Co-Sponsored by Austin Psychoanalytic and Center for Psychoanalytic Studies
Saturday, April 10, 2021
9am-12:15pm Ethics conference (w. 15-min. break) 3.0 CME/CE/CEUs (Ethics)
12:15pm-1:15pm Lunch break
1:15-4pm Clinical conference (w. 15-min. break) 2.5 CME/CE/CEUs (Clinical)
You may register for the full day or choose morning or afternoon.
Abstract: Psychoanalytic work with high risk patients who are suicidal requires a high degree of knowledge and skill, as well as the ability to embed treatment in a dynamic formulation taking into account the patient’s psychic world, the analyst’s psychic world, and the pressures of risk management in a high risk situation. The pathways to suicidality are often complex, requiring the clinician to hold in mind multiple tasks and formulations.
In the morning Dr. Tillman will review professional ethics and risk management practices when working with chronically and acutely suicidal patients. She will review the risk factors, warning signs and drivers for suicide. Assessment, treatment planning and documentation will be reviewed. In the afternoon there will be a discussion on therapeutic engagement with the suicidal patient with attention to dynamic formulation, transference, countertransference dynamics, interpretation, containment and engaging the central issue of suicide in the therapeutic encounter. Understanding the role of psychic pain, trauma, despair, anger, betrayal and violence in working with the suicidal patient will be discussed.
Bio: Jane G. Tillman, PhD, ABPP is the Evelyn Stefansson Nef Director of the Erikson Institute for Education and Research.
A board certified clinical psychologist and a psychoanalyst, Dr. Tillman is an Assistant Clinical Professor at the Yale Child Study Center and a Teaching Associate in Psychiatry at the Cambridge Health Alliance of Harvard Medical School. Dr. Tillman serves on the Editorial Boards of Psychoanalytic Psychology, and The Journal of the American Psychoanalytic Association. She is the past-president of the Section on Women, Gender, and Psychoanalysis of Division 39, served two-terms as the chair of the Ethics Committee for Division 39, and past board member of the Western Massachusetts Albany Association for Psychoanalytic Psychology (WMAAPP). Dr. Tillman is the Principal Investigator on an externally funded study, States of Mind Preceding a Near Lethal Suicide Attempt.
Dr. Tillman has presented and published on a wide variety of topics including: dissociation, psychosis, religion, impasses in treatment, embodiment, clinical and professional ethics, research methodology, identifying markers for acute risk of suicide, and the effect of patient suicide on clinicians. Dr.Tillman attended the University of the South and received her undergraduate degree from the University of North Carolina-Chapel Hill; she earned an M.Div from Duke University, a PhD in clinical psychology from the University of Tennessee-Knoxville, and completed a pre-doctoral internship at the Dartmouth Medical School. She completed a four-year fellowship in psychoanalytic psychotherapy at the Austen Riggs Center and is a graduate of the Berkshire Psychoanalytic Institute.
- Identify risk factors and warning signs for suicide.
- Describe the process of clinical assessment of suicidal patients.
- Develop a dynamic formulation for the suicidal process of the patient.
- Identify states of mind that precede a near lethal suicide attempt.
- Identify countertransference responses to working with high risk patients.
- Give examples of psychoanalytic, interpersonal and cognitive theories of suicide.
Tillman, J.G. (2018). Disillusionment and Suicidality. When a Developmental Necessity Becomes a Clinical Challenge. Journal of the American Psychoanalytic Association 66 (2), 225-242.
Damsky, L. Elmendorf, DE Tillman, JG, Weinberg, EF. (2018). Integrative Psychodynamic Model for Understanding and Assessing the Suicidal Patient: The Suicide and Self Destructive Behaviors Study Group. The Erikson Institute of the Austen Riggs Center. Psychoanalytic Psychology, 35(4), 424-432.
Maltsberger, J.T., Goldblatt, M. J., Ronningstam, E., Weinberg, I., & Schechter, M. (2011). Traumatic Subjective Experiences Invite Suicide. The Journal of the American Academy of Psychoanalysis and Dynamic Psychiatry, 39(4), 671-693.
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. 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 email@example.com. 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.