Tampa Bay Institute for Psychoanalytic Studies, Inc. (T-BIPS)
Co-sponsored by Tampa Bay Psychoanalytic Society, Inc

TRAUMA SERIES WORKSHOP:
Healing Haunted Lives
Part IV. Adult Onset Trauma

Presenter: Gislaine Boulanger, Ph.D., author of Wounded by Reality
with Carrie-Ann Gibson, MD on Combat PTSD,

Nancy Brehm, PhD on EMDR

Saturday, March 7, 2009
9:00 a.m.-12:15 pm and 1:15-4:30 p.m.

(Coffee and bagels: 8:45-9:00 a.m.)
12:15 Optional Lunch available for additional $10, rsvp by March 1st

6 CE Credit Hours Provided

LOCATION:

Tampa Bay Crisis Center, One Crisis Center Plaza

Tampa, Florida 33613

PROGRAM FEE: $75 by March 1st
$85 after March 1st

Students/Candidates only $35

Optional Lunch Add $10

Objectives:
1. Participants will learn the specific qualities of traumatic narration that make impossible a coherent account of massive trauma.
2. Participants will be able to differentiate enactive from performative forms of witnessing in the clinical encounter.
3. Participants will have an appreciation for the unique role that transference-countertransference plays in the witnessing process.

Continuing Education Credits: This activity has been planned and implemented in accordance with the Essentials Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of The American Psychoanalytic Association and the Tampa Bay Psychoanalytic Society. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians and takes responsibility for the content, quality and scientific integrity of this CME activity.
The American Psychoanalytic Association designates this educational activity for a maximum of 6 hours in category 1 credit towards the AMA Physicians' Recognition Award. Each physician should only claim those hours of credit that he/she actually spent in the educational activity. Disclosure information is on record indicating that participating faculty members have no significant financial relationships to disclose. The Tampa Bay Psychoanalytic Society has been approved by the Florida Dept. of Health to provide Continuing Education Accreditation to Psychologists (Provider # PCE-46, Exp. 5/10) and Clinical Social Workers, Marriage & Family Therapists, Mental Health Counselors (Provider # BAP 423, Exp. 3/09). The Society certifies that these courses meet the requirements of the Board on an hour-per-hour basis for continuing education credits.
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TRAUMA SERIES WORKSHOP: HEALING HAUNTED LIVES PART IV. REGISTRATION FORM
Saturday, March 7, 2009

Presentation by Gislaine Boulanger,PhD

First Name : ___________________ LastName:_______________

Degree:______________License#: _________________________
Address:______________________________________________

City:_______________ State:___________ Zip: _______________
Telephone:____________ **E-mail Address** __________________

Are you requesting continuing education credit? Yes ____No____

Are you purchasing lunch? Yes ___ No ____ (if yes, add $10)

Please return Registration by SATURDAY, March 1, 2009: Mail check (payable to T.B.I.P.S.) and form to: TBIPS, 300 S. Hyde Park Ave, #220, Tampa,FL 33606

Additional Information:

Contact Heather Pyle (813) 857-9044 or Lycia Alexander-Guerra (813) 908-5080

Pre-registration is optional - all welcome at the door!

If optional lunch is required please RSVP no later than March 1, 2009

Valentine's Day Love: Use and Destruction

In his 1991 paper “The Area of faith in Winnicott, Lacan, and Bion,” Michael Eigen discussed love, in combination with good use of destruction (Winnicott), as a sustained reaching out, a hope, a joyous gambit. This love, different from love that controls, love as a defense against hate, or love motivated by guilt, is the freedom of loving for its own sake. Eigen traces Winnicott’s move from seeing concern for others as anxiety-driven to “a non-defensive appreciation of otherness” and a concern that [grows] “to guard this otherness in order to protect the richness in living it offers.” Eigen adds, “In the object usage account, the primacy of love does not rely on any added notion of ego mastery or adaptive control to handle destructive wishes. Within the framework of the primacy of love, hate finds its own limits and adds to, because encompassed by, joyous creativeness.” Eigen explicates, “For Winnicott life requires violence (hatching ) …optimally, this occurs within… a primacy of unity-in-differentiation… . ‘I love you’ spontaneously arises in the wake of ‘I destroy you,’ and this ‘I love you’ makes destructiveness creative. In this instance, the two together lead to a fuller, richer awareness of self and other, a revitalizing sense of otherness…”

