Conference Scientific Committee:
Alfred Dumitrescu, Brînduşa Orăşanu, Eugen Papadima, Silvia Papadima, Vera Şandor
Vasile Dem. Zamfirescu (responsabil stiintific)
LECTURERS:
Franco De Masi, Horst Kächele, Giampaolo Kluzer, Ilany Kogan, Luis Rodríguez de la Sierra, Michel Vincent
Nadia Bujor, Aurelia Ionescu, Irena Talaban
Monica Balaşa, Georgiana Dobrescu, Ioana Lazăr, Daniela Luca, Rodica Matei, Gianina Micu, Brînduşa Orăşanu, Simona Reghintovschi, Vasile Dem. Zamfirescu
Georgiana Brănişteanu, Ioana Ionescu, Anatoli Eduard Reghintovschi, Gabriela Romaneţ, Codruţa Zerfas
Lecturers and their papers:
PLENARY CONFERENCES
ILANY KOGAN
Psychoanalyst, trainer with the Israel Psychoanalytic Society and supervisor at the Department of Children and Adolescents of the Eppendorf University Hospital in Hamburg, Germany.
Psychoanalyst, trainer for candidates and members of the MAP in Munich and Aachen, Germany and the IPA psychoanalytic group in Istanbul, Turkey.
Title of presentation: Psychoanalysis in the shadow of terror - Dealing with anxiety in a period of crisis
"At a time when war and destruction are part of everyday life, and our safety is increasingly threatened, one of the questions we Israeli analysts ask ourselves is, what is the place of psychoanalysis in such a world? Can we in good faith propose to practice psychoanalysis in situations of great anxiety caused by a crisis, and can we, in the face of the effect of terrorism, hold on to our identities as psychoanalysts?
The relationship between external and internal realities in a situation of chronic life- threatening crisis provides a natural laboratory in which to re-examine fundamental questions regarding the practice, as well as the theory, of psychoanalysis. In this paper, situated at the boundary of external and internal reality, and at the boundary of the personal and the professional, I will examine the way the analyst deals with his patient’s as well as his own anxiety in a situation of crisis. In the light of clinical material taken from one of my case studies I will explore the role of the analyst in psychoanalytic treatment in such situations."
AURELIA IONESCU
Analyst, trainer with the British Association of Child Psychotherapy
Member of the British Psychoanalytic Society, member of IPA
Accredited by the Confederation of British psychotherapist,
PhD in Family Therapy
Master of Clinical Psychology
Title of presentation: The analytical framework and the internal psychic reality. Reconstruction in countertransference
IRENA TALABAN
Psychologist
Psychoanalyst
Lecturer at the Catholic Institute of Lille
Psychologist-psychotherapist at the "Alfred Binet" Centre for consultations for children and
adolescents ADNSEA – Sauvegarde du Nord
Title of presentation: Countertransference of the psychoanalyst and the patient's beliefs. Clinical sequences
"Psychoanalytic theories define transfer and countertransference as expressions of unconscious exchanges between patient and therapist. Countertransference is the response of the psychoanalyst to the the patient unconscious requirements (strategies). Ferenczi, and later Lacan partially change the meaning of countertransference, by the shifting centre of gravity from patient to therapist (Lacan even reverses it): the patient responds, by transfer, to what the analyst starts, by countertransference. Ethno-
psychiatry approaches countertransference and transfer according to the theory of the therapist and the patient's internal systems (membership systems)."
MICHEL VINCENT
Psychoanalyst, trainer, supervisor and member of the Psychoanalytic Society of Paris,
Member of the Board of the International Association for Psychoanalytic Study for the Bucharest Group
Children psychoanalyst.
Title of presentation: A propos d’une seance deplacee (About a shifted session)
"In this paper I will present a case of shifted/ parallel countertransference of a patient and the interpretations that brought meaning and transformation to his life."
NADIA BUJOR
Psychoanalyst, member of the Psychoanalytic Society of Paris,
Supervisor and trainer for children and adolescents of the Association for Psychoanalytic
Psychotherapy Training for Children and Adolescents, Paris.
