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Psychodynamics: Essential to the Issue of Suicide and Other Challenges to Modern Day Psychiatry

The American Academy of Psychoanalysis and Dynamic Psychiatry 57th Annual Meeting May 16-18, 2013 The Westin St. Francis 335 Powell Street San Francisco, CA 94102

A Forum for Psychoanalysis and Dynamic Psychiatry

Registration is open to all mental health professionals and behavioral/social scientists.


AMERICAN ACADEMY OF PSYCHOANALYSIS AND DYNAMIC PSYCHIATRY Officers President - Michael Blumenfield, M.D. Past President - César A. Alfonso, M.D. Secretary - Gerald P. Perman, M.D. Treasurer - Ann L. Price, M.D. Trustees Abby I. Altman, M.D. Kimberly R. Best, M.D. Crittenden E. Brookes, M.D., Ph.D. Mariam C. Cohen, M.D., Psy.D., Ph.D. Debra A. Katz, M.D. Eugenio M. Rothe, M.D. Scott C. Schwartz, M.D. Joseph R. Silvio, M.D. Helen E. Ullrich, M.D., Ph.D.   Psychodynamic Psychiatry Richard C. Friedman, M.D., Editor Jennifer I. Downey, M.D., Deputy Editor César A. Alfonso, M.D., Deputy Editor    Academy Forum Gerald P. Perman, M.D., Editor   Academy News Marie L. Westlake, Editor   Executive Director Jacquelyn T. Coleman, CAE   Executive Assistant Marie L. Westlake   Academy Office One Regency Drive • Post Office Box 30 Bloomfield, CT 06002 Phone: 888-691-8281 • Fax: 860-286-0787 E-mail: info@AAPDP.org Website: www.AAPDP.org

  The Academy is where physician psychoanalysts and psychodynamic psychiatrists: discover a forum for exchange of ideas; find a voice within the APA to advocate for psychodynamic understanding in the evaluation and treatment of patients; take a leadership role in promoting the importance of psychodynamic training in residency and medical education.


AMERICAN ACADEMY OF PSYCHOANALYSIS AND DYNAMIC PSYCHIATRY Psychodynamics: Essential to the Issue of Suicide and Other Challenges to Modern Day Psychiatry May 16-18, 2013 San Francisco, CA Program Chair: Mary Ann Cohen, M.D. CME Committee Chair: Silvia Olarte, M.D. Chair of the Scientific Program Committee: Eugenio M. Rothe, M.D. Conference Learning Objectives: This meeting has been designated to meet the following professional practice gaps and the needs derived from those gaps: Gap #1: Improving treatment of patients by: A. Attaining sufficient knowledge of psychodynamic principles and the ability to apply this knowledge. B. Enhancing the ability to integrate dynamic principles, psychopharmacology, and neuroscience in clinical practice. Needs derived from Gap #1: A. To learn about development of therapeutic alliances; transference and countertransference; the handling of challenging situations; and practical applications of psychoanalytic theories. B. To learn about complex pathologies, neuroscientific advances, pharmacological treatments, and medical conditions and their implications/ramifications for psychodynamic psychotherapy. Gap #2: Enhancing training of residents and early career psychiatrists Needs derived from Gap #2: A. To learn new ways of engaging residents and training them in the complex theories and techniques of psychodynamic psychotherapy. B. To foster learning of complex theories and techniques of psychodynamic psychotherapy by early career psychiatrists. All presentations must address at least one of the specified needs. The Academy expects the results of its CME program to be improvement in competence or performance. Definitions: “Competence” refers to knowing how to do something. “Performance” is what a psychiatrist would do in practice if given the opportunity. Target Audience: Psychiatrists, psychoanalysts, psychodynamic psychiatrists, psychosomatic medicine psychiatrists, psychologists, social workers, early career psychiatrists, trainees, residents, and students. The American Academy of Psychoanalysis and Dynamic Psychiatry is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The American Academy of Psychoanalysis and Dynamic Psychiatry designates this live activity for a maximum of 20.5 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The American Academy of Psychoanalysis and Dynamic Psychiatry acknowledges the generous support of the Alexandra and Martin Symonds Foundation for its educational programs.


