Stop in and say hello.

Christine Anzieu-Premmereur, M.D.; Ph.D. is a psychiatrist and psychoanalyst in NYC who works in private practice with adults and children, parents and their babies. A member of the Société Psychanalytique de Paris, she is on the faculty of the Columbia Psychoanalytic Center for Training and Research, where she directs the Parent-Infant Psychotherapy Training Program; she is Assistant Clinical Professor in Psychiatry at Columbia University. She is member at the New York Psychoanalytic Institute, and she chairs the discussion group on Parent-Infant Programs at Psychoanalytic Institutes at the American Psychoanalytic Association meetings.

Starting with Freud who brought it up on several occasions, psychoanalysts have been intrigued by the concept of play and playfulness.  Many analysts from Phyllis Greenacre to Melanie Klein and Donald Winnicott contributed to our understanding of the difference between the therapeutic play and playing games, clarified the mechanism of the therapeutic action of play, and explored a connection between playing and creativity.  Significant bulk of the psychoanalytic thinking about play has been made in the context of working with children. With the broadening of the scope of psychoanalysis, the importance of adjusting the technique to the needs of the patients unprepared to use classic interpretation generated interest in using play in adult analysis. This panel will address how the panelists, all of them child and adult analysts, have been able to enrich and enliven their psychoanalytic work with adults by utilizing their experience of working with children.  Dr. Anzieu–Premmereur will discuss how being a child analyst freed her to play with associations, use metaphors, and include humor in her work with adults.  Dr. Herzog will explore the lasting impact of being in analysis as a child on the capacity for playfulness in the adults.  Dr. Bolognini will speak about the development of playfulness as an important goal of psychoanalysis and one of the criteria for termination.  Ample time will be left for discussion with the audience.

To clarify how the experience of the psychoanalytic work with children enriches the psychoanalytic work with adults.

To demonstrate the lasting effect of being treated in psychoanalysis as a child on the capacity for creativity in the adults.

To illustrate the importance of the capacity for playfulness in adults for the psychoanalytic process.

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Emphasizing transference and countertransference, the presentation will focus on the experience of money within the psychoanalytic collaboration.

• Understand how a psychoanalyst manages the seemingly competing roles of helping patients understand and overcome their personal conflicts and of being a provider of services who demands payment for those services.
• Understand how the financial relationship between clinician and patient may highlight and bring to the fore core issues in the patient's relationships.
• Recognize the importance of understanding the patient's transference and the analyst's counter-transference as they are played out in the financial relationship.

1.) Rothstein A. (1995) Beginning analysis with patients who are reluctant to pay the analyst’s fee.

2.) Rothstein A. (1995) Psychoanalytic Technique and the Creation of Analytic Patients. I . U.P. New York.

3.) Rothstein A. The Seducion of money: a brief note on an expression of transference love. Psa. Q. LV 1986.

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Arthur C. Nielsen, MD
Clinical Associate Professor of Psychiatry and Behavioral Sciences
Feinberg School of Medicine
Northwestern University

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Ellen Abrams, LCSW is a psychotherapist and Faculty member at PANY.

"in Treatment" is a thought provoking HBO televisions series about a psychologist, portrayed by Gabriel Byrne, and his weekly sessions with patients, as well as those with his own therapist, and offers a tantalizing peek at the psychopathology of everyday life. Ms. Abrams will show clips which highlight psychodynamic psychotherapy principles and use them as a springboard for discussion about technique. 

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Michael J. Diamond,, PhD, is a practicing clinical psychologist and psychoanalyst and the author of the book My Father Before Me: How Fathers & Sons Influence Each Other Throughout Their Lives. Dr. Diamond received his doctorate in psychology from Stanford University and completed his psychoanalytic training at the Los Angeles Institute and Society for Psychoanalytic Studies, where he is currently a training and supervising analyst. Dr. Diamond is an associate clinical professor of psychiatry at UCLA and is on the faculty at the Wright Institute Los Angeles. As an expert on parenting and fathering, Dr. Diamond has written numerous articles and publications on fathering and father-son relationships. He lives in Los Angeles.

To fully restore the role of dissociation in primitive mental states and provide a more integrated approach to technique, it is necessary to comprehend the triadic nature of trauma, which entails economic/drive, structural conflict and deficit, and object-relational factors. For a treatment model that addresses defensive dissociation in the here and now, primary and secondary dissociation must be distinguished, with each differentiated from splitting and repression. Technique requires addressing unconscious, repressed fantasies associated with the “trauma,” object- relational patterns that interfere with linking, and psycho-economic issues that have disrupted ego functioning. A clinical example illustrates both the analyst’s persistence in suffering the dead, eerie space of dissociated trauma and efforts to find language that helps structure the patient’s somatic and enacted expressions (and accompanying dissociative and repressive processes) by which traumatic experiences are registered and conveyed.

(1) participants will learn to describe the triadic nature of trauma; (2) participants will learn to distinguish primary from secondary dissociation; (3) participants will become more skilled in recognizing the role played by conflictual repressed material occurring when dissociative processes are operative in the transference (and countertransference); (4) participants will learn how to more effectively utilize the analyst's countertransference and unbidden reveries as a pathway to uncover the patient's unconscious, dissociative experience; and (5) participants will develop their skill in structuring and perhaps transforming the patient's somatic and enacted expressions in the analytic dyad.

Diamond, M.J. (2020). Return of the repressed: Dissociation and the psychoanalysis of the
traumatized mind. Journal of the American Psychoanalytic Association, 68: 839-874.
Diamond, M.J. (2020). The elusiveness of ‘the feminine” in the male analyst: Living in
yet not being of the binary. Psychoanalytic Quarterly, 89: 503-526.
Diamond, M.J. (2020). Treating the traumatized mind: Dissociation and psychoanalytic
technique. In McBride, T., & Murphy, M., eds., Trauma and the Destructive-Transformative
Struggle. London: Routledge, pp. 200-212.
Diamond, M.J. (2020). Encompassing the multitude, animating the contradictions, and
building bridges: Reply to commentaries. Journal of the American Psychoanalytic
Association, 68: 921-947.
Diamond, M.J. (2018). When fathering fails: Violence, narcissism, and the father function
in ancient tales and clinical analysis. Journal of the American Psychoanalytic
Association, 66: 7-40.