November 9, 2019
9:00 AM – 12:15 PM (3 Ethics CE/CME)
2:00 PM – 4:00 PM (2 Clinical CE/CME) Clinical Consultation for a Case Involving Sexually Compulsive Behaviors. Case presentation by local clinician, Richard Nicastro, PhD. Discussion by Mark Blechner, PhD. 

The Doubletree Northwest Arboretum (please note different location from previous conferences) located at 8901 Business Park Drive, Austin, TX 78759


Members $175 (Early Bird)

Non-Members $210 (Early Bird)

Early Career Professional (within 5 years of graduation) or Full Time Student $87.50


Dr. Blechner will discuss ethical issues in dealing with sex, sexuality, and gender identity in psychoanalysis and psychotherapy. We will consider how the values and beliefs of the psychoanalyst may shape a clinical approach, along with personal, religious, legal, cultural, and other factors. Clarifying a patient’s aims and wishes in treatment is fundamental. The clinician should have as much objective knowledge as possible about the facts of sexuality and gender identity. Empirical issues of how a patient can reconcile desires and life constraints will also be considered. New knowledge and changes in society must always be considered in finding the optimal clinical approach.

Bio: Mark J. Blechner, PhD, is Training and Supervising Analyst at the William Alanson White Institute, and Professor and Supervisor at New York University. He has published for books: The Mindbrain and Dreams: Explorations of Dreaming, Thinking, and Artistic Creation (2018), Sex Changes: Transformations in Society and Psychoanalysis (2009), The Dream Frontier (2001), and Hope and Mortality (1997). He is former Editor-in-Chief of the journal Contemporary Psychoanalysis. He was the founder and director of the HIV Clinical Service at the White Institute, the first clinic at a major psychoanalytic institute specializing in the treatment of people with HIV, their families, and caregivers. He practices psychoanalysis and psychotherapy in New York City, where he also leads several private dream groups.

His book, The Dream Frontier (Routledge, 2001) has become a widely used text for courses on dreams in universities and psychoanalytic institutes. The Dream Frontier has been praised for its new ideas on how dreams are formed and how to work with them clinically, for integrating the thinking of the major thinkers about dreams, and for exploring the links between dream phenomena, symptoms of brain damage, and research in neurobiology.

Bio: Richard Nicastro, PhD, is a psychologist in private practice in Austin working with individuals and couples. After receiving his PhD from the New School for Social Research in NYC, he completed a two-year post doc at the Traumatic Stress Institute in Connecticut where he trained in relational-psychodynamic informed trauma work. He conducted research on the therapeutic alliance with survivors of childhood abuse. In private practice for over twenty years, his therapy approach is informed by relational-analytic perspectives.

Learning Objectives:
After attending the program in it’s entirety, attendees will be able to:
1. Identify issues in sexuality and gender identity that commonly arise in psychotherapy
2. Acquire increased expertise in these areas and have a strategy for improved knowledge
3. Become aware of personal biases and barriers to providing effective and ethical treatment

Iasenza, S. (2010) What is Queer about Sex? Expanding sexual frames and theory and practice, Family Process, 49: 291-308.

Blechner, M.J. (2009) Sex Changes: Transformations in Society and Psychoanalysis. New York: Routledge.

Blechner, M.J. (2016) Psychoanalysis and sexual issues. Contemporary Psychoanalysis, 52(4): 502-546.

Blechner, M.J. (2017) The clitoris: Anatomical and psychological issues. Studies in Gender and Sexuality, 18: 190-200.

Blechner, M.J. (2019) Collateral damage in the battle to change sexual orientation. In: A. Slomowitz and A. Feit, eds., Homosexuality, Transsexuality, Psychoanalysis, and Traditional Judaism, New York, Routledge, 33-44.

Blechner, M.J. (2009) Erotic and antierotic transference. Contemporary Psychoanalysis, 45: 82-92.


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. CME: These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the American Psychoanalytic Association and the Center for Psychoanalytic Studies. APsaA is accredited by the ACCME to provide continuing medical education for physicians. APsaA designates these live activities for a maximum of 13.5 AMA PRA Category I credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. IMPORTANT DISCLOSURE: None of the planners or the presenter of this CME program have any relevant financial relationships or conflicts of interest to disclose. 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 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 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.


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