As clinicians, and human beings, we frequently encounter individuals who, within their relationships, cannot make use (“simultaneously ‘related to’ in fantasy, but used to establish mutual understanding”) of the object (Winnicott), but instead feel too threatened by or envious of the other. Whether expressed as coldness or clinginess, verbal onslaught or battering, the expression indicates the inability to recognize the liberty one achieves for one’s self as subject when one recognizes and embraces otherness. Eigen explains that the other must appear both as the fantasy object and another subject without threatening one’s own subjectivity. He adds, “From the intersubjective standpoint, all fantasy is the negation of the real other.” For the analytic ‘couple,’ “In the analytic process, the effort to share the productions of fantasy changes the status of the fantasy itself…”

This morning, Otto Kernberg will speak to the Tampa Bay Psychoanalytic Society on “The Subjective Structure of Love.” I expect that this will be a different kind of talk. He has oft writ (incl: “Boundaries and Structure in Love Relations” 1977) that “the capacity to fall in love and to remain in love reflected the successful completion of two developmental stages: …the capacity for sensuous stimulation of erotogenic zones is integrated with the later capacity for establishing a total object relation” [and] “full genital enjoyment incorporates early body-surface eroticism in the context of a total object relation, including a complementary sexual identification.” Kernberg has examined the interplay of love and aggression, with the role played by the superego and by repressed or dissociated object relations in couples and their moves toward twinship and complementarity; and has examined the role of Oedipal conflicts in aggression. He has defined perversity as “the recruitment of love at the service of aggression.”

Perhaps on a subsequent blog we will have a summary of Kernberg’s Valentine talk. Meanwhile,
Wishing you this Valentine’s Day a moment of like minds shared between two subjects.

FILM SERIES EVENT, USF, Tampa

The film series "Women in Crisis: Scholarly and Clinical Perspectives" is a collaboration between the Tampa Bay Institute for Psychoanalytic Studies (T-BIPS), the Tampa Bay Psychoanalytic Society, and the Department of Women's Studies at the University of South Florida. The series will take place on Thursday evenings in building/room BEH 104 from 6:00PM-9:00PM on USF's Tampa campus. It is free and open to the public.

The theme of the film series, "Women in Crisis" complements and enhances T-BIPS/ Institute's clinical Workshop on Trauma (Oct 08-Mar 09) entitled "Healing Haunted Lives." The film series will feature academic and clinical perspectives of trauma explored through women in film. The goal is to provide an accessible way for the public to discuss the topic of struggle and transformation in women's lives. These are key themes that are studied and researched in the academic discipline of Women's Studies.

One USF scholar and one local clinician will speak briefly after each of the films, and then facilitate a discussion with the audience.

The films are:

Thursday, February 12,2009 Eve's Bayou
Kim Vaz, Ph.D., USF Associate Professor and Chair of Women's Studies & Lycia Alexander-Guerra, M.D., Psychiatrist/Psychoanalyst

Thursday, March 5, 2009 Maria Full of Grace
Madeline Camara, Ph.D., USF Associate Professor of World Languages & Loren Buckner, LCSW, Clinical Social Worker/Board Member of TBPS

Thursday, March 26, 2009 Notes on a Scandal
Susan Mooney, Ph.D., USF Associate Professor of English & John Hartman, Ph.D. Psychologist/Psychoanalyst

Thursday, April 2, 2009 Volver
Adriana Novoa, Ph.D., USF Assistant Professor of Humanities and Cultural Studies & Horacio Arias, M.D., Psychiatrist/Psychoanalyst

Thursday, April 9, 2009 The Reader
(if not on DVD, than The Piano Teacher)
Margit Grieb, Ph.D., USF Associate Professor of World Languages & Kim Vaz, Ph.D.

