ‘outside’, and the struggle that they have to undergo to explain that choice which they fully don't understand themselves, is a very deep conflict that my work tries to capture. The title of my book is ‘Intimacy in Alienation’, and alienation is something that is really very pregnant in the identities of these individuals who feel like aliens to their own community because their community cannot imagine why are they seeing the other as something positive but not as how the community wants them to see. So there's a big gap that often gets deeper and it widens and it really forecloses any conversation and imagination.” Episode Description: We begin with considering the nature of 'malignant othering' that Ashis describes in parts of the Hindu-Muslim interface in India. His thesis is that transcending the binary into a 'third' is essential in the "quest for newer foundations defining Hindu and Muslim identities that are freed from historically entrenched definitions." He describes the challenges faced by each community that lacks the imagination of what is positive in the other. We discuss the importance of family support for interfaith couples and how often that is lacking. He describes 'love-jihad' where the autonomous agency of the partners is, through the eyes of fundamentalism, reduced to stereotypes of oppressor-oppressed. Ashis describes his research methodology which borrows from the psychoanalytic method in its recognition of transference and repetition. He closes by sharing with us the impact on him of the riots of 2002 and behind that the latent presence of the atrocities of the 1947 Partition. He bemoans "the erosion of the narratives of harmony" and sees his work as his effort at healing.   Our Guest: Ashis Roy (PhD) is a Psychoanalyst at the Delhi Chapter of the Indian Psychoanalytic  Society ( IPA London). He works with adults and couples. For more than a decade he was on the Faculty at the Centre of Psychotherapy and Clinical Research, Ambedkar University, where he participated in institution building, taught psychoanalysis, and trained students to become Psychoanalytic Psychotherapists.  He is a faculty at CAPA (China-American Psychoanalytic Alliance) and is interested in exploring Asian and South Asian cultures using psychoanalysis. He hosts podcasts on the New Books Network and works with psychoanalysts across the globe. His book, Intimate Hindu-Muslim Relationships: A Psychoanalytic Exploration of the Self and the Other (2024) has been published by Yoda Press.   Recommended Readings: Erikson, E. H. (1968). Identity, youth, and crisis. New York: W.W. Norton.   Kakar, S. (1996). The colors of violence: Cultural identities, religion, and conflict. Chicago: University of Chicago Press.   Wahab. G (2021) Born a Muslim: Some truths about Islam in India.  Aleph Book Company.   Altman, N. (2005). The Analyst in the Inner City. Relational Perspective Book Series    Davids, M. F. (2009) The Impact of Islamophobia. Psychoanalysis and History 11:175-191   Green, A., & Kohon, G. (2005). Love and its vicissitudes. London: Routledge.
“I belong to the race that in the Middle Ages was blamed for all the plagues and such experiences have a sobering effect, and they do not arouse the tendency to believe in illusions. Much of my life has been devoted to trying to shed illusions. But if there is an illusion worth believing in, at least partially, this is the illusion: that we learn how to divert the impulse of destruction from our own kind, how to stop hating each other because of trivial differences, and stop killing each other for profits. That we stop taking advantage of the achievements of progress to control the forces of nature in a way that will lead to our destruction. Without this illusion, what future awaits us?”  Sigmund Freud, Letter to Romain Rolland, 1923 “I found [this letter] in the collection that Eran Rolnik translated into Hebrew. I met it in the Hebrew version, and when I got back to the German, something else happened. In the Hebrew translation it was talking about the ‘hope’. But then the people in Vienna told me in German this is not ‘hope’, this is ‘illusion’. I thought it is even more powerful that he speaks about the power of illusion, the needed illusion. It also brought me back to the beginning of my journey when a friend said the main purpose of the film is to have Freud telling us something like the ‘big father’, how should we live today? A tip and insight from Freud. So this is an insight from Freud, a message from Freud over time to us now. I'm not sure it's prophetic. I think there's no prophecies, but it speaks to us now. It speaks to us now.”  