Intensive Study Group
Fri, Sep 12, 2014 to Fri, May 8, 2015
10:00 am - 12:00 pm

Psychoanalytic Institute of Northern California (PINC)

530 Bush Street
7th Floor
San Francisco, CA 94108
Robert A. Carrere, Ph.D.
Patricia Marra, MFT
Barbara Blasdel, Ph.D.
Dianne Elise, Ph.D.
CE Credits: 
Participant Limit: 

General Public: $1800
$300 deposit with registration;
$1,500 remainder due Monday, September 1, 2014

NCSPP Members: $1700
$300 deposit with registration;
$1,400 remainder due Monday, September 1, 2014

One scholarship may be granted based on a space-available basis. Scholarship applications must be received by Friday, August 23, 2013. For more information and to request a scholarship application please contact us.

Early Registration Deadline: 
September 01, 2014

NCSPP offers online course registration and payment using PayPal, the Internet’s most trusted payment processor. All major credit cards, as well as checking account debit payments, are accepted.


San Francisco Intensive Study Group: Untying the K(not)

Course Overview: 

All therapists have a vision of the “good” patient or therapy — cooperative, trusting, mutually beneficial, and productive. Most of us have also had experiences with the “difficult” patient or therapy, which can feel adversarial, guarded, non-mutual and unproductive. Historically, difficulty in therapy relationships has been seen as the “fault” of the patient, who is conceptualized as resistant to change. As the field has come to encompass the co-constructed crucible of both therapist and patient subjectivities, more has been written about the contribution of the therapist’s inadequacies and vulnerabilities to impasse in psychotherapy.

This course will explore the intersection of patient and therapist when the therapy relationship stalls, implodes, or explodes. How do we understand relational “k(nots)” (Pizer, 2003)? The way some aspect of therapy becomes seemingly impenetrable — who said what to whom, and what was meant. These distressing conversations are often at the heart of a treatment but can feel excruciating. When is a diagnosis of a personality disorder an evacuation of blame, and when is it a useful tool? How might the problem be located in the therapist’s lack of skill or confounding countertransference? What unconscious material is being enacted?

Senior clinicians approach this topic from multiple theoretical perspectives, varying definitions of “difficulty,” and years of clinical experience with working through — or not working through — problematic intersections of subjectivity. Join a group of seasoned colleagues in an intensive study of this topic through reading, didactic discussion, and case presentations.

Click here for detailed information about individual ISG segments.

Course Objectives: 
  1. Release from destructive aggression against the self occurs through the direct expression of aggression/hate towards the analyst/therapist. Participants will be able to describe how being hated is an indication of the resolution of the implosive defenses.
  2. When the unconscious collaboration between therapist and patient becomes “difficult” it may seem like the difficulty resides in the patient. Participants will be able analyze their role in the unconscious collaboration so as to clarify that of their patient’s.
  3. Participants will be able to analyze how the dyad may emerge from entrenched dynamics involving negative therapeutic reactions and the role within these reactions of countertransference, therefore moving from stasis toward analytic momentum.
Co-Sponsor Information: 

The Psychoanalytic Institute of Northern California (PINC), an International Psychoanalytical Association, was established in 1989 as a center for comparative psychoanalytic inquiry, research, and training. PINC provides professionals from all mental health disciplines the opportunity to study the full scope of psychoanalytic theory and practice. For information regarding training or referral for analysis, call (415) 288-4050 or visit

Target Audience & Level: 

The Intensive Study Groups are designed for mid- to advanced-level clinicians with basic knowledge of psychoanalytic concepts. If you have questions regarding the appropriateness of the study group for you, please call for further information.

Cancellation & Refund Policies: 

Students not admitted due to space limitation will receive a full refund of their deposit. Cancellations prior to Monday, August 25, 2014: Full refund of deposit minus $100 administration charge. Cancellations after Monday, August 25, 2014: No refund provided.

Contact Information: 

ISG participants are eligible for 12 sessions of consultation with a PINC analyst at $60 per session to help integrate the material into clinical practice.

Administration | registration questions: Michele McGuinness, or (415) 496-9949

ISG Program questions: Eric Essman, MA: or (510) 486-5853

Intensive Study Group Committee

The Intensive Study Group Committee oversees the year-long ISG in San Francisco and the East Bay. The ISGs are co-sponsored by PINC. Each fall the committee puts on an Introductory Event featuring invited guest lecturers who speak to theoretical and clinical themes related to the current subject of the ISG. This event is open to all.

Brenda Bloomfield, LCSW, Chair
Johanna Murphy, Ph.D., Chair
Judy Curtis, Psy.D.
Eric P. Essman, MA
Cecilia Froberg, LMFT
Ben Goldstone, LMFT
Amy Kahn, MFTi
Alice Knutson, MFT