THURSDAY MAY 16, 2013

7:00 PM REGISTRATION Foyer, Second Floor 7:30 PM – 9:00 PM OPENING SESSION California West, Second Floor

Welcome: Introduction: Presenter:

Michael Blumenfield, MD (Woodland Hills, CA) Eugenio Rothe, MD (Miami, FL) Mardi Horowitz, MD* (San Francisco, CA) Grieving As Well As Possible

9:00 PM – 9:30 PM OPENING NIGHT RECEPTION (Cash Bar) California East, Second Floor FRIDAY MAY 17, 2013 7:30 AM – 9:00 AM BUSINESS MEETING California West, Second Floor AAPDP members and current applicants are invited to attend to learn about Academy activities. 9:00 AM - 12 NOON SYMPOSIUM I: ON THE NATURE AND CLINICAL APPLICATION OF PSYCHODYNAMICS California West, Second Floor Chair: Crittenden Brookes, MD, PhD (San Francisco, CA) Presenter: Joseph R. Silvio, MD (Bethesda, MD) Some Thoughts on Psychodynamics Presenter: Richard Friedman, MD (New York, NY) Descriptive Psychiatry and Psychodynamics: Relationships in Assessment and Treatment Planning Presenter: Clay Whitehead, MD (Chapel Hill, NC) The Future of Psychodynamics Presenter: Crittenden Brookes, MD, PhD (San Francisco, CA) Discussion and Amplification of the Nature, Future and Clinical Use of Psychodynamics Discussant: Crittenden Brookes, MD, PhD (San Francisco, CA) 9:00 AM – 10:30 AM WORKSHOP I: TRANSCULTURAL AND INTERGENERATIONAL ASPECTS OF SUICIDE California East, Second Floor Chair: Helen Ullrich, MD, PhD (New Orleans, LA) Presenter: Helen Ullrich, MD, PhD (New Orleans, LA) Changing Patterns of Suicide in a South India Village Presenter: Jane Tillman, PhD* (Stockbridge, MA) Familial Dynamics and the Intergenerational Transmission of Suicide Presenter: Eugenio Rothe, MD (Miami, FL) Suicidality and Acculturation in Hispanic Adolescents Discussant: Jennifer I. Downey, MD (New York, NY)


10:30 AM – 12:15 PM RESIDENTS’ WORKSHOP: CLINICAL DILEMMAS AND THERAPEUTIC ISSUES - SPONSORED BY THE NEW YORK MEDICAL COLLEGE PSYCHOANALYTIC INSTITUTE California East, Second Floor Chair: Douglas H. Ingram, MD (New York, NY) Presenter: Elena F. Garcia-Aracena, MD* (Brooklyn, NY) The Challenge of the Transference Presenter: Pangiota Korenis MD (Eastchester, NY) When the Pregnant Psychiatrist in Training Delivers a Stillborn Baby: A Clinical Challenge Presenter: Ubong Udoyen MD* (New Haven, CT) Passive Suicidal Ideations in the Context of Alcohol Dependence Discussant: Silvia Olarte, MD (New York, NY) Discussant: César Alfonso, MD (New York, NY) Discussant: Scott Schwartz, MD (New York, NY) 12:15 PM – 2:00 PM WORKSHOP III: PARADOXICAL TRAGEDIES: SUICIDE AS IMPACT OF TRAUMA AND TRAUMA AS IMPACT OF SUICIDE California West, Second Floor Chair: Mariam Cohen, MD (Scottsdale, AZ) Presenter: Mariam Cohen, MD (Scottsdale, AZ) Effect of Maternal Suicide: A Case Presentation Presenter: Nancy Lutwak, MD* (New York, NY) Military Sexual Trauma Increases the Risk of Post-traumatic Stress Disorder and Depression, Amplifying the Possibility of Suicidal Ideation and Cardiovascular Disease Discussant: Debra Katz, MD (Lexington, KY) 12:15 PM – 1:45 PM WORKSHOP IV: RELATIONAL SUICIDE RISK ASSESSMENT WITH PARTICULAR ATTENTION TO MEDICAL STUDENTS California East, Second Floor Chair: Eugenio Rothe, MD (Miami, FL) Presenter: Leonard M. Gralnik, MD, PhD* (Miami, FL) Relational Suicide Risk Assessment: Risks, Resources, and Possibilities for Change Presenter: Daniel Castellanos, MD* (Miami, FL) Suicide and Medical Students Discussant: Joanna Chambers, MD (Indianapolis, IN) 1:45 PM – 5:15 PM SILENT ART AUCTION Curator: Joseph Silvio, MD Open to all registrants and speakers of the AAPDP 57th Annual Meeting. The artwork for this event has been donated by Drs. Joseph Silvio, César Alfonso, Astrid Rusquellas, Scott Schwartz, David Forrest and Marianne Eckardt. Winners of the auction will be announced during the Attendees Reception.


