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Michigan Psychoanalytic Institute & Society

In This Room at This Time: Notes on Analytic Attention and Relating

Henry Markman, M.D.
Training and Supervising Analyst
San Francisco Center for Psychoanalysis

Discussant:  Dwarakanath G. Rao, M.D.
Training and Supervising Analyst
Michigan Psychoanalytic Institute

Saturday, May 15, 2010
2:00 - 4:00 PM
2 CME and CE Credit Hours
4448 East Hall, University of Michigan, Ann Arbor
(Corner of Church Street and South University Avenue, see map
Please call Monica Simmons at 248-851-3380 for additional information

This paper will explore various aspects of the analyst's attention, including the relationship the analyst has with his or her clinical theory. The author uses the model of the field developed by the Barangers, and the concept of projective identification refined by Michael Feldman, to show how attention to the moment to moment flow of the interaction between patient and analyst allows for the discovery of evolving unconscious object relations mutually created by the participants, including ways each may use the other to close off the emergence of disturbing, novel experiences.  This mode of attending can be described as serial listening, in contrast to structural listening--which seeks enduring underlying structure responsible for the phenomena observed in the consultation room. The advantage of serial listening will be considered, in particular the way it orients the analyst to moments when he or she might avoid the intensity of the analytic relationship, e.g., through transference interpretations linking the past to the present, theory-driven listening and interpretations, undue conviction, reassurance, etc. This model assumes a phenomenological foundation in which movement and flux characterize the experience. Meaning is made rather than discovered each step of the way. A more limited, yet essential role for interpretation will be discussed, as well as the sort of interpretation which arises from serial listening.  Links to aesthetic experience and musical listening will also be explored. A clinical example will be presented.

Participants will be able to:

1. Become familiar with concepts of the field and projective identification, and the relevance of these concepts for clinical practice.

2. Apply the concepts of serial and structural listening to clinical material.

3. Define modes of attention in analytic listening, and how these various modes direct clinical interventions.

4. Integrate into clinical thinking aesthetics and clinical listening.

About the presenter:

Dr. Markman is a Training and Supervising Analyst at the San Francisco Center for Psychoanalysis and Training Analyst at the Psychoanalytic Institute of Northern California.  His major interests include analytic listening, music and psychoanalysis, the relation of theory to practice (including the analyst's transferences to theory and the way expectations arise from various theories), time in psychoanalysis, and the theoretical contributions of Klein and Bion.


Physicians:  The Michigan Psychoanalytic Society is accredited by the Michigan State Medical Society Committee on CME Accreditation to provide continuing medical education for physicians.  The Michigan Psychoanalytic Society designates this educational activity for a maximum of 2 AMA PRA Category 1 Credit(s) (1 credit equals 1 hour).  Physicians should only claim credit commensurate with the extent of their participation in the activity.

Social Workers:  This program is approved by the Michigan Social Work Continuing Education Collaborative.

The views of the speakers do not necessarily represent the views of the Michigan Psychoanalytic Society.