Join our ICP+P Clinical Reflections Conference, a place to learn more about our colleagues’ clinical specialties and explorations in their practices. We are holding this conference for the first time since the pandemic, and we urge you to join as a place to make professional connections and share your impressions.

Each speaker has demonstrated both a clinical openness as well as a grounding in the theory which informs how the therapeutic relationship emerges and is co-created by clinician and patient. This conference will look at an array of topics from how caste, the body, and gay or queer identity show up in the therapeutic relationship. Regardless of your patient population or modality, all three presentations share direct relevance to our clinical endeavors.

Saturday, February 24, 2024
9:00 am-12:15 pm ET Time
3.0 CE Credits

The Haunting Echoes of an Emptying Split: Reimagining the Emotional Violence and Developmental Effects of Caste Through an Intersubjective Lense

Featuring Reva Puri, MA and Manali Arora, MA

This presentation delves into the emotional violence and developmental impacts of caste in India. Through a clinical vignette, it illustrates how psychic reality is not only impacted by, but also constructed within the constraints of one’s caste identity: Caste influences which parts of the self are recognized, allowed to develop, or are arrested prematurely. Engaging with the complexities of caste in the context of psychoanalytic practice in India, this paper proposes a theoretical framework that seeks to use, incorporate and extend conceptualisations of Green’s “negative hallucination”, Layton’s “psychosocial attacks on linking”, Bion’s idea of “container-contained”, and Benjamin’s theorisation of “mutual recognition” to address the entrenched psychosocial realities of caste. The presentation underscores the importance of working through these inner realities for both the patient and the therapist. Reva Puri and Manali Arora offer insights to psychotherapists in navigating various forms of cultural and psychosocial hierarchies and stratifications within the clinic, with a particular focus on the complexities of caste in the Indian subcontinent.

Learning Objectives
After participating in this conference, participants will be able to:

  1. Apply to the complexities posed by caste Green’s concept of “negative hallucination”, Layton’s work on psychosocial attacks on linking, Bion’s ideas of “container-contained” and Benjamin’s emphasis on mutual recognition as “freedom from the doer done-to” dynamic.
  2. Discuss how to work intersubjectively with caste to favor mutual recognition, even when caught in the enactment of the binaries of ‘oppressed’ and ‘oppressor.’
  3. Explore how the therapeutic process of working through is shaped and influenced by entrenched psychosocial realities, both those of the patient and the therapist.

Haq, S. (2023). Not evil, just sad: Racial melancholia and its agonies. Psychoanalytic Dialogues, 32(6), 610-614.


Layton, L. (2019). Transgenerational hauntings: Toward a social psychoanalysis and an ethic of dis-illusionment. Psychoanalytic Dialogues, 29(2),


Reed, G. (2015). André Green on the theory and treatment of “non-neurotic” patients. Psychoanalytic review, 102(5), 649-658.


Reva Puri, MA is a psychoanalytic psychotherapist practicing in India and a member of the IARPP (International Association of Relational Psychotherapy and Psychoanalysis). Her clinical work has germinated into her research preoccupations including the formation of gendered subjectivity, the impact of caste on one’s self and relationships, the complexities of intergenerational trauma within colonisation etc. Her research has been published in magazines such as “In Plainspeak” and journals such as “The Contemporary Literary Review India.” She has also presented her work at numerous international conferences. She is passionate about making psychoanalytic training accessible in India and runs an experiential group for early career practitioners in addition to her analytic lectures.

Manali Arora, MA is a psychodynamic psychotherapist in India. She is currently positioned as a psychologist and a researcher at All India Institute of Medical Sciences (AIIMS), New Delhi, India and a psychotherapist in private practice. Additionally, she is also a fellow at the Psychoanalytic Fellowship program by the Washington Baltimore Centre for Psychoanalysis. She has a profound interest in addressing underexplored areas in the Indian Psychoanalytic landscape, particularly sibling relationships and working with marginalized communities.
Her article was recently published in the New Association’s Magazine of the British Psychoanalytic Council. She has also presented her work at international conferences such as the Association for the Psychoanalysis of Culture and Society (APCS) and is presenting at the upcoming International Association for Relational Psychoanalysis and Psychotherapy (IARPP) conference.

The Integration of Somatic-based Strategies into Couples therapy

Featuring Deborah J Fox, MSW, LICSW

Couples therapy is challenging in many ways because there are two people who are in distress, each wanting more from their partner, each wanting to be understood and to feel more connected. A common denominator in a variety of approaches to treating couples is verbal communication. This relies on what is available cognitively to the couple. However, sources of tension and disconnection are often outside of their awareness, limiting the effectiveness of the treatment. This presentation discusses how somatic interventions can be adapted to therapy with a couple. Somatic-based approaches have strategies that both enable clients to access emotional experience that is held in their implicit memory and is outside of awareness; and to regulate nervous system response, which is necessary to fully avail oneself of the growth process of therapy. Key components are providing and maintaining structure in session, tracking the body for signs of nervous system activation, and employing strategies for nervous system regulation. A somatic-based approach enables couples to communicate more effectively, respond to each other emotionally, solve problems between them and sets the conditions for memory reconsolidation to take place.

Learning Objectives
After participating in this conference, participants will be able to:

  1. Explain how a longing to connect with one’s partner conflicts with the biological imperative of survival.
  2. Describe two interventions to employ when a client exhibits signs of nervous system dysregulation.
  3. Explain why focusing on physical sensations can illicit valuable emotional information that is inhibiting emotional connection in a couple.

Kailanko, S., Wiebe, S. A., Tasca, G.A., & Laitila, A. A. (2022). Somatic interventions and depth of experiencing in emotionally focused couple therapy.

