Facets of Race in Psychoanlaysis

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Saturday, November 16, 2019

9:00 AM - 12:00 PM


141 Herrick Road

Newton Centre, MA 02459

Making a Person: Psychoanalytic Work with Autistic and Psychotic Anxieties in Childhood


The 2019 Beata Rank Lecture


Joshua Durban (Tel Aviv, Israel) is an internationally respected psychoanalyst known for his skilled psychoanalytic work with autistic and psychotic child and adolescent patients. His paper, “Making a Person: Psychoanalytic Work with Autistic and Psychotic Anxieties in Childhood,” is an erudite and emotionally moving work about his courageous engagement over several years with Rafael, a boy with a mixed clinical picture of autism and psychosis.


Historically, child and adolescent patients manifesting autistic and psychotic pathology have been very challenging to treat and psychoanalytic approaches have been regularly criticized. In his paper Joshua Durban reviews the development of certain psychoanalytic trends that have emerged in recent decades that many clinicians have found helpful in reaching these young patients. After summarizing some of these approaches, Durban presents in great depth a boy with a mixed clinical picture of autism and psychosis. His analytic treatment of this young adolescent patient beautifully describes this sensitive work. Durbin proposes an ‘autisto-psychotic’ level of primitive anxieties and demonstrates the utility of the perspective in the rich clinical material presented.


Following this presentation, Dr. David Levoy, a child and adult psychoanalyst at BPSI, will discuss Joshua Durban’s paper after which there will be an open discussion with the audience.



About the Beata Rank Lecture

The Beata Rank Lecture celebrates the legacy of this prominent child analyst. A psychoanalyst member of BPSI, her influence reached far into the Boston community as diverse mental health professionals—from pediatricians to psychiatrists to social scientists—sought her out as a consultant. With Dr. Marian C. Putnam, Rank co-founded and co-directed the James Jackson Putnam Children’s Center, a pioneering day-treatment facility for preschool children and their parents. It simultaneously offered daycare and/or psychological evaluation and treatment for children with emotional and cognitive developmental problems, and their parents. Research was an integral part of the program and the staff published numerous papers, including Rank’s papers on atypical development.


Joshua Durban, MA (Presenter) is training and supervising child and adult psychoanalyst at the Israeli Psychoanalytic Society and Institute, Jerusalem (IPA) where he also teaches. He is on the faculty of the Sackler School of Medicine, Tel-Aviv University, the Psychotherapy Program, Early Mental States unit and the Post-Graduate stream for advanced Kleinian Studies. He is a member of the IPA inter-committee for the prevention of child abuse and serves as an advisor and supervisor for national and international projects on the subject. Joshua Durban works in private practice in Tel-Aviv with children, adolescents and adults and specializes in the psychoanalysis of ASD and psychotic children and adults.

David Levoy, MD (Discussant) is a Child and Adult Psychiatrist and a graduate of the Boston Psychoanalytic Society and Institute in both Child and Adult psychoanalysis. He is Co-founder and Co-chair of the Child Track in the BPSI Fellowship in Psychoanalytic Psychotherapy. He was formerly on the clinical faculty at Brown, Harvard and Tufts medical schools, and currently on clinical faculty at the UMASS Medical School. Dr. Levoy was founder and director of the University of Massachusetts Medical School LEND Neurodevelopmental Clinic, and currently is consulting psychiatrist to the Pappas Rehabilitation Hospital for Children. He has a private practice in Newton MA.

Lawrence J. Brown, PhD (Moderator) is a graduate of the Boston Psychoanalytic Institute (BPSI) in both Child and Adult psychoanalysis, a Supervising Child Analyst and Co-chair of the Child Analysis program at BPSI. He is on the Editorial Board of the Psychoanalytic Quarterly and is President of the Boston Group for Psychoanalytic Studies. His most recent book, Transformational Processes in Clinical Psychoanalysis: Dreaming, Emotions and the Present Moment, was published in 2019 by IPA Publications and Routledge. He has a private practice in Newton, MA.


The Beata Rank Lecture is made possible by the generous support of BPSI Members and friends.

This program will be of interest to mental health clinicians at all levels of training. 

Learning Objectives
At the conclusion of this program, participants will be able to:

  1. Define Joshua Durban’s use of the term autisto-psychotic anxieties in children;
  2. Identify the differences between autistic and psychotic anxieties in children and adolescents;
  3. Describe 2 ways in which the analyst may need to modify his/her technical/clinical approach with such patients;
  4. Describe one transference and one countertransference manifestation in these working with these autisto-psychotic patients.


9:00 am - 10:00 am: Presentation; 10:00 am - 10:20 am: Break; 10:20 am - 10:50 am: Discussant; 10:50 am - 11:10 am: Response from Presenter; 11:00 am - 12:00 pm: Audience Q&A and Discussion.

Scholarships are available for all BPSI programs.
FEE: $65 Early Bird (use code: EB2019BR); $75 Regular (through 11/01/2019)
The fee is waived for Early Career Clinicians, Residents, and Students, and BPSI Members, Trainees, and Partners.

Continuing Education 
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of 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. The American Psychoanalytic Association designates this Live Activity for a maximum of 3 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the 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 2.5 hours of CE. 
Please note: Per APA requirements, psychologists must attend 100% of a course in order to be eligible for continuing education credit.
Social Workers: Application for social work continuing education credtis has been submitted. Please contact us at office@bpsi.org or 617-266-0953 for the status of social work CE accreditation.
Please noe: Per NASW requirements, social workers must attend 80% of a course in order to be eligible for continuing education credit.
The Boston Psychoanalytic Society and Institute has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 6913. Programs that do not qualify for NBCC credit are clearly identified.  The Boston Psychoanalytic Society and Institute is solely responsible for all aspects of the programs. This program offers 3 NBCC Clock Hours.


Event Cancellation Policies & Procedures
Any program participant requesting their individual program registration be canceled, must submit their request in writing via email to Drew Brydon at dbrydon@bpsi.org. For fee-based events, a request for cancellation (and refund using the original form of payment) must be received no later than 48 hours in advance of the event. Requests received later than 48 hours prior to the event will not be processed or accepted. All approved refunds are subject to a $10.00 administrative fee. If BPSI cancels an event, all registrants will receive a full refund of fees paid (no administration charge) no later than two business days following the scheduled date of the event, using the original form of payment.

Grievance Policy
Please address any questions or concerns about your experience at this or any program or event you have attended at the Boston Psychoanalytic Society and Institute to the Program Chair, via the Senior Administrator/Continuing Education Administrator, BPSI, 141 Herrick Road, Newton Centre, MA 02459; office@bpsi.org; 617.266.0953.

The Boston Psychoanalytic Society and Institute, Inc., 141 Herrick Road, Newton Centre, MA 02459, does not discriminate on the basis of race, creed, color, sex, age, sexual orientation, national origin or handicap in the admissions, administration of its educational programs, scholarship programs or employment.





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