The Perfect Storm: Rage, Projective Identification and the Mechanisms of Defense

Friday, March 23, 2012: 10:40 AM-12:10 PM
Crystal A (The Charleston Marriott)
This presentation, interactive and didactic, will examine the interrelationships among rage, projective identification, and the mechanisms of defense. Using and understanding these complex behaviors can enhance dramatically treatment process and outcome and can reduce negative countertransference reactions. Participants are strongly encouraged to share cases, questions and personal experiences.
I.   Introduction

A.  Discussion of topic

B.  Presentation of objectives

C.  Brief discussion of group objectives and interests

II. Rage and the mechanisms of defense

A.  Defining rage as a developmental outgrowth (multiple origins) and the impact of rage on the therapeutic relationship. This would include the theories of subjective and objective experience, per the works of Winnicott, Spotnitz and Masterson

B.  How mechanisms of defense operate in the patients life and in the life of the family of origin

C.  The contextual role of defenses in the family system

D.  Projective identification: A destructive force in patient development and maturization

III. Case examples to be given by attendees and presenter.

IV. Discussion of techniques and strategies to resolve rigid defensive structures and fears of attachment.

V. Review and question and answer.

This presentation will address the concepts of patient rage, mechanisms of defense, and the meaning and impact of projective identification in working with a patient with eating disorders and his or her family.

While attachment is a normal developmental phenomenon, it is well known that persons with eating disorders face struggles with the process of attachment.  This can be demonstrated in transference issues that develop in the treatment setting. 

The many mechanisms of defense are often ignored in treatment and yet are "tools" that a patient's "executive self" will employ to protect the core being.  Projective identification and projective incorporation, when understood, illuminate the patient's history and obstacles or pathways to progress.  These concepts will be addressed in this interactive and experiential seminar.

Participants are encouraged to share case experiences, ideas, questions and insights.  The overall objective is to broaden and clarify the concept of rage, aggression, and interplay of personal defenses.  With this information participants will have a better clinical grasp of patient development and interventions that may help a patient to heal and experience meaningful personal growth.

Primary Presenter:
S. Roy Erlichman, PhD, CAP, CEDS

Biographical Statement Dr. S. Roy Erlichman is a Certified Eating Disorders Specialist, an Approved IAEDP Supervisor, and has served as president of the board of directors of IAEDP. Currently he is a member of the board of directors and the conference planning and awards committees. Dr. Erlichman graduated from the Philadelphia School of Psychoanalysis and completed training in the Department of Family Psychiatry at Eastern Pennsylvania Psychiatric Institute. He is a member of Phi Beta Kappa and has been noted in Who’s Who In The East, Who’s Who In The South, Who’s Who In The World, and Men of Achievement.



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