2025 ORI Annual Conference
of the Object Relations Institute for Psychotherapy and Psychoanalysis

Annihilation Anxiety:
Object Relations and Other Psychoanalytic Perspectives
on Encountering an End of Existence

Date: Saturday March 22, 2025, 10 am – 4:30 pm EST/NYC
Location: Virtual live!

Continuing Education: 7.5 CEs for NYS Psychologists, NYS Social Workers, and the APA
(covers most Mental Health Professions outside of NYS)
5.75 CEs for Licensed Psychoanalysts

PRESENTERS:
STEFANIE TEITELBAUM, LCSW-R, NCPsyA
SUSAN KAVALER-ADLER, PhD, ABPP, D. Litt, NCPsyA

DISCUSSANT:
LORAY DAWS, PhD

MODERATOR:
KEN FUCHSMAN, Ed.D.

CONFERENCE DESCRIPTION:

There can be a positive element in all this, that is, an element that is not a defense. It can be said that only out of non-existence can existence start. (D. W. Winnicott, Fear of Breakdown)

The keynote papers by Stefanie Teitelbaum and Susan Kavaler-Adler will explore the terrors in facing the end of existence. Stefanie Teitelbaum choses Haruki Murakami and his novel Hard-Boiled Wonderland and the End of the World. The “End of the World” is a fictional landscape of the state of mind after the world has ended. Murakami’s split novel, 40 chapters, alternating two distinct narratives of a divided self, each unaware of the other, even as glimpses of the other appear.

Susan Kavaler -Adler uses the life and poetry of Emily Dickinson to illustrate annihilation terror, showing how this brilliant poet struggled to create and survive. She explicates the aspects of Dickinson’s life that led to the profound creative expression of a descent into madness, and to the survival that is so evocative for us today. Susan Kavaler-Adler also explores Dickinson’s split self in the poet’s masculine and feminine states of mind, as well as the poet’s use of her splits in her creativity. Both papers explore the role of mother absence in this most excruciating form of anxiety.

Stefanie Teitelbaum:

Annihilation Anxiety in
Haruki Murakami’s Hard-Boiled Wonderland and the End of the World:
Dreaming Psychotic Anxiety 

“Even the term annihilation anxiety does not do justice to the nameless dread that pervades psychosis.” (M. Eigen, 1986)

“Nameless Dread”:  Bion’s coinage of a particular dread in absence of alpha-function to name that which is dreadful. Thoughts from Michael Eigen’s 1986 Psychotic Core serve as a hub with spokes of Freud, Ferenczi, Tausk, Bion, Meltzer, Winnicott, and Grotstein are enlisted to create the dreamer who dreams the dreams of Haruki Murakami’s Hard-Boiled Wonderland and the End of the World.

The plural, dreams, reflects the novel’s 40 chapters. The odd numbers telling the story of one protagonist, the even ones another. Each protagonist is named only by his function. The first, the Calcutec, is a surgically altered human male who is designed to create impenetrable encryption codes. The second, the Dreamreader, is who is partially blinded by a knife painlessly inserted into his eyes. Daylight becomes intolerable and he reads the dreams of ancient beast skulls in a synaesthesia of sonority and light fractals. For both protagonists, the meaning of the encrypted material and the meaning of the light-sonar dreams are experienced only in sensory and bodily impacts; proto-mental beta elements. Proto-symbolic alpha elements, and symbolic language of alpha-function are unknown to each protagonist. Consciousness is annihilated.

“Freud used his developmental schema as a kind of musical scale; a resource that changes in value according to context” (Eigen, 1986, p.). As the Calcutec’s function fails, he experiences annihilation anxiety and weaves a womb of music to envelope him as his consciousness expires.  As the Dreamreader, residing in a realm called “End of The World” begins to recover, he finds music as a link to remember a lost mother.

This novel calls up an investigation of Bion’s soma-psychosis and Meltzer’s elaboration of the concept in examining the analyst’s task of being where the soma-somatic patient is in the moment. Not only are the objects split, but the attention of the split object subject is also split as well. The analyst needs to be able to split their own attention to hold each of the split objects at the same time. A comparison of Winnicott’s version of holding and containing the splits will be explored.

Murakami’s fictional mad-genius, the deus ex-machina of the novel will be presented as a personified creator of Viktor Tausk’s Influencing Machine, described by Michael Eigen as “a delusion which involves an overwhelming sense of impending evil fed by hidden omniscience that thrives on and malevolently exploits the invisibility of mental life.” Murakami’s indescribable visual imagination captures both the psychotic and dreamwork giving visibility to the invisibility of mental life. For me, reading Murakami’s dream world required the reverie possible in Bion’s faith position without memory, desire or understanding.

Susan Kavaler-Adler:

Emily Dickinson and Annihilation Anxiety

Emily Dickinson’s poetry reveals an internal world filled with the terror of facing the void or abyss within, when her compensatory masculine father identification would fail her, and leave her with the primal mother absence that perennially haunted her. Right before her most rich and inspired period of poetic creativity, Emily Dickinson confronts a descent into madness. It is in her ability to find words for this threatened psychotic break that she emerges as the brilliant and inspired poet that we know today.

