May 15, 2014 @ 12:00 am – 1:30 am
Alumni Dining Hall, Hebrew College
160 Herrick Road
Newton Centre
MA 02459
Victoria Vacaro
617-266-0953 ext. 105


 in Child and Adolescent Psychoanalysis

WEDNESDAY, May 14, 2014

8:00 PM, Alumni Dining Hall, Friedman Building,

Hebrew College 160 Herrick Road, Newton Centre, MA



To Register for this Program click here  


Invisibility and Insubstantiality

in An Anorexic Adolescent








Some anorexic patients present themselves clinically as ‘invisible’ and ‘insubstantial’. Dr. Brady will present an adolescent girl in analysis in order to elucidate the factors that contributed to her experience of herself as invisible, and only really of any substance when merged with another. ‘Invisibility’ is understood in terms of underlying object relations. Anxiety about separation and differentiation can lead to an effort to live psychically inside mother’s skin, precluding the development of a sense of self. Differentiation and the development of a sense of a visible self require a growing capacity to bear pain and conflict. Paradoxically, anorexia can also serve to make a patient’s problems truly visible for the first time. The anorexia both concretely reflects the sense of insubstantiality and may represent an emerging opportunity for experiences that are one’s own to be considered.Click Here for Printable Flier

Learning Objectives

Participants will be able to:

1. Describe some of the dynamic roots of anorexia.

2. List some of the unconscious motivations for the patient’s presentation of herself as ‘invisible’ and ‘insubstantial’

3. Relate an excessive reliance on phantasied merger to problems in identity development.



1. BRADY, Mary T.(2011) ‘Invisibility and insubstantiality in an anorexic adolescent: phenomenology and dynamics’, Journal of Child Psychotherapy, 37: 1, 3 – 15 [Available in the Library] Journal Link

2. QUAGLIATA, E. (2004) ‘Some reflections on the processes of projection and introjection in eating disorders’. In WILLIAMS, G. (ed.) Exploring Eating Disorders in Adolescence: The Generosity of Acceptance. London: Karnac. [Available in the Library]

3. WILLIAMS, G. (1997) ‘Reflections on some dynamics of eating disorders: ‘No Entry’ defences and foreign bodies’. International Journal of Psycho-Analysis, 78: 927-41. Journal of Psychotherapy 15 PEP Web Link



Mary Brady, PhD is on the Faculty of the San Francisco Center for Psychoanalysis; Private Practice of Adult, Adolescent and Child Psychoanalysis San Francisco, CA.

Mimi Pantuhova, PsyD is a member of the Boston Psychoanalytic Society and Institute. She is a candidate in BPSI’s Child and Adolescent Psychoanalytic Training Program and has a private practice in Newton , MA.

Lawrence Brown, PhD is a Supervising Child Analyst and Faculty member at BPSI and has a private practice in Newton with children, adolescents and adults.

This program will be of interest to mental health practitioners at all levels of training

This program is free. This program is. Continuing Education certification for this event is available for a $30.00 fee. Please forward your request and payment to BPSI, 169 Herrick Rd, Newton Centre, MA 02459.

The fee is waived for BPSI trainees and members.

Continuing Education: Physicians: This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the American Psychoanalytic Association and the Boston Psychoanalytic Society and Institute. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians. The American Psychoanalytic Association designates this Live Activity for a maximum of 1.5 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters of this CME program have any relevant financial relationships to disclose.Psychologists: The Boston Psychoanalytic Society and Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. The Boston Psychoanalytic Society and Institute maintains responsibility for this program and its content.   This program fulfills the requirements for 1.5 hours of CE.

Social Workers: This program has been approved for 1.5 continuing education hours for relicensure in accordance with 258 CMR. Collaborative of NASW-MA and the Boston College and Simmons College schools of Social Work.



The Boston Psychoanalytic Society and Institute, Inc., 169 Herrick Road, Newton Centre, MA 02459, does not discriminate on the basis of race, creed, color, sex, age, sexual orientation, national origin or handicap in the admissions, administration of its educational programs, scholarship and loan programs or employment.