APM – Transference and Countertransference with Somatic Patients (May 1)


The monthly meeting of the Association for Psychoanalytic Medicine will be held at the New York Academy of Medicine, 2 East 103rd Street, New York City,
on TUESDAY, MAY 1, 2012 at 8:00 p.m.



PRESENTER: Marilia Aisenstein

With the introduction of new clinical concepts, such as pensée opératoire (a form of mechanical / concrete thinking), the Paris Psychosomatic School has contributed new modes of working with non-neurotic patients who require a redefining of the concept of the transference and countertransference. Projections or displacements of affect onto the sensory system in a concrete manner are actively explored by the analyst. Interpretation focuses on connecting and disconnecting elements from a field of thought co-generated with the patient. The concept of layers or “strata of transference” will be introduced. These strata are theorized as beginning in a somatic experience, developing into the psychic, and only later emerging, at their highest level, into language. Through a series of clinical examples, the concept of “strata of the transference” will be presented to illustrate an approach to patients who lack the language in which to evoke the transference. It is only after the transposition into language that the “space of polysemy” (a space for the play of multiple meanings) can develop. The utility of the preconscious countertransference, conceptualized as evoking “counter-perceptions” to aspects of the patient’s nonverbalized transference, is also presented.

Marilia Aisenstein is a Training Analyst of the Hellenic Psychoanalytical Society and the Paris Psychoanalytical Society. She is past president of the Paris Society and of the Paris Psychosomatic Institute, member of the editorial board of the “Revue Française de Psychanalyse,” and co-founder and editor of the “Revue Française de Psychosomatique.” She is the present Chair of the Executive Committee of the Paris Society’s Psychoanalytical Clinic. She is the European representative to the IPA’s Executive Committee. She works in private practice and gives seminars in the Hellenic and the Paris Societies.

She has written over one hundred articles, chapters, and books on psychosomatics and hypochondria published in French and International psychoanalytic journals. She received the Maurice Bouvet prize in 1992.

The International Psychoanalytic Scholar Lectureship (formerly the Andre B. Ballard Lectureship) is sponsored by the APM in collaboration with the Columbia University Center for Psychoanalytic Training and Research. The event is entirely financed by the APM membership’s voluntary contributions and is usually held every three years. By invitation, the distinguished psychoanalytic scholar gives a formal lecture at the Academy, a seminar for candidates at the Center, and two or three seminars for APM members and faculty, over a period of several days. Past recipients have included: Andre Green, Raquel Zac de Goldstein, R. H. Etchegoyen, Betty Joseph, Patrick Mahony, Joseph Sandler, J. Chasseguet-Smirgel, Joyce McDougall, Leon Grinberg, Herbert Rosenfeld, John Steiner and Antonino Ferro.

Educational objectives:
After attending this presentation, participant will able to:

1. Be able to describe a novel theory for the diagnosis of certain non-neurotic patients presenting with psychosomatic disorders

2. Be able to describe a unique psychoanalytic approach to the treatment of non-neurotic patients with psychosomatic disorder

Henry P. Schwartz, M.D.

Edith Cooper, Ph.D.


Edward Kenny, M.D.
Chair, Program Committee

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Psychoanalytic Association and the Association for Psychoanalytic Medicine. 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 2 AMA PRA Category 1 Credit(s). Physicians should claim only the credit commensurate with the extent of their participation in the activity.

IMPORTANT DISCLUSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters of this CME program have any relevant financial information to disclose.



Leave a comment

Filed under Uncategorized

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google+ photo

You are commenting using your Google+ account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )


Connecting to %s