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Michigan Psychoanalytic Institute & Society

An Addition to the Psychoanalytic Understanding of Clinical Sadomasochism and the Negative Therapeutic Reaction

Melvin Bornstein, M.D.
Training and Supervising Analyst
Michigan Psychoanalytic Institute

Discussant: Harvey H. Falit, M.D.
Training and Supervising Analyst
Michigan Psychoanalytic Institute

Saturday, January 26, 2013
2:00 – 4:00 PM
2 CME and CE Credit Hours

Michigan Psychoanalytic Institute
32841 Middlebelt Rd.
Farmington Hills

Practice Gap/Need and Course Description
The psychoanalytic understanding of sadomasochism and the negative therapeutic reaction remain central tools for working with serious analytic impasses. The concepts have evolved theoretically over the decades. This program integrates the framework of various theoretical models to posit a psychoanalytic model of trauma that conceptualizes the experience of a whole person who feels overwhelmed by the dangers of feeling truly alive and retreats into sadomasochistic enactments. At the conclusion of this two hour program, participants will be able to DEMONSTRATE:

1. Familiarity with the complimentarity of various psychoanalytic models (including object relation theory, self psychology, and the work of Wurmser and Novick) to facilitate the understanding of the overwhelming shame experienced by traumatized patients attempting to express themselves within the analytic relationship.
2. Greater appreciation of the protective aspects of sadomasochistic behaviors in patients who reject feeling alive (because it includes generating a narrative about the trauma) by defeating the earnest efforts of the analyst. 3. Greater understanding of a fundamental view of psychoanalysis which emphasizes an appreciation of the agency, intimacy and vitality that is generated within this closely personal human relationship.

About the presenter: Melvin Bornstein, M.D. is a Training and Supervising Analyst at the Michigan Psychoanalytic Institute. He is also Clinical Associate Professor at Wayne State University, Department of Psychiatry and Behavioral Neurosciences, Editor of Psychoanalytic Inquiry, and Past President of the Michigan Psychoanalytic Institute and the Michigan Psychoanalytic Society.