April 6, 2022

7:30 – 9:00 PM Central

Zoom Event

1.5 CEs

Register Here

Monthly meetings are always free of charge. CE certificates are $20 for non-members.

Intersectionality teaches us that inequality and discrimination are determined by a complex interplay between socially-constructed identities. The resulting states of otherness can introduce intersectional shame into the clinical encounter. When a fat analyst and fat patient share marginalized difference, their mutual shame can multiply across their relationship, producing an intersectional enactment. Exponentially high degrees of shame create a compounded need to disavow associated “not-me” selfstates, resulting in a failure of reflective awareness with potentially significant consequences. Thus, it can take a radical, destabilizing intersectional enactment to penetrate this mutual dissociation. In such instances, the dramatic intensity of an intersectional enactment may represent the key to understanding it.

Bio: Hilary Offman, MD FRCPC is a psychiatrist and psychoanalyst with a private practice in Toronto, Canada. She is a lecturer and supervisor in the Department of Psychiatry at the University of Toronto, with hospital appointments at the University Health Network and St. Michael’s Hospital. She is also a supervising analyst and Board member for the Toronto Institute for Contemporary Psychoanalysis (TICP). She is the former co-chair of the Candidates Committee for the International Association of Relational Psychotherapy and Psychoanalysis (IARPP) and a current member of the IARRP Board of Directors, where she chairs the International Membership Outreach Committee. She has presented her work at several international IARPP conferences, Division 39 of the American Psychological Association, the International Health Humanities Consortium, and the International Federation of Psychoanalytic Educators (IFPE). Hilary’s writing is published in Psychoanalytic Dialogues, Transgender Quarterly, and her most recent paper, “The Otherness of Fat- An Intersectional Enactment of Epic Proportions,” in Psychoanalytic Perspectives. Her papers, “The Princess and the Penis” and “The Queering of a Cisgender Psychoanalyst,” are used to teach about working psychoanalytically with patients who identify as non-binary. She knits simple projects with yarn that is too expensive. Her husband is a paediatrician and neonatologist in the Department of Paediatrics, University of Toronto. Her golden doodle Steve supervises her in her office, and her son comes home from university periodically for elaborate meals.

Learning Objectives

After attending the program in its entirety, attendees will be able to:

1) Understand and apply the concept of intersectionality with respect to how the resulting states of otherness can introduce intersectional shame into the clinical encounter.

2) Understand and apply the ways in which exponentially high degrees of shame create a compounded need to disavow associated “not-me” selfstates, resulting in a failure of reflective awareness with potentially significant consequences


Benjamin, J. (1990). An outline of intersubjectivity: The development of recognition. Psychoanalytic Psychology, 7(S), 33–46. https://doi.org/10.1037/h0085258

Hoffman, I. Z. (1998). Ritual and spontaneity in the psychoanalytic process: A dialectical-constructivist view. Routledge.

Prohaska, A., & Gailey, J. A. (2019). Theorizing fat oppression: Intersectional approaches and methodological innovations. Fat Studies, 1–9. https://doi-org.myaccess.library.utoronto.ca/10.1080/21604851.2019.1534469

CONTINUING EDUCATION: Division 39 is approved by the American Psychological Association to sponsor continuing education for psychologists. Division 39 maintains responsibility for this program and its content.  Austin Psychoanalytic is approved by the Texas State Board of Social Workers Examiners (Provider # 5501) to provide continuing education for social workers and the Texas State Board of Examiners of Marriage and Family Therapists (Provider #1138). We also meet the requirements to provide continuing education for the Texas State Board of Examiners of Professional Counselors. This program, when attended in its entirety, is available for 1.5 continuing education credits. Division 39 is committed to accessibility and non-discrimination in its continuing education activities. Division 39 is also committed to conducting all activities in conformity with the American Psychological Association’s Ethical Principles for Psychologists. Participants are asked to be aware of the need for privacy and confidentiality throughout the program. If program content becomes stressful, participants are encouraged to process these feelings during discussion periods. If participants have special needs, we will attempt to accommodate them. Please address questions, concerns and any complaints to info@austinpsychoanalytic.org. There is no commercial support for this program nor are there any relationships between the CE Sponsor, presenting organization, presenter, program content, research, grants, or other funding that could reasonably be construed as conflicts of interest. Participants will be informed of the utility/validity of the content/approach discussed (including the basis for the statements about validity/utility), as well as the limitations of the approach and most common (and severe) risks, if any, associated with the program’s content.