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Saturday, April 27th 2019

Annual Day in Psychoanalysis - FROM THEORY TO PRACTICE: The Rigid Neurotic Patient; Mourning Idealized Ideas, Concepts, Theories and Teachers

Presenters: Eric R. Marcus, MD and Arnold Rothstein, MD | Discussants: Norman Doidge, MD and Charles Hanly, PhD
presented by tps&i - Toronto Psychoanalytic Society & Institute

The Rigid Neurotic Patient
Presenter: Eric R. Marcus, MD
Discussant: Norman Doidge, MD

Rigid neurotic character structure is a problem often seen in psychoanalytic treatments. It presents the problem of failure to change and is one cause of mid-phase stalemates. This talk will explore the differential diagnosis, functional structure of the defenses, requirements of technique, and transference – counter transference problems in the treatment of these patients.

Mourning Idealized Ideas, Concepts, Theories and Teachers
Presenter: Arnold Rothstein, MD
Discussant: Charles Hanly, PhD

In this paper I suggest that mourning idealizations is an important aspect of analysts’ development. More specifically, such mourning processes facilitate the development of independent thinking, as well as more satisfying clinical work and professional careers.

Learning Objectives:
At the end of the session participants will be able:

• Understand rigid neurotic character structures.
• Manage treatment impasses more effectively.
• Mourn idealized ideas, concepts, theories, and teachers.
• Refine their own views on psychoanalytic theory, concepts, and technique.


8:00 am – Registration and continental breakfast

9:00 am – Introduction

9:15 am – Eric R. Marcus: The Rigid Neurotic Patient
Discussant: Norman Doidge

10:45 am – Break

11:00 am – Open discussion for audience and panel

Noon – Hart House gourmet lunch, included in fee

1:00 pm – Arnold Rothstein: Mourning Idealized Ideas, Concepts, Theories and Teachers
Discussant: Charles Hanly

2:45 pm – Break

3:00 pm – Open discussion for audience and panel

Annual Day Committee
Les Fleischer, PhD, RSW, FIPA, Chair
Madhu Vallabhaneni, MD, FRCPC, Co-Chair
Cyril Levitt, PhD, RP
Sarah Usher, PhD, CPsych
Irwin Kleinman, MD, FRCPC


Eric R. Marcus, MD
Eric R. Marcus, MD is a Training and Supervising Analyst at the Columbia University Center for Psychoanalytic Training and Research, where he was the director for ten years. He is a professor of clinical psychiatry at the Columbia University College of Physicians and Surgeons.

He is a Distinguished Life Fellow of the American Psychiatric Association. He is a Fellow of the New York Academy of Medicine, the American College of Psychoanalysts, The New York Psychiatric Society, The American Board of Psychoanalysis and the Center for Advanced Psychoanalytic Studies.

He is a past president of the New York County district branch of the American Psychiatric Association and currently on their executive committee. He is a past president of the Association for Psychoanalytic Medicine. He was a counselor-at-large to the executive committee and chair of the University and Medical Education Committee of the American Psychoanalytic Association. He now chairs discussion groups there on modern ego psychology and also on the psychodynamic treatment of the very ill psychiatric patient.

For twenty-seven years he was director of medical student education for the department of psychiatry of Columbia University. During that time, he studied the stages of development of medical student empathic capacity by looking at their dreams about medical school and residency training. The study applied psychodynamic techniques to social science research. His teaching awards include the Columbia University President’s Teaching Award, the first Roeske teaching award of the American Psychiatric Association, the first Shabshin teaching award of the American Psychoanalytic Association, the regional teaching award of the Association for Academic Psychiatry, and numerous College of Physician’s and Surgeons teaching awards including Commencement Speaker.

His research is in modern ego psychology, studying symbolic processes in affect representations. He is especially interested in symbolic alterations of reality: their phenomenology, psychic structure, uses, and neurophysiology.

His latest book is Psychosis and Near Psychosis: Ego Function, Symbol Structure, Treatment, revised third edition, 2017, Routledge. The first edition won The Hartmann Prize of The New York Psychoanalytic Institute.

Arnold Rothstein, MD
Arnold Rothstein, MD is a practicing analyst from New York City. He is the author of The Narcissistic Pursuit of Perfection; The Structural Hypothesis: An Evolutionary Perspective; Psychoanalytic Technique and the Creation of Analytic Patients; and Making Freud More Freudian. He was the founding editor of the Workshop Series of the American Psychoanalytic Association, Editor of the Moscow Lectures on Psychoanalysis, and Co-Editor (with Theodore Jacobs) of On Beginning an Analysis. Dr. Rothstein is Clinical Professor of Psychiatry at Mt. Sinai Hospital in New York City, a Training and Supervising Analyst at the New York Psychoanalytic Society and Institute, and a member of the faculty and past Director of the Institute for Psychoanalytic Education affiliated with the NYU School of Medicine. Dr. Rothstein was the Program Chair of the American Psychoanalytic Association, as well as Program Chair for North America of the International Psychoanalytic Association.

Norman Doidge, MD
Norman Doidge, MD is a psychiatrist and psychoanalyst, essayist, and poet, on faculty at the Departments of Psychiatry at the University of Toronto and, Columbia University, Center for Psychoanalytic Training and Research. He is a Training and Supervising Analyst in the Canadian Institute for Psychoanalysis, and the TIP. He has written over 170 scientific and popular articles. His early writing was on trauma, the schizoid character, and the diagnosis of patients in psychoanalysis. He served as head of the Assessment Clinic, and the Psychotherapy Centre, at the Clarke Institute of Psychiatry in the 1990s. He is a winner of the Sigourney Prize. His book, The Brain That Changes Itself, is available in over 100 countries and was chosen by Cerebrum, as the best general book on the brain. He has lectured at conferences sponsored by Harvard, MIT and Yale, presented his research on patients in psychoanalysis at the White House, and other research at the United Nations, the London School of Economics, Royal Society of Arts London, Trinity College Institute of Neuroscience, Dublin, Peking University, and the Library of Congress National Book Festival among others.

Charles Hanly, PhD
Charles Hanly, PhD is a psychoanalyst in private practice, a Training Analyst at the Toronto Institute of Psychoanalysis and a Professor Emeritus (philosophy) at the University of Toronto. Professor Hanly is the author of four books, and more than 100 clinical, theoretical and applied papers. His recent research has been on problems of pluralism and the restoration of mainstream theory, an epistemology for psychoanalysis and narcissism. Hanly developed and administered a plan for the admission of U.S. groups into the International Psychoanalytic Society and, as the first chair of International New Groups, facilitated the formation of new psychoanalytic groups and the revival of psychoanalysis in Central and Eastern Europe, Asia and India. He was elected to several terms on the Executive Council of the IPA and then on the Board. He was elected President of the IPA from 2009 – 2013.


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