2:00 PM – 5:00 PM SYMPOSIUM II: “DON’T CHANGE THE SUBJECT” – A DOCUMENTARY FILM ABOUT SUICIDE AND A DISCUSSION OF THE PSYCHODYNAMICS OF SUICIDE AND ITS AFTERMATH California West, Second Floor Chair: Michael Blumenfield, MD (Woodland Hills, CA) Filmmaker: Michael Stutz* (Los Angeles, CA) After the showing of the 90-minute film, “Don’t Change the Subject,” there will be an interview of the filmmaker, Michael Stutz, by Dr. Blumenfield. Using the film as catalyst, this interview will be followed by an interactive discussion with symposium attendees of the psychodynamics that prevent people from talking about suicide. 2:00 PM - 3:15 PM WORKSHOP V: PSYCHODYNAMIC PSYCHOTHERAPY IN THE CARE OF PERSONS WITH MEDICAL ILLNESS – PRACTICAL APPLICATIONS AND CLINICAL RESEARCH California East, Second Floor Chair: Eva Szigethy, MD, PhD (Pittsburgh, PA) Presenter: Eva Szigethy, MD, PhD (Pittsburgh, PA) The Effects of Psychotherapy on the Brain- Gut Axis: A Randomized Control Trial of Psychodynamic Psychotherapy versus Cognitive Behavioral Therapy in Depressed Youth with Inflammatory Bowel Disease Presenter: Eileen Nudelman, MD* (Baltimore, MD) Psychotherapy with Adolescents in a Therapeutic Day School: Psychological Treatment for Biological Disorders Discussant: Silvia Olarte, MD (New York, NY) 3:30 PM TO 5:00 PM WORKSHOP VI: STATES OF MIND PRECEDING A NEAR LETHAL SUICIDE ATTEMPT: PRELIMINARY FINDINGS OF A MIXED METHODS STUDY California East, Second Floor Chair: Jane G. Tillman, PhD, ABPP* (Stockbridge, MA) Presenter: Jane G. Tillman, PhD, ABPP* (Stockbridge, MA) Studying States of Mind Preceding a Near Lethal Suicide Attempt: Interpretative Phenomenological Analysis Presenter: A. Jill Clemence, PhD* (Albany, NY) A Quantitative Analysis of Variables Related to Suicide Risk Presenter: Katie C. Lewis, MA* (Saratoga Springs, NY) The Relationship between Personality Organization, Object Relations, Impulsivity, and Suicidal Behavior Discussant: Gerald P. Perman, MD (Washington, DC) 5:30 PM - 7:00 PM KEYNOTE ADDRESS California West, Second Floor Introduction: Presenter:

Mary Ann Cohen, MD (New York, NY) Dilip Jeste, MD (La Jolla, CA) Wisdom: From Psychology to Neuroscience


