The Seattle Psychoanalytic Society and Institute
presents
Margaret Crastnopol PhD
“Unkind Cutting Back and Its Navigation”
Saturday, September 21, 2013
8:40 AM to Noon
SPSI, 4020 E. Madison St., Suite 230, Seattle WA 98112
2.75 CME/CPE/CEU credits
“Unkind cutting back” is a “micro-traumatic” way of relating in which one person
in a significant relationship withdraws, but only partially, from the other. The
individual withdrawn from is made to feel insecure, deprived, and/or betrayed by
the other’s unilateral, unexpected retreat. The problem is compounded by a subtle
proscription against naming and exploring the act’s hurtful elements. Dr.
Crastnopol will focus on cutbacks in the frequency of sessions within the analytic
relationship, a move that is often instigated by one member and resisted by the
other. The analytic challenge is to avoid being thrown off course by the narcissistic
strains associated with the bid to cutback, and to learn how to harness the ensuing
exploration for maximal therapeutic advantage.
Following Dr. Crastnopol’s presentation of her paper, Jo Hoffman M.D. will present
aspects of an analysis that was ultimately successfully terminated, after repeated
struggles around “unkind cutting back”.
Presenters
Margaret Crastnopol (Peggy), Ph.D. is supervisor of psychotherapy and faculty, William
Alanson White Institute of Psychiatry, Psychoanalysis and Psychology in New York City. She
is also faculty, Seattle Psychoanalytic Society and Institute (SPSI), associate
editor, Psychoanalytic Dialogues, and on the editorial board of Contemporary
Psychoanalysis. Dr. Crastnopol was a founding member of the board of directors of the
International Association for Relational Psychoanalysis and Psychotherapy. She writes and
teaches nationally and internationally about the analyst's and patient's subjectivity,
vicissitudes of love/lust/attachment, and varieties of "micro-trauma." She is in private
practice for the treatment of individuals and couples in Seattle, WA.
Jo Hoffman, M.D., FRCPC is a Child and Adolescent Psychiatrist in private practice in
Langley, British Columbia. She is on the SPSI Faculty, having graduated in 2012. She is also
on the faculty of the Department of Psychiatry, University of British Columbia.
Cecile R. Bassen, M.D. is in private practice in Seattle. She is a Training and Consulting Analyst
at SPSI and at NPS, and is chair of SPSI’s Continuing Education Committee. She is also on the
faculty of the Dept. of Psychiatry and Behavioral Sciences at the University of Washington.
Schedule
8:40 to 9:00 AM
9:00 to 9:10 AM
9:10 to 10:30 AM
Registration
Introduction - Cecile Bassen
Unkind Cutting Back and Its Navigation presented by Peggy Crastnopol,
with audience discussion
10:30 to 10:45 AM Coffee Break
10:45 to 12:00 PM Clinical Presentation by Jo Hoffman, with comments by Peggy Crastnopol
and audience discussion
Learning Objectives: After attending this session, the learner will be able to:
1. Describe subtle signs of self-withdrawal and its impact on the analytic dyad,
whether it occurs in the analyst or the patient.
2. Articulate strategies for reducing the injury inflicted by unconscious tendencies to
attenuate attachment in the psychotherapeutic relationship.
3. Differentiate among diverse motivations behind “cutting back” and to explain the
consequences of each for the ongoing treatment, and/or the termination phase.
This activity has 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 Seattle
Psychoanalytic Society and Institute. The American Psychoanalytic Association is accredited by the ACCME to provide continuing
medical education for physicians.
The American Psychoanalytic Association designates this Live Activity for a maximum of 2.75 AMA PRA Category 1 Credit(s)™.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
CPE: This presentation also meets the requirements of WAC 246-924-240 (Definition of Category of Creditable CPE).
“This program has been approved for 2.75 CEUs by the NASW Washington State Chapter.” Licensed Social Workers, Marriage and
Family Therapists and Mental Health Counselors are eligible. Provider number is #1975-144.
IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters of this CME program have any
relevant financial relationships to disclose.
Registration
Unkind Cutting Back and Its Navigation
Saturday, September 21, 2013
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SPSI members
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Conference Fees
$50
$55
$25
Early Registration*
$40
$45
$20
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SPSI, 4020 E. Madison St., Suite 230, Seattle, WA 98112
* Must be postmarked by September 6, 2013
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Questions? Contact SPSI: (206) 328-5315 or peggy@spsi.org