MITPP: The Help-Rejecting Patient 4/11/12 Open House & Clinical Presentation (April 11)

160 West 86th Street, New York, NY 10024 o (212) 496-2858
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Wednesday, April 11, 2012
1:00 PM – 2:30 PM

Often therapists find themselves stymied by their patients’ denial of the conflict between the need for help vs. need to reject it. This case represents a dramatic version of a conflict that is present to one degree or other–or at one time or other in most treatments. The presentation will focus on the transference/counter transference dynamics of work with a 27 year old professional who is deeply involved in treatment. While intellectually grasping her problems, she shows a subtle but strong pull to avoid what she feels could be overwhelming emotions: guilt, self-criticism, issues of disappointment in herself and others, as well as feelings of loss. Despite considerable improvement in her understanding of herself, her troubled marriage, what is behind the need to avoid looking at disturbing issues within herself, she simultaneously struggles with a powerful underlying wish to get away from treatment-and from her therapist. This may take the form of coming as much as 20 minutes late or missing sessions entirely. At other times it may take a more overt form in her expression of her need/wish to leave altogether. The nature of her anxiety of her attachment to her therapist and her attempts to understand the nature of her anxiety and fear of being intruded upon will be considered. Additionally, the therapist will discuss how she utilizes her own countertransference reactions to help interpret the patient’s need to devalue the treatment, especially the more the patient feels a need for help.

PRESENTER: Ann Rudovsky, L.C.S.W. Certificate in Psychoanalysis, New York Freudian Society. Advanced Candidate in Child and Adolescent Analysis: New York University Psychoanalytic Institute, New York University Medical School. Faculty and Supervisor: Metropolitan Institute for Training in Psychoanalytic Psychotherapy, Adult and Child and Adolescent Programs. Training and Supervising Analyst, Faculty, Board Member: New York Freudian Society. Member: International Psychoanalytical Association.

160 West 86th Street (outside entrance, between Amsterdam & Columbus Avenues)

Space is limited. There is no fee but you must reserve in advance. For reservations: please contact Ivy Vale, Registrar, at mitppnyc.

Training opportunities, including flexible scheduling and financial options to fit individual needs, will be described following the presentation.

Refreshments will be served.

MITPP, chartered by the New York State Board of Regents, offers three certificate programs: a three year program in Psychoanalytic Psychotherapy with Adults, a two year program in Child and Adolescent Psychotherapy and a program leading to New York State licensure in Psychoanalysis for those with Masters Degrees who don’t qualify for licensure in the established mental health professions. Matriculants see patients at the Metropolitan Center for Mental Health, which is licensed by The New York State Office of Mental Health. Social Workers’ clinical hours qualify toward the LCSW. MITPP’s low tuition of $1,000 per semester includes all supervision. Courses are also offered on a non-matriculated basis.

Applications are now being accepted for the Fall 2012 semester.

If you wish to receive emailed announcements of our events, scientific meetings, open houses, courses and workshops, please email mitppmailings.


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