7:00 PM – 8:30 PM ATTENDEES RECEPTION AND BOOK EXHIBIT California East, Second Floor All registered attendees and speakers are invited to attend the reception. Members of the AAPDP and invited speakers of the Annual Meeting are welcome to display their published books and answer questions as part of a Book Exhibit during the reception. Winners of the Silent Art Auction will be announced at this time. SATURDAY MAY 18, 2013 9:00 AM – 12 NOON SYMPOSIUM III: JUNGIAN APPROACHES TO DEPRESSION AND SUICIDE Elizabethan B&C, Second Floor Chair: Thomas B. Kirsch, MD (Palo Alto, CA) Presenter: Thomas B. Kirsch, MD (Palo Alto, CA) Introduction to the Subject of Suicide: Jungian View Presenter: John Beebe, MD* (San Francisco, CA) Jungian Contributions to the Understanding of Suicidal Depression Presenter: Susan Calfee, PhD, MFT* (Davis, CA) Suicide, Symbolic Capacity, and Foreclosure Presenter: Paul Fine, MD (Omaha, NE) Psychodynamic Considerations in Homelessness and Suicide Thoughts Presenter: Steven E. Zemmelman, MSW, PhD* (San Francisco, CA) There but for Fortune: Phil Ochs, Protest, and an Imaginal Exploration of the Transference- Countertransference Field Presenter: Paul Watsky, PhD, ABPP* (San Francisco, CA) Suicide and Meaning – Jungian Approaches Discussant: Crittenden Brookes, MD, PhD (San Francisco, CA) 9:00 AM – 10:00 AM WORKSHOP VII: TRAUMA AND IDENTITY: A PSYCHOLOGICAL AUTOPSY California East, Second Floor Chair: Sherry Katz-Bearnot, MD (New York, NY) Presenter: Richard Brockman, MD (New York, NY) 10:00 AM – 12 NOON SYMPOSIUM IV: PHASE-ORIENTED APPROACHES TO TREAT PTSD: UTILIZING ALTERNATIVE TECHNIQUES TO RAPIDLY STABILIZE AND NEUTRALIZE POST-TRAUMATIC REACTIVATIONS AND INTEGRATION INTO PSYCHODYNAMIC PSYCHOTHERAPY California East, Second Floor Chair: Sherry Katz-Bearnot, MD (New York, NY) Presenter: Anthony J. Tranguch, MD, PhD* (New York, NY) Neurobiologic Underpinnings of Post Traumatic Reactivation and Resolution with Alternative and Integrative Approaches Discussant: Richard Brockman, MD (New York, NY) 9:00 AM – 12 NOON SYMPOSIUM V: THERAPEUTIC APPROACHES TO THE CARE OF SUICIDAL PATIENTS AND TO COUNTERTRANSFERENCES California West, Second Floor Chair: Myron L. Glucksman, MD (Redding, CT) Presenter: Eric Plakun, MD (Stockbridge, MA) Alliance-Based Intervention for Suicide: A Psychodynamic Approach to Treating Suicidal Patients


Presenter: Presenter: Presenter: Discussant:

Ronald Turco, MD (Portland, OR) Freud and His Dogs: Love, Separation, Loss, and Healing Myron L. Glucksman, MD (Redding, CT) Manifest Dream Content as a Predictor of Suicidality Scott Schwartz, MD (New York, NY) Suicide Glorified: A Renaissance View of Death Eric Plakun, MD (Stockbridge, MA)

12:00 PM - 2:00 PM SYMPOSIUM VI: PSYCHODYNAMIC TREATMENT OF THE SUICIDAL ADOLESCENT California West, Second Floor Chair: Mark J. Goldblatt, MD (Cambridge, MA) Presenter: Mark J. Goldblatt, MD (Cambridge, MA) The Suicidal Adolescent: Developmental Issues, Separation-Individuation, and Hostile Introjects Presenter: Elsa Ronningstam, PhD* (Belmont, MA) Psychodynamics of the Suicidal Adolescent Presenter: Mark Schechter, MD* (New York, NY) Psychodynamic Treatment of a Suicidal Adolescent Discussant: Clarice Kestenbaum, MD (New York, NY) 12:15 PM – 1:45 PM RESIDENTS’ WORKSHOP AND LUNCHEON California East, Second Floor Chair: Presenter:

