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KEYNOTE SPEAKER: Otto Kernberg, MD PANELISTS: Diana Diamond, PhD Frank Yoemans, PhD KEYNOTE ADDRESS
Otto F. Kernberg, MD, F.A.P.A.
Narcissistic Love Relations
Dr. Kernberg will review characteristics of narcissistic patients’ incapacity to establish satisfactory love relations. He highlights their emotional, erotic, and idealizing interactions. Kernberg then describes stages of transference developments in Tranference Focused Psychotherapy (TFP) with narcissistic patients. Changes in their love lives parallet key aspects of therapeutic change, limitations and prognostic features.
Dr. Kernberg is Director of the Personality Disorders Institute (PDI) at The New York Presbyterian Hospital, Westchester Division, and Professor of Psychiatry at the Weill Medical College of Cornell University. He is also Training and Supervising Analyst of the Columbia University Center for Psychoanalytic Training and Research. Among his many awards are the Mary S. Sigourney Award for Psychoanalysis (1990), the William F. Schonfeld Memorial Award of the American Society for Adolescent Psychiatry (1982) and the Heinz Hartmann Award of the NY Psychoanalytic Institute and Society (1972). Dr. Kernberg is the author of 13 books and co-author of 12, including Borderline Conditions and Pathological Narcissism, The Inseparable Nature of Love and Aggression, and, most recently, Resolution of Agression and Recovery of Eroticism.
Diana Diamond, PhD
Attachment to Internal Objects in Narcissistic Patients: Impact on the Capacity to Love
A mature love relation integrates erotic strivings and tenderness, ongoing mutual idealization of the partner, and gratitutde for love received. Vital to the emotional and sexual satisfaction are the dual achievements of the capacity both to depend on and to care for another. Narcissistic patients’ inability to bear dependency renders them more likely to eschew explorations of underlying conflicts. Rahter, they typically seek admiration, advice or solutions to immediate problems. Case material illustrates a femaile patient in whome such conflicts were defended against by narcissistic grandiosity maintained by seeking relationships in which she was admired rather that loved. TFP focused on how this patter devolved from an unconscious identification with a self-centered, idealized , but indifferent mother that formed both a central organizer for her pathological grandiose self and a major impediment to the capacity to love.
Dr. Diamond is Professor of Clinical Psychology at City University of New York; Senior Fellow in the PDI at Weill Medical Center of Cornell University; and faculty at the NYU Postdoctoral Program in Psychotherapy and Psychoanalysis, NY Psychoanalytic Society and Institute (NYPSI) and New School for Social Research. She has published numerous articles and co-authored A Clninical Guide to Treating Narcissistic Disorders: A Transference Focused Psychotherapy. She is the recipient of several awards including the Research Award of APA’s Division of Psychoanalysis (2019). Dr. Diamond Practices psychoanalysis and psychotherapy in NYC.
Frank Elton Yeomans, MD, PhD
The Enemy to Love Relations: Understanding and Working with the Grandiose Self
Dr. Yeomans will describe how Narcissistic Personality Disorder (NPD) is distinguished from Borderline Personality Organization (BPO) by the grandiose pathological self. The grandiose self–a fusion of primitive aspects of the idealized self, the idealized other, and real self–forms the major barrier to mutual, nuanced contact with others that underlies mature love. For narcissistic people, mutuality and genuine dependence are humiliating, threaten their need for superiority and leave them vulnerable to the other whose separate, autonomous mind is beyond their control. Dr. Yeomans offers example of the grandiose self, followed by detailed process material illustrating its dismantling. The ability to relinquish control, tolerate vulnerability and experience others as capable of giving are key to achieving the depressive position, thereby consolidating the capacity to love.
