MENTAL HEALTH DIAGNOSIS and TREATMENT SELECTION USING MULTIMODAL PSYCHOANALYTIC THEORIES
SEMINAR with JEROME S. BLACKMAN, M.D., FIPA APRIL 23RD (10AM — 4PM EDT/NYC), 2023 Virtual participation only! To Register for this workshop, please complete the Registration form Continuing Education Information: 8.75 CEs for APA, NYS Psych, NYS SW
Some people get better with interpretive therapies, where unconscious resistances, defenses, affects, and the conflicts underpinning those are explicable by the person doing the treating. Technically, we say that there is a shift in defenses once maladaptive compromise formations can be consciously understood and reintegrated (Brenner, 1975; Papiasvili, 1995). Other people, who, whatever their chief complaints, show damage to object relations (Blum 1981), self-image (Marcus, 2004), and self-esteem regulation (Akhtar, 1994), often need more corrective object relations and/or more intersubjective techniques (Papiasvili, 2020), including containing, counterprojection, selected self-disclosure (Renik 1999 ), and/or rehabilitation of their self-regard.
Addition of damage to basic mental (autonomous ego) functions (Hartmann, 1964) and/or ego strengths can make the first two approaches countertherapeutic. And such damage may be congenital, developmental, or due to trauma or chronic inhibition of a function due to conflict. Medication may be necessary in some cases. (Blackman, 2010)
This seminar will review multiple theories of mental health practice, including ego psychology (autonomous ego functions and ego strengths and their derangement [Frosch, 1988]), drive theory (oral, anal, first genital, latency, and second genital in regard to libidinal and aggressive wishes, as well as object-seeking, attachment-seeking, and ego related motivations), affect theory (Brenner’s  revisions regarding anxiety and depressive affect, and Blackman’s revisions regarding anger), reality (environmental and cultural) considerations, superego theory, self-theory, object relations and identity theories, defense theory (Blackman, 2004), and conflict theory’s view of compromise formations.
Using case vignettes, Dr. Blackman will illustrate that using all these theories increases accuracy in choosing treatment type and technique, making for more rewarding treatment outcomes.
Q&A regarding theory formation, utility, and participants’ questions regarding brief case vignettes are welcome.
Suggested Readings: Blackman, J. (2004). 101 Defenses: How the Mind Shields Itself. Routledge. Chapter 1 and Table 4.1 in Chapter 5. Blackman, J. (2010). Get the Diagnosis Right: Assessment & Treatment Selection for Mental Disorders. Routledge. Chapters 1-4.
Readings in preparation to this seminar (mandatory for those obtaining the CEs) – will be sent to the registered participants in PDF formats.
At the end of this educational activity, its participants will be able to:
Differentiate subtle forms of psychotic illness from borderline disorders using ego function assessment.
Discuss and make appropriate choices of patients for classical analysis vs. modified treatments.
Utilize multiple theories in making evaluation and treatment recommendations.
Match mental health diagnosis more closely with treatment outcomes.
Determine when and which psychotropic medications are indicated or contraindicated
Amalgamate psychobiological, cognitive-behavioral, and analytic theories to determine the type of mental disturbance present.
Blackman, J.S. (2010). Get the diagnosis right: Assessment and treatment selection for mental disorders. Routledge.
About the book:
Dr. Jerome Blackman, author of 101 Defenses: How the Mind Shields Itself, has once again crafted an extraordinarily user-friendly book that demonstrates to all readers, from trainees to advanced analysts, the process of diagnosing mental disturbance. Get the Diagnosis Right provides a systematic method for accurately determining whether a person suffering with mental problems needs medication, supportive/cognitive, dynamic, and/or psychoanalytic treatment.
Amalgamating the most useful ideas from general psychiatry, cognitive psychology, and modern psychoanalytic theory, Dr. Blackman guides readers who prescribe treatment for mental disturbances. The book also serves as a check for those who are considering what type of mental health professional they should be consulting.
After reading this book, you will no longer have to guess whether a depressed patient should obtain medication, supportive therapy, insight therapy, or some mixture of the three; or question how to conduct an initial interview and assessment. Written in language that is clear but not simplistic, this book goes far beyond other diagnostic manuals.
Akhtar, S. (1994). Object constancy and adult psychopathology. International Journal of Psychoanalysis 75, 441-455.
Blackman, J. (2004). 101 Defenses: How the mind shields itself. Routledge.
Blackman, J. (2010). Get the diagnosis right: Assessment & treatment selection for mental disorders. Routledge.
Blackman, J. (2013). The Therapist’s Answer Book: Solutions to 101 Tricky Problems in Psychotherapy. Routledge.
Blackman, J. (2013a). “Object Clarification” in the treatment of lonely heterosexual men. In A. Kramer Richards, L. Spira, & A. Lynch (Eds.), Encounters with loneliness. International Psychoanalytic Books.