Joanna Chambers, MD (Indianapolis, IN) Robert Adam Jenkins, MD (Bala Cynwyd, PA) Sitting with a Suicidal Patient

12:30 PM – 1:45 PM PSYCHOPHARMACOLOGY PEER SUPERVISION WORKSHOP Elizabethan A, Second Floor Presenter: Joseph R. Silvio, MD (Bethesda, MD) Presenter: Juan Raul Condemarin, MD (Brighton, MA) 12:30 PM – 1:45 PM AN INTERVIEW WITH THE MASTERS: LEAH DAVIDSON, MD Elizabethan B&C, Second Floor Chair: Eugenio Rothe, MD (Miami, FL) Interviewer: Gerald P. Perman, MD (Washington, DC) Interviewee and Presenter: Leah Davidson, MD (New York, NY) Ideological Suicide: Pathology or Inspiration? 2:00 PM – 3:30 PM WORKSHOP VIII: THE THERAPEUTIC USE OF DREAMS Elizabethan B&C Chair: Myron L. Glucksman, MD (Redding, CT) Presenter: Myron L. Glucksman, MD (Redding, CT) Presenter: Milton Kramer, MD - in absentia (New York, NY) This workshop is open to clinicians and residents. Attendees are invited to bring dream material for presentation and discussion.


2:00 PM – 5:00 PM SYMPOSIUM VII: THE PSYCHODYNAMICS OF PHYSICIAN ASSISTED SUICIDE: A HUMANISTIC APPROACH TO DEATH WITH DIGNITY California West, Second Floor Chair: Lewis Cohen, MD* (Northampton, MA) Presenter: Kevin Hails, MD* (Merion Station, PA) Historical Perspective on Physician-Assisted Suicide: From the Greeks to the Present Day Presenter: Lewis Cohen, MD* (Northampton, MA) Who Are the Death with Dignity Doctors? Presenter: Philip Muskin, MD* (New York, NY) Psychodynamic Approach to Patients’ Requests for Hastened Death Discussant: Asher D. Aladjem, MD (Paterson, NJ) 2:00 PM – 5:00 PM SYMPOSIUM VIII: SUICIDE AND OTHER IMPORTANT PSYCHOLOGICAL ISSUES FACING THE US MILITARY California East, Second Floor Chair: Michael Blumenfield, MD (Woodland Hills, CA) Presenter: John Bradley MD* (Boston, MA) Veterans Administration and Department of Defense Clinical Practice Guideline for Prevention of Suicide Presenter: Christopher Perry MD (Honolulu, HI) Alcohol Use in the Military and the Relationship to Suicide Presenter: George Brandt, MD* (Littleton, CO) Building the System of Care to Bring Them Home Presenter: Judith Broder, MD* (Studio City, CA) Profound Effect of Combat and Multiple Deployment on Character Structure and Predisposition to Suicide Discussant: Sheila Hafter Gray, MD (Washington, DC) 5:30 PM - 7:00 PM PRESIDENTIAL ADDRESS California West, Second Floor Introduction: Michael Blumenfield, MD (Woodland Hills, CA) President’s Award: Elise Snyder, MD Presenter:

Herbert Pardes, MD* (New York, NY) Psychodynamics in a Turbulent World of Health Reform

7:30 PM – 10:00 PM AWARDS DINNER  Additional registration and fee required. This event is open to Members of the AAPDP and their invited guests. See staff at the registration desk for details.