Thursday, April 16, 2009 Wide Sargasso Sea
Kersuze Simeon-Jones, Ph.D., USF Assistant Professor of Africana Studies and World Languages & Michael Poff, MSW, Social Worker/Psychoanalyst

by Kim Vaz, PhD

Healing Through Witnessing

Bruce Reis, PhD, on faculty of the Relational Track at NYU Postdoctoral Program in Psychotherapy and Psychoanalysis, and coeditor of the forthcoming book Heterosexual Masculinities (Routledge Press) was featured at the Tampa Bay Institute for Psychoanalytic Studies, Inc (T-BIPS)’s Trauma Workshop Series HEALING HAUNTED LIVES Part III: “Healing Through Witnessing,” on February 7, 2009 in Tampa, FL. While many analysts strive to help survivors put in to words (symbolize) their traumatic experiences, Reis entertains the possibility that some experiences, by their very traumatic nature, can never be described or understood through narrative. He cites Caruth’s idea that trauma, by definition, is that which cannot be symbolized. Trauma memory, then, is occluded. Trauma is retained in the absence of narrative. Trauma is repeated bodily, and the transference becomes the “scene of address” with a certain way of listening, a certain recognition and receptivity on the part of the therapist. Repeating is a form of remembering and not an enactment. The action itself is the memory.

In Part II of HEALING HAUNTD LIVES: “Treating Survivors of Childhood Sexual Abuse,” on January 10, 2009, Lycia Alexander-Guerra, MD explicated the physiological dissociation of memory: how trauma can inhibit the hippocampus’ symbolic encoding and integrative functions while simultaneously enhancing the amygdalar functions of perceptual, procedural, and implicit memory, both resulting in memories which are de-contextualized from each other, and in somatic, affective, procedural memories which are unlinked to words. Alexander-Guerra, as per Jody Messler Davies and Gail Frawley, discussed how reenactments of experiences which lack words can become an opportunity for the therapist to lend words and make meaning with the survivor of previously unspeakable traumas.

Reis, however, takes a non-narrative view, highlighting a revision in technique, and reminds us of the crucial dimension of the wordless experience of “being with” the survivor. Translation into language loses the force of the event and, presumably, increases the survivor’s isolation. Being with allows for the intersubjective experience and for an affective scene populated by another, without symbolizing and without meaning making. Alluding to the “Testimony Method,” which is a non-medical approach to survivors, seeing them, not as sick, but as people with whom we must sit, Reis sees trauma as an imperative to witness, where another becomes aware of what we experience (Sander), opening suffering to its social dimension. It is isolation, the catastrophic loneliness (Grand), which is relieved somewhat, even as the trauma itself can never be undone.

FILM: "SLUMDOG MILLIONAIRE"

Slumdog Millionaire, directed by Danny Boyle (Trainspotting) and Loveleen Tandan will most likely win best picture, so I am posting it first. It has ten Academy nominations and took the Golden Globe. While it would not be my choice for best pic, I did thoroughly enjoy this movie! It is more accessible than my pic, and it is a beautifully adapted, shot, edited, and scored feel-good movie that is not sappy (even with orphans and true love and one-dimensional villains), not sappy because it is punctuated with violence, and chase scenes, a little suspense and a little luck, and because… it is beautifully adapted, shot, edited, and scored. Besides, everyone (except the Indian Regis Philbin) roots for the underdog, as does sometimes even the Academy. And there is no underdog like Jamal (Dev Patel) as contestant, as beautifully understated as one could wish. Also, thanks to cinematographer Anthony Dod Mantle, garbage heaps and colorful rags become works of art.

Orphaned brothers Jamal and Salim Malik survive by their wits in the slums of Bombay (Mumbai). The older brother Salim (Ashutosh Lobo Gajiwala,as teen)is ruthless, calculating, and practically amoral. Salim repeatedly betrays Jamal, then saves his brother’s life (eyes, really), then betrays his brother some more, then redeems himself. Jamal, on the other hand, has ‘a never ending love’ for Latika, whom he encounters on the streets after having just lost his mother. His childhood love, just like his determination (for an autograph), revealed early on, is tenacious.

