2nd Trimester of the One-Year, Two-Year and the Full Training in Psychotherapy and Psychoanalysis
(can be also taken as an individual post-graduate certificate course; no pre-requisites)

Dates: 1/14/21 -3/18/21
(Thursdays, 8:45pm – 10pm)
Course Instructor: SUSAN KAVALER-ADLER, PhD, ABPP, NCPsyA, D.Litt

Post-graduate psychoanalytic education credits offered: 12.5
Continuing Education Information: Pending See details here
Tuition: $450/10-week course/trimester (can be paid in 2 installments)
Registration fee: $25/course (waived for ORI’s candidates in training)

To Register for this course, please complete the Registration form


This course studies the human psyche striving for connection, by looking at the profound pathological factors that undermine and subvert such a striving – through the lens of the Object Relations theories. Readings from nine American Object Relations theorists illustrate the clinical applications of Object Relations theories that we can trace back to Fairbairn, D. W. Winnicott, Melanie Klein, and Michael Balint.

We will look at some of the clinical theories of Elizabeth Howell, Otto Kernberg, David Celani, and Jeffrey Seinfeld. We specifically look at the treatment of the Borderline condition, with related primitive defense operations of splitting and projective-identification. Also, with Jeffrey Seinfeld, we look at how the Negative Therapeutic Reaction makes it so difficult to establish a holding environment for the gradual and eventual internalization of a “good object,” as we must be pressured into the projections and enactments of bad object addiction. We will then proceed to the integrative work of James Masterson, who helps us encounter the dissociation of Fairbairn, with a clinical awareness of the fusion of primal self and maternal dissociated parts, perpetuated and alternately persecutory, within our internal world of fantasy and psychic structure.

Like Masterson, Althea Horner’s books emphasize the external dynamics of Margaret Mahler and the internal psychic manifestations of the disruption of these healthy developmental dynamics. Horner’s last book also informs us of how a developmental perspective allows us to view resistance as the external enactment of a core relationship problem housed within the internal world. Horner allows us to view transference and countertransference resistance, as well as the pervasive phenomenon of sexualization.

When we arrive at Robert Grossmark’s insights, we see how Michael Balint’s work on “Basic Fault” is carried forward, helping us engage with pre-symbolic patients as an “Unobtrusive Relational Analyst” (Robert Grossmark). We learn about how to intentionally participate in enactments through “psychoanalytic companioning.”

With Frank Summers, we come to the focus of subjectivity in the analyst through “psychoanalytic vision,” which also overlaps with Thomas Ogden’s view of the development of subjectivity within the “Depressive Position.” In looking at the theoretical contributions of Susan Kavaler-Adler, we will read some of her in-depth case studies that reflect the integration of Melanie Klein, Ronald Fairbairn, D. W. Winnicott, James Masterson, and Michael Balint into the journey of “Developmental Mourning”– resolving psychic structure dissociation through attunement to the affects and psychic fantasy of that journey.


At the end of this course, its participants will be able to:

  • Analyze the Projective-Identification process; compare Repression and Dissociation as contrasting and interactive psychological defense processes.
  • Analyze the psychic structure of Borderline Personality Disorders; describe the use of countertransference in the treatment of Borderline Personalities.
  • Describe the Negative Therapeutic Reaction of the Borderline Patient; analyze the relationship between the containing of the negative bad object projections (Fairbairn’s Antilibidinal Ego), the patient’s ability to see it, and the beginning internalization of a “Good Object.”
  • Construct Seinfeld’s view of the tie to a Bad Internal Object; describe the “Bad Object Transference,” as illustrated by Seinfeld.
  • Construct Masterson’s image of the Borderline mother; describe the role of the mourning process in the self-integration of the Borderline.
  • Construct a “developmental hypothesis” for a patient, either one of Horner or of your own;describe two countertransference resistances; utilize understanding of a core relationship problem as resistance.
  • Describe enactive engagement; analyze “psychoanalytic companioning”; utilize the “Unobtrusive Relational Analyst” clinical approach.
  • Contrasting the subjective and objective psychoanalysis and analyze “the creation of meaning.”
  • Analyze the libidinal and antilbidinal ego enactments in the internal world of Sharon and Alicia; and construct a view of regret concerning aggression leading to heartfelt mourning within a separation process.
  • Describe the Developmental Mourning process; and analyze how the Internal Saboteur is transformed as mourning and self integration progress.