* = Invited


FINANCIAL DISCLOSURES Faculty members with no disclosures: A. Aladjem, A. Alfonso, J. Beebe, M. Blumenfield, J. Bradley, G. Brandt, R. Brockman, J. Broder, C. Brookes, S. Calfee, D. Castellanos, J. Chambers, AJ Clemence, M. Cohen, MA Cohen, L. Cohen, J. Condemarin, L. Davidson, J. Downey, P. Fine, R. Friedman, E. Garcia-Aracena, M. Glucksman, M. Goldblatt, L. Gralnik, S. Hafter Gray, K. Hails, M. Horowitz, D. Ingram, RA Jenkins, D. Jeste, D. Katz, S. Katz-Bearnot, C. Kestenbam, T. Kirsch, P. Korenis, M. Kramer, K. Lewis, N. Lutwak, P. Muskin, E. Nudelman, S. Olarte, H. Pardes, G. Perman, C. Perry, E. Plakun, E. Ronningstam, E. Rothe, M. Schechter, S. Schwartz, J. Silvio, M. Stutz, E. Szigethy, J. Tillman, A. Tranguch, R. Turco, U. Udoyen, H. Ullrich, P. Watsky, C. Whitehead, S. Zemmelman Faculty members making disclosures: None Faculty members who have not returned financial disclosures: None Members of the Program, Scientific Program and CME Committees listed below have returned forms as planners indicating no conflicts of interest: C. Alfonso, A. Altman, K. Best, M. Blumenfield, C. Brookes, M. Cohen, R. Condemarin, E. Della Badia, B. Fisher, A. Green, S. Katz-Bearnot, M. Novick, S. Olarte, G. Perman, C. Perry, E. Rothe, E. Scarcella, J. Silvio, M. Tolchin, H. Ullrich Planners of this meeting making disclosures: None


SPEAKER OBJECTIVES If there is one objective for a presentation with multiple authors, the objective is found under the author’s last name that appears first alphabetically. John Beebe, MD By attending this presentation, participants will have the opportunity to improve competence or performance in understanding the psychodynamics of suicide from a Jungian perspective; relating suicidal emotions and behaviors within psychotherapy to the emergence of the self as formulated by Jung in his studies of the individuation process; and applying Jungian insights to the clinical management of suicidal crises. Michael Blumenfield, MD By attending this presentation, participants will have the opportunity to improve competence or performance in understanding and recognizing resistances that people have to talking about a potential suicide; understanding and recognizing resistances that people have to talking about suicide in the aftermath of it; and understanding the role of humor in defending against feeling and emotions about suicide. John Bradley MD By attending this presentation, participants will have the opportunity to improve competence or performance in summarizing the goals and limitations of clinical practice guidelines, describe the CPG development process, appraise the scope and quality of available evidence to date for the psychodynamic factors related to suicide and suicide prevention, translate the available evidence for the assessment and treatment of suicidality into clinical recommendations, and apply the clinical practice guideline to individual practice. George Brandt, MD By attending this presentation, participants will have the opportunity to improve competence or performance in discussing the state of care at Fort Carson prior to August 2008, discussing the epidemiological consultation at FCCO October 2008, and describing setting up the system of care. Richard Brockman, MD By attending this presentation, participants will have the opportunity to improve competence or performance in understanding of the “ripple effect” of a suicide - its traumatic impact on members of a family. Judith Broder, MD By attending this presentation, participants will have the opportunity to improve competence or performance in understanding the extent of suicide in the US military as well as the psychodynamic factors involved in the problem and other psychological issues. Crittenden Brookes, MD, PhD By attending this presentation, participants will have the opportunity to improve competence or performance in understanding of currently evolving psychodynamics and the application of the knowledge to the consulting room. Susan Calfee, PhD, MFT By attending this presentation, participants will have the opportunity to improve competence or performance in learning about basic analytic psychology and learn about Jungian approach to depression and suicide. Daniel Castellanos, MD By attending this presentation, participants will have the opportunity to improve competence or performance in their ability to integrate how to identify, educate, support and treat medical students at risk for suicide in their clinical practice. A. Jill Clemence, PhD


