Transforming Destructiveness:
Psychoanalytic Psychotherapy with the Diffi cult to Treat Patient
Instructors: Peter Perault, MD 

Remote Learners Welcome

This 16-week course will focus on how to successfully help patients who se "under-structured" personality organization presents special challenges to the developmental goals of a psychoanalytic treatment.

Class discussion and reading:

< ul>
  • We will look at various "languages" use d to describe these patients in different psychoanalytic models of the mind , with readings on borderline personality disorder and attachment theory.
  • We will especially focus on the therapist stance, emphasized in relational psychoanalysis, which requires a particular way of listening that allows the patient-therapist dyad to make contact with parts of their own and each others' minds in useful ways.
  • The course instructor will encourage lively discourse, a stance of "not knowing," and ample opportunity for the presentation of case material.
  • Register Here

    : This course is for PCC matriculated students , graduates of the Psychoanalytic Institute or the PPSC AC, clinicians who have completed the Psychoanalytic Institute or PPSC AC coursework, or clini cians who receive permission of the instructor. It will be at an intermedia te through advanced level


    Where:     Center for Psychological and Family Service s (CPFS)
    When:      Janua ry 22 - May 7, 2019
    Time:       7:10p - 8:40p
    CME Credits: 24 / CE: 24 clock hours/ NBCC: 24 clock hours / All others: Letter of Attendance

    About th e Instructor: Peter Perault, MD 

    Sylla bus posted on PCC website.  Click here.< /strong>

    Registration and Tuition Deadline deadline is January 15.  $25 Registration Fee is due at time of application.
    Tuition: $650  
    $485 for students matriculated in the training programs 
    $600 for residents and graduate s tudents
    Payment plans can be ar ranged with the Administrator
    Matriculated students aren't charged a course registration fee.  Students who register for more than one course in a semester pay only one registration fee.  In special circumstances we may accept registrations a fter the registration deadline, but there will be an additional $20 late re gistration fee.
    Course Cancellation Policy


    C website.  Click here. Register Here

    Course Learnin g Objectives: Class participants will be able to

    1. Describe the symptoms of patients with diagnoses inv olving under-structured personality organizations.
    2. Describe the ego structure of patients with diagnoses involving under-structured personality organizations.
    3. Describe the defense mechanisms of patients with diagnoses involving under-structured personality organizations.
    4. Describe the diagnosis for borderline pe rsonality disorder.
    5. Explain t he differential diagnoses for borderline personality disorder.
    6. < li>Discuss the advantages of different thera peutic interventions in the treatment of individuals with under-structured personality disorganization.
    7. Discuss the disadvantages of different therapeutic interventions in the tre atment of individuals with under-structured personality disorganization
    8. Describe the historical developm ents in psychoanalytic technique which address the specific challenges of u nder-structured personalities.
    9. Describe the historical developments in psychoanalytic theory which addre ss the specific challenges of under-structured personalities.
    10. Describe the effect of attachment trauma o n infant development.
    11. Describ e the effect of attachment trauma on the subsequent development of ego stru cture.
    12. Describe the influence that the patient’s transference exerts on the therapist in the consulting room.
    13. Describe the influence of the therapist’s countertransference to the patient as observed in the co nsulting room.
    14. Describe the v alue of a relational stance which utilize an attitude of "not knowing.
    15. Explain the “mentalization” proce ss.
    16. Describe the emotional st orms that may be a symptom of clients with under-structured personality org anizations.
    17. Describe how thes e emotional storms may be destructive to a mentalization process
    18.  Explain in what ways the management of emotional storms is essential to working with clients with under-structure d personality organizations.
    19. Describe the clinical techniques that foster the development of mentalizati on skills in clients with under-structured personalities.
    20. Discuss clinical materials where the developme nt of mentalization has been successfully applied in clients with under-str uctured personality organization

     Updated 2018

    CE & CME Information


    This activity has been planned and implemented in accordance wi th the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of American Psychoanalytic Association and Psychoanalytic Center of the Carol inas. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians.

    The Amer ican Psychoanalytic Association designates this Live Activity for a maximum of 24 AMA PRA Category 1 Credits ™. Physicians should claim only the credi t commensurate with the extent of their participation in the activity.

    IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the pla nners and presenters of this CME program have any relevant financial relati onships to disclose.

    The Psychoanalytic Center of the Carolina s has been approved by NBCC as an Approved Continuing Education Provider, A CEP No. 6518. Programs that do not qualify for NBCC credit are clearly iden tified. The Psychoanalytic Center of the Carolinas is solely responsible fo r all aspects of the program.

  DTSTAMP:20190822T005942 DTSTART;TZID=America/New_York:20190423T191000 DTEND;TZID=America/New_York:20190423T204000 SEQUENCE:0 TRANSP:OPAQUE END:VEVENT END:VCALENDAR