Title of presentation: Du travail du rêve au travail du contre transfert ("From working with dreams to working with countertransference")
"«Countertransference work» as well as dream work does not escape issues inherent to psychic life, facing every human being, such as repression, displacement... In order to illustrate this point I will forward the hypothesis that «working with countertransference» - referring to the chapter of «The Interpretation of Dreams», entitled «Dream work» - constitutes one of the elements that are necessarily present in the analytical work.
I have chosen to make my presentation through the medium of:
- A theoretical presentations, published in Romanian Journal of Psychoanalysis
- A clinical exposure based on the meetings of an analysis , that will be presented within the SRP Conference
The focus of this exposure is organized around the need "to access the unconscious" during the analytical cure - the effects of transfer putting the contratransference to work. Contratransference work that "is content to transform" – as well as dream work includes both the containing of the patient's suffering within the session and also removes the danger of going to action and implementing its representation through dreaming.
Starting from here the patients begin to build their own history. The original living the latter is transformed, lived and nuanced differently from the childhood one, that is also modified. Such patients are relatively consoled to the pain of loss – inherent to the analytical work - by enriching the capacity of creating symbols and representations.
The fragments of analysis presented attempt to illustrate how the contratransference work overlaps dream work that, in turn, makes the first indispensable as well as the difficulties involved in such an approach."
LUIS RODRIGUEZ DE LA SIERRA
Psychoanalyst trainer, supervisor and titular member of the British Psychoanalytic Society,
Member of the Board of the International Association for Psychoanalytic Study for the Bucharest Group,
Children psychoanalyst.
Title of presentation: Countertransference: our difficulties in the treatment of substance abuse
"We are all possibly aware of the greater attention that patients with problems of drug addiction and alcoholism are receiving at the moment. Perhaps it is appropriate, then, that we should turn our attention to two clearly difficult areas which we have to face with this, until now, largely neglected group: their complicated transference and our no less complicated countertransference."
FRANCO DE MASI
Psychoanalyst, trainer and supervisor with the Italian Psychoanalytic Society,
President of the Centre for Psychoanalysis in Milan and secretary of the Psychotherapy Training Institute in Milan.
Psychiatrist
Title of presentation: In a favour of a moderate use of countertransference: the hystory and the present situation
Presentation title: In a favour of a moderate use of countertransference: the hystory and the present situation
"In this paper I will present a short history of the countertransference and will highlight how, during the course of the development of the psychoanalytic thought, this concept has been considered in different ways according to the various analytic models.
We can distinguish two trends in the clinical use of the countertransference according to the importance due to the analyst’s subjectivity. The first trend suggests a restrained use of the countertransference in the clinical work and considers the analyst’s emotive answer useful mainly for the understanding of what the patient is communicating in a silent way.
The second trend, wich uses a wide meaning of the countertransference, can be divided in two groups. The first is represented by Betty Joseph, who considers the transference as a the total situation and underlines that the patient’s whole communication refers to the analyst who is captured by the patient’s defences. In order to escape to the patient’s unconscious manipulation, the analyst must interpret the material through his own countertransference.
The second group (for example Ogden) broadens the concept of rêverie (Bion) and affirms that the analyst’s subjective fantasies and associations dream-like, constitute a special route for the interpretation and for the psychoanalytic process.
HORST KÄCHELE
Chair of Psychology of the Faculty of Medicine, University of Ulm and later
Head of the Department of Psychotherapy and psychosomatic Medicine Faculty of Medicine, University of Ulm.
Title of presentation: Is it possible to measure countertransference?
"Empirical research on treatment process has long time - for good reasons - avoided to even try to measure countertransference although this dimension of psychoanalytic clinical work has gained in momentum over the last decades.
My paper shall sketch out past, present and future efforts of how to approach such a methodology for measuring such an elusive concept. The distinction of habitual patterns of countertransference from situational affective reactions seem most likely a helpful way to approach the topic."
