Acting Out and Enactments (405)

Instructors: Michael Macklin, MD and Terrie Baker, MSW, LCSW

Description:    This course will focus on the therapist’s conscious and unconscious reactions to their patients and how they can best be worked with and understood. We will cover concepts of repeating, acting out, countertransference, projective identification, and enactment. Presentation of clinical material by participants will be essential for the success of this course.

Target Audience: This course is appropriate for intermediate to advanced students, as well as clinicians with extensive experience who have the permission of the instructors.

Format: This class will combine lecture and seminar formats; student participation is encouraged. All the PCC courses are small group discussions that require participants to read and synthesize the materials presented.  PCC faculty ensure that gaps in knowledge are addressed.

About the Instructors:   Michael Macklin, MD is a Supervising Analyst at the Psychoanalytic Center of the Carolinas.  He is a practicing psychoanalyst in Chapel Hill. He has a particular interest in the widening scope of practice of psychotherapy and psychoanalysis, as well as in the broadest theoretical perspectives in psychoanalytic theory. He graduated from the UNC-Duke Psychoanalytic Education Program, now a component of the Psychoanalytic Center of the Carolinas (PCC). He taught many classes in the UNC-Duke Psychoanalytic Education Program, including Object Relations Theory, Self Psychology, and Widening Scope. He was co-chair for many years of the theory section of the psychoanalytic curriculum committee, and he is a member of the faculty of the PCC. 

Terrie Baker, MS, MSW, LCSW is a Training and Supervising  Analyst at the Psychoanalytic Center of the Carolinas.  She is a clinical social worker and psychoanalyst in private practice in Chapel Hill, NC. After a career in a scientific field, she received her MSW from UNC-Chapel Hill, where she was awarded the Rubin Blanck Award for rising clinical social worker. She completed her psychoanalytic psychotherapy training at the Psychoanalytic Psychotherapy Study Center and her psychoanalytic training at the Psychoanalytic Institute of the Carolinas, now part of the Psychoanalytic Center of the Carolinas (PCC). She has served on the Board of the PCC and currently serves on the PCC CE/CME committee. She is a member of the PCC faculty as a teacher and psychoanalytic psychotherapy supervisor.

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Where:   via Zoom
When:     January 18 - March 8, 2022
Time:       7:10 - 8:40 pm

CME Credits: 12 / CE clock hours: 12 / NBCC: 12 clock hours / All others: Letter of Attendance

Prerequisite: This class is open to matriculated Psychoanalytic Adult or Adult/Child students who have completed all or nearly all of the Core Curriculum.  Some exceptions to the requirements that the psychoanalytic student has finished all or nearly all of the Core Curriculum may be made by the psychoanalysis program. Other interested students must have the permission of the instructors.

Training Program Credit: Students who successfully complete this course can earn credit in the psychoanalysis training program. At the end of the course, participants must complete the Evaluation Form to receive continuing education credit.

Continuing Education Credit: At the end of the course, participants must complete the evaluation form to receive continuing education credit. The instructor(s) have signed financial disclosure form and have no commercial support that represents a conflict of interest.

Course Syllabus: Acting Out and Enactments Syllabus.docx

Registration and Tuition Deadline is January 11, 2022.  

$25 Registration Fee is due at time of application.

Tuition: $315

$235 for students matriculated in the training programs 

$290 for residents and graduate students

Payment plans can be arranged with the Administrator

Matriculated students are not charged a course registration fee. Students who register for more than one course in a semester pay only one registration fee. In special circumstances, we may accept registrations after the registration deadline, but there will be an additional $20 late registration fee.
Course Cancellation Policy

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Course Learning Objectives:    

Class participants will be able to:

1. Describe the historical meaning of the term “acting out”.
2. Compare the behaviors commonly referred to as “acting out” and “acting in” and their relation to the process of “repeating and working through” and the clinical implications of these behaviors.
3. Describe some clinical observations of countertransference and how to use it to enhance understanding of clinical materials.
4. Describe the historical underpinnings of projective identification and what you observe about projective identification in your clinical work.
5. Discuss the evocative power of enactments and how it may lead to lapses in understanding of the patient.
6. Discuss how dissociation and enactment may be related.
7. Discuss how working through an enactment may deepen understanding of the patient, even if the enactment is largely unconscious.
8. Explain how enactment can revitalize the treatment if considered in a relational lens.

CE-CME Information:

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of American Psychoanalytic Association and Psychoanalytic Center of the Carolinas. The American Psychoanalytic Association is accredited by the ACCME to provide continuing medical education for physicians.” 

The American Psychoanalytic Association designates this Live Activity for a maximum of 12 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

IMPORTANT DISCLOSURE INFORMATION FOR ALL LEARNERS: None of the planners and presenters for this educational activity have relevant financial relationship(s)* to disclose with ineligible companies* whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

*Financial relationships are relevant if the educational content an individual can control is related to the business lines or products of the ineligible company.

-Updated July 2021-

The Psychoanalytic Center of the Carolinas has been approved by the NBCC as an Approved Continuing Education Provider, ACEP No. 6518. Programs that do not qualify for NBCC credit are clearly identified.  The Psychoanalytic Center of the Carolinas is solely responsible for all aspects of the program.

 Contact: [email protected]

© Psychoanalytic Center of the Carolinas

101 Cloister Court, Suite A   I   Chapel Hill, NC 275614

Phone: 919.490.3212  I  Fax: 877.897.4034  I  www.carolinapsychoanalytic.org

Psychoanalytic Center of the Carolinas:  Promoting Emotional Resilience by Understanding the Mind Through Psychoanalytic Education, Practice and Service.