Defects in the Process of Representation in Early Childhood with presenter Christine Anzieu-Premmereur, M.D., Ph.D. at NYPSI

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NYPSI’s 1035th Scientific Program Meeting: Defects in the Process of Representation in Early Childhood:  Consequences in Child Development and Analytic Technique in Dyadic Therapy with presenter Christine Anzieu-Premmereur, M.D., Ph.D. and discussant Patricia Nachman, Ph.D.
Defects in the Process of Representation in Early Childhood:
Consequences in Child Development and Analytic Technique in Dyadic Therapy

Presenter: Christine Anzieu-Premmereur, M.D., Ph.D. Discussant: Patricia Nachman, Ph.D.

Tuesday, March 12, 2019 | 8:00 – 10:00 pm, New York Psychoanalytic Society & Institute, 247 East 82nd Street, NYC (btwn 2nd and 3rd Aves), $25 – General Admission, $15 – Student Admission (non-NYPSI), No charge for NYPSI members and students

Register HERE, visit or call 212.879.6900In this paper presentation Dr. Anzieu will discuss the normal and pathological development of representation in childhood. Using clinical examples, she will demonstrate the ways in which the child’s analyst can foster the process when it has gone off track. By integrating Freud’s idea of autoeroticism and early instinctual life with concepts from Klein, Winnicott, and Bion, she will describe the formation of the child’s self and will consider how its representation progresses from an initially symbiotic double of the mother to a differentiated object.

In doing psychoanalytically-informed work with children, the analyst encounters behaviors, anxiety states, and syndromes that may be said to result from a failure of the early symbolization process. A discharge of tension, as opposed to play, reveals the failure of association between representation and emotion. Why the child acts rather than plays, why behavioral problems are on the rise, and how both relate to a failure in the capacity for representation, a failure that leads to severe anxieties and other disorders in the absence of loved ones, will therefore provide the focus of the discussion.

2 CME/CE credits offered.

Reading of Interest:
1. Alvarez, A. (2010). Levels of analytic work and levels of pathology: The work of calibration. The International Journal of Psychoanalysis, 91(4), 859-878.
2. Anzieu-Premmereur, C. (2013).  The process of representation in early childhood. In H.Levine, G.Reed and D. Scarfone (Eds.), Unrepresented States and the Construction of Meaning (pp.240-255).  London: Karnac.
3. Botella, C. Botella, S. (2005). The Work of Psychic Figurability: Mental States Without Representation.
New York, NY: Routledge.
4. Levine, H.B. (2008). The Work of Psychic Figurability: Mental States without Representation. By César Botella Sara Botella. Hove, England/New York Brunner-Routledge, 2005. 212 pp.. Psychoanal. Q., 77(2):639-648
5. Reed, G.S. (2009). An Empty Mirror: Reflections on Nonrepresentation. Psychoanal Q., 78(1):1-26.

Christine Anzieu-Premmereur is a psychiatrist and psychoanalyst in private practice in NYC.  A member of the Société Psychanalytique de Paris and the New York Psychoanalytic Society & Institute, she is on the faculty of the Columbia Psychoanalytic Center for Training and Research, where she directs the Parent-Infant Psychotherapy Training Program, and Assistant Clinical Professor in Psychiatry at Columbia University.  Among her several publications, Dr. Anzieu-Premmereur most recently co-edited A Psychoanalytic Exploration of the Body in Today’s Psychoanalysis.

Patricia A. Nachman, Ph.D. is a clinical psychologist and child and adult psychoanalyst in private practice in New York City and a member of the New York Psychoanalytic Society & Institute.  She is an Attending Psychologist in the Department of Psychiatry, Mt. Sinai School of Medicine  and a Lecturer in Psychiatry at the Columbia College of Physicians and Surgeons.

Dr. Nachman is a former Assistant Professor of graduate psychology at the New School University and Director of the Margaret Mahler Observational Research Nursery.  Prior to that she was a Senior Research Scientist in the Laboratory for Developmental Processes headed by Dr. Daniel Stern in the Dept. of Psychiatry, New York Presbyterian Hospital, Cornell Medical College.

Lois Oppenheim, PhD,
Chair of Scientific Program Committee

Educational Objectives
Upon completion of this activity, participants will be able to:
1. Describe and critically evaluate the consequences of disorders in representational capacity.
2. Evaluate the role of mental representation in psychic functioning.
3. Identify techniques of analytic therapy in child and adult work in the theoretical context of representation and its deficit.


This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American Psychoanalytic Association and the New York Psychoanalytic Society and Institute. 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 disclosure information for all learners

None of the planners and presenters of this CME program have any relevant financial relationships to disclose.


New York Psychoanalytic Society & Institute is approved by the American Psychological Association (APA) to sponsor continuing education programs for psychologists. New York Psychoanalytic Society & Institute maintains responsibility for this program and its content.


None of the planners or presenters of this CE program has any relevant financial relationships to disclose.

Social Workers

New York Psychoanalytic Society & Institute is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0317.

Persons with disabilities

The building is wheelchair accessible and has an elevator. Please notify the registrar in advance if you require accommodations.


247 East 82nd Street, NY, NY 10028 | 212.879.6900 |

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