In The Compulsion to Create: Women Writers and Their Demon Lovers, I have explicated the aspects of Dickinson’s life that led to the profound creative expression of a descent into madness, and to the survival that is so evocative for us today, even though this most famous American poet, who was seen by herself as a “Nobody” in her life, did ultimately decline during her years of increasing seclusion from the world.

It was only after despair, and then a period of brilliant struggles with madness that her incredible productivity dissipated. She ends with her manic masculine defense causing her to say, “I can kill, without being able to die.” Her feminine self could never evolve to allow for sufficient reparative healing. In this conference paper, I will draw on all my research of Emily Dickinson, and on the chapters on Dickinson in The Compulsion to Create, to share the extreme annihilation anxiety suffering in this famous female poet.

Loray Daws:

Children of Perdition:
Dreaming the Head-Heart of Annihilation Anxiety with Teitelbaum and Kavaler-Adler

Psychically traumatized analysands present the clinician with certain forms of dread and a collapse/collapsing inner life, the result of various types of shock and the painful reality of their heartbrokenness. Reading Teitelbaum and Kavaler-Adler annihilation anxiety opens up the exploration of attachment shock, cephalic shock, limboshock, shattershock, soulshock, potential shock, cataclysmic shock, and somatoform shock as described by Kathleen Adams, reflecting the primary agonies  explored by Donald Winnicott, as well as Wilfred Bion’s nameless dread, James Masterson’s abandonment depression, Michael Eigen’s psychotic self and Sandor Ferenczi’ reproduction of mental and physical agony, which follows upon incomprehensible and intolerable woe. Special attention will also be given to the cultivation of an analytical space and mind able to dream the ‘un/dream/able’ dream ‘for’ and ‘of’ the analysand.

CONFERENCE SCHEDULE (in EST/EDT/NYC time):

Morning session:
10:00 am – 1:00 pm

Lunch:
1:00pm – 1:45 pm

Afternoon session:
1:45 pm – 4:30 pm

LEARNING POINTS

By the end of this educational activity, its participants will be able to:

  • Discuss and analyze various forms of annihilation anxiety.
  • Discuss and analyze the relationship between annihilation anxiety and Bion’s “nameless dread.”
  • Discuss the function of hallucinatory phenomena in giving sensory form to the nameless dread.
  • Discuss and analyze how annihilation anxiety and creativity interact in the life story and poetry of Emily Dickinson.
  • Contrast the masculine manic defense against annihilation terror in Emily Dickinson with the arrested feminine self that could not surrender and had to carry the “loaded gun” of murderous killing rage.
  • Differentiate between the various forms of shock as described by Teitelbaum, Kavaler Adler, and Kathleen Adams.
  • Describe what is meant by object-relational holding of the dream space for the psychotic self as found in the work of Teitelbaum and Kavaler Adler.

BIOs of the PANELISTS

Susan Kavaler-Adler, PhD, ABPP, NCPsyA, hDLitt, is a clinical psychologist and psychoanalyst, who has been in practice in Manhattan for 45 years. In addition to treating individuals and couples, she conducts ongoing groups in her practice, such as a monthly writing group, a monthly online experiential supervision group, and a monthly “Mourning, Therapy, and Support Group” with guided visualization. Dr. Kavaler-Adler is a Fellow of the American Board and Academy of Psychoanalysis, and is the Founder and Executive Director of the Object Relations Institute for Psychotherapy and Psychoanalysis. She is a Training Analyst, Senior Supervisor and active faculty member at the Object Relations Institute for Psychotherapy and Psychoanalysis, a NYS Board of Regents chartered psychoanalytic training institute.

Dr. Kavaler-Adler is a prolific author, with published six books and over 70 articles and book chapters in the field of object relations psychoanalytic theory. Dr. Kavaler-Adler received 16 awards for her psychoanalytic writing. She is also on the editorial board of the International Journal of Controversial Conversations (IJCC). More information can be found at https://kavaleradler.com/.

Stefanie Teitelbaum, LCSW is a Graduate of NPAP.  She is a member, supervisor, training analyst, and on the faculty of NPAP, IEA and ORI.  Stefanie serves on the advisory board of the Psychoanlaytic Review.  She has been practicing psychoanalysis and psychoanalytic psychotherapy in New York City since 1993, is also a former staff psychotherapist at the  Lower Eastside Service Drug-Free Out Patient Program.  Her psychoanalytic papers have been published in The Psychoanalytic Review, Psychoanalytic Inquiry, The American Journal of Psychoanalysis and Otherwise – The On-Line journal of IFPE.

Loray Daws, PhD, is a registered Clinical Psychologist in South Africa and British Columbia, Canada. He is currently in private practice as a psychoanalyst and serves as a senior faculty member at the International Masterson Institute in New York, USA, as well as a teaching faculty and board member at ORI. Loray Daws is the author and editor of nine books on psychoanalysis.

