Transforming Destructiveness: Psychoanalytic Psychotherapy with the Difficult to Treat Patient (301)
Instructors: Peter Perault, MD and Liz Liepold, MSW
Description: This 16-week course will explore advances in contemporary psychoanalysis in understanding and helping individuals with narcissistic, borderline, attachment disorders and trauma. It will examine how we listen; the nature of empathy; the treatment of narcissistic and borderline personalities; the clinical application of infant and attachment research; the dynamics of shame, hatred, and othering; dominance and submission; dissociation and trauma. Readings include the work of Winnicott, Bion, Kohut, Fonagy, Kernberg, Benjamin, Bromberg, van der Kolk, Akhtar, and others.
Target Audience: This class is for participants at the intermediate level.
Format: This class will combine lecture and seminar formats; student participation is encouraged. All the PCC courses include small group discussions which require participants to read and synthesize the materials presented. Classes will include discussion of clinical material of both the instructors and the participants PCC faculty ensure that gaps in knowledge are addressed.
About the Instructors:
Peter Z. Perault, MD, a psychiatrist and psychoanalyst in Chapel Hill, has taught past PCC courses on contemporary psychoanalytic theory, self psychology, dreams, the psychology of men, and attachment, as well as “Transforming Destructiveness.” Trained at Yale, Duke and the PCC, he is clinical faculty in the Duke Department of Psychiatry, psychotherapy supervisor for the PCC, and a past president of the North Carolina Psychoanalytic Society (now the Psychoanalytic Center of the Carolinas).
Liz Liepold, LCSW is a clinical social worker in private practice in Chapel Hill, who trained at Smith College, The New School, The Gunderson Personality Disorders Institute, and the PCC. She has presented on attachment disturbances, mentalization, and the permutations of PTSD, embodiment and psychosis. Ms. Liepold is the past chair of PCC’s Anti-Racism Task Force and co-chair of the NC Chapter of the American Association for Psychoanalysis in Clinical Social Work. In addition to her ongoing training in psychoanalysis, Ms. Liepold is trained in mentalization-based treatment for personality disorders (MBT), Somatic Experiencing, and Eye Movement Desensitization and Reprocessing (EMDR). As a clinical social worker, her practice draws from intersectional, queer, and feminist social theories to expand her understanding of social contexts, such as late capitalism, racism, transphobia, and other -isms as they emerge in the clinical encounter.
Where: via Zoom
When: Tuesdays, January 17 – May 16, 2023 No class February 14th or April 11th.
Time: 7:10pm to 8:40pm Eastern Time (time subject to change)
CME Credits: 24 / CE Credits: 24 / NBCC: 24 clock hours / All others: Letter of Attendance
Prerequisite: This class is open to matriculated Psychoanalytic Psychotherapy, Psychoanalytic Adult, Adult/Child students. Students will need a basic exposure to and understanding of psychoanalytic theory and its application to the treatment of patients. Applicants can meet this requirement through previous coursework, training, or supervision (e.g., Thinking Psychoanalytically: The Basics; the PPSC Introductory Course; psychoanalytic coursework or supervision in graduate school/residency or post-graduation)
Ideally, students will have completed most of the other classes in the Core Curriculum to attend this class. Applicants who do not meet this requirement can register for the course with permission of the instructors.
Training Program Credit: Students who successfully complete this course can earn credit in both the psychoanalysis and psychoanalytic psychotherapy training programs. Students must complete course assignments to receive training program credit.
Continuing Education Credit: At the end of the course, participants must complete the evaluation form to receive continuing education credit. The instructor(s) has signed a financial disclosure form and has no commercial support that represents a conflict of interest.
Course Syllabus: Download Syllabus
Registration and Tuition Deadline is January 10.
$25 Registration Fee is due at the 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 are not 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.
Course Cancellation Policy
Course Learning Objectives:Class participants will be able to:
- Describe the term “widening scope” and how this relates to working with trauma.
- Describe how the theory of narrative is useful in the development of how therapists listen to their clients.
- Describe the concept of empathic listening.
- Discuss the role of empathic listening toward achieving a successful treatment.
- Describe the empathic mode of perception.
- Explain how shame develops over time according to infant research.
- Discuss the unbearable nature of shame and it impact on therapeutic work.
- Discuss the junctures between psychoanalysis, attachment, and trauma.
- Describe some of the neurobiological underpinnings for personality disorders.
- Explain a mentalization-based approach to treating borderline personality disorder.
- Discuss various approaches to the treatment of borderline personality disorder.
- Discuss aspects of the nature of hatred and rage, its motivations, and its emergence in treatment.
- Explain dissociation and its impact on clinical process.
- Discuss trauma and dissociation as it arises as a result of childhood sexual abuse.
- Describe the impact of trauma on transference and countertransference.
- Describe how neuroscience may impact how we consider the treatment of trauma and its aftermath.
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 provider ship 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 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 for this educational activity have relevant financial relationship(s)* to disclose with ineligible companies* whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.
*Financial relationships are relevant if the educational content an individual can control is related to the business lines or products of the ineligible company. -Updated July 2021
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: [email protected]
© Psychoanalytic Center of the Carolinas
101 Cloister Court, Suite A || Chapel Hill, NC 275614
Phone: 919.490.3212 || Fax: 877.897.4034 || www.carolinapsychoanalytic.org
Psychoanalytic Center of the Carolinas: Promoting Emotional Resilience by Understanding the Mind Through Psychoanalytic Education, Practice and Service.
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