Week 1:

From the work of Elizabeth Howell’s book on “The Dissociative Mind” (2005):

  • Chapter 8: Projective Identification: Blind Foresight (pp. 178-195)
  • Chapter 9: Concepts of Psychic Processes, Defense, and Personality Organization (pp. 194- 218)

Week 2:

From the work of Otto Kernberg on “Borderline Conditions and Pathological Narcissism: Borderline Personality Disorders (1975):

  • Chapter 1: The Syndrome (pp. 3-48)
  • Chapter 2: Countertransference (pp. 49-68)
  • Chapter 3: General Principles of Treatment (pp.69-110)

Week 3:

From the work of David P. Celani, who translated Fairbairn’s ideas to American Object Relations understanding of the treatment of Character Disorders – reading from Celani, D. (2010). Fairbairn’s Object Relations Theory in the Clinical Setting:

  • Chapter 5: Working with the Borderline Patient and the Battered Woman (pp. 153-184)

Week 4:

From the work of Jeffrey Seinfeld, “The Bad Object: Handling the Negative Therapeutic Reaction in Psychotherapy” (1993):

  • Chapter 1: The Negative Therapeutic Reaction (pp. 3-20)
  • Chapter 2: Manifestations of the Bad Internal Object (pp. 21-60)
  • Chapter 8: Interpreting the Tie to the Bad Internal Object (pp. 189-218)
  • Chapter 9: Interpreting the Bad Object Transference (pp. 219-238)

Week 5:

From the work of James F. Masterson, “The Personality Disorders” (2000):

  • Chapter 2: The Role of the Mother or Primary Caretaker in the Borderline Personality Disorder (pp. 33-56)
  • Chapter 3: Diagnosis — A Psychodynamic Approach to the Borderline, Narcissistic, and Schizoid Personality Disorders (pp. 59-74)
  • Chapter 6: Working through Dissociative Defenses and Mourning the Loss of a Father (pp. 141-165)

Week 6:

From the work of Althea Horner, “Dealing with Resistance in Psychotherapy” (2005):

  • Chapter 1: The Core Relationship Problem in Resistance (pp. 1-14)
  • Chapter 2: Constructing the Developmental Hypothesis (pp.15-26)
  • Chapter 3: Countertransference Resistance and Therapeutic Impasse (pp. 27-34)
  • Chapter 4: Transference Resistances of the “Good Boy” and the “Good Girl” (pp. 35-44)
  • Chapter 5: The Sexualization of the Core Relationship Problem as Resistance (pp. 45-52)

Week 7:

From the work of Robert Grossmark, “The Unobtrusive Relational Analyst” (2018):

  • Chapter 1: The Unobtrusive Relational Analyst (pp. 13-39)
  • Chapter 2: The Flow of Enactive Engagement (pp. 40-53)
  • Chapter 3: Psychoanalytic Companioning (pp. 54-75)
  • Chapter 4: The eloquence of action: unobtrusive relational companioning, and the growth of Mind and Self (pp. 76-85)

Week 8:

From the work of Frank Summers, “The Psychoanalytic Vision” (2013):

  • Chapter 1: The Subject of Psychoanalysis (pp. 3-19)
  • Chapter 2: Psychoanalysis, the Tyranny of Objectivism, and the Rebellion of the Subjective (pp. 20-30)
  • Chapter 3: The Emerging Psychoanalytic Ethic (pp, 31-44)
  • Chapter 5: Unconscious Psychic Acts and the Creation of Meaning (pp. 63-82)
  • Chapter 7: The Other as Transcendental Experience (pp. 95-108)

