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Psychoanalytic Treatment of Narcissistic, Borderline, and Psychotic Personality Organizations

Psychoanalytic Treatment of Narcissistic, Borderline, and Psychotic Personality Organizations

  • Sept 27, 2025

“The conference will be divided between exploring four different psychoanalytic models and their relevance to the treatment of major primitive psychopathologies. Dr. Panajian will discuss Freud’s understanding of two principles of mental functioning, thinking, negation, disavowal, and delusions as an attempt to recover psychic functioning. Klien’s paranoid schizoid position, depressive position, manic and obsessive defenses will be discussed. Depressive position and capacity to tolerate paradoxes will be viewed by clinical examples. Winnicott’s psych-soma and the relation to the mind, transitional phenomena, and fear of breakdown will be explored. Bion’s model of complexity, theory of thinking, and various types of transformations and disturbance of time and space will be discussed. Dr.Panajian will discuss Piaget’s model of cognitive development of concrete operation and their significance in understanding schizoid, borderline, and psychotic functioning. The significance of space centered interpretations will be illustrated in primitive pathological functioning.

Dr. Panajian will demonstrate clinical examples of the treatment of narcissistic, borderline, schizoid, psychotic personality, bipolar psychotic and a schizophrenic patient. Such concepts as negation, the work of the negative, negative hallucination, infinity and emotional experience, the emergence of the body in time and space will be discussed. Furthermore, infantile psychic withdrawal, chaotic analytic field, vertical and horizontal splitting will be discussed clinically.  The notion of time and space continuum, sensory-motor schemas and their role in developing internal and external space will be demonstrated in borderline and psychotic patients.”

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September 20

Understanding and Treating Personality Disorders Through Fairbairn’s Object Relations Model

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September 27

Understanding the Embodiment of Narrative in the Therapeutic Exchange