Psychoanalytic Association of New York
and
Institute for Psychoanalytic Education

Monday, May 2  8:30pm
Smilow Seminar Room, NYU Medical Center
550 First Ave

The Inner World, the Gut and the Sense of Reality
Sheldon Bach, PhD
Introduction: Arnold Rothstein

Sheldon Bach Ph.D. is Adjunct Clinical Professor of Psychology at the New York University Postdoctoral Program for Psychoanalysis and training and supervising analyst at the Institute for Psychoanalytic Training and Research and The Contemporary Freudian Society.  He is a recipient of the Heinz Hartmann Award for  “outstanding contributions to the theory and practice of Psychoanalysis”.

This paper discusses a set of patients who at first did not seem to make a transference attachment to the analyst. They seem to lack evocative constancy and instead are constantly in motion and attached only to objects in the here and now. They all had early feeding disturbances and later gastrointestinal pathology. At first their transference was communicated more through gut variability than through experienced emotions.

 They all functioned at a very high level, but the desolation of their inner world interfered with their relationships and their sense of the reality of their experiences, although not with their reality testing. This led to unusual difficulties in integrating inner with outer, and some thoughts are presented about our illusions of wholeness and the normal difficulty of integrating subjective and objective reality

EDUCATIONAL OBJECTIVES:

• The listener will learn to recognize and understand those patients who do not seem to make the anticipated object transference to the analyst.
• The listener will learn to recognize and understand complementary modalities of transference such as through the gut.
• The listener will learn to recognize and understand the role of internal objects in supporting feelings of reality.

 ACCME Accreditation Statement for Joint Providership

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 the American Psychoanalytic Association and the Institute for Psychoanalytic Education (IPE). 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 [number of credits] 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.