The hell of growing up on the streets is contrasted to the Taj Mahal as “heaven.” It is probably no coincidence that the opera upon which young Jamal happens is Gluck’s “Orpheus and Eurydice.” Jamal’s lyre is his truthfulness (“too truthful” says his less brutal interrogator), a purity of love to which Latika (Freida Pinto,as teen)must be drawn, just as the audience is drawn to Jamal. But a viper, first Mamam (Ankur Vikal), then Javed (Mahesh Manjrekar), takes Latika, and Jamal returns to the underworld (of gangsters) to rescue her. On the TV show “Millionaire” Jamal, as well, “dared more than any other man ever dared for his love” [Edith Hamilton]. But, Slumdog Millionaire is full of surprises, and this film, “bizarrely plausible,” will make you laugh out loud when you hear the last game show question. I enjoyed the twists on the allusions to Greek mythology, Dumas’ The Three Musketeers, and perhaps even Steinbeck’s East of Eden. Only the Dickensian aspect stays true to its inspiration.

Based on the book Q & A by Vikas Swarup, this is a story about more questions and answers than those asked by a game show host: About the death of his mother, Jamal says, “I wake up every morning wishing I did not know the answer to that question.” Other salient questions: the relentless “Where is Latika?”and the incredulous “You still believe in Salim?” with feel good answers: “… safe” and “God is great.” Simon Beaufoy (The Full Monty) has done a wonderful job putting the stories into a seamless yet jolting screenplay. I wanted to dance during the closing credits along with the clearly joyful cast. But this film inspired no self reflection.

-Lycia Alexander-Guerra, M.D.

TBIPS TRAUMA WORKSHOP SERIES III: Witnessing

Tampa Bay Institute for Psychoanalytic Studies, Inc. (T-BIPS)
Co-sponsored by Tampa Bay Psychoanalytic Society, Inc
TRAUMA SERIES WORKSHOP:
Healing Haunted Lives
Part III. Treating Trauma Survivors: Healing through Witnessing
Presenter: Bruce Reis, Ph.D.

DATE: Saturday, February 7, 2009
TIME: 9:00 a.m.-12:15 pm and 1:15-4:30 p.m. (Refreshments: 8:45-9:00 a.m.)
LUNCH: 12:15-1:15pm: Boxed lunch will be available by reservation for additional $10
(bring-your-own bag lunch, optional).
If boxed lunch is required, please RSVP with $10 check no later than February 1st.

LOCATION: Tampa Bay Crisis Center, One Crisis Center Plaza (on Bearss Ave, just west of I-275 and west of Florida Ave),Tampa, Florida 33613

PROGRAM FEE: $75 [$25-students/candidates] (includes 6 CE credit hours).
Registration deadline February 1, 2009.
(Add additional $10 if register after Feb 1st)
Add $10 for lunch.
AM Presentation:

In the healing of trauma in the analytic interaction, witnessing is explored as a basic function of analysis with severely traumatized individuals. We will understand the concept of witnessing and how the term is variably applied, as well as look at its multiple forms (e.g. enactive and performative). These modes of communication convey "truths" that are not always available in words, but are communicated via the transference-countertransference matrix. Process notes from an ongoing treatment will illustrate the method of listening to absences within the trauma narrative and the importance of "being-with" a patient in moments of traumatic reactivation.

PM Presentation:

The afternoon presentation will include the viewing of the film "Fearless," starring Jeff Bridges and Rosie Perez, about survivors of a plane crash, and will serve to kick off discussion about survivor fantasies, guilt, and disconnection.
Objectives:
1. Participants will learn the specific qualities of traumatic narration that make impossible a coherent account of massive trauma.
2. Participants will be able to differentiate enactive from performative forms of witnessing in the clinical encounter.
3. Participants will have an appreciation for the unique role that transference-countertransference plays in the witnessing process.
Continuing Education Credits: This activity has been planned and implemented in accordance with the Essentials Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of The American Psychoanalytic Association and the Tampa Bay Psychoanalytic Society. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians and takes responsibility for the content, quality and scientific integrity of this CME activity.
The American Psychoanalytic Association designates this educational activity for a maximum of 6 hours in category 1 credit towards the AMA Physicians' Recognition Award. Each physician should only claim those hours of credit that he/she actually spent in the educational activity. Disclosure information is on record indicating that participating faculty members have no significant financial relationships to disclose.
The Tampa Bay Psychoanalytic Society has been approved by the Florida Dept. of Health to provide Continuing Education Accreditation to Psychologists (Provider # PCE-46, Exp. 5/10) and Clinical Social Workers, Marriage & Family Therapists, Mental Health Counselors (Provider # BAP 423, Exp. 3/09). The Society certifies that these courses meet the requirements of the Board on an hour-per-hour basis for continuing education credits.
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Tampa Bay Institute for Psychoanalytic Studies, Inc TRAUMA SERIES WORKSHOP:
HEALING HAUNTED LIVES PART II. REGISTRATION FORM
Saturday, February 7, 2009 Presentation by Bruce Reis, Ph.D. WITNESSING
First Name: Last Name: Degree: License #:
Address: City: State: Zip:
Telephone:( ) **E-mail Address**