Blum, H. P. (1981). Object inconstancy and paranoid conspiracy. Journal of the American Psychoanalytic Association 29, 789-813.
Brenner, C., Reporter. (1975). Alteration of defenses during psychoanalysis. Kris Study Group of the NY Psychoanalytic Institute, Vol VI.
Brenner, C. (1982). The mind in conflict. International Universities Press.
Dorpat, T. (2000). Gaslighting, the double-whammy, interrogation and other methods of covert control in psychotherapy and analysis. Aronson.
Frosch, J. (1988). Psychotic character versus borderline. International Journal of Psychoanalysis, 69, 347-357
Hartmann, H. (1964). Essays on ego psychology. International Universities Press.
Marcus, I. (2004). Why men have affairs: Real-life solutions for men, women & couples. Bon Temps Press.
Papiasvili, E. D. (1995) Conflict in psychoanalysis and in life. International Forum of Psychoanalysis, 4, 215-220.
Papiasvili, E. D. (2020). The dawn of the subject: On the verge of destruction and creativity. Revue Psychoanalytická Psychoterapie, 22, 100-114.
Renik, O. (1999). Playing one’s cards face up in analysis: An approach to the problem of self-disclosure. Psychoanalytic Quarterly, 68, 521-539.
Professor Jerome Blackman is a psychiatrist and a psychoanalyst (certified by the American Psychoanalytic Association, the American Board of Psychoanalysis, the Council of Independent Psychoanalytic Societies, and the International Psychoanalytic Association). He has been in private practice since 1975 and is currently a Professor of Clinical Psychiatry at Eastern Virginia Medical School in Norfolk, Virginia. He is also an IPA Training and Supervising Analyst with the Contemporary Freudian Society in Washington, DC.
Dr. Blackman was the 12th Recipient of Akhtar-Brenner Lectureship Award from Sidney Kimmel Medical College of Thomas Jefferson University in 2017 where he lectured on the Expanded Mental Status Assessment. He was an invited lecturer at Mount Sinai Icahn School of Medicine Department of Psychotherapy in 2017, where he lectured on Differential Diagnosis and Redefinition of Masochism.
The Jerome S Blackman, MD [yearly] Lectureship in Psychoanalysis was established in his honor, in 2019, by the Virginia Psychoanalytic Society and Eastern Virginia Medical School. At the Naval Medical Center Portsmouth (VA), the Jerome S Blackman MD Teacher of the Year Award was given to 25 different teachers from 1992-2016. He received the Edith Sabshin MD Award for Teaching from the American Psychoanalytic Association.
Early in his career, while in child psychoanalytic training at the New Orleans Psychoanalytic Institute, he consulted to many Child Protection Centers. Based on his experiences, in 2016 he co-authored Sexual Aggression against Children: Pedophiles’ and Abusers’ Development, Dynamics, Treatability, and the Law (Routledge) with Dr. Kathleen Dring. In 2023, they wrote Developmental Evaluation of Children and Adolescents: A Psychodynamic Guide (Routledge).
In 2003, his paper on countertransference was published in the Psychoanalytic Quarterly. He later published several book chapters on topics including stepparenting, porn addiction, the first year of life, laziness, shame, philandering, fear of injury, and the death of the analyst.
He has lectured at many universities in China, as well as psychoanalytic institutes and universities in the U.S. and worldwide. From 2018-2021, he was appointed Distinguished Professor of Mental Health at Shanxi Medical University in Taiyuan. He was a keynote speaker at the 6th and 7th China Psychoanalytic Association Congresses in Shanghai (2019 & 2021) regarding child development and developmental issues in supervision; he received the “High End Foreign Talent” Honor from Shanxi Province in 2018.
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.
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. 22.75 hours.
The following state boards accept courses from APA providers for Counselors: AK, AL, 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: 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, 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. 22.75 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. 22.75hours.
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 March 31st, 2023) $60 regular/ $45 grad students & candidates/ $20 undergrad students. If CEs are requested — please use the “regular” registration (not a “student”) option. There is an additional fee of $25 (can be paid prior or on the day of the conference).
Regular registration (from March 31st – til April 22nd, 2023 – before 6pm EDT) $75 regular/ $55 grad students & candidates/ $25 undergrad students. If CEs are requested — please use the “regular” registration (not a “student”) option. There is an additional fee of $25 (can be paid prior or on the day of the conference).
Registration ‘at the door’ (after 6pm EDT/NYC time on April 22nd, 2023) $90 regular/ $65 grad students & candidates/ $30 undergrad students.
Please Note: If CEs are requested — there is an additional fee of $25 (can be paid on the day of the conference or in advance).
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.
CANCELLATION POLICY: Full refund before the date of the event. No refund from the day of the event, but full paid tuition will be applied to any further ORI events.
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