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A Day with Riccardo Lombardi, MD

Date: Saturday, November 19, 2016
Time: 09:30am - 03:30pm
Presenter: Riccardo Lombardi, MD
Discussant: Peter Goldberg, PhD
Case Presenter: Maureen Smith Ruffell, MD
San Francisco Center for Psychoanalysis
444 Natoma Street
San Francisco, CA 94103
Program Fee: $ 165.00  General Admissions
$ 150.00  SFCP Analyst Members and Community Members
$ 125.00  SFCP Candidates
$ 75.00  Full-time Students or interns (copy of current Student ID or other documentation required)
(includes catered lunch)
(add $ 10.00 for on-site registration)
(no refund for cancellations)
CME/CE: 5 CME/CE Credits available for an additional:
$ 60.00  non-SFCP Members
$ 50.00  SFCP Members
To Register: Pre-registration has closed. Please register on-site.


Riccardo Lombardi expands psychoanalysis to the realm of psychosis and the more disturbed patient with his innovative thinking and, most significantly, with his deeply felt responsiveness to these patients. He has a sophisticated, nuanced understanding of the psychotic process, both observing and involving himself in the chaos of psychosis and other primitive and dissociative mental states. With the courage it takes to work with patients who have intense and profound emotions, Lombardi withstands the elements, and sees the potential for growth in the eye of the storm. He emphasizes the use of himself, and he writes frankly about the demands and emotional difficulties as well as the rewards of working in this register.

Freud, Bion and Matte Blanco are the major analytic thinkers from whom Lombardi develops his theoretical and technical positions. He takes up Freud’s ideas about the unconscious, the relationship of the body and the id to the ego and external reality. He considers Bion’s theories of reverie, container/contained, and the development of the capacity to think. He engages Matte Blanco’s vivid ideas of the unrepressed, undifferentiated “symmetric” unconscious — the unconscious of infinite emotion, timeless and unbounded, a seething cauldron of id. Lombardi converses with these ideas as he seeks to reach deeper layers of the mind to begin a process of emergence from “formless infinity.”

Lombardi places primary emphasis on the “body-mind relationship.” In his view, psychotic patients, who have a fractured relationship to bodily and sensorial experience, need help with generating an experience of a body to create a mind capable of subjective experience. Also observing the psychotic patient’s problem with the relationship to time, he believes that creating an experience of space and time, and the awareness of death and finite emotions, generates solid boundaries and limits, increasing mental capacity.

Rather than emphasize the transference relationship as a locus for interpretation and change, Lombardi technically focuses on the analyst’s use of reverie as part of his intense involvement with his patients and their struggle for growth. He is well aware of the intersubjective realm in analytic work, but, for him, this is not the primary area of therapeutic action with the more disturbed and psychotic patient. The analyst opens up a space for mental growth as a facilitator of the patient’s relationship with his own emotions, his body, and his integration of internal states. In his book, Formless Infinity: Clinical Explorations of Matte Blanco and Bion, he writes: “The internal movement that characterizes the analytic couple when it is facing the deepest levels involves continual oscillation: emerging from the formless infinite alternating with the opposite movement of falling into the formless infinite, submerged by the oceanic undertow of primitive emotions … . “(p. 13)

Riccardo Lombardi, MD, is a Training and Supervising Analyst at the Italian Psychoanalytic Society. He has authored many papers, and two books, Formless Infinity: Clinical Explorations of Matte Blanco and Bion (2015) and Body-Mind Dissociation in Psychoanalysis: Development after Bion (2016.) Dr. Lombardi has an analytic practice in Rome with children, adolescents, and adults.

Dr. Lombardi will present his paper, “Entering One’s Own Life as an Aim of Clinical Psychoanalysis.” In it, Dr. Lombardi will discuss his in-depth clinical experience of facilitating the mental growth of patients who are unable to feel alive. Peter Goldberg, PhD, Faculty Member at SFCP and PINC, Personal and Supervising Analyst, PINC, will discuss Lombardi’s paper. Maureen Smith Ruffell, MD, Faculty Member, SFCP, will present clinical material of an adult in psychoanalysis. 

09:00am - 09:30am Registration and Coffee
09:30am - 09:40am Introduction to the Conference
Beth Steinberg, PhD
Chair, "Psychoanalytic Psychotherapy Education Division"
09:40am - 09:50am Introduction of Riccardo Lombardi, MD
Catherine Mallouh, MD
Chair, "A Day With" program, SFCP
09:50am - 10:40am "Entering One's Own Life as an Aim of Clinical Psychoanalysis"
Paper presented by Riccardo Lombardi, MD
10:40am - 10:50am 10 Minute Break
10:50am - 11:40am Discussion of Paper
Peter Goldberg, PhD
11:40am - 12:00pm Discussion with the Audience
12:00pm - 01:00pm On-site Catered Lunch
01:00pm - 03:00pm Clinical Presentation
Maureen Smith Ruffell, MD
03:00pm - 03:30pm Discussion with the Audience
Educational Objectives:
Participants will be able to
  1. describe a useful clinical technique for working with more disturbed patients who cannot feel alive.
  2. discuss the theory of the psychoanalyst Matte Blanco as it relates to emotions and the capacity for thought, and its usefulness for working with primitive mental states.
  3. explain the role of the body and the body-mind connection in promoting mental development.
  4. discuss the importance of time, and the psychic differentiation between life and death in working with disturbed patients.

CE LogoThe San Francisco Center for Psychoanalysis is accredited by the Institute for Medical Quality/California Medical Association (IMQ/CMA) to provide continuing medical education for physicians. The San Francisco Center for Psychoanalysis takes responsibility for the content, quality and scientific integrity of this CME activity.

PHYSICIANS: The San Francisco Center for Psychoanalysis designates this educational activity for a maximum of 5 credits as listed for each individual program, AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity. This credit may also be applied to the CMA Certification in Continuing Medical Education.

LCSWs/MFTs: The San Francisco Center for Psychoanalysis is a provider approved by the Board of Behavioral Sciences, Provider Number PCE623, for 5 CE credits on an hour for hour basis.

PSYCHOLOGISTS: Psychologists attending SFCP events approved for CME credits may report AMA PRA Category 1Credit(s)™ toward their CE requirements. Psychologists self-certify the number of hours they have completed on their renewal form (whether online or paper). The San Francisco Center for Psychoanalysis is approved by the American Psychological Association to sponsor continuing education for psychologists. The San Francisco Center for Psychoanalysis maintains responsibility for this program and its content.

REGISTERED NURSES: The San Francisco Center for Psychoanalysis is a provider approved by the California Board of Registered Nursing, Provider Number 02677, on an hour for hour basis.

SFCP is approved by the American Psychological Association to sponsor continuing education for psychologists. SFCP maintains responsibility for this program and its contents.

Commercial Support: None

Faculty Disclosure: The following moderators and planning committee members have disclosed NO financial interest/arrangement or affiliation with commercial companies who have provided products or services, relating presentation(s) or commercial support for this continuing medical education activity: Laurie Goldsmith, PhD, Patricia Marra, MFT, Catherine Mallouh, MD, Michael Loughran, PhD, Edit Markoczy, PsyD, Peter Goldberg, PhD, Maureen Smith Ruffell, MD and Riccardo Lombardi, MD. All conflicts of interest have been resolved in accordance with the ACCME Updated Standards for Commercial Support.


Clinical material will be presented at this program. No audio or video recordings, or internet postings or internet discussion are allowed






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