Trauma and the Analytic 3rd, 4th, 5th and even 6th:
Communication and Disclosure Between Child Analyst and Other Family Treaters During the Analysis of a 16 Year Old Girl

Presenter
CHARIS CLADOUHOS, MD
Member, Boston Psychoanalytic Society and Institute;
Advanced Candidate Program in Child and Adolescent Psychoanalysis

Discussant
JOHN FERNANDO, MDCM
Faculty, Toronto Psychoanalytic Society and Toronto Psychoanalytic Institute; Private Practice, Psychotherapy and Psychoanalysis; Author of “The Process of Defense: Trauma, Drives and Reality – A New Synthesis”

Moderator
STEVEN L. ABLON, MD
Training and Supervising Analyst and Child and Adolescent Supervising Analyst,
Boston Psychoanalytic Society and Institute

Conducting parent guidance, family therapy, or regular contact with parent treaters by the adolescent’s analyst has been seen as a potential disruption to the analysis. In this case, the analyst conducted all three modalities during the first phase of the analysis. Later on, parent guidance, individual adult therapy, and family therapy were instituted with different treaters. Both strategies facilitated her treatment and also presented countertransference and disclosure-related challenges for both analyst and other treaters.

Learning Objectives
1. Participants will increase awareness of how adult and child treaters can interface effectively to facilitate each other’s work.
2. Participants will discuss how to maximize safety and elaborate psychic reality without compromising ego development by collusion with traumatic distortion.
3. Participants will develop an awareness of when an analyst should participate in family treatment.

References
1. Garber, Benjamin MD. “The Isolation and Loneliness of the Child Analyst” The Annual of Psychoanalysis, Vol XV, IUP, Madison, CT 1987.
2. Blos, Peter, Jr. “When Parents are Patients: Children as Figures in the Analysis of Adults”, Unpublished manuscript
3. Pullman, Philip. His Dark Materials, Books 1-III. Random House/Dell Laurel, Leaf, 2000.

Physicians: This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Psychoanalytic Association and the Boston Psychoanalytic Society and Institute. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians and takes responsibility for the content, quality, and scientific integrity of this CME activity. The American Psychoanalytic Association designates this educational activity for a maximum of 1.5 hours in category 1 credit towards the AMA Physician’s Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity. IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters of this CME program have any relevant financial relationships to disclose. Psychologists: The Boston Psychoanalytic Society and Institute is approved by the American Psychological Association to sponsor continuing education for psychologists. The Boston Psychoanalytic Society and Institute maintains responsibility for this program and its content. This program fulfills the requirements for 1.5 hours of CE. Social Workers: Please contact the Boston Psychoanalytic Society and Institute’s Administrative Office at 617/266-0953 or office@bostonpsychoanalytic.org for more information.