Episode Description: We begin with an opening quote from Freud that characterized his sense of being an 'outsider'. Yair then shares with us his own personal journey of discovering Freud as distinct from his father. Having some analytic exposure awakened in him the capacity to, like Freud, ignite his creativity and discover Freud anew. Unique among the many Freud documentaries, Yair utilizes 3D animation techniques as well as dreamlike imagery, newly uncovered archival film and evocative music to invite the viewer to regressively experience the possibilities of the unconscious. We go through four periods of Freud's life which include his struggles with Viennese antisemitism, his discovery of the role of childhood sexuality, his illness and the deaths of his father, daughter, granddaughter and mother and his exile to London. We conclude with his 1923 letter to Romain Rolland where he pleads "that we stop taking advantage of the achievements of progress to control the forces of nature in a way that will lead to our destruction.”    Our Guest: Yair Qedar is an Israeli documentary filmmaker, social activist and former journalist. In his project "the Hebrews", he had been chronicling the lives of Jewish and Israeli figures of the modern Hebrew literary canon. Qedar's 19 feature length documentaries have all premiered at film festivals and have won the director over 30 prizes. Also, Qedar is a leading LGBTQ activist and created the first Israeli LGBTQ newspaper.   To View the Film: This documentary was first shown at the Sigmund Freud Museum in Vienna on January 9th, 2025. It is currently being screened at film festivals worldwide. To arrange a viewing, please contact Yair Qedar at quedary@gmail.com    Website and Trailer: https://ivrim.co.il/en/films/outsider-freud/     Recommended Readings: Adam Phillips (2014): Becoming Freud: The Making of a Psychoanalyst. Yale University Press. Ernest Jones (1953): The Life and Work of Sigmund Freud. Basic Books. Sigmund Freud (1926): The Ego and the Id. Standard Edition, Vol. XIX, Hogarth Press. Sigmund Freud (1937): Letter from Sigmund Freud to Marie Bonaparte  Sigmund Freud (1929): Letter to Romain Rolland 
“I've had the experience of having some wonderful supervisees, many of whom have done quite fine work and where it has not been an issue of any kind of great concerns. And allowing the candidate to see what's written and also discussing it with them, obviously makes it quite easy for them to get both positive input, but also at times, input that will help them evolve and deepen their work even more.”  Episode Description: We begin by exploring the critical role of case writing in psychoanalytic training, discussing Stephen’s concept of "a fourth pillar of analytic training." Stephen introduces the dynamic interplay between writing and self-reflection, arguing that the act of writing illuminates resistances, countertransference, and areas of growth that might elude the analyst in supervision or personal analysis. He shares his innovative "three-minute chess match" technique for identifying the heart of a case narrative and reflects on his journey—from his mother’s poetry to his current work mentoring candidates in the art of case writing. We explore Stephen’s insights on the 're-immersion anxiety' that can inhibit case writing, and how addressing these resistances transforms the writing process and deepens clinical work. We conclude with a discussion of how the process of writing fosters an enduring capacity for self-supervision and analytic insight.   Our Guest: Dr. Stephen Bernstein, MD is a Training and Supervising Analyst at the Boston Psychoanalytic Society and Institute and has chaired a discussion group on writing about analytic cases for over 30 years. He is a prolific author, including his recent paper, The Process of Case Writing: A Fourth Pillar of Analytic Training, published in the Journal of the American Psychoanalytic Association. Dr. Bernstein’s work highlights the centrality of case writing as an essential tool for self-reflection and professional development. Beyond his focus on writing, he has contributed to the field with early research demonstrating the compatibility of preparatory psychotherapy with psychoanalysis and continues to mentor candidates, fostering their growth as analysts and writers.   Recommended Readings: Bernstein, S. (2023). The Process of Case Writing: A Fourth Pillar of Analytic Training. Journal of the American Psychoanalytic Association. Gabbard, G. O. (2000). Disguise or Consent? Problems and Recommendations Concerning the Publication and Presentation of Clinical Material. International Journal of Psychoanalysis, 81, 1071-1086. Kantrowitz, J. L. (2004). Writing About Patients: I. Ways of Protecting Confidentiality and Analysts' Conflicts Over Choice of Method. Journal of the American Psychoanalytic Association, 52, 69-99. Stimmel, B. (2013). The Conundrum of Confidentiality. Canadian Journal of Psychoanalysis, 21(1), 84-106. Stein, M. H. (1988). Writing About Psychoanalysis: II. Analysts Who Write, Patients Who Read. Journal of the American Psychoanalytic Association, 36, 393-408.  
