Preliminary Notice
One Day Conference on Friday, December 6th, 2013 in the The Education and Research Centre at St Vincent’s University Hospital, Elm Park, Dublin 4
Treatment Challenges in Psychosis
Voices of Difference – Psychiatry and Psychoanalysis in Dialogue
With research showing that the classic psychotic symptoms of hallucination and delusion are much more prevalent in the general population than heretofore acknowledged, the ethical implications of early intervention treatments for individuals experiencing such symptoms and at risk of developing psychosis, are rightly being debated. However, for certain individuals, delay in treatment is more reflective of characteristics of their illness – negative symptoms mostly – not coming to light.
In psychiatric practice, the current essentials of treatment – psychopharmacology and cognitive behavioural therapy – have, as their aim, remission from illness. And yet, there is no clear-cut definition of what constitutes remission. Symptomatic remission may not coincide with functional remission. The further implication is that the ‘failure’ to attain functional remission, manifested by social withdrawal or the non-achievement of vocational milestones etc., is simply a continuation of poor pre-morbid functioning that remains unaddressed despite treatment.
For Freud, positive symptoms, i.e. delusions, represent the attempt at recovery, a form of ‘meaning-making’, a thought solution in the face of the breakdown of sense, whose clinical avatars, such as perplexity, poverty of speech and thought disorder qualify as negative symptoms.
Jacques Lacan has proposed that, at the heart of subjectivity, what he calls The Real has a core of absens, (absence of sense) that, essentially, has a different outcome for the non-psychotic. The psychotic’s struggle with The Real, at the heart of what, for psychiatry is a pathological process, is, for the psychoanalyst, the focus of treatment.
Through paper presentations and round-table discussion, this second interdisciplinary conference will address the subjective dimension at the heart of psychosis that negative symptoms and functional deficit signal. This has significant implications for treatment.
6 External CPD points The College of Psychiatrists of Ireland
speakers and speakers times (all confirmed)
09.20 – 09.30 OPENING REMARKS: Professor Michael Keane, UCD School of Medicine and
Medical Science, Dublin
09.30 – 10.00 SPEAKER: Professor Bent Rosenbaum, Copenhagen
10.00 – 10.30 SPEAKER: Dr Cormac Gallagher, Dublin.
10.30 – 11.00 SPEAKERS: Dr Mary Clarke and Elizabeth Lawlor, Dublin
11.30 – 12.00 SPEAKER: Dr Joanna Moncrieff, London
12.00 – 12.30 SPEAKER: Dr Barry O’Donnell, Dublin
1.00 – 2.00 LUNCH >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
2.00 – 2.30 SPEAKER: Dr Christian Fierens, Brussels
2.30 – 3.00 SPEAKER: Dr Malcolm Garland/ Dr James O’Connor, Dublin
3.00 – 3.30 SPEAKER: Dr Tom Dalzell, Dublin
3.30 – 4.00 SPEAKER: Dr Patricia McCarthy, Dublin
4.30 – 5.30 ROUND-TABLE DISCUSSION
CHAIR: Dr Brendan Kelly, Dublin
PANELLISTS: TBC
Coffee Breaks at 11 am and 4.00 pm
Speakers Profiles
Professor Bent Rosenbaum is a Specialist in Psychiatry, MDsci., Associate Clinical Research Professor, Faculty of Health Sciences and Adjunct Professor, Department of Psychology, University of Copenhagen. He is a training analyst of the Danish Psychoanalytic Society. President of the Danish Psychiatric Society (1998-2000), his areas of research interest include psychodynamic psychotherapy for persons with severe mental disorders, general and developmental psychopathology, trauma, suicide prevention, psychoanalysis and semiotics.
Dr Cormac Gallagher is a practising psychoanalyst in Dublin, having studied and trained in Paris. He introduced Lacanian psychoanalysis to Ireland in the 1970s and established The School of Psychotherapy at St Vincent’s University Hospital. Founder of the Irish School for Lacanian Psychoanalysis, he is known throughout the world for his translations of Lacan’s seminars www.lacaninireland.com
Dr Mary Clarke is a Consultant Psychiatrist at St John of God Hospital. She heads up DETECT an early intervention programme for first episode psychosis.
Ms Elizabeth Lawlor is Principal Psychologist at the Psychosis Unit at St John of God Hospital, Stillorgan and at DETECT
Dr Joanna Moncrieff is a Senior Lecturer in psychiatry at University College London and a practising Consultant Psychiatrist. She is co-chairperson of the Critical Psychiatry Network.
Dr Barry O’Donnell is a practising psychoanalyst in Dublin. He is Head of the Department of Psychotherapy at Dublin Business School. A member of the Irish School for Lacanian Psychoanalysis, he teaches psychoanalysis at The School of Psychotherapy at St Vincent’s University Hospital.
Dr Christian Fierens is a practising psychoanalyst at Tervuren, near Brussels. A neuro-psychiatrist and doctor of psychology, he has written several books on Lacanian psychoanalysis including Comment penser la folie (2005), Lecture de l’Etourdit (2006). He is a member of Questionnenment Psychanalytique and he teaches at the centre for pychoanalysis at l’Université Libre de Bruxelles.
Dr Malcolm Garland is a Consultant Psychiatrist at St Ita’s Hospital Portrane, Co Dublin and Senior Lecturer in Psychiatry, Royal College of Surgeons in Ireland
Dr James O’Connor is a Clinical Psychologist with Community Psychiatric Services at St Ita’s Hospital, Portrane, Co Dublin.
Dr Tom Dalzell works psychoanalytically in private practice and in prisons. A member of L’Association Lacanienne Internationale and The Irish School for Lacanian Psychoanalysis, he is author of Freud’s Schreber between Psychiatry and Psychoanalysis
Dr Patricia McCarthy is a psychiatrist and a practising psychoanalyst. She is Director of the School of Psychotherapy at St Vincent’s University Hospital where she teaches and Lecturer in the UCD School of Medicine and Medical Science. She is a member of the Irish School for Lacanian Psychoanalysis and serves on the editorial board of The Letter: Irish Journal for Lacanian Psychoanalysis
Dr Brendan Kelly is a Consultant Psychiatrist in the Department of Adult Psychiatry at the Mater University Hospital and Senior Lecturer in psychiatry in the UCD School of Medicine and Medical Science. He is editor of the Irish Journal of Psychological Medicine.
REGISTRATION FORM
Treatment Challenges in Psychosis
Voices of Difference – Psychiatry and Psychoanalysis in Dialogue
Friday, December 6th 2103 9.30 am – 17.30 pm
The Education and Research Centre
St Vincent’s University Hospital
Elm Park, Dublin 4
First Name …………………………………………………………………………………
Surname …………………………………………………………………………………….
Address ………………………………………………………………………………………
…………………………………………………………………………………………………….
e-mail ………………………………………………………………………………………….
tel ……………………………………. mobile ………………………………………….
to register, please complete and return this form with cheque payable to School of Psychotherapy (Conference) to:
The School of Psychotherapy, The School of Medicine and Medical Science, ERC, St Vincent’s University Hospital, Elm Park, Dublin 4
TELEPHONE / EMAIL enquiries: 01-2214929 / tsop@ucd.ie
REGISTRATION FEE (includes lunch) €110
STUDENTS AND TRAINEES €80
Advance registration is essential