Lewis Cohen, MD By attending this presentation, participants will have the opportunity to improve competence or performance in improving treatment of patients by attaining sufficient knowledge of psychodynamic principles and the ability to apply this knowledge to psychiatric evaluations of patients requesting assisted dying. Mariam Cohen, MD By attending this presentation, participants will have the opportunity to improve competence or performance in identifying effects of maternal suicide on personality development and dealing with narcissistic personality in psychotherapy. Juan Raul Condemarin, MD By attending this presentation, participants will have the opportunity to improve competence or performance in enhancing the ability to integrate dynamic principles, psychopharmacology, and neuroscience in clinical practice. Leah Davidson, MD By attending this presentation, participants will have the opportunity to improve competence or performance in differentiating heroism and ideological suicide from pathological states of mind, as well as assessing the influence of heroism on the relatives and culture of the hero as compared with the destructive effects of pathological suicide on friends and family. Paul Fine, MD By attending this presentation, participants will have the opportunity to improve competence or performance in the use and limitations of statistical correlations between homelessness, mental illness and suicidality; recognizing vicissitudes of emptiness and insecurity among homeless and suicidal patients and; ways to help patients focus on their will to live and to find a home for the heart. Richard Friedman, MD By attending this presentation, participants will have the opportunity to improve competence or performance in learning about the complex psychopathologies, fostering coping behavior, developing the therapeutic alliance, incr easing treatment adherence. Elena F. Garcia-Aracena, MD By attending this presentation, participants will have the opportunity to improve competence or performance in understanding and exploring problematic cases in psychodynamic psychiatry. Myron L. Glucksman, MD (Workshop VIII) Myron L. Glucksman, MD (Symposium V) By attending this presentation, participants will have the opportunity to improve competence or performance in identifying manifest dream content of depressed non-suicidal patients and identifying manifest dream content of depressed potentially or acutely suicidal patients. Mark J. Goldblatt, MD By attending this presentation, participants will have the opportunity to improve competence or performance in understanding and treating suicidal adolescents; recognizing severe pathology and its role in suicidal distress; understanding how separation issues between mother and teenage son can influence suicidality. Leonard M. Gralnik, MD, PhD By attending this presentation, participants will have the opportunity to improve competence or performance in using an empathic, contextual approach based on psychodynamic principles to assess the risks and resource of suicidal patients, and to make a sound clinical judgment regarding necessary treatment to ensure patient safety. Also to improve competence and performance in the development of a safety plan.


Kevin Hails, MD Mardi Horowitz, MD By attending this presentation, participants will have the opportunity to improve competence or performance in understanding the positive changes to identity that may occur as a consequence of completing a mourning process that does not ward off review of a lost relationship. Robert Adam Jenkins, MD By attending this presentation, participants will have the opportunity to improve competence or performance in the challenges facing a psychiatrist in treating a mildly or moderately suicidal patient in the outpatient setting, with specific attention given to situations encountered by residents in training. Dilip Jeste, MD  By attending this presentation, participants will have the opportunity to improve competence or performance by defining wisdom across cultures; discussing possible bio-social mechanisms involved in wisdom; and to consider therapeutic approaches to wisdom. Thomas B. Kirsch, MD (See Susan Calfee, PhD, MFT) Pangiota Korenis MD (See Elena F. Garcia-Aracena, MD) Katie C. Lewis, MA Nancy Lutwak, MD By attending this presentation, participants will have the opportunity to improve competence or performance in understanding complex problems of women veterans: PTSD, Military Sexual Trauma, as well as understanding both physical and psychological effects of PTSD and MST. Philip Muskin, MD Eileen Nudelman, MD By attending this presentation, participants will have the opportunity to improve competence or performance in understanding how contemporary neuroscience supports and illuminates the practice of psychodynamic psychotherapy and recognizing therapeutic strategies that enhance the therapeutic alliance with Traumatized adolescents. Herbert Pardes, MD By attending this presentation, participants will have the opportunity to improve competence or performance regarding the current and likely future policies on healthcare and healthcare reimbursement, and the issues that influence the perspective on mental health policy in the United States. Christopher Perry MD By attending this presentation, participants will have the opportunity to improve competence or performance in understanding alcohol use as a coping mechanism and treating alcohol use as a risk factor for suicide Eric Plakun, MD By attending this presentation, participants will have the opportunity to improve competence or performance in treating suicidal patients by implementing principles of an Alliance Based Intervention for Suicide as part of psychodynamic therapy of self-destructive borderline patients; enhanced understanding of the symptom of suicide in borderline patients as an event with interpersonal meaning and as an aspect of negative transference; understanding common factors across schools of therapy in treating suicidal borderline patients derived from study of 6 behavioral and dynamic psychotherapies. Elsa Ronningstam, PhD


