Psychoanalytic Center of the Carolinas
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Transforming Destructiveness
Center for Psychological and Family Services (CPFS)
550 Eastowne Drive, Suite 220
Chapel Hill, NC 27514

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Tuesday, December 13, 2016, 5:30 PM - 7:00 PM EST
Category: Courses

Transforming Destructiveness:
Psychoanalytic Psychotherapy with the Difficult to Treat Patient
Instructors: Peter Perault, MD and guest instructors


This 16-week course will focus on how to successfully help patients whose "under-structured" personality organization presents special challenges to the developmental goals of a psychoanalytic treatment.

Class discussion and reading will cover:

  • We will look at various "languages" used to describe these patients in different psychoanalytic models of the mind, with readings on borderline personality disorder and attachment theory.
  • We will especially focus on the therapist stance, emphasized in relational psychoanalysis, which requires a particular way of listening that allows the patient-therapist dyad to make contact with parts of their own and each others' minds in useful ways.
  • The course instructors will encourage lively discourse, a stance of "not knowing," and ample opportunity for the presentation of case material.

Prerequisite: This course is for PECC matriculated students, graduates of the Psychoanalytic Institute or the PPSC AC, clinicians who have completed the Psychoanalytic Institute or PPSC AC coursework, or clinicians who receive permission of the instructor. It will be at an intermediate through advanced level

Where:     Center for Psychological and Family Services (CPFS)
When:      August 23 - December 13, 2016
Time:       5:30pm - 7pm
CME Credits: 24 / CE Credits: 9 / NBCC: 24 clock hours / All others: Letter of Attendance
Training Program Credit: Students who successfully complete this course can earn credit in both the psychoanalysis and psychoanalytic psychotherapy training programs.

About the Instructor: Peter Perault, MD

Registration and Tuition Deadline deadline is August 16.  $25 Registration Fee is due at time of application.
Tuition: $650  
$485 for students matriculated in the training programs 
$600 for residents and graduate students
Payment plans can be arranged with the Administrator
Matriculated students aren't charged a course registration fee.  Students who register for more than one course in a semester pay only one registration fee.  In special circumstances we may accept registrations after the registration deadline, but there will be an additional $20 late registration fee.

Registration CLOSED


Course Learning Objectives: 
Class participants will be able to

  1. Describe the symptoms, ego structure, and defense mechanisms of patients with diagnoses involving under-structured personality organizations.
  2. Increase their understanding of the differential diagnosis for borderline personality disorder.
  3. Gain an appreciation for historical developments in psychoanalytic technique and theory which address the specific challenges of under-structured personalities.
  4. Promote critical thinking about the advantages and disadvantages of different therapeutic interventions in the treatment of under-structured personality organization.
  5. Learn the effect of attachment trauma on infant development and on the subsequent development of ego structure.
  6. Recognize the mutual influence that therapists and patients exert on each others' transferences and counter-transferences in the consulting room.
  7. Come to appreciate the value of a relational stance which privileges an attitude of "not knowing."
  8. Understand how emotional storms are destructive to a mentalizing process, the management of which is essential for success when working with patients with under-structured personality organization.
  9. Apply clinical techniques that foster the development of mentalizing skills in under-structured personalities.

CE & CME Information

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of American Psychoanalytic Association and Psychoanalytic Center of the Carolinas. 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 24 AMA PRA Category 1 CreditsTM. 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.

The Psychoanalytic Center of the Carolinas is approved by the American Psychological Association to sponsor continuing education for psychologists. The Psychoanalytic Center of the Carolinas maintains responsibility for this program and its content.

The Psychoanalytic Center of the Carolinas has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6518. Programs that do not qualify for NBCC credit are clearly identified. The Psychoanalytic Center of the Carolinas is solely responsible for all aspects of the program.


Contact: admin@ncanalysis.org