141 Herrick Rd
Newton, MA 02459
Living with Dying: Navigating treatment dynamics in the midst of a life-threatening illness
The 2018 Alan Pollack Annual Psychotherapy Conference on the Nature of the Transference
When a patient is faced with a terminal illness, what is the therapist’s role in helping her navigate the predicament of continuing to live as fully as possible while preparing to die? This paper explores the complexities of psychotherapy with a woman who, having far outlived predictions of her mortality, came to therapy because of a profound escalation of her anxiety and helplessness. Presenting with a life punctuated by a history of early abuse and fraught relationships, she sought relief from her anxiety and to find the love that she had never experienced. As the therapist grapples with powerful countertransferential currents heightened by the constant specter of death, the work deepens, finding a sustaining rhythm between the mutually informing “pulls” of life and death.
Jeanne Baer, LICSW (Presenter)
received her MSW from Smith College School For Social Work in 1993. She completed her ATP coursework at BPSI in 2000. She also has an M.S. Ed. from Bank Street College, and taught children and teachers for 15 years in NYC before becoming a psychoanalytic psychotherapist 24 years ago. She has a private practice in Norwich, Vermont.
Lucinda DiDomenico, MD (Discussant)
is a psychiatrist and psychoanalyst working with adults in her Newton Centre private practice. She is the Co-Chair of the Academic Lecture Committee, and is on the faculty of the ATP and Exploration in Mind programs at BPSI. She supervises adult psychiatry residents at Tufts Medical Center and has an interest in psycho-somatic issues and the way the body shows up in treatment.
Randall Paulsen, MD (Discussant)
is a psychiatrist and Training and Supervising psychoanalyst and past president of BPSI. He is an Assistant Professor of Psychiatry at Harvard Medical School and currently works as the mind-body consultant in the Osher Clinical Center at Brigham and Women’s Hospital. He led Balint groups for physicians and directed Primary Care Psychiatry at the Beth Israel Deaconess Hospital from 1987 to 2000. He has a long-standing interest in the role of psychoanalysis and psychotherapy within the healthcare system. He has a private practice of psychoanalysis in Lexington.
Alan Pollack, MD (Moderator)
is a psychiatrist and psychoanalyst on the faculty at Boston Psychoanalytic Society & Institute, where he was Director of Psychotherapy Training for 24 years. He has a private practice in Newton, MA.
At the conclusion of this program, participants will be able to:
- Describe three common countertransferential responses in the treatment of a dying patient.
- Apply two approaches to helping a patient cope with death anxiety.
- Discuss the rationale for altering a therapeutic stance in a patient facing death.
- Explain how processing early life experiences in the therapeutic relationship can facilitate exploring and tolerating end of life anxieties.
Brody, S. (2015). Entering Night Country: Psychoanalytic Reflections on Loss and Resilience. Routledge.
Colosimo, K., Nissim, R., Pos, A. E., Hales, S., Zimmermann, C., & Rodin, G. (2017). “Double Awareness” in Psychotherapy for Patients Living With Advanced Cancer. Journal of Psychotherapy Integration. Advance online publication.
Pinsky, E. (2017). Death and Fallibility in the Psychoanalytic Encounter: Mortal Gifts. Routledge.
Willock, B., Bohm, L. C., & Curtis, R. C. (Eds.). (2007). On Death and Endings: Psychoanalysts’ Reflections on Finality, Transformations and New Beginnings. London, UK: Routledge.
9:00 am – 9:15 am: Introduction; 9:15 am – 10:15 am: Presentation; 10:15 am – 10:30 am: Coffee Break; 10:30 am – 10:50 am: First Discussant; 10:50 am – 11:10 am: Second Discussant; 11:10 am – 12:00 pm: Discussion with Audience.
The target audience for this program is mental health clinicians at all levels of training.
Space is limited. Registration in advance at bpsi.org is required. Questions?: 617-266-0953.
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 3 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 2.5 hours of CE.
Please note: Per APA requirements, social workers must attend 100% of a course in order to be eligible for continuing education credit.
Social Workers: Please contact The Boston Psychoanalytic Society and Institute’s Administrative Office at email@example.com or 617-266-0953.
Please note: Per NASW requirements, social works must attend 80% of a course in order to be eligible for continuing education credit.
Licensed Mental Health Clinicians: The Boston Psychoanalytic Society and Institute (BPSI) has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6913. BPSI is solely responsible for all aspects of the programs. This program offers 3 NBCC Clock Hours.
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 firstname.lastname@example.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 an 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.
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 / Director of Continuing Education, BPSI, 141 Herrick Road, Newton Centre, MA 02459; email@example.com; 617.266.0953.
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