Dr. Yeomans is Clinical Associate Professor of Psychiatry at Weill Cornell Medical College, Director of Training at PDI, and Adjunct Associate Clinical Professor of Psychiatry at Columbia University Vagelos College of Physicians & Surgeons. He is Honorary Member of the America Psychoanalytic Association, President of the International Society for TFP, and Chair of the Group for the Advancement of Psychiatry Committee on Psychotherapy. Dr. Yeomans has co-authored numerous articles and several books, most recently Transference-Focused Psychotherapy for Narcissistic Personality Disorder.
8:30 Registration and Light Breakfast
9:00 Welcome: Co-Chairs Angelica Kaner, PhD and Barbara Marcus, PhD
Introductions: Moderator, Jill Delaney, LCSW
9:15 Otto Kernberg, MD
Narcissistic Love Relations
10:15 Discussion with Dr. Kernberg
10:30 Diane Diamond, PhD
Attachment to Internal Objects in Narcissistic Patients:
Impact on the Capacity to Love
11:30 Discussion with Dr. Diamond
11:45 Lunch and Book Raffle
12:45 Frank Yeomans, MD
The Enemy to Love Relations:
Understanding and Working With the Grandiose Self
1:45 Dicussion with Dr. Yeomans
2:00 General Discussion
2:45 Closing Remarks: Matthew Shaw PhD
TRANSFERENCE FOCUSED PSYCHOTHERAPY (TFP)
The TFP group has found that the more severe the narcissistic pathology, the more formidable the treatment challenge and the more guarded the prognosis. Their approach, presented at this conference, allows us to differentiate and treat those who can be helped by therapy informed by careful assessment and TFP techniques.
CONFERENCE LEARNING OBJECTIVES
Participants will be able to identify typical stages of Transference Focused Psychotherapy with narcissistic patients.
Participants will be able to identify obstacles to the capacity to love in pathologically narcissistic patients.
Participants will be able to recognize the components of the pathological grandiose self and its defensive functions.
Participants will be able to identify transference and countertransference patterns that typify narcissistic patients.
Diamond, D.; Clarkin, J.F., Levy, K.N., Meehan, K.B., Cain, N.M., Yeomans, F.E., Kernberg, O.F. (2014). Change in attachment and reflective function in borderline patients with and without comorbid narcissistic personality disorder in Transference Focused Psychotherapy. Contemporary Psychoanalysis, 50 (1-2):175-210.
Diamond, D., Blatt, S.J., Lichtenberg, J. (2007) Attachment and Sexuality. New York: Routledge.
Kernberg, Otto F. (1995). Love Relations: Normality and Pathology. New Haven: Yale University Press.
Stern, B.L., Diamond, D., Yeomans, F.E. (2017). Transference Focused Psychotherapy (TFP) for narcissistic personality: Engaging patients in the early treatment process. Psychoanalytic Psychology, 34(4):381-396
Yeomans, F.E., et al. (in press). Transference-Focused Psychotherapy for Narcissistic Personality Disorder.
Psychologists will have their participation registered through Division 39. Division 29 is approved by the American Psychological Association to sponsor continuing education for psychologists. Division 39 maintains responsibility for the program and its content. This program is available for 5 continuing education credits. Participants must attend 100% of the program. Upon completion of a conference evaluation form, a certificate will be issued. This serves as documentation of attendance for all participants. CSPP and Division 39 are committed to accessibility and non-discrimination in continuing education activities and will conduct all activities in conformity with the American Psychological Association’s Ethical Principles for Psychologists. There is no commercial support for this program nor are there any relationships between the CE sponsor, presenting organization, presenter, program content, research, grants or other funding that could reasonably be construed as conflicts of interest.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of American Psychoanalytic Organization and The Western New England Psychoanalytic Society. The Americian 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 4.5 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 information to disclose.
This program is being reviewed for 5 Continuing Education hours by the National Association of Social Workers, CT to meet the continuing education criteria for CT Social Work Licensure renewal.
CME/CEC credit requires a signed attendance form and completed evaluation form. Certificates will be mailed to you.
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