BRINDUSA ORASANU
Psychoanalyst, direct member of the International Psychoanalytic Association (IPA)
Founding member of the SRP, trainer and supervisor of the Romanian Society of Psychoanalysis (SRP)
Doctor in Fundamental Psychopathology and Psychoanalysis – Paris University VII
Associate Professor, Department of Psychotherapy, "Titu Maiorescu" University – Bucharest
Corresponding member of the Paris Psychoanalytic Society (SPP)
Title of presentation: Space and time of countertransference
"The paper starts from the view of H. Racker on countertransference. It aims to correlate it's notions, of analytical function and subjective experience, with the analytical space and time. It describes a phenomenon of expansion of the analyst's internal time and space, as well as the creation of subjective time as a result of his/ her dream activity within the session. The balancing of the countertransference forces is related to the analyst's ability of waiting, the appreciation of the quantitative factor and the narcissistic issues included in the analyst's transfer. The presentation refers to the term "respect", for characters and scenes (Ferro) and for the processes (Winnicott). The author uses the comparative of two clinical illustrations from "Beckett" by D. Anzieu."
VASILE DEM. ZAMFIRESCU
Psychoanalyst, direct member of the International Psychoanalytic Association (IPA)
Founding member of the SRP, trainer and supervisor of the Romanian Society of Psychoanalysis (SRP)
Vice President of the Romanian Society of Psychoanalysis, Responsible with the scientific activities
University Professor, Chair of the Psychology and Psychotherapy Department of the Titu Maiorescu University
Title of presentation: Rule of abstinence and countertransference
"My intervention submits to discussion the relationship between abstinence rule and countertransference, more implicitly than explicitly present in the speciality studies. I distinguish three moments: exclusion of the countertransference by the abstinence requirement that become the rule, restricting the abstinence rule to neurotic disorders and underlying the importance of referral and expression of countertransference for the psychotic and the borderline pathology, excluding the abstinence rule and asserting, as a replacement, the principle of "optimal gratification", which promotes the expression of countertransference, principle also true for neurotic disorders.
Highlighting the unilateralism of the extreme positions, I propose the "principle of optimal analysis facilitation" as an alternative that exceeds unilateralism in a balanced synthesis."
ATELIERE
ANATOLI EDUARD REGHINTOVSCHI
Candidate of the Romanian Society of Psychoanalysis, International Psychoanalytical Association
Clinical psychologist practician under supervision
Trainer for the “Generatia” Foundation - Centre for child and adolescent psychotherapy and psychoanalysis
CODRUŢA ZERFAS
Candidate of the Romanian Society of Psychoanalysis, International Psychoanalytical Association
Psychologist, specialty psychoanalytic-psychotherapy, practician under supervision
ROMANEŢ GABRIELA
Candidate of the Romanian Society of Psychoanalysis, International Psychoanalytical Association
Autonomous clinical psychologist
IOANA IONESCU
Candidate of the Romanian Society of Psychoanalysis, International Psychoanalytical Association
Psychologist, specialty psychoanalytic-psychotherapy, practician under supervision
GEORGIANA BRĂNIŞTEANU
Candidate of the Romanian Society of Psychoanalysis, International Psychoanalytical Association
Clinical psychologist
Founding member of the Association for Promoting Psychotherapy
Member of the Interdisciplinary Association of Applied Psychoanalysis.
Title of presentation: Self theory as the source of countertransference in the analytic situation
"We start from the the idea that the analyst's working tool is his/ her own self, and during training, the analyst's personality develops.
We are talking about indirect countertransference, as distinguished by Racker from direct countertransference that arises within the fundamental interaction of the dyad patient – analyst. Indirect countertransference is the one that arises when there is a third party, "third party over which the analyst makes transfers of authority - for example professional community, because the future of the object relations of the analyst is determined by the analyst's work performance" (361). In other words, the professional community takes over the role of the analyst's Superego (projected in the object "professional community") in front of which the analyst, in the the phantasm of approval or censure can play unconscious conflicts, Oedipal conflicts. So, we are talking about a triangular situation where the triad is constructed by the relation patient - analyst - third person. Whether the third is the analyst or the supervisor or someone with authority in training the analyst, group fellow, other patients or the psychoanalytic theory, the relationship with the patient is influenced by someone who is outside the cabinet and which plays a central role in the feelings and the mind of the analyst at that given time.