International Journal of Systemic Therapy, 33(2), 109-128.

Kuhfuß, M., Maldei, T., Hetmanek, A., & Baumann, N. (2021). Somatic experiencing – Effectiveness and key factors of a body-oriented trauma therapy:

A scoping literature review. European Journal of Psychotraumatology, 12(1), 1-17.

Porges, S.W. (2022). Polyvagal theory: A science of safety. Frontiers in Integrative Neuroscience, 16, 1-15.

Deborah J Fox, MSW, LICSW is a clinical social worker with over thirty-five years of experience in private practice in Washington, DC. She is a Certified Imago Relationship Therapist and an AASECT Certified Sex therapist, providing individual, couples and group psychotherapy, as well as clinical consultation. Deborah lectures on the integration of mind-body strategies into couples therapy, sex therapy, and the treatment of sexual trauma, as well as conducting small group seminars and consultation groups. Her most recent publication is “The Integration of Somatic-based Strategies into Couples Therapy” (Clinical Social Work Journal, Oct 2023). You’re welcome to visit Deborah at

Fellow Travelers

Featuring Matthew R. Schottland, PsyD

In this presentation, Matthew Schottland explores a clinical case with a young adult gay male patient. The therapist considers various unique developmental challenges from a self-psychology lens that impact gay adult men’s sense of self, interpersonal relationships, and romantic and sexual life. The presenter reflects on his own sense of self and development of sense of self both past and present and looks at what is activated for him in his work with his patient. The presenter explores how Kohut’s twinship shows up and plays out for both him and his patient as they move through the therapeutic process and the developing therapeutic relationship.

Learning Objectives
After participating in this conference, participants will be able to:

  1. Name unique developmental challenges that many gay and bisexual men may face as adolescents and young adults, and provide examples of how these challenges may manifest as emotionally dysregulated behavior.
  2. Articulate ways to discuss extra-therapeutic run-ins with clients with whom a therapist might share major sociocultural identifications.
  3. Give examples of ways to ethically manage dual relationships when working in small communities.

Belkin, M. (2018). Who is queer around here? Overcoming rigid thinking and relating in patient and analyst. Contemporary Psychoanalysis, 54(3),


Cavitch, M. (2016). “Do you love me?” The question of the queer child of psychoanalysis. Psychoanalysis, Culture and Society, 21(3), 256-274.

Guzzardi, S. (2022). The only fag around: Twinship needs in gay childhood. Journal of the American Psychoanalytic Association, 70(3), 437-458.

Matthew R. Schottland, PsyD is a licensed clinical psychologist in private practice with an office in Farragut Square. Dr. Schottland conducts individual psychotherapy and couples counseling from a psychodynamic/existential theoretical lens with adults ranging from college age through their 60’s. The majority of his clients identify as LGBTQ. In addition to his clinical work, Dr. Schottland teaches as an adjunct faculty member within the Human Sciences Department at Georgetown University. Dr. Schottland is currently working on developing a course on Psychedelics, including Psychedelic-Assisted Therapy and philosophical and spiritual issues raised by entheogens. Dr. Schottland recently completed the CAPP two-year continuing education certificate program at ICP+P.

This conference is appropriate for clinicians at all levels of experience and offers 3 CEs.

Conference Fees:

FreeICP+P Members, MITs, Emerging Professionals, Graduate Student Members, Fellows, 1st and 2nd Year Members
$30Unaffiliated Students
$60International Attendees (Outside US)

Registration closes on Friday, February 24th, 2024 at 12:00 pm ET.

For more information or to request reasonable accommodations, email To request a different registration fee, based on your circumstances, you are invited to contact our Administrator at
A refund for cancellation is available up to 10 days before the conference.

To register by mail, send this page and payment to:

For more information or to register online, please visit

To register by mail, send this page & payment to:
ICP+P, 3298 Governor Drive, Suite 22270
San Diego, CA 92192

Continuing education credit: 3 CE credits available for full attendance. Credit will not be granted to registrants who are more than 15 minutes late or depart more than 15 minutes early from a session. Please arrive at least 10 minutes before the scheduled start time to allow time to check in. Full Zoom attendance is required in order to receive CE Credit.

The Institute of Contemporary Psychotherapy and Psychoanalysis (ICP+P) is approved by the American Psychological Association to sponsor continuing education for psychologists. ICP+P maintains responsibility for this program and its content. ICP+P is approved by the Maryland Board of Social Work Examiners to offer Category I continuing education credit. As our CE program receives oversight from a licensed social worker, the CE credits we award are highly likely to be recognized by licensing boards in Virginia and the District of Columbia. These continuing education credits meet the ANCC standards for nurses. Marriage and family therapists licensed in the District of Columbia, Maryland, and Virginia may submit these CE credits to their licensing boards. (Marriage and family therapists in other jurisdictions and licensed counselors should inquire with their local Boards regarding continuing education credit.) Attendees from the above professional groups will earn 3 CE credits for attending the CE activity. Full attendance is required to receive the designated CE credit. ICP+P is accredited by MedChi, the Maryland State Medical Society to provide continuing medical education for physicians. ICP+P designates this educational activity for a maximum of 3 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity

* Reva Puri, MA, Manali Arora, MA, Deborah J Fox, MSW, LICSW, Matthew R. Schottland, PsyD, and the planners have informed us that they do not have a conflict of interest and have disclosed that they have no relevant financial relationship with any commercial interests pertaining to this educational activity. Additionally, the presenters have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during this presentation. This presentation will not contain any references to off-­label (non-­FDA approved) use of products or devices.