A collaboration between the Austen Riggs Center, the Atlanta Psychoanalytic Society, and the Emory University Psychoanalytic Studies Program
David Mintz, MD: Psychodynamic Psychopharmacology: Applying Practical Psychodynamics to Improve Pharmacologic Outcomes
9:00 AM – 12:15 PM
The problems our patients face are many and varied. Disturbances in brain chemistry, broken lives, distorted expectations, and pathological adaptations often combine to produce psychiatric difficulties that are not solved simply with medications, and call for attention to more than one level of the bio-psycho-social spectrum. However, in recent decades, mainstream psychiatric dialogue has been dominated by a largely reductionistic biomedical perspective. The evidence bases that connect psychodynamic and psychosocial factors with medication response have tended to be sequestered outside of mainstream psychiatric journals. The neglect of these evidence bases and the adoption of a largely non-integrative model is likely a significant source of the current epidemic in treatment resistance. The workshop presents a model of integrated treatment that can address psychosocial resistances to healthy use of medications, promoting improved outcomes in treatment resistant populations. The workshop will first describe oft-ignored evidence bases that connect meaning and medications. Then it will explore common psychodynamics of treatment resistance, particularly in relation to medications. Finally, technical principles for integrating psychodynamics with prescribing (or not prescribing) will be elucidated.
David Mintz, MD is a graduate of the University of MiamiSchool of Medicine and the Cambridge Hospital/Austen Riggs Center Combined Residency Program. He completed a Fellowship in Psychodynamic Psychotherapy at the Austen Riggs Center, where he remained on staff and is Director of Psychiatric Education. He is on the Education Committee of the American Academy of Psychoanalysis and Dynamic Psychiatry and also serves on the Medical Student Education Committee of the American Psychoanalytic Association.
John Muller, PhD, Francoise Davoine, PhD, and Jean-Max Gaudilliere, PhD: Psychosis as Communication: The Semiotics of Showing
1:30 pM – 4:45 PM
In this session we will develop a semiotic perspective on psychosis through the operation of different types of signs. By better understanding how signs produce effects in our work with patients, we are given a wider array of possible responses in difficult moments. We will see how this perspective offers an introduction to the work of Francoise Davoine and Jean-Max Gaudilliere, leading figures in the movement linking psychosis and the trauma of war. In their work they highlight how the patient who can’t speak must show what the therapist must learn to see for treatment to proceed.
John P. Muller, PhD is Director of Training at the Austen Riggs Center. He is the author of Beyond the Psychoanalytic Dyad: Developmental Semiotics in Freud, Peirce, and Lacan. He is the co-editor of Lacan and Language and of The Purloined Poe and has published over 40 articles and chapters in the field of semiotics and psychoanalysis. He is coordinator of the Lacanian Clinical Forum, and has presented his work nationally and internationally. He is a founding member of the Berkshire Psychoanalytic Institute. Dr. Muller graduated from the Boston Psychoanalytic Institute and received his PhD from Harvard University.
Francoise Davoine, PhD and Jean-Max Guadilliere, PhD have worked as consultants at a public psychiatric hospital and in private practice. They are currently professors at the Ecole des Hautes Etudes en Sciences Sociales in Paris and both hold advanced degrees in classics (French, Latin, and Greek literature) and doctorates in sociology. They are the authors of History Beyond Trauma.