Psychoanalysis On and Off the Couch Podcast Por Harvey Schwartz MD arte de portada

Psychoanalysis On and Off the Couch

Psychoanalysis On and Off the Couch

De: Harvey Schwartz MD
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Psychoanalysis applied outside the office. Higiene y Vida Saludable Medicina Alternativa y Complementaria Psicología Psicología y Salud Mental
Episodios
  • Mothers and Their Little Girls with Ilene Lefcourt (New York)
    Apr 5 2026

    "In addition to the easy convenience of bathing two children together, or three children together, there are other motivations of bathing them together. Parents are less aware that there is an excitement in seeing the children naked - although convenience is what's stated first, I think other things do go into it. Through development reactions to the genital difference and nudity will change, and I believe that being aware of those changes is very useful for parents to make decisions about what they want to do in their family, about family nudity, toileting, bathing, running around naked."

    Episode Description: Ilene demonstrates the many influences on mothers' engagements with their daughters which include their own remembered and forgotten pasts, cultural influences and their unique imaginations. She mentions the startling messaging in the famous movie "Gigi", "Thank heaven for little girls...so helpless and appealing, without them what would little boys do." We discuss the power of girls wishing to be like their mothers and how that at times conflicts with their wishes to also individuate from their mothers. The book demonstrates differences among new parents around the blue/pink choices for boys and girls, and she also discusses the many feelings parents have associated with family nudity. A special distinction is made between a three-year-old asking 'Do I look pretty?' vs 'Am I pretty' - each having very different meanings to the child and to her parents. We touch upon 'whining', self-stimulation, and what being a 'girly-girl' means to parents. We close with Ilene sharing with us how real her granddaughters found this work to be.

    Our Guest: Ilene Lefcourt established the Sackler Lefcourt Center for Child Development in 1982. She was the Director, led the Mother-Baby-Toddler Groups, and provided Developmental Consultation to parents for over 35 years. She taught Child Psychiatry Residents and Parent-Infant Psychotherapy Trainees about her work. She has been a faculty member at the Columbia University Center for Psychoanalytic Training and Research since 1995. Ms. Lefcourt is currently in private practice in New York City. She is the author of Parenting and Childhood Memories: A Psychoanalytic Approach to Reverberating Ghosts and Magic, Mother-Baby-Toddler Group Guide: A Psychodynamic Approach, When Mothers Talk: Magical Moments and Everyday Challenges, and Mothers and Daughters: The First Three Years. Visit Ilene's website: http://ilenelefcourt.com/.

    Recommended Readings:

    1975, Fraiberg S. Adelson E., Shapiro V., Ghosts in the Nursery, Journal of the American Academy of Child Psychiatry, 14, 387-421

    1993, Lieberman, A ., The Emotional Life of the Toddler, Simon and Schuster

    2005, Lieberman, A., Angels in The Nursery, Infant Mental Health Journal.

    Vol. 26(6)

    1995, Stern, D. The Motherhood Constellation, Basic Books

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    1 h y 3 m
  • A Memoir of Analysis, Poetry and Mortality with Alice Jones, MD (Berkeley, California)
    Mar 22 2026

    "All my writing before this has been poetry, and over the years in my books of poems I found the lines kept getting longer. I think the move towards prose had me working on this journal form, which I've not done. Many people write their journals their entire lives. For me, it's a more dipping in and out of this form of work. I began this segment when my father-in-law was dying, and it began as a small series of prose poems about his decline. What I found myself wanting to do then is weave in stories from work, how they were intersecting with what was going on at home. And the thought that all analysts, all therapists, live in this zone of interwoven stories where we're following multiple narrative threads at once, but we tend to talk to each other in terms of one case story at a time. So it was important to me to have all those levels present, because that's really what a lived life is, is being immersed simultaneously and in all of those."

    Episode Description: Alice's 'meditative memoir' invites us into the multiple narratives in analysts' lives both within and outside of their offices. She shares how we inevitably bring our own experiences into each clinical hour which forms part of the musicality of the work. Her attention remains on the inside/outside aspects of the body, the mind and our world views. Mortality is never far from her awareness and is reflected in the work she engages in with her patients. She introduces 'Blake' to us and how after 12 years of vital work together, he dies quite prematurely. We discuss the intimate nature of analytic work and how it becomes part of our own inner life. Alice shares a saying of her at times 'directionally challenged' grandfather, "We are headed in the proper general direction" - a theme applicable to many venues of life and psychoanalysis. We close with her reading a poem of Galway Kinnell which concludes with "The still undanced cadence of vanishing"

    Our Guest: Alice Jones, MD is a personal and consulting analyst at the San Francisco Center for Psychoanalysis. She is the author of seven collections of poems and Cadence of Vanishing, a memoir. A collection of essays titled Poetry, Depth, and Endings in Psychoanalysis: Distant Music is forthcoming from Routledge in 2026.