Eugenio Rothe, MD (Workshop I) By attending this presentation, participants will have the opportunity to improve competence or performance in understanding cultural factors affecting suicidality in Mexican adolescents living in Mexico vs. MexicanAmerican adolescents living in the United States and the risk factors and protective factors for suicidal ideation in each group; understanding how the stresses of acculturation affect the immigrant family structure and how the socioeconomic changes related to immigration can increase the risk of suicidal ideation in a particular immigrant population; becoming aware of how the stresses of acculturation may place the adolescents at risk of suicide and how to take the necessary precautions to prevent this negative outcome. Mark Schechter, MD Scott Schwartz, MD By attending this presentation, participants will have the opportunity to improve competence or performance in understanding some history of how suicide was viewed in Shakespeare’s time examining the roots of empathic view of suicide. Joseph Silvio, MD (Symposium I) Joseph R. Silvio, MD (Peer Supervision Workshop) By attending this presentation, participants will have the opportunity to improve competence or performance in enhancing the ability to integrate dynamic principles, psychopharmacology, and neuroscience in clinical practice. Eva Szigethy, MD, PhD By attending this presentation, participants will have the opportunity to improve competence or performance in understanding underlying neurobiology of brain-body interactions in depressed youth with a lifelong autoimmune gastrointestinal disorder, inflammatory bowel disease (IBD); to understand how psychodynamic psychotherapy can be utilized to treat depression in youth with inflammatory bowel disease using both theoretical models and empirically supported results from a randomized trial comparing supportive psychodynamic therapy to cognitive behavioral therapy in both psychological (brain) and physical-illness (immune and gastrointestinal systems) related symptoms; to understand how both therapy content and process factors as well as developmental sensitivity are important in achieving therapeutic efficacy using psychotherapy in adolescents. Jane Tillman, PhD, ABPP (Workshop I) By attending this presentation, participants will have the opportunity to improve competence or performance in understanding genetic studies of the transmission of suicide; the interaction of genetic studies and environmental contributions to suicidal behavior; and the psychodynamics and transference with a family history of suicide. Jane G. Tillman, PhD, ABPP (Workshop VI) By attending this presentation, participants will have the opportunity to improve competence or performance in describing patterns of thinking and feeling preceding a near lethal suicide attempt; recognizing complex psychodynamics interactions between personality, object relations, and impulsivity in suicidal patients; translating research findings into psychodynamic clinical practice in assessing and treating suicidal patients. Anthony J. Tranguch, MD, PhD By attending this presentation, participants will have the opportunity to improve competence or performance in understanding the neurobiological underpinnings of emotional and autonomic dysregulation caused by posttraumatic reactivation; describing a phase-oriented approach to treat PTSD; and naming at least 3 alternative techniques to stabilize and neutralize post-traumatic dysregulation.


Ronald Turco, MD By attending this presentation, participants will have the opportunity to improve competence or performance in accepting animals as part of the therapeutic process; understanding the importance of animals in therapy and with regard to the mourning process; understanding how animals help children to understand life. Ubong Udoyen, MD (See Elena F. Garcia-Aracena, MD) Helen Ullrich, MD, PhD By attending this presentation, participants will have the opportunity to improve competence or performance in cultural contributions to suicide and parasuicide, impact of cultural change on suicide patterns, psychodynamic principles applied to cultural change in suicide patterns. Paul Watsky, PhD, ABPP Clay Whitehead, MD By attending this presentation, participants will have the opportunity to improve competence or performance in recent progress in psychodynamic science, and of its future return to a position of leadership in traditional science and therapeutics. Steven E. Zemmelman, MSW, PhD By attending this presentation, participants will have the opportunity to improve competence or performance in understanding and building therapeutic alliances, challenges to the alliance with bipolar and suicidal patients, impact on the therapist of patient’s threat of suicide, suicidal behavior, and successful suicide.



Final program 2013