Psychoanalytic Center of the Carolinas
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Defenses and Unconscious Fantasy
Tuesday, May 14, 2019, 7:30 PM - 9:00 PM EST
Category: Courses

Defenses and Unconscious Fantasy
Instructor: Laurie J Pahel, MD

Remote Learners Welcome


This course will focus on refining an understanding of the concepts of and around unconscious fantasy and defense mechanisms, with an emphasis on practical applications through the discussion of clinical material from readings and as presented by class participants.  We will be using books and articles written by clinicians representing a variety of modern psychoanalytic schools.  Students will be encouraged to use these sessions to consider the place of the topics under discussion in their own practices.

This course is appropriate for intermediate through advanced students, as well as clinicians with extensive experience who have permission of the instructor

Prerequisite: This class is open to matriculated Psychoanalytic Adult or Adult/Child students who have completed all or nearly all of the Core Curriculum.  Some exceptions to the requirements that the psychoanalytic student has finished all or nearly all of the Core Curriculum may be made by the psychoanalysis program.  

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Where:     Durham, NC
When:      March 19, 2019 and runs for 8 sessions
Time:       7:30 - 9:00 pm
CME Credits: 12 / CE: 12 clock hours/ NBCC: 12 clock hours / All others: Letter of Attendance

Training Program Credit: Students who successfully complete this course can earn credit on the Psychoanalysis training program. If there is a course assignment, students must complete the assignment to receive training program course credit.


Syllabus here

Registration and Tuition Deadline deadline is March 12.  $25 Registration Fee is due at time of application.

Tuition: $315  
$235 for students matriculated in the training programs 
$290 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.
Course Cancellation Policy

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Course Learning Objectives: Class participants will be able to

  1. Discuss your conceptualization of unconscious fantasy.
  2. Describe how unconscious fantasy is used in your analytic work.
  3. Explain Jacob Arlow’s contributions to conceptualizations of unconscious fantasy in American (ego psychology-oriented) mid- and late 20th century psychoanalytic communities.
  4. Compare the concept of unconscious fantasy as it is conceptualized in the topographical and structural models of the mind. 
  5. Explain the contemporary Kleinian position on interpretation of unconscious fantasy.
  6. Describe Silverman’s “Mommy and I are One” experiments and their possible implications regarding the concept of unconscious fantasy.
  7. Describe the Interpersonal/Relational approaches to working with unconscious fantasy in clinical practice.
  8. Describe Shane’s concept of “global fantasy” and explain its application in clinical situations.
  9. Describe the intrapsychic relationships between defenses and unconscious fantasy.
  10. Describe the changes in Kleinian approaches to challenging/working with defense mechanisms.
  11. Discuss the differences between approaches to the concepts of defense mechanisms presented in recent papers by the Novicks and Phebe Cramer.
  12. Discuss the distinctions between denial and repression as delineated by Joseph Fernando.

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 Credits ™. 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 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]