We call this third part the "professional community", to which the analyst in training relates in order develop his/her own self.
We call "self theory" the stage the analyst self goes through during the psychoanalytic training, encompassing complex relationship with the "professional community" in order to develop their own self as an analytical tool.
We identify two countertransference situations, determined by the analyst's relationship with the "professional community" where we identify the "self theory":
1. The analyst's countertransference = analyst's on transfer on the "professional community"
2. The patient's countertransference = patient's reaction to the analyst's transfer on the "professional community”
GEORGIANA DOBRESCU
Psychoanalyst SRP trainer, direct member of the International Psychoanalytic Association (IPA)
Autonomous clinical psychologist in clinical psychology and psychoanalysis
Founding member of the Romanian association of Psychoanalytic Psychotherapy (ARPP)
Title of presentation: Countertransference, the analyst's personality and how the analytical relationship develops over an analysis
"This presentation aims to analyse how an analyst understands and manages his/her countertransference throughout the analysis.
Also, the question arises to what extent the analyst's countertransference is influenced/impacted by data related to his/ her training (beginner, experienced, with a particular analytical orientation) as well as by a series of significant events in the life of the analyst (marriage, divorce, birth of children, different losses, death, etc.) that can occur during the analysis.
Is it possible/ desirable/ recommended that these states in the analyst's real life be under control, as much as possible, so they do not “enter” the analytic space of the sessions or, on the contrary what the analyst's feels during a sessions are worth taking into account/ is important to be seen and analyzed.
This paper aims to analyze the countertransference from the perspective of two authors: D. W. Winnicott – starting from the 'mirror role of the mother' and 'using the object' and T. H. Ogden – from 'the analytic third' and the concept of 'reverie'."
DANIELA LUCA
Psychoanalyst SRP trainer, direct member of the International Psychoanalytic Association (IPA)
Ph.D. in psychoanalysis, University of Paris VII
Principal psychologist, trainer/ supervisor clinical Psychology and Psychoanalysis
Founding member – trainer/ supervisor “Generatia” Foundation and the Association for Counselling and Psychoanalytical Psychotherapy Bucharest (ACPPB)
Founding member of the Association of Applied Psychoanalysis (AIPsA)
President of the Romanian-French Association for Psychotherapy and Psychoanalysis - "André Green"
Title of presentation: Primitive communication, sense and non-sense of silence in the countertransference movements
"This presentation aims, across the classical and contemporary psychoanalytic theory, at exploring, developing the spectrum and meaning of silence, of the primitive communication, non-verbal, emotional,affective, in the dynamics and the development of the analytical cure, particularly through detection and analysis of the transfer-countertransference movements as well as the destiny of the inaudible or the untold in creating psychological meaning and significance in the analyst – analysand relationship."
RODICA MATEI
Psychoanalyst trainer, direct member of the International Psychoanalytic Association (IPA)
PhD student in fundamental and Psychoanalysis Psychopathology - University of Paris VII
Lecturer the department of Psychology, "Spiru Haret" University, Bucharest
Autonomous principal psychologist, clinical Psychology and Psychoanalysis
Title of presentation: The activity of archaic operation in the countertransference reactions - the role of corporal significants in the psychoanalytic work
"Title of presentation: The activity of archaic operation in the countertransference reactions - the role of corporal significant in the psychoanalytic work.
The meeting of psychoanalysts with the body manifestations in the psychoanalytic cure led to the birth of the assumption of the existence of an archaic level of mental functioning, previous to the primary and secondary processes. It is an area where there is no separation between the physical and and the psychic space. It is a body impregnation of the experiences and feelings. Within the analytical cure, early trauma reactivation will activate somatic or behavioral processes, short-circuiting the mental path. The analyst will be faced with a new manner approaching transfer and managing countertransference."
MONICA BALAŞA
Psychoanalyst trainer, direct member of the International Psychoanalytic Association (IPA)
M.D.
Title of presentation: The regressive potential of countertransference
"The concept of countertransference has experienced a tumultuous history within the boundaries of psychoanalysis and was borrowed, more or less successfully, with more or less reason, by multiple psychotherapy currents, some located completely outside the spectrum of psychoanalysis.