Are you requesting continuing education credit? Yes ____No____ (ALL SHOULD REGISTER!) Are you purchasing lunch? Yes ___ No ____ (if yes, add $10)

Please return Registration by SATURDAY, February 1, 2009: Mail check (made out to T.B.I.P.S.) and form to: 300 S. Hyde Park Ave, #220, Tampa,FL 33606;

Call Heather Pyle (813) 857-9044 or Lycia Alexander-Guerra (813) 908-5080 for further information.
Pre-registration is optional - all welcome at the door! If boxed lunch is required please RSVP no later than February 1, 2009

Ludic Moments at Tampa Bay Psychoanalytic Society?

On Saturday, January 24, 2009 the Tampa Bay Psychoanalytc Society hosted Al Brok, PhD on "Ludic Moments,Serious Experiences: What can analysts learn from Charlie Chaplin?" Brok hoped to draw a parallel between the "aesthetic therapeutic contract between analyst and patient" and the artist's (in this case Charlie Chaplin) communication with his audience, and referred to the "here and now interaction" of a "two person" psychology. [Ludic, by the way, comes from Latin word for play, here, meaning playful.] He hoped to illustrate the use of play in the working alliance or relationship, and was able to give, after protracted film clips of Chap[lin movies, a helpful clinical example.

Playfulness is afforded when there is a background holding environment (including that of reality)and when the analyst does not allow into the foreground facts and theories which impinge upon the moment. Being in the moment means listening without active investment in theory, though analyst may be simultaneously matching theory from background to what emerges in the foreground as the foreground is activating what is significant. Brok spoke of discovering what one had not been looking for contrasted to finding what one expected. (He did not mention the possibility of two persons creating something new.)

Brok thought that Chaplin's seriousness in his films decreased the capacity for his audience to enjoy the films; that the potential space had been overwhelmed by the literality and concreteness. Brok cautioned that analysts must be careful not to vitiate the possibility for play with a too tenacious adherance to only what is serious, nor to obfuscate the serious by defending against it with play.

While preferring to comment on the political and social climate during Chaplin's career rather than his private life [we were referred to psychoanalyst Stephen M. Weissman's excellent, recent biography Chaplin: A Life for the latter], Brok made a very interesting point about Chaplin's move from silent film to talkies. He likened silent film to the intuitive, preverbal mother-infant interaction and talking (spoken language) to the identification with the father (ala Lacan), i.e., once Chaplin was able to identify with his father, his films took on language and seriousness.

If I recall correctly, this is differenct from Weissman's bio, where Weissman, notes that Chaplin's more serious films spoke directly to Chaplin's private life, e.g. that Chaplin might have understandably wanted to murder Joan Barry in real life -- her paternity suit and the sensationaized trial-- but that only in film, Monsieur Verdoux, could Chaplin, a lady killer, literally kill ladies. The trial in Monsieur Verdoux also allowed Chaplin's side to be heard as it was not heard in real life. Weissman saw Chaplin's identification with his father as lion comique throughout his Little Tramp portrayals, but it was with Limelight that Chaplin was able to forgive his father, and recognize his mother's participation, in the demise of the marriage and in Chaplin's own chaotic, bereft childhood, afterwhich Chaplin was finally able to become paterfamilias. Brok, incidently, saw Limelight as Chaplin's anxiety about his own marriage to a much younger woman, and both an Oedipal victory for Chaplin as well as a stepping aside (of Calvero) for a younger man to have the much younger heroine.