    Recommended Readings:

    Alice Jones. (2025) Ever Ending. Psychoanalytic Quarterly. 94:3. 497-517.

    Alice Jones (2020) Vault. Apogee Press.

    Alice Jones (2025) Leavings. TAP Magazine.

    Thomas Ogden (2025) Inventing Psychoanalysis with Each Patient. International Journal of Psychoanalysis. 106:3, pp 471-488.

    Ellen Pinsky (2025) Driven to Write: 45 Writers on the Motives and Mysteries of their Craft. Routledge.

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    58 m
  • A Candidate Engages Patients Who are 'Difficult to Reach' with Pamela Polizzi, LCSW (New York)
    Mar 8 2026
    "This came from an experience with a patient. It was early in my analytic training, and I was working with a supervisor who I really admired, and worked with her for a number of years. She was post-Kleinian, and was great at interpretation, formulation, and she was really helpful with just starting to guide me towards a lot of this work. I remember describing to her a patient session, and I was going through my process notes, and I said, 'I feel like the patient is inside of me. I feel like they want something that's in me, and I don't know what it is, and I can't quite access my own self, I don't know what to do'. It was through this initial experience where I really felt why analytic training versus other less intense training, we were also right at the time doing infant development, offered so much. It was early in my training and she suggested I think about an infant or even a toddler when they want something from their parents - they want something from their mother. The mother kind of feels this kind of gripping or this yearning from them, the baby wanting something. I started to think of my patients, not as infants or babies, but that what I was feeling was that there was something that the person I was working with needed, and they didn't have words yet to tell me what that was." Episode Description: We begin by recognizing the unique journeys that lead clinicians to become psychoanalysts. Pam shares with us her initial exposure to dynamic thinking but felt that she was missing some awareness of what was happening in herself and in the patients she was working with - "I was curious...I wanted to go deeper, to know more." This led her to enroll in full-time analytic training. She shares with us her understanding of the 'difficult to reach patients' that she was treating and presents a fictionized case that represents the many countertransference struggles she faced. She noted that "instead of the patient realizing that she wanted something from me, she instead felt attacked by me." Supervision was essential in helping her make sense of her experiences and of learning to 'listen to the music'. We close by noting her open-ended curiosity and interest in learning more - lifelong attributes of analysts who continue to take pleasure in our work. Our Guest: Pamela Polizzi, LCSW maintains a full-time private practice in New York City. She specializes in working with patients struggling with eating disorders, complex personality struggles, anxiety, depression, relational trauma, and life transitions. She earned her Master of Social Work (MSW) in Advanced Standing Clinical Practice from Fordham University at Lincoln Center in 2011. Currently, she is an Advanced Candidate at the Psychoanalytic Training Institute of the Contemporary Freudian Society (CFS) in Manhattan, working toward becoming a psychoanalyst. She completed a 2015 Two-Year Advanced Psychodynamic Psychotherapy Certificate in the Integrated Treatment of Eating Disorders from the Institute of Contemporary Psychotherapy (ICP), Center for the Study of Anorexia and Bulimia (CSAB). She also completed the Contemporary Freudian Society's (CFS) Two-Year Psychoanalytic Psychotherapy Program in 2019. Recommended Readings: Readings for Psychoanalytic Candidates: Bach, S. (2011). The How-To Book For Students of Psychoanalysis and Psychotherapy. Karnac. Busch, F. (2021). Dear Candidates: Analysts From Around The World Offer Personal Reflections on Psychoanalytic Training, Education, and The Profession. Routledge. Readings on Clinical Practice with the Patient who is Difficult to Reach: Bollas, C. (1996). Borderline Desire. Int. Forum Psychoanal., (5)(1):5-9. Joseph. B., Feldman, M., & Spillius, M. (1989). Psychic Equilibrium and Psychic Change: Selected Papers of Betty Joseph. New Lib. of Psycho-Anal., (9):1-222. (on Pep-web). Joseph, B. (1975) The patient who is difficult to reach. Joseph, B. (1982) Addiction to near-death. Joseph, B. (1983) On understanding and not understanding: some technical issues. Riesenberg-Malcolm, R. (1999). On Bearing Unbearable States of Mind. Routledge. Steiner, J. (1993). Psychic Retreats: Pathological Organizations in Psychotic, Neurotic and Psychotic Patients. Routledge. Winnicott, D.W. (1974). Fear of Breakdown. Int. R. of Psycho-Analysis. 1: 103-107.
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    56 m
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as if I went though my own psychoanalyst therapy through this podcast. I'm very grateful, thanks a lot for this conversation.

thanks!

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Really a wonderful job you're doing. I have learned so much from the few episodes I have listened to and I can always apply the knowledge outside the therapy room. The bell boy metaphor is really wonderful to know.

Real life

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