Within the presentation “The regressive potential of countertransference” I will try to address countertransference from the psychoanalytic perspective, namely how counter-transfer and regression articulate (for both the analysand and analyst) and the necessary adjustment between them, provided that without a good regressive capacity the analyst can miss the meeting point "unconscious to unconscious" - on the one hand; on the other hand a regression of the analyst that is too strong/ prolonged can undermine the cure by mobilizing unconscious defence mechanisms – for both the psychoanalyst as well as the analysand, leading ultimately to strengthening the resistance. It is precisely this articulation and this tuning that make the profession of psychoanalyst a "impossible profession" (Freud, Green), the more so as "self-analysis" is just one of the solutions (incomplete and insufficient) that are generally available to the psychoanalyst."
IOANA LAZĂR
Psychoanalyst SRP trainer, direct member of the International Psychoanalytic Association (IPA)
Specialist in Psychiatry
Corresponding member of the Psychanalitique Societe de Paris (SPP)
Founding member and Vice president of APPGR
Member of the Association of Applied Psychoanalysis (AIPSA)
Title of presentation: Contratransfer în grup, contratransfer în instituţie
"The therapeutic process is based on listening to the psychic movements and the it's transference effects and the framework must resettle milestones of the child's development in contact with his linguistic environment (the containment associated with the maternal function, the third party represented by the paternal reference) through diversified tools (and becomes more complex) as we move from the individual psychoanalytic cure to group therapy and further to a psychoanalytic reference institutional functioning: the single space in the individual therapy declines in many different areas, the time flow also becomes shorter due to interruptions, rules, rituals, all these limits and thresholds are designed precisely to allow the possibility of their breach, so that the fluid motion, negotiable, between inside and outside to become representative. The aim is to establish an institution that is not "total/ all including" but to allow entry of difference and absence, where the absence can serve as support for development."
GIANINA MICU
Psychoanalyst SRP trainer, direct member of the International Psychoanalytic Association (IPA)
M.D. Pathological anatomy
Principal psychologist
Member of the Association for Counselling and Psychoanalytical Psychotherapy Bucharest (ACPPB) – trainer and supervisor
Title of presentation: The first interview and countertransference
"It is a certified fact that the psychoanalyst-patient therapeutic encounter during the preliminary interview engages the protagonists in a explicitly convergent approach, an agreement at the conscious level for a joint effort aimed at healing suffering and improving self knowledge. This aspect of the relationship defines the therapeutic alliance. What happens, however, in parallel, in the underground of the meeting, also involves from the beginning, the more cryptic level of the unconscious, transparent both in the subtle movements of early transference of the patient as well as in the therapist's countertransference response. The presentation mainly focused on the latter aspect, proposes a possible answer to the query as to what extent, how and if they can be detected so early and, especially, to what extent they are or could be (in) the key of the analysis to follow."
SIMONA REGHINTOVSCHI
Psychoanalyst, direct member of the International Psychoanalytic Association (IPA)
Lecturer PhD of the Faculty of Psychology, Department of Psychology and Psychotherapy of the Titu Maiorescu University, Bucharest
Psychologist specialist in clinical psychology and psychoanalysis
PhD of the University of Essex, Centre for Psychoanalytic Studies
Editor, Department of Psychology - Psychotherapy, coordinator of the Psychology - Psychotherapy collections, Psychology for everyone – Publishing House Trei, Bucharest
Title of presentation: Journey to the iced childhood. Countertransference as a guide to transference psychosis
"In working with borderline patients in the moments when the patient develops a transfer psychosis, the analyst is in a situation where, in parallel with the collapse of the ego boundaries of the patient's free association is replaced by the delirium, common technique and interpretation become ineffective, and the verbal level communication is broken. There are times when countertransference is the only landmark part of the analyst, his only guide in finding a way to reach the patient to form a new bridge of communication. One of the obstacles the analyst may encounter in this process is the countertransference hatred that can act as a brake, blocking the analyst's mind. A case presentation will illustrate how countertransference could be used to restore communication with the patient during a psychotic episode occurred in the fifth year of analysis."
