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Dr. Garland’s case presentation will focus on analytic work with a 34-month-old girl suffering uncontained anger, confusion, and profound object hunger related to the tragic traumatic loss of her mother. In the father’s absence, the girl’s maternal grandparents cared for the girl while grappling with their own rage, guilt, and complicated mourning.  Dr. Garland worked with both the girl and her grandparents.  Following the presentation of close process clinical material, Dr. Durban will discuss the case and its relation to his thinking about autisto-psychotic phenomena.
Learning Objectives:
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The construction of a sense of home in early infancy is a complex achievement. It is intertwined throughout life with the child’s pursuit of a safe physio-mental coverage. This process will be described as an interaction between: (a) a safe dwelling in the body-as-mother (constitution); (b) the internalization of the mother-as-me (internal object space) and (c) establishing Oedipal triangular space which is responsible for the capacity to move between narcissism-as-a-home and the world-as-a-home. The construction of a home as an interplay between these elements is accompanied by distinct anxieties and unconscious phantasies. Disruptions in this early process, due to deficit, internal object relations or environmental factors, might lead to severe pathologies, mindlessness, hatred, violence and murderousness. A distinction will be made between these mental states of being-at-home, homelessness and nowhere- ness based on the corresponding levels of early development and typical anxieties. Home and homelessness are seen as more developed states of object relating accompanied by some capacity for feelings of loss, mourning and longing. Nowhere-ness, however, stems from early states of anxieties-of-being which are characterized by confusion between self and object, by nameless grief, nameless dread and devastation. The varieties of home, homelessness and nowhere-ness will be discussed with the help of clinical material taken from an analysis of a refugee child on the autistic spectrum and of his father. The role of psychoanalysis and of the psychoanalyst in promoting the creation of an internal home will be described with reference to technique.
Joshua Durban
Joshua Durban is training and supervising child and adult psychoanalyst at the Israeli Psychoanalytic Society and Institute, Jerusalem and Tel Aviv (IPA), and a research analyst with the PCC, Los Angeles, where he also teaches. He is the founder and the clinical director of the VAC, The Vista Del Mar Autism Center, Los Angeles which provides psychoanalytic treatment for infants, toddlers, adolescents and young adults on the autism spectrum and their families. He is on the faculty of the School of Medicine, Tel-Aviv University, The Psychotherapy Program, Post-Graduate Kleinian Studies and the Early Mental States track. He is the editor (together with Dr. Merav Roth) of the Hebrew edition of the collected works of Melanie Klein. He is a member of the IJPA international editorial board and of the IPA inter-committee for the prevention of child abuse. He has a private practice in Tel-Aviv and Los Angeles and specializes in the psychoanalysis of ASD and psychotic children, adolescents and adults. He is currently also teaching and supervising in the UK, Germany, Australia and the USA. His on Autism, trauma and early development has been published and translated internationally.
Kay Long
Kay Long, Ph.D. is a psychologist and psychoanalyst in private practice in New Haven, CT. She is an Associate Clinical Professor in the Psychiatry Department of the Yale School of Medicine and a Training and Supervising Analyst at the Western New England Institute for Psychoanalysis, where she is active in teaching and supervising. At the Western New England Institute, she chairs the Progression Committee and is Director of the Scholar’s Program. Her teaching and writing interests involve contemporary Kleinian approaches to therapeutic process and change. She co-leads the Melanie Klein Trust-sponsored Rita Frankiel Memorial Fellowship that takes place jointly in New Haven and New York, serves on the editorial board of the International Journal of Psychoanalysis, and is co-editor (with Penelope Garvey) of The Kleinian Tradition: Evolution of Theory and Practice (Karnac 2018).
Michael Garland
Michael Garland is a child, adolescent, and adult psychiatrist and a graduate of both the adult and child and adolescent training programs at the Western New England Institute for Psychoanalysis. He maintains an active private practice in New Haven, CT and serves as community faculty in the Adult Psychiatry Department at Yale University where he supervises psychiatry trainees in psychodynamic therapy.
Matthew Shaw
Matthew Shaw, PhD, is a psychoanalyst for children, adolescents, and adults, teaches at the Yale School of Medicine, and is a training and supervising analyst at the Western New England Institute for Psychoanalysis in New Haven, CT. He chairs the child and adolescent training program and has published a book and numerous articles. Dr. Shaw gave the Saltz Grand Rounds at Children’s National Hospital, the plenary at the Association for Child Psychoanalysis, and the Beata Rank Lecture at the Boston Psychoanalytic Institute. He is on the editorial board for the Journal of the American Psychoanalytic Association. Dr. Shaw has a piece in JAPA presently and a book chapter on Hans Loewald’s theory of development in press.
ACCME Accreditation Statement
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 Association and the Western New England Institute for Psychoanalysis. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians.
AMA Credit Designation Statement
The American Psychoanalytic Association designates this live activity for a maximum of 4 AMA PRA Category 1 Credit(s)â„¢. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 Disclosure Statement
The APsA CE Committee has reviewed the materials for accredited continuing education and has determined that this activity is not related to the product line of ineligible companies and therefore, the activity meets the exception outlined in Standard 3: ACCME’s identification, mitigation and disclosure of relevant financial relationship. This activity does not have any known commercial support.
This program is being reviewed for Continuing Education Credit hours by the NASW, CT to meet the continuing education criteria for CT Social Work Licensure renewal.
 A Certificate of Attendance for WNE Programs can be used to fulfill CE requirements for CT Psychologists.
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