As an aside, Brok mentioned that, in his clinical example, he had chosen to be playful, to "go with clinical enactment...for therapeutic reasons." (I had a different idea about enactments, that they are inevitable, never chosen, and are understood only after the fact.)

I must do a better job of having TBPS allow time for discussion, for how else are we to play with the material and each other?

Workshop Summary: Recognizing and Treating Dissociative Adaptations to Trauma in Adults

By Horacio Arias, M.D.

TBIPS hosted a workshop by Richard Chefetz, M.D. on October 25, 2008 entitled "Recognizing and Treating Dissociative Adaptations to Trauma in Adults." I felt that one of the goals of the presentation was to identify some of the approaches used to treat these patients according to Chefetz, Bromberg, and others who work with severe trauma. There were several theoretical issues that I found practical and which kept my interest, including the idea of developing some object relations and avoiding others.

As I expected… there were differences clinically from within the psychodynamic point of view and I have some thoughts and feelings that I would like to share. I felt uneasy when he described the traumatic history and process with one of his patients, particularly the patient's feelings of fear and anger. I found myself needing to deal with my own personal traumatic issues and also reflected on my higher functioning severely traumatized patients. Others had expressed their thoughts and ideas while I was gathering my own. I thought of Kleinian ideas that are often forgotten in this country.

Klein was the first psychoanalyst who consistently took the time to deal with aggression and love in humankind. She was among the great analysts of her time who connected aggression with love in a common way during the most primitive of relationships of pre-oedipal life. She dealt with disassociative processes within the individual, a subject that comes to mind in dealing with severe trauma.

I found that the confusion within the traumatized patient and the patient's disassociation permeated the group at many levels, eliciting idealization or internalization to more unrealistic or unexpected feelings. A wide range of comments were offered about aggression, length of treatment, and enactment. I found our reactions thought provoking. Did we feel confused? Blocked in our thinking process? Were we trying to unblock the thinking on this type of patient …among other issues? Sometimes there can be a parallel process that occurs in those listening to and presenting patient material.

TBIPS thanks Richard Chefetz for sharing his work and clinical expertise with our group. We are looking forward to additional workshops on trauma as the series, "Healing Haunted Lives" continues with presentations by Lycia Alexander-Guerra, MD (1/10), Bruce Reis, PhD (2/7), and Ghislaine Boulanger, PhD (3/7).

HORACIO ARIAS, MD

Tampa Bay Institute for
Psychoanalytic Studies Cosponsored by
Tampa Bay Psychoanalytic Society

Healing Haunted Lives: Trauma Workshop Series
Part II: Treating Survivors of Childhood Sexual Abuse

6 hours CEU’s

Saturday, January 10, 2009
9:00am - 4:30pm
Crisis Center of Tampa Bay
One Crisis Center Plaza, Tampa, Florida
(Exit Bearss Ave WEST off I-275)


Lycia Alexander-Guerra, M.D.
Graduate of the New York Psychoanalytic Institute; Member of the American, and the International, Psychoanalytic Associations; President of the Tampa Bay Institute for Psychoanalytic Studies, Inc (T-BIPS); President of the Tampa Bay Psychoanalytic Society, Inc; in private practice in Tampa, FL.

