Registration Form for Fall 2011- Spring 2012 Events

at the Object Relations Institute for Psychotherapy & Psychoanalysis

Name______

Address______

Telephone/fax (preferred ##s) ______

Affiliation______

Credentials______

Do you want to be included in our mailing list?______

Email______

Please send your checks/ money orders (paid to ORI) to:

ORI Administrator; 75-15 187 Street; Fresh Meadows, NY 11366-1725.

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Pre-register for ORI’s 21st Annual Conference:

Voyages into the Internal World: Archetypes, Internal Objects, and Internal Saboteurs. Three Ways of Looking at Self-sabotage (with Jungian, Kleinian, and Fairbairnian Perspectives).

When: February 25th, 2012 (9:30am-4:30pm):

Where: Lafayette Grill, 54 Franklin Street, New York, NY 10013-4009

____ Early Bird registration (before January 25th, 2012) - $95 regular/ $45 students
____ Pre-registration discount (January 25th – February 15th, 2012) - $105 regular/ $55 students
____ Registration after February 15th, 2011 & at the door - $115 regular/ $65 students

CE credits will be available, as per request. Please request CE credits at the time of registration.

______NB: Fees for full-day workshops are: Pre-registration - $75/$40 professionals/ students, respectively. At the door - $85/$50 respectively.

October 2011 – June 2012 Events

_____ 10/29/11 (full day workshop) - Dances of Intimacy: Transference, Countertransference and Enactment. An Object Relations Approach to Couple and Family Dynamics (with Claire Steinberger, Ed.D., J.D.) Fee: Pre-registration: $75/$40 (professionals/students). At the door: $85/$50 (professionals/students).

_____ Fall 2011- Winter 2012 - TBA - Neurobiology for Psychoanalysts and Psychotherapists: Introduction (with Inna Rozentsvit, M.D., PhD) (NEW!)

_____ 11/12/11 (Saturday, Full day workshop, 10am-4pm) – Barriers to Success: Internal World and Unconscious Fantasy Obstructions (with Susan Kavaler-Adler, PhD, ABPP, D.Litt). Fee: Pre-registration: $75/$40 (professionals/students). At the door: $85/$50 (professionals/students).

_____ 12/10/11 (12-5pm) - ORI Holiday party and Celebration of establishment of the ORI Press.

_____ 1/5/12-3/8/12 (10-weeks; Thursday evenings) - Freud and Object Relations Theory (with Rafael Javier, PhD). Fee: $450/ 10 weeks.

_____ 1/5/12-3/8/12 (10-weeks; Thursday evenings) - Donald Winnicott and His Contribution to Object Relations Clinical Thinking (with Ruth Danon, PhD). Fee: $450/ 10 weeks.

_____ 1/13/12 – Dialectics of Mortality and Immortality: Time as a Persecutory vs. Holding Object - Lecture/ paper presentation at The Postgrad* Psychoanalytic Society (with Susan Kavaler-Adler, PhD). RSVP with The Postgrad* Psychoanalytic Society.

_____ 2/25/12 (Saturday) – ORI’s Annual Conference: Voyages into the internal world: Archetypes, Internal Objects, and Internal Saboteurs. Three ways of looking at self-sabotage (with Jungian, Kleinian, and Fairbairnian perspectives). Early Bird registration (before January 25th, 2011) - $95 regular/ $45 students. Pre-registration discount (January 25th – February 15th, 2011) - $105 regular/ $55 students. Registration after February 15th, 2011 & at the door - $115 regular/ $65 students.

_____ 3/6/12-5/8/12 (10-weeks; Tuesday evenings) - Infant Research: Impact on Psychoanalytic Theory and Technique (with Ann Rose Simon, LCSW) (NEW!). Fee: $450/ 10 weeks.

_____ 3/7/12 – 4/11/12 (6-weeks, Wednesday evenings) - Object Relations Perspectives on Working with Children in Psychoanalytic Psychotherapy (with Charles Bonerbo, LCSW) (NEW!). Fee: $450/ 10 weeks.

_____ 3/15/12-5/24/12 (10-weeks; Thursday evenings) - Sandor Ferenczi and Michael Balint: The Use of Therapeutic Regression in Psychoanalysis (with Jeffrey Lewis, PhD). Fee: $450/ 10 weeks.

_____ 3/15/12-5/24/12 (10-weeks; Thursday evenings) - Contributions of Ronald Fairbairn to the Object Relations Theory (with Susan Kavaler-Adler, PhD). Fee: $450/ 10 weeks.

_____ 5/02/12-6/20/12 (8-weeks; Wednesday evenings) - Advanced Dream Interpretation Course (with Margaret A. Yard, PhD, APRN, BC) (NEW!). Fee: $360/ 8 weeks.

Please be advised that we need advanced notice (min 4-week) about CE credits you are planning to request for any of the above events (in exception of the annual conference, where CE credits will be definitely offered, and

To request CE credits, please contact ORI’s Administrator via email .

For further information, please contact the administrator by email (above) or by phone: 646-522-0387 or 646-522-1056.

Thank You!

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