CONTINUING EDUCATION:

Object Relations Institute for Psychotherapy & Psychoanalysis
2025 Winter ORI Training Events
January 9, 2025 – March 29, 2025

Live Online
Session #1: Clinical Studies on Narcissistic, Schizoid, and Borderline Mechanisms and Conditions – Susan Kavaler-Adler, PhD, ABPP, D.Litt., NCPsyA (12.5 CE)

Session #2: ORI Annual Conference – Annihilation Anxiety: Object Relations and Other Psychoanalytic Perspectives on Encountering an End of Existence 0 Stefanie Teitelbaum, LCSW-R, NCPsyA & Susan Kavaler-Adler, PhD, ABPP, D. Litt, NCPsyA & Loray Daws, PhD (7.5 CE)
Session #3: The Primal Power of Play & Self-Regulation: Advanced Psychoneurobiological Perspectives (with Dr. Inna Rozentsvit) (3.0 CE)

Joint Accreditation Statement

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and Object Relations Institute for Psychotherapy & Psychoanalysis (ORIPP).  Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Amedco Joint Accreditation #4008163.

Professions in scope for this activity are listed below.

Psychologists

This course is co-sponsored by Amedco and Object Relations Institute for Psychotherapy & Psychoanalysis.  Amedco is approved by the American Psychological Association to sponsor continuing education for psychologists.  Amedco maintains responsibility for this program and its content.  23.0 hours.

The following state boards accept courses from APA providers for Psychologists/Counselors: AK, AR, AZ, CA, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, IO, KS, MA (LEP ONLY), ME, MO, NC, ND, NH, NE, NJ, NM, NV, OK*, OR, PA, RI, SC, SD, TN, TX, UT, VA, WI, WY
The following state boards accept courses approved by any other state for Psychologists/Counselors: CO, MD
MI:
No CE requirements.
*OK: Accepts APA credit for live, in-person activities but not for ethics and/or online courses.
The following state boards accept courses from APA providers for MFTs:
AK, AR, AZ, CA, CO, CT, DE, FL, GA, IA, ID, IN, KS, MD, ME, MO, NE, NC, NH, NJ, NM, NV, OK*, OR, PA, RI, SC, SD, TN, TX, UT, VA, WA, WDC, WI, WY
AL MFTs: Credits authorized by NBCC or any other state licensing agency will be accepted.
MA MFTs: Participants can self-submit courses not approved by the MAMFT board for review.
The following state boards accept courses from APA providers for Addictions Professionals: AK, AR, CO, CT, DC, DE, GA, IA, IN, KS, LA, MD, MO, MT, NC, ND, NE, NJ, NM, NY (held outside NY ONLY), OK*, OR, SC, UT, WA, WI, WY
The following state boards accept courses from APA providers for Social Workers:
AK, AR, AZ, CA, CO, DE, FL, GA, ID, IN, KY, ME, MN, MO, NE, NH, NM, OR, PA, VT, WI, WY

New York Board for Social Workers (NY SW)

Amedco SW CPE 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 #0115. 23.0 hours.

New York Board for Psychology (NY PSY)

Amedco is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0031. 23.0 hours.


Session #2: ORI Annual Conference – Annihilation Anxiety: Object Relations and Other Psychoanalytic Perspectives on Encountering an End of Existence 0 Stefanie Teitelbaum, LCSW-R, NCPsyA & Susan Kavaler-Adler, PhD, ABPP, D. Litt, NCPsyA & Loray Daws, PhD

National Association for the Advancement of Psychoanalysis (NAAP) is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an Approved Provider of continuing education for Licensed Psychoanalysts. #P‑0019. 5.75 hours.

National Association for the Advancement of Psychoanalysis (NAAP) 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-0168. 5.75 hours.

To receive CE certificates for the actual hours attended – please request them at the time of registration or any time prior to beginning of the conference. CE certificate fee: $25 (in addition to the registration fees). No fees charged for PD (Professional Development) certificates from ORI.

REGISTRATION AND FEES:

Early Bird registration (before February 1, 2025)
$90 regular/ $65 grad students & candidates/ $20 undergrad students. If CEs are requested — there is an additional fee of $25 (can be paid on the day of the conference or in advance)

Regular registration (from February 1, 2025 — to 6pm EST/EDT on March 21, 2025)
$110 regular/ $75 grad students & candidates/ $30 undergrad students. If CEs are requested — there is an additional fee of $25 (can be paid on the day of the conference or in advance)

Registration ‘at the door’ (after 6pm EST/EDT on March 22, 2024)
$130 regular/ $95 grad students & candidates/ $40 undergrad students. If CEs are requested — there is an additional fee of $25 (can be paid on the day of the conference or in advance)

To receive CE certificates for the actual hours attended – please request them at the time of registration or any time prior to beginning of the conference. CE certificate fee (in addition to the registration fees): $25. No fees charged for PD (Professional Development) certificates from ORI.

SPECIAL SCHOLARSHIPS are available for undergraduate and graduate students, as well as for retired or disabled practitioners, or need-based or/and those who live outside of the USA.
To apply for your scholarship, please go to the registration form below.

CANCELLATION POLICY:
Refund in full is offered for cancellations made before March 22nd, 2025. No refunds for cancellations made on or after March 22nd, 2025 (but credit can be applied for any of the educational events offered at the ORI in 2025 or further on).

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