Treating Survivors of Childhood Sexual Abuse: Because trauma of children by trusted caretakers often requires a child to compartmentalize (dissociate) the experience in a way that it is frozen in time, unavailable to symbolized (language) processes, narrative and interpretation alone are insufficient for healing. Instead, it is enactments within the therapeutic dyad that bring to light the horrific past experiences, and these must be symbolized and integrated with other aspects of the self. Reconfiguration and introjections of new relational paradigms create the possibility for healing.
Healing Haunted Lives: Trauma Workshop Series: This is a 4-part series in common sense language to familiarize and assist clinicians in recognition and treatment of those who have undergone unspeakable traumas. Part III features Bruce Weiss (Feb. 7, 2009) emphasizing treatments, and Part IV, Ghislaine Boulanger (March 7, 2009), and her work with adult onset trauma, Wounded by Reality.
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Continuing Education Credits: This activity has been planned and implemented in accordance with the essentials Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of The American Psychoanalytic Association and The Tampa Bay Psychoanalytic Society. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians and takes responsibility for the content, quality, and scientific integrity of the CME activity.
The American Psychoanalytic Association designates this educational activity for a maximum of 6 hours in category 1 credit awards for the AMA Physicians’ Recognition Award. Each physician should only claim those hours of credit that he/she actually spent in the educational activity. Disclosure information is on record indicating that participating faculty members have no significant financial relationships to disclose.
The Tampa Bay Psychoanalytic Society has been approved by the Florida Dept. of Health to provide Continuing Education Accreditation to Psychologists (Provider #PCE-46. Exp 5/10) and Clinical Social Workers, Marriage and Family Therapists, Mental Health Councilors (Provider# BAP 423. Exp 3/09). The Society certifies that these courses meet the requirements of the Board on an hour-per-hour basis fro continuing education credits.
Program

Treating Patients with a History of
Childhood Sexual Abuse

Morning 9:00am-12Noon
Phenomenology
• Relational Paradigms in Treatment
• Enactments
• Clinical Presentation
Lunch
Afternoon 1:00pm-4:30pm
Treatment:
• Making procedural declarative
• Integrating Experience
• New Relational Paradigms


Learning Objectives
1. Participants will better understand the
cognitive impairments, physiological
responses, and relational adaptations
manifest in survivors of childhood
sexual abuse, and how these affect
treatment negotiation.
2. Participants will learn to identify roles
enacted by patient and therapist
with survivors who use dissociation
and projective identification.
3. Participants will learn to utilize
enactments to make explicit what
had been dissociated.

Complete, clip and mail form with check to TBIPS: 300 S. Hyde Park Av #220, Tampa, FL 33606
-------------------------------------------------------------------------------------------------------------------------------------------------- Treating Survivors of Childhood Sexual Abuse - Lycia Alexander-Guerra, MD
Saturday, January 10, 2009 Registration 8:30am, Workshop 9:00am-4:30pm
Name_____________________________________________________________________ Degree______
Address______________________________________ City _______________________State___ Zip_____
E-mail _________________________________ Phone __________________
Registration Rates for Jan 10, 2009 one workshop only:
Regular ___ $75 (by Jan 2) Student/Candidate ___ $25 (by Jan 2)
___$90 (after Jan 2) ___ $35 (after Jan 2)
Lunch ___ $10 (optional, lunch provided with advanced registration and payment by Jan 2)
Program Learning Objectives

"Seven Pounds"

Living in a town to which "The Reader," "The Wrestler," or even "Milk" have not yet arrived, I recently found myself, encouraged by friends and by the casting of Will Smith, at a movie I might otherwise have missed. Despite murmurings of a "twist," I found it very predictable (the movie, after all, opens with Smith telling you what his plans are, and then unfolds quite clearly with his guilt in flashbacks, and, in others, with cancer, and renal failure, and heart trouble, and blindness) and so I was more than a little shocked to hear so much sniffling around me. Sure, as guest Nancy Merchand stated in an episode of TV's Homicide: Life on the Street (and I may be paraphrasing) "A rare gesture in an uncivilized world," but do people not even consider what anti-gift the impact of suicide has on those around them? And when a man gives his heart to a woman, isn't the romance lost when this is concretized? To kiss becomes cruel.
Shylock demands his pound of flesh, but Smith's character seems to believe seven pounds are required for recompense of seven deaths. While some have said this film is about the search for redemption, I agree with Rafer Guzman that the film is morally confused. Each has the right to seek his own path, but guilt, grief, and depression all demand treatment, not idealization. Director Gabriele Muccino and writer Grant Nieporte missed the boat on this one. And did others miss that the brother accused Smith of taking something from him, or that Smith had made money as an aeronautics engineer? I, too, may have missed the boat on this movie, or, at least, wished I missed the boat to the movie theater.