“I feel so strongly about this [collective commemorative ritual]. I think that early psychoanalytic writing overemphasized the value of separation-individuation and pathologized the opposite. It's been through personal experience that I have come to see that in a different way with regard to Jewish commemorative ritual which takes place a couple of times a year. But also some experiences that I have had outside the realm of religion. The one that pops to mind was what President Biden did about a year after the first onslaught of the Covid epidemic. He had candles put all around the reflecting pool in Washington, one candle for every number of people who had died, and this was broadcast on television.  I sat there and I wept over thousands of deaths, and then I began to think about the power of the experience of mourning with others. Despite the fact that we didn't all lose the same person, we had all lost somebody to this virus that was not as yet being managed. There was something incredibly powerful about that - in the same way for those who lost someone on 9/11 who go down to the Twin Towers and read the list of names every year. But we analysts have not theorized this stuff and I think it's time that we did.”    Episode Description: We begin with Joyce sharing with us her evolution from being a young analyst who was essentially ever available to her struggling patients to now being "more aware of the problematic edge to a kind of responsiveness that once felt simply necessary."  We discuss what she calls analyst's 'secret delinquencies' - when the clinician intentionally withdraws from the patient into personal matters "so that the analyst becomes the single subject in the room." We consider post-treatment friendships between analyst and analysand and the nature of the evolution of the transference. Joyce shares with us her reflections on growing older and the mixed blessings it provides in terms of greater experience and clinical wisdom as well as a tempting "disengagement from an earlier sense of therapeutic discipline." We close with her suggestion that we consider the "dynamic function of commemorative ritual" not as a mere enactment but as a fulsome experience for "reworking old connections."     Our Guest:Joyce Slochower Ph.D., ABPP, is Professor Emerita of Psychology at Hunter College & the Graduate Center, CUNY; faculty, NYU Postdoctoral Program, Steven Mitchell Center, National Training Program of NIP, Philadelphia Center for Relational Studies & and PINC in San Francisco.  She is the author of Holding and Psychoanalysis: A Relational Perspective (1996; & 2014) and Psychoanalytic Collisions (2006 & 2014), and co-Editor, with Lew Aron and Sue Grand, of “De-idealizing relational theory: a Critique from Within” and “Decentering Relational Theory: a Comparative Critique” (2018).  Her new book, Psychoanalysis and the Unspoken, was released by Routledge in June 2024. She is in private practice in New York City.    Recommended Readings: 2024 Psychoanalysis and the Unspoken.  NY, London: Routledge.    2024 Factions are Back. Journal of the American Psychoanal.  Assn., 72(4): 561-582.   2018 Deidealizing Relational Theory: A Critique from Within.  L. Aron, S. Grand, & J. Slochower, Eds. London: Routledge.   2017 Don’t tell anyone.  Psychoanalytic Psychology, 34: 195-200.   2014 Holding and Psychoanalysis: A Relational Perspective (2nd Edition). New York: Routledge.   2014 Psychoanalytic Collisions: (2nd Edition), New York: Routledge. 
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Comments (7)

Elllsr

Tthank you very very much.

Oct 6th
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Elllsr

This is simply invaluable. Thank you both.

Sep 9th
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Somi

great podcast 👏 thank you 🙏

Apr 14th
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Safoora

great

Aug 15th
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Safoora

great

Aug 14th
Reply

Safoora

great

Jul 22nd
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saeed eskandari

thanks to you for this podcast series, these are realy useful and also practical for me to here from experts in the field.this is realy generous to me in abroad and so far from the main center of the psychoanalysis practices.

Jul 21st
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