April 5, 2018 @ 7:00 pm – 9:00 pm
Wilson Chapel
Wilson Chapel
234 Herrick Rd, Newton, MA 02459
617 266-0953


Thursday, April 5, 2018

7:00 PM – 9:00 PM

Wilson Chapel, 234 Herrick Road

Newton Centre, MA 02459


The lecture will be preceded by a Community Reception  at BPSI, 141 Herrick Road, Newton Centre, MA from 6:00 pm to 6:45 pm.

Falling out of the World: Shock, Strangeness–and Afterwards

The center does not hold. The ground gives way, and we are lost and falling. The ancients knew about the sudden overturning of the order of things: “Catastrophe” derives from the Greek, from “down” and “turn over”. We lose the world we took for granted, and the familiar turns strange. Sometimes it is the surprise of recall that overturns us. How is it that some memories remain dormant, as if waiting, returning with a shock of awareness, overturning us with new significance? How come the past won’t die? Why do certain experiences resist assimilation to our worldviews?

Here psychoanalytic and existential perspectives illuminate one another, and in this talk we will explore the transforming of awareness and its everyday grounding in the world. In particular we’ll look at Freud’s conception of “deferred action”—or, “afterwards”—and existential conceptions of the familiar and the strange. An old memory’s new significance heralds a new person who remembers—and who may suffer and change—in a brand new way. Some experiences, then, continue to change us as we change them, mutating and co-evolving even as we do.



Alfred Margulies, MD (Presenter) is a Supervising and Training Analyst at BPSI. Dr. Margulies is also the Associate Chair of the Department of Psychiatry, Cambridge Health Alliance; Associate Professor of Psychiatry, Harvard Medical School; and Director of Training and Education, Co-Founder, Program for Psychotherapy, Cambridge Health Alliance.

Paola M. Contreras, PsyD (Discussant) is a 4th-year candidate at BPSI. Dr. Contreras is an Assistant Professor at William James College. Her research interests include human trafficking, participatory action research, and psychoanalysis. She consults to U.S. organizations that serve victims of domestic and international trafficking. She has a private practice in Cambridge, MA.

Malak Rafla, MD (Discussant) is 4th-year candidate at BPSI. Dr. Rafla is a child and adolescent psychiatrist at Cambridge Health Alliance (CHA), the Justice Resource Institute (JRI), and in private practice in Cambridge, MA. He teaches and supervises child and adolescent psychiatry fellows at CHA. He is an Instructor in Psychiatry at Harvard Medical School. His work at CHA and JRI includes seeing patients in outpatient community mental health clinics, group homes and residential schools for individuals ranging from middle childhood to early adulthood.

Jane Hanenberg, EdD (Moderator) is a Supervising and Training Analyst, Faculty, and Co-Chair of the Academic Lecture Committee, BPSI. Dr. Hanenberg maintains a private practice in Watertown, MA.


Learning Objectives
At the conclusion of this program, participants will be able to:

  1. Describe “deferred action”— or “afterwards”— and discuss its relationship to memory and awareness.
  2. Identify disruptions to the grounding of everyday existence that create a sense of strangeness, a feeling of not-at-home in the world.
  3. Outline a continuum of the strange from existential authenticity to traumatic dissociation.
  4. Describe how the experience of strangeness and afterwards intertwine and illuminate one another, and give us insight into our everyday world, how we live, and how we face the unsettling and intolerable.



Freud, S. (1919). The “Uncanny.” Standard Edition 17, 217-252. New York: Norton. [Available on PEP-Web]

Heidegger, M. (1962). Being and Time, trans. J. Macquarrie & E. Robinson. New York: Harper Collins. [Available in the BPSI Library]

Laplanche, J. & Pontalis, J. B. (1973). Deferred action, In The Language of Psycho-Analysis. (D. Nicholson-Smith, Trans.) New York: W. W. Norton & Co. [Available in the BPSI Library]

Margulies, A. (1989). The Empathic Imagination. New York: W. W. Norton & Co. [Available in the BPSI Library]

Margulies, A. (2000). The Place of Strangeness, a review of Warren Poland’s “The Analyst’s Witnessing and Otherness.” Journal of the American Psychoanalytic Association, 48, 72-79. [Available on PEP-Web]

Margulies, A. (2014). After the Storm: Living and Dying in Psychoanalysis. Journal of the American Psychoanalytic Association; 62, 863-905. [Available on PEP-Web]

Margulies, A. (2016). Hidden in Plain Sight on Locked Wards: On Finding and Being Found. Garrett, M. (Ed.). Psychotherapy of the Psychoses. American Journal of Psychotherapy, 70 (1):101-16. PMID: 27052608. [Available in the BPSI Library]

Margulies, A. (2016). The Varieties of Nothingness: Commentary on Henry Schwartz’s Papers on Perec and Pontalis. Psychoanalytic Quarterly, 85, 179-187. [Available on PEP-Web]
Margulies, A. (2018, in prepublication). Illusionment and Disillusionment: Foundational Illusions and the Loss of a World. JAPA.
Poland, W. (2000). The Analyst’s Witnessing and Otherness. Journal of the American Psychoanalytic Association, 48, 17-34 [Available on PEP-Web]

7:00 pm – 8:00 pm: Presentation; 8:00 pm – 8:15 pm: First Discussant; 8:15 pm – 8:30 pm: Second Discussant; 8:30 pm – 8:40 pm: Response from Presenter; 8:40 pm – 9:00 pm: Discussion and Q&A.

This program is made possible by the generous support of BPSI Members and friends.
Your gift to BPSI helps us continue offering educational programming.  
To support BPSI, please visit www.bpsi.org.


This program will be of interest to mental health clinicians at all levels of training.
Continuing Education
Physicians: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership 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 2 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 2 hours of CE.

Please note: Per APA requirements, psychologists must attend 100% of a course in order to be eligible for continuing education credit.
Social Workers: Application for social work continuing education credits has been submitted. Please contact us at office@bpsi.org or 617-266-0953 for the status of social work CE accreditation.
Please note: Per NASW requirements, social works must attend 80% of a course in order to be eligible for continuing education credit.

The Boston Psychoanalytic Society and Institute has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6913. Programs that do not qualify for NBCC credit are clearly identified. The Boston Psychoanalytic Society and Institute is solely responsible for all aspects of the programs. This program offers 2 NBCC Clock Hours.



Event Cancellation Policies & Procedures
Any program participant requesting their individual program registration be canceled, must submit their request in writing via email to Drew Brydon at dbrydon@bpsi.org. For fee-based events, a request for cancellation (and refund using the original form of payment) must be received no later than 48 hours in advance of the event. Requests received later than 48 hours prior to the event will not be processed or accepted. All approved refunds are subject to a $10.00 administrative fee. If BPSI cancels and event, all registrants will receive a full refund of fees paid (no administration charge) no later than two business days following the scheduled date of the event, using the original form of payment.

Grievance Policy
Please address any questions or concerns about your experience at this or any program or event you have attended at the Boston Psychoanalytic Society and Institute to the Program Chair, via the Senior Administrator/Continuing Education Administrator, BPSI, 141 Herrick Road, Newton Centre, MA 02459; office@bpsi.org; 617.266.0953.

The Boston Psychoanalytic Society and Institute, Inc., 141 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 programs or employment.