Working with Fairbairn's Structural Model in the Clinical Interview - David Celani, PhD (Recorded)
David Celani, PhD, presents an overview of Fairbairn's model with an emphasis on three aspects of his model. First he describes Fairbairn's sensitive and nuanced understanding of the emotional vulnerability of children to rejection of their needs by his/her caregiver. The child's dependency is so intense that any lived experiences of indifference or rejection are intolerable for his/ her sense of security, and are dissociated and held in the unconscious.
The second aspect of the model emphasized is the fate of the dissociated material, which collates into memories of the child's self in relation to its objects. There are two pairs of (mostly) unconscious structures, that relate only to each other and engage in a dialogue with each other in the unconscious. They are the antilibidinal ego, which is the child's self in relation to the rejecting parent. This self is suffused with memories of self hate, object hate, a sense of worthlessness and a strong desire for retaliation toward the rejecting object. The rejecting object is simply and internalization (and exaggeration) of memories of the parent when he/she behaved indifferently or in a hostile manner toward the child. The second pair of dissociated selves is called the libidinal ego and it is the child's storehouse of hope for love in the future. It relates to the exciting object part-parent which the child's fantasy that the exciting object part parent actually contains the love for which the child desperately longs. These two pairs of structures are the source of Fairbairn's most significant construct which is called "the attachment to bad objects". Splitting the parental object prevents integration of good and bad part objects (and stifles differentation), and allows the child to hate the rejecting object with a fury and love the exciting object with all their heart.
The final part of the presentation describes how the four sub-ego structures present in the clinical interview, and how the therapist can most effectively respond to them, with the goal of introducing the split off material to the patient's conscious central ego.
Target Audience
Advanced. This presentation assumes that the attendees know more than one model of psychoanalysis and are able to compare the varying positions on the fundamental underlying philosophies of human psychological functioning.
Learning Objectives
- Following this presentation the participant will be able to describe Fairbairn’s model of the mind.
- Following this presentation the participant will be able to describe the role of intolerable memories and parental failures that have the potential to shatter the child’s dependency bond
- Following this presentation the participant will be able to identify how four sub-ego structures present in the clinical interview.
David Celani, PhD, received his degree in clinical psychology 1974 from the University of Vermont, and spent 26 years in private practice in Burlington and, South Burlington, Vermont. While there, he became a supervisee of Bob Barasch, PhD, who introduced him to the work of H.S. Sullivan. He then became interested in the work of W.R.D. Fairbairn, and in 1993 published his first book, The Treatment of the Borderline Patient: Applying Fairbairn’s Object Relations Theory in the Clinical Setting (International Universities Press). More recently, Celani published Fairbairn’s Object Relations Theory in the Clinical Setting (Columbia University Press, 2010) a text designed for the mental health professional. He has also published journal articles on domestic violence, the obsessional personality disorder, the histrionic personality disorder and the Narcissistic Personality Disorder, Fairbairn’s theory of change, and most recently on the psychological development of Anders Breivik, the Norwegian mass murderer. During the period 2012-2013 he worked for Premier Educational Solutions Inc., of Eau Claire, Wisconsin, and presented 15 six-hour, six-credit workshops in the Mid-Atlantic and Midwest states. Most recently he spoke on Fairbairn in London for Confer.UK.com in 2018, 2019, and virtually in 2020, as well as presenting three workshops for the Object Relations Institute of NY.
Austen Riggs Center Inc. confirms that David Celani, PhD, nor anyone involved in the planning of the CME event, has disclosed a potential conflict of interest.
The views and opinions expressed in this presentation are those of the presenter(s) and do not necessarily represent the official policy or position of the Austen Riggs Center.
General CME/CE Information
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Accreditation
(Physicians, Psychologists, Social Work and Nursing)
The Austen Riggs Center designates this online educational webinar for a maximum of (see specific event) AMA PRA Category1 Credit(s) ™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
The Austen Riggs Center Inc. is accredited by the Massachusetts Medical Society to provide continuing medical education for physicians.
The Austen Riggs Center’s policy on disclosure, in keeping with requirements of the Massachusetts Medical Society, requires continuing education planners and speakers to disclose any relevant financial interest or other relationship with commercial entities that could pose a potential conflict of interest in the presentation of this educational activity. The Austen Riggs Center Continuing Medical Education Committee has established policies for identifying and resolving all conflicts of interest prior to this educational activity. The Austen Riggs Center accepts no commercial support of any kind to support our CME/CE activity.
The Austen Riggs Center Inc. also designates this online educational webinar for (see specific event) continuing education credit(s) (CE) for psychology.
Austen Riggs Center, Inc. is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0115.
The Austen Riggs Center Inc. is approved by the American Psychological Association to sponsor continuing education for psychologists. The Austen Riggs Center maintains responsibility for the program and its content. For additional information about this program, please call the Erikson Institute Education Coordinator, at 413.931.5230.
The Austen Riggs Center Inc., #1344, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Austen Riggs Center maintains responsibility for this course. ACE provider Approval Period: 02/02/2020-2/2/2023. Social workers completing this online educational webinar will receive (see specific event) continuing education credits.
For a listing of jurisdictions that accept ACE, please visit www.aswb.org/ace/ace-jurisdiction-map/.
Attention NY and NJ Social Workers
The Austen Riggs Center Inc. is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) www.aswb.org, through the Approved Continuing Education (ACE) program. As of January 2021, ACE is accepted in 48 jurisdictions. This does not include the states of New York and New Jersey. Check your state licensing board for further information. For a listing of jurisdictions that accept ACE, please visit www.aswb.org/ace/ace-jurisdiction-map/ or check with your state guild and licensing entities.
Available Credit
- 1.00 AMA PRA Category 1 Credit™
ACCME - As a Jointly Accredited Organization, The Austen Riggs Center, Inc. designates this learning activity for a maximum of 1.00 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 APA
As a Jointly Accredited Organization, The Austen Riggs Center, Inc. designates this learning activity for 1.00 continuing education credit(s) (CE) for psychology. Continuing Education (CE) credits for psychologists are provided through the co-sponsorship of the American Psychological Association (APA) Office of Continuing Education in Psychology (CEP). The APA CEP Office maintains responsibility for the content of the programs.
Austen Riggs Center, Inc. is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0115.
- 1.00 ASWB-ACE
As a Jointly Accredited Organization, The Austen Riggs Center is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organization, not individual courses, are approved under this program. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Austen Riggs Center maintains responsibility for this. Social workers completing this Enduring course will receive 1.00 continuing education credit(s).
- 1.00 Contact Hours/ ParticipationA certificate of attendance for all Learners.