Off the Couch Podcast

On Off the Couch we meet psychoanalysts who work in dialysis units, prenatal clinics, corporate board rooms, community centers, humanitarian organizations, and with vineyard workers just to name a few. We hope these conversations expand our awareness of how broadly psychoanalytic thinking extends into our communities. 

Off the Couch
 is produced and hosted by Harvey Schwartz MD, Chair of the IPA in Health Committee, and Steven S. Rolfe MD.

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Latest Episode

Episode 102: Trauma and the Capacity for Gratitude with Heinz Weiss, MD

Episode Description: We begin by clarifying the meaning of trauma from its commonplace references all the way to the trauma of parental figures maintaining a malignant view of their child. We discuss the impact of early trauma on development with particular attention to the limitations on the capacity for nuanced affect and symbolization. Heinz describes in detail how this level of concreteness lives in the analytic situation and is shared in the counter-transference. The analyst’s ability to imperfectly tolerate the projection of badness into them is demonstrated in his clinical vignette. The patient describes herself, There is something in me which is part of me and not part of me which thinks that I only have a right to live if I feel bad. We learn how that addictive attachment to dependable badness sustains her until she needs it less over the course of her analysis. The deepening capacity to tolerate guilt and for whole object gratitude marks the analysand’s healing.

Our Guest:
Heinz Weiss, M.D., is the Head of the Department of Psychosomatic Medicine at the Robert Bosch Hospital in Stuttgart. He is also the head of the Medical Division and member of the directorate of the Sigmund-Freud Institute, Frankfurt/Main, and Chair of the Education Section of the International Journal of Psychoanalysis.

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25 January 2022