Week 9:

From the work of Susan Kavaler-Adler, “The Anatomy of Regret: From Death Instinct to Reparation and Symbolization in Vivid Case Studies” (2013):

  • Chapter 2: Conscious Regret in Clinical Treatment Engendering a Critical Turn towards Love and Creativity, Healing a Schizoid Woman and Her Family: The Case of Sharon (pp. 25-72)
  • Chapter 3: From Crime to Regret: An Affect Level View of Psychic Transformation and the Capacity to Love” (pp. 73-96)

Week 10:

From the works of Susan Kavaler-Adler, the following articles:

  • “The Case of David: On the Couch for Sixty Minutes, Nine Years of Once-a-week Treatment,” 2005, American Journal of Psychoanalysis, 65 (2), 103-134.
  • “’My Graduation is My Mother’s Funeral’: Transformation from the Paranoid-Schizoid Position to the Depressive Position in Fear of Success and the Role of the Internal Saboteur,” 2006, International Forum of Psychoanalysis (IFP), 15(2), 117-130.


Susan Kavaler-Adler, Ph.D., ABPP, D.Litt., NCPsyA is a clinical psychologist and psychoanalyst, who has been in practice in Manhattan for 45 years. She 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 has an honorary doctorate in literature, and she is a prolific author, with published six books and over 70 articles and book chapters in the field of object relations psychoanalytic theory. Six of her seven published books are related to clinical Object Relations theories. They are: Developmental Mourning, Erotic Transference, and Object Relations Psychoanalysis (IPBooks, 2023); The Klein-Winnicott Dialectic: Transformative New Metapsychology and Interactive Clinical Theory (Karnac, 2014); The Anatomy of Regret: From Death Instinct to Reparation and Symbolization in Vivid Case Studies (Karnac, 2013); Mourning, Spirituality and Psychic Change: A New Object Relations View of Psychoanalysis (Routledge, 2003; Gradiva® Award from NAAP, 2004); The Creative Mystique: From Red Shoes Frenzy to Love and Creativity (Routledge, 1996; ORI Academic Press 2014; Gradiva® Award nomination); The Compulsion to Create: Women Writers and Their Demon Lovers (Routledge, 1993; ORI Academic Press, 2013). 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). In addition, Dr. Kavaler-Adler 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. More information can be found at


Object Relations Institute for Psychotherapy & Psychoanalysis
2024 Winter Educational Events at ORI
January 18, 202 – March 23, 2024
Live Online
Session #1: Developmental Journey to Selfhood: Object Relations Process and the Emerging Self in Work of James Masterson and Susan Kavaler-Adler (Susan Kavaler-Adler, PhD, ABPP, NCPsyA, D.Litt) (14.5 CE)
Session #2: Erotic Transference and Erotic Countertransference: Pioneering Work of Female Analysts with Male Patients, Vivid Clinical Cases (Panelists: Susan Kavaler-Adler, PhD, ABPP, NCPsyA, D.Litt; Janine de Peyer, LCSW-R, Loray Daws, PhD, Stefanie Teitelbaum, LCSW-R) (8.5 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.

Amedco Joint Accreditation #4008163.

Psychologists (APA) Credit Designation

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 Counselors: AK, AR, AZ, CA, CO, CT, DC, DE, FL, GA, HI, IA, ID, IL, IN, KS, KY, MD, ME, MO, NC, ND, NH, NE, NJ, NM, NV, OK*, OR, PA, RI, SC, SD, TN, TX, UT, VA, WI, WY

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:
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:

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.

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.


Tuition: $450/10-week course/trimester (can be paid in 2 installments)
Registration fee: $25/course (waived for ORI’s candidates in training)

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.

Full refund until the 1st session.
75% refund before the 2nd session.
50% refund before the 3rd session.
No refund from the day of the third session, but 50% of